Gastroenterology practices in the U.S. are operating under mounting pressure in 2025. According to Medscape’s Gastroenterology Practice Issues Report, GI physicians are navigating a difficult landscape marked by specialist shortages, clinician burnout, increasing administrative burden, and early—but meaningful—impacts of artificial intelligence (AI) on daily practice.
A nationwide shortage of gastroenterologists has made it harder for practices to fill open physician roles, while patient demand continues to rise. At the same time, administrative responsibilities have intensified, contributing to fatigue and reduced capacity. Medscape’s survey highlights that these combined factors are reshaping how GI practices function and scale.

