Mass General Brigham (MGB), the largest private employer in Massachusetts, has a problem. Resident and fellow physicians—the house staff that comprise a critical mass of the hospital system’s workforce—remain disrespected and underpaid. Chances are, the physician first to respond to a stroke alert, to see a patient in clinic, to check on them after surgery, or to analyze their scans and lab results, is a member of the 2,700-house staff at MGB.