I've been catching up on Lisa Rosenbaum's Not Otherwise Specified podcast series on primary care. https://not-otherwise-specified-podcast.nejm.org/e/when-no-ones-watching/ The final episode is titled When No One's Watching. Near the end, Jonathan Han, a family physician and residency director, ta...

The majority of us in medicine are in it because we care.  But sometimes caring means saying “no.” We say no to one more initiative when our team is already stretched. We say no to a patient’s request when it’s not in their best interest. We say no to ourselves when we know we can’t do it all. ...