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Physician burnout is often discussed as if it begins and ends at work. Workload, documentation burden, moral injury, loss of autonomy: These contributors are real. But they don’t exist in isolation. Physicians don’t shed cognitive load at the end of a shift. The vigilance, decision-making, and emotional regulation required in clinical practice often continue at home, especially inside marriage and family life.
Patient frustration is something many of us carry home at the end of the day. Much of that frustration, however, isn’t personal; it’s structural. Many patients don’t realize that different primary care models are designed to deliver fundamentally different experiences. They expect concierge-level access and time within insurance-based practices. They want same-day appointments, unhurried visits, and immediate physician availability, regardless of the model they’re in.
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