Not Otherwise Specified If You Break It, They Won't Come
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Nov 5, 2025 Priyatha Narasimharaj, a cardiology fellow, shares her guilt over moving away from primary care amidst its shortage. Ben Davis discusses the moral injury residents face when confronting systemic inequities in healthcare. Wright Clarkson, a family medicine resident, explains why he chose hospitalist work, citing inbox burdens and devaluation of primary care. Together, they explore how medical training and culture contribute to the decline in primary care interest, revealing the challenges of creating a robust healthcare workforce.
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Trainees Make Rational Career Choices
- Trainees rationally avoid full-time primary care after observing burned-out mentors and unsustainable workloads.
- Lisa Rosenbaum argues fixing primary care's systems is essential to attract new clinicians.
Inpatient-To-Outpatient Whiplash
- Priyatha Narasimharaj describes jarring shifts between urgent inpatient work and less-urgent outpatient tasks.
- She felt resentment doing inter-visit inbox work after intense inpatient events like codes and deaths.
Pandemic Exposed Primary Care Fragility
- Training during COVID exposed clinic staffing fragility and increased turnover, demoralizing trainees.
- Even academic primary care mentors often limited clinical sessions, signaling unsustainable practice models.