My niece, whom we will call Anne, recently completed her residency. I remember Anne as a child: always smiling, always happy, idealistic. She excelled academically and chose medical school despite my reservations. I watched Anne proceed through medical school and residency, transforming before my eyes into an anxiety-riddled, sleep-deprived, irritable, and jaded physician. She said to me late in her residency, “I’m afraid I am becoming an asshole.” This is ironic ...

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