A broken system won’t fix itself, and no one is coming to the rescue. Medicine is fraying under the weight of burnout, misaligned incentives, and systemic inertia. Yet, hope isn’t lost. Change is still possible, but it won’t come from the top down. In this episode, we explore how grassroots leadership, inner work, and community involvement can become the antidote to despair in modern medicine. Finally, we dig into the personal cost of service and the tools we need to heal ourselves while fighting for change.Guest bio:  Dr. Andrea Austin is the inaugural Emergency Medicine Program Director at Sacred Heart in Pensacola, Florida. As a Navy veteran, her military service taught her how to perform under pressure and lead teams in high-stakes environments. She brings that same focus to her work in medical education, physician well-being, and healthcare systems change. Dr. Austin is the author of Revitalized: A Guidebook to Following Your Healing Heartline and host of the Heartline: Changemaking in Healthcare podcast.Books mentioned in this episodeWhat My Bones Know by Stephanie FooWe Discuss:The Case for a New Residency ProgramWhat It Means to Be a Change MakerWorking Within the Domains of ChangeOvercoming Social Loafing in MedicineRethinking Suicide Risk in Emergency MedicineThe Call for Psychiatric Fellowships in EMReclaiming Wellness Through the “Heart Line”The Inner Work is the System WorkBuilding a Portfolio CareerMentioned in this episode:Coming Soon! The Out On Time CourseIf you are on our mailing list, you will have early access and a few other surprises as well.Sign up for our NewsletterOur 2026 Retreat in Scottsdale, ArizonaMarch 1-4. Change how you see yourself, experience your work with joy, and build mental excellence.Learn More HereNever Lame. Never Spammy. Always Fresh.If you’d like a few minutes of career-elevating curated kickassery delivered to your inbox, sign up for our newsletter. Sign up for our Newsletter

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