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"Health-care professionals are increasingly demoralised by pressure to prioritise their employers' financial goals over patients' needs and professional norms, as space for good work in a bad system narrows." This statement from an October 2025 Lancet article spoke directly to my experience. By all quantifiable metrics, I was successful. I'd just been promoted to Associate Professor in the #1-ranked department in the country for my specialty. I had a rewarding leadership role

AI is rolling out in medicine faster than most of us can process. Ambient scribes documenting visits. Clinical decision support algorithms. Automated prior authorizations. The promises are compelling—reduced clerical burden, more face-time with patients, less burnout. I wanted this. As a palliative care doctor and director of physician well-being at my institution, I've spent years watching colleagues drown in documentation, log into the EHR at ungodly hours, and burn out fro

When I asked my department for a sabbatical last year, the answer was swift: no. I was an associate professor, technically eligible...

The endless scroll. We've all been there. But yesterday, something on Instagram stopped me cold. It started with a caption: "Today, an...