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Despite the complexity and challenges inherent in the US health care system and the unprecedented demands in and disruptions of clinical practice created by the coronavirus disease 2019 (COVID-19) pandemic, it remains a privilege to be a physician. This privilege comes with many responsibilities, including a responsibility to reflect on the profession and address the entrenched dysfunctional ways of the work involved in medicine. The medical profession has missed opportunities to establish reasonable demands and expectations for physicians. Instead, physicians are often asked to do more that moves them away from the deep thinking that is needed for patient care. This has led to a loss of professional fulfillment and a moral crisis for an increasing number of physicians.1,2
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Corresponding Author: Linda Brubaker, MD, University of California, San Diego, 9500 Gilman Dr, MC 0971, La Jolla, CA 92075 (firstname.lastname@example.org).
Published Online: July 31, 2020. doi:10.1001/jama.2020.14797
Conflict of Interest Disclosures: Dr Brubaker reported that she is editor in chief of Female Pelvic Medicine and Reconstructive Surgery.
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