buildburnoutcarechangechartingclinicalcoachingcreatingdoctorefficiencyexpectationsfeelingfinancialfinishfuturegoalsgriefgrowthhelpidealimpactsimprovesintentionalityinvestingknowlearninglifelossmarginmattersmedicalmentalmindsetmoneyoutsidepatientspersonalperspectivephysicianphysicianspracticepresentproductivityqualityresidencyrespondingselfstaffsupportthingsthrivetimetrainingwantwellness