Professionalism is not a stable trait
In my work as an academic medicine education specialist, and, perhaps more importantly, in my experience as a patient, I have observed time and time again a common scenario. I call it the grumpy physician trickle down scenario.
Here is how it plays out. A physician, likely good-hearted, well-intentioned, competent, and compassionate, develops frustration with system operations (scheduling, inefficiencies, miscommunication, the list goes on). The physician internalizes the frustration, perhaps believing …



![A neurosurgeon's fight with the state medical board [PODCAST]](https://kevinmd.com/wp-content/uploads/Design-1-190x100.jpg)




![Passing the medical boards at age 63 [PODCAST]](https://kevinmd.com/wp-content/uploads/Design-4-190x100.jpg)
