Knowing When to Quit: When Persistence Stops Paying Off in Medicine | Ep48

What if the real issue isn’t burnout in the dramatic sense, but quietly realizing you’re continuing more out of familiarity than desire? In this episode of Better Physician Life, Dr. Michael Hersh discusses Annie Duke’s book Quit: The Power of Knowing When to Walk Away. He examines how the same grit that got physicians through training and early career can make it hard to recognize when a practice structure, schedule, or role no longer fits as well as it once did. Drawing on the book, Dr. Hersh explores concepts such as escalation of commitment, the sunk cost fallacy, the tension between exploiting (optimizing the current setup) and exploring (considering new options), and the challenge of identity tied to being the reliable, always-available physician. He emphasizes that most doctors aren’t looking to leave medicine entirely; they just want to ensure the way they’re working still supports the life they want to live. The episode encourages physicians to define clear “kill criteria” or decision points in advance and create space to step back and evaluate what still makes sense. 🔗 Learn more about coaching with Dr. Hersh: betterphysicianlife.com Top 3 Takeaways: Persistence Can Become a Trap: The same determination that helped you succeed in medicine can make it difficult to notice when small, temporary increases in workload have become permanent. Subtle signals like hesitation before opening the schedule or hoping for cancellations often appear before obvious burnout. Sunk Costs and Identity Make Change Feel Bigger: We’ve invested years, our identity, and our reputation in our current path. Changing structure can feel like changing who we are, leading to “escalation of commitment,” in which we double down on more effort instead of reconsidering the setup itself. Define Decision Criteria in Advance: Just like in clinical medicine, set clear signals ahead of time for when to reassess. Exploration doesn’t mean you have to quit; it often confirms your current path still works or reveals small, helpful adjustments. About the Show: Created for physicians who want more than clinical competence, Better Physician Life is a space for honest reflection, reinvention, and reclaiming purpose beyond the pager. Hosted by Dr. Michael Hersh, each episode dives into the questions we didn’t learn to ask in training, offering tools and conversations to help you live and lead with intention. About the Host: Dr. Michael Hersh is a full-time practicing gastroenterologist, husband, father, podcaster, and physician coach at Better Physician Life Coaching. He helps physicians rediscover joy and balance by setting meaningful goals, managing stress, and feeling more present at home and less annoyed and frustrated at work. His mission is to help doctors who feel stuck in medicine create a more fulfilling life that they actually enjoy living. Through coaching and conversation, he empowers physicians to reconnect with their purpose and design a career (and life) they love. Dr. Hersh is also the creator and host of the Better Physician Life podcast: How to Get Unstuck in Your Medical Career—a show for doctors who feel out of sync or stuck, and want to explore what true success can look like beyond the exam room. 🔗 Connect with Dr. Hersh: 🌐 Website: www.betterphysicianlife.com 🔗 LinkedIn: linkedin.com/in/michael-hersh-md 📸 Instagram: @betterphysicianlife 📺 YouTube: @betterphysicianlife 📘 Facebook: facebook.com/betterphysicianlifecoaching 📱TikTok: @betterphysicianlife If you find yourself walking through the door still stuck in work mode, check out the 5-Minute Commute Reset for Physicians.Work doesn’t end on its own. This is a short, structured reset you can use on the drive home to shut down work-mode, clear your head, and show up more present for whatever comes next.You can download it for free at: https://www.betterphysicianlife.com/commute-reset The Better Physician Life Podcast is for informational and educational purposes only and does not constitute medical, legal, or professional advice. Always consult qualified professionals regarding your personal or organizational decisions. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.