Internal medicine physician Kara Pepper discusses her article, "From burnout to balance: 5 stages of career transformation." Drawing from her own journey away from burnout and her experience coaching hundreds of physicians, she outlines five predictable stages doctors often traverse when seeking more autonomy, purpose, and sustainability in their work. Kara describes the progression from Stage 1: Stuck, where burnout feels inescapable, through Stage 2: Noticing, acknowledging the need for change and identifying misalignments; Stage 3: Discovery, actively exploring alternatives and embracing self-compassion; Stage 4: Data Collection, analyzing options like job adjustments or starting a practice and addressing practicalities like finances; to Stage 5: Action, making concrete moves toward a new career path. Throughout the conversation, Kara offers actionable advice for each stage, such as seeking external support, identifying core values, researching possibilities, planning meticulously, and surrounding oneself with supportive peers, ultimately encouraging physicians to take manageable steps toward creating a career that aligns with their well-being.

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