In medicine, efforts, results, and knowledge are not equal. Further, society values and incentivizes us differently. Is it "fair?" That's probably unanswerable, and we need to realize that and just grow up.

For docs to consider changing their career was unthinkable just a few short years ago, but gender equality, increasing cultural and racial diversity, the recent switch from majority private practice to majority salaried practices, and a sea change in attitudes and expectations among young docs have put many old assumptions about doctors' careers to the question.