What was the first question that popped into your head last time you had an adverse outcome with a patient? If you’re anything like me, it was: “What did I miss?” As physicians, we tend to be very hard on ourselves. It starts as undergrads (we must get perfect grades, scores, activities, and clinical experience), and it escalates from there. Whenever we fail to be perfect, we inundate ourselves with, “What ...

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There are aspects of practicing medicine that will always be challenging and stressful, even in a perfect system. Avoiding dangerous drug-drug interactions. Keeping up with the overwhelming amount of new data on diagnostic and treatment modalities. Telling a patient that they are dying. The uncertainties of call night. In addition, medicine tends to attract some pretty type-A, intense, perfectionist people that are all-too-willing to sacrifice their personal needs for the needs ...

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Three years ago, I left the only path I had ever known to pursue uncertainty on the other side of the world. But let me back up. In July of 2011, five years into my career as an academic hospitalist, the residency work hours changed. Although the intent was obviously to benefit the well-being of the residents and the safety of patients, it took a tremendous toll on attending physicians ...

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