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What if we stopped sacrificing ourselves to practice medicine?

Jessie Mahoney, MD
Physician
April 10, 2025
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What if the cost of being a “good doctor” didn’t have to be your well-being?

For many physicians—especially those drawn to lifestyle medicine and whole-person care—this question feels quietly radical.

We’ve been conditioned to give until we’re empty. To serve at the expense of our sleep, our health, and sometimes even our sense of self.

We were taught to sacrifice.

To stay the course.

To wear burnout like a badge of honor.

In medical culture, martyrdom is celebrated. Creativity is questioned. Rest feels like a luxury—if not a weakness.

And the idea that medicine could feel like alignment instead of exhaustion? That gets buried under paperwork, RVUs, and survival mode.

A quiet yearning for something more

I recently spoke with a group of pediatric and adolescent medicine physicians exploring lifestyle medicine. What struck me—again—was the deep, unspoken yearning that so many of us carry.

Physicians are longing for more: more peace, more purpose, more presence, more passion.

Most physicians I meet are quietly craving something different—but feel stuck.

Paralyzed by fear.

Exhausted by the very system they trained so hard to be part of.

Physicians get to want more.

Wanting more doesn’t make you selfish.

It makes you human.

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It makes you a force for healing—not just for your patients, but for yourself.

The problem isn’t a lack of resilience.

It’s a lack of permission.

A lack of space.

A lack of systems that allow us to show up as whole people.

Why change in medicine is so hard

We were trained to suppress our humanity—not honor it.

We were taught to fear mistakes, avoid uncertainty, and seek approval.

We overthink. We undervalue creativity.

We try to do it all alone.

But alignment doesn’t come from sacrifice.

It comes from presence. From trust. From sustainability.

What I’ve learned after coaching hundreds of physicians

Your nervous system matters. You can’t create or lead from depletion. You don’t need a perfect plan—just a clear intention and the courage to begin.

There is not just one “right” way. There are many “right” ways.

The system may not yet reflect your values, but you can still live them.

The 7 Cs of transformative change

Physicians who want to reimagine how they practice medicine need to embrace:

Courage – to ask what you truly want and trust the answer

Creativity – to build what doesn’t yet exist

Calm – to regulate your nervous system and access clarity

Compassion – especially for yourself

Capacity – because nothing sustainable grows from depletion

Commitment – to keep showing up for the life and practice you want, even when it’s hard

Community – to be supported and seen by others walking the same brave path

My journey toward alignment

My own journey started with one small step: Yoga on Zoom during COVID-19. A way to connect, to breathe, and to offer something nourishing during a season of collective depletion.

From that simple step, something bigger began to emerge. I leaned into my coaching certifications and began coaching distressed physicians. When the pandemic eased, I began leading retreats—intentionally designed spaces for healing and connection, where my husband creates restorative, plant-forward culinary experiences.

Today, I speak across the country about the power of unlearning the conditioning that keeps us stuck in sacrifice and martyrdom.

I teach physicians how to reclaim joy, meaning, and alignment—and how doing so isn’t selfish, but essential to healing and preventing burnout in our field.

I coach physicians individually and in groups.

I host physician wellness retreats grounded in lifestyle medicine, mindfulness, and coaching.

I co-host the Mindful Healers Podcast.

And I still teach Mindful Yoga for Healers free nearly every Saturday—because that’s where this all began.

None of it was pre-planned. It unfolded because I let it.

Because I allowed myself to trust what I knew in my bones: that healing myself could help others heal too.

What would love do?

If you want to begin your journey. Start with the questions: What Would Love Do?

Love for you.

Love for your patients.

Love for your purpose.

And if “love” feels too soft, ask:

What would peace do? What would sustainability do? What would alignment do? What would compassion do?

You don’t have to do this alone.

Whether your next step is a rest, a pause, a breath, joining a community, or making a bold pivot immediately—let it be rooted in care for yourself.

Let it be the beginning of alignment.

Jessie Mahoney is a board-certified pediatrician, certified coach, mindfulness and yoga teacher, and the founder of Pause & Presence Coaching & Retreats. After nearly two decades as a physician leader at the Permanente Medical Group/Kaiser, she stepped outside the traditional medical model to reimagine what sustainable well-being in health care could look like. She can also be reached on Facebook and Instagram.

Dr. Mahoney’s work challenges the culture of overwork and self-sacrifice in medicine. She helps physicians and leaders cultivate clarity, intention, and balance—leveraging mindfulness, coaching, yoga, and lifestyle medicine to create deep and lasting change. Her CME retreats offer a transformative space for healing, self-discovery, and renewal.

As co-host of The Mindful Healers Podcast, she brings self-compassion and presence into the conversation around modern medical practice. A sought-after speaker and consultant, she partners with organizations to build more human-centered, sustainable, and inspired medical cultures.

Dr. Mahoney is a graduate of Dartmouth College and the University of California, San Francisco, School of Medicine.

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