December’s top 10 most read list sees eight new entries. At number one this month is a qualitative study by Rich et al, which investigates the work-life balance of doctors undertaking post graduate medical training in the UK. The authors conducted semistructured focus groups and interviews with medical trainees and trainers and found a lack of work life balance that negatively impacts on learning and well-being. In particular, women with children were the most affected.

Other new entries include a cross sectional study by Steele et al, which found that ultra-processed foods make up over half of all calories consumed in the US diet, and contribute to almost 90% of all added sugar intake. This study also received a press release.

Fenton et al’s systematic review on the associations between dietary acid, alkaline water and cancer incidence and treatment outcomes has dropped to fifth place in this month’s list. Jonas et al reached number six with a systematic review and meta-analysis examining the efficacy of surgery and invasive procedures for various conditions. The study concludes that the effects of surgery and other invasive procedures are uncertain, particularly in pain-related conditions.

Finally, at number 10 this month is a systematic review by Taylor et al, which looks into the affect of age-related macular degeneration (AMD) on visual function and quality of life (QoL) in patients living with the condition.

Most read figures are based on pdf downloads and full text views. Abstract views are excluded.