Health Barriers can emerge early in medical school when the balance between "work and life-balance" shifts away from patient care and healthcare value. This podcast will highlight the erratic pendulum swings from the Flexner Report of 1910 to the long working hours demanded by Dr. William Osler's hospital residency programs, to the tragic collision between the Libby Zion death in 1984, resulting in a Grand Jury investigation of two medical residents for murder, and ended with a shift of billions of dollars away from hospital training programs to the creation of Hospitalists.