Metrics got you into medicine and are making you unhappy in it

You hit every number: top grades, top test scores, top patients-per-hour. So why does practicing medicine feel hollow? Ben Reinking, a board-certified pediatric cardiologist, medical educator, and certified physician development coach, argues that the same metric-driven mindset that carries pre-meds into medical school is the one leaving attendings disconnected from why they practice. This episode is based on his article "How competency-based education is driving medical education reform," published on KevinMD. You will hear why a 15-minute billing slot frustrates both patient and physician, how competency-based education and entrustable professional activities shift the question from "did you meet the number" to "do we trust you in the system," and why admitting "I don't know, but let me figure it out" gets discouraged when learners are judged only by scores. If you have ever sensed the gap between your scorecard and your purpose, this conversation names what you have been feeling.

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