In Reply:

We appreciate the authors’ interest in our study and for bringing to light the important regulatory and ethical aspects of research related to burnout and wellness. From a regulatory standpoint, the reviewing institutional review board (IRB) determined that our study entailed no greater than minimal risk and met the criteria for exemption from IRB review and approval. However, from an ethical standpoint, like the letter's authors, we fully recognized the potentially sensitive nature of our data and therefore instituted several measures ourselves to safely manage them