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Toby Terwilliger is an internal medicine-pediatric resident.

Physician moral injury, not burnout, is the real wound

Cassandra Craig & Toby Terwilliger, MD
Health Policy
July 20, 2026

“Have you seen The Pitt?”

This question has become commonplace; patients want to know if it is realistic, colleagues want to compare reactions, and many of us find ourselves dissecting the commentary on an imperfect health care system captured in weekly, one-hour installments that mirror physicians’ everyday reality.

The show does many things well: It is medically accurate, faithfully depicts interdisciplinary teamwork, and reveals the humanity and vulnerability of health care workers. …

Read more…

Physician moral injury, not burnout, is the real wound

Why doctors must fight for a just health care system

Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD
Health Policy
September 18, 2025

“We do not have the money! You took it all!”

Startled, I moved the phone away from my ear to dampen the screaming voice on the other end. I had just explained to my patient’s son that his 95-year-old mother could walk again; she just needed surgery to repair her hip fracture. This was good news, or so I thought. His mother had insurance, “good” insurance, and needed a fairly routine …

Read more…

Why doctors must fight for a just health care system

A medical trainee’s experience with mental health

Toby Terwilliger, MD
Physician
August 15, 2020

In May 2018, I stood in disbelief as I learned that two of my colleagues took their own lives in a single week. I had only recently come to accept my own struggle with mental illness, and I understood how isolating the battle could be. I grieved for them, for their families. But I also wondered at how a culture of concealing mental health disorders among medical trainees may have …

Read more…

A medical trainee’s experience with mental health

Is now the time for single payer?

Toby Terwilliger, MD
Health Policy
July 28, 2020

With the news that nearly 6 million Americans have lost their employer-sponsored health due to COVID, it is finally time to ask ourselves: is the “American Model” of health care working?

The “American Model” is a system of fragmentation: one in which changing jobs can mean lapses in insurance, moving to a new state can mean losing Medicaid eligibility, and getting a raise can mean financial ruin …

Read more…

Is now the time for single payer?

A physician wedding in the age of COVID

Toby Terwilliger, MD
Physician
May 23, 2020

April 2020 was to be a month of personal milestones. I would be traveling to Mexico with sixty closest friends and family to marry the woman of my dreams. Twelve days later, I would celebrate my thirtieth birthday. Suffice it to say, I was looking forward to April with the excited anticipation of a child on Christmas Eve.

But that was before COVID. Before all eyes were focused on the novel …

Read more…

A physician wedding in the age of COVID

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  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

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