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One of the biggest pain points physicians face when leaving corporate medicine is the guilt of "abandoning" their patients. After years of caring for the same people, walking away feels uncomfortable, even wrong. You might tell yourself, "I love my patients and don't want to abandon them," or worry about their access to care.

But when you use words like “access” and “equity” to justify staying, you may be unknowingly echoing corporate language that keeps you trapped in a system built for volume, not quality. And it comes at a cost to your own wellbeing.

In this episode, I break down what patient access really means, why equity is more subjective than you think, and why this burden was never yours to carry. If you've been struggling to leave corporate medicine because you feel responsible for your patients' access to care, this episode will help you release that guilt and shift your perspective.

References

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[00:50] Introduction: The guilt physicians feel about leaving their current patients when exiting corporate medicine.

[03:16] Defining Patient Access: What patient access really means and how it's measured through clinic operations, not physician hours.

[07:47] The Kitchen Fairness Story: A family story that illustrates how fairness and equity are inherently subjective.

[11:43] Equity is Subjective: Why there's no single definition of fairness in healthcare and prioritization always requires trade-offs.

[13:24] The Hidden Cost: How "patient access" reasoning may be harming physicians physically, mentally, and emotionally.

[15:00] Not Your Burden: Why patient access is a systemic challenge, not an individual physician's responsibility.

[16:55] Two Critical Questions: The questions that help physicians build clinics they love while honoring their values.

To work with Amanda Sabicer or find out more, check out her website at www.amandasabicer.com.