1. Environment. It’s built to be malignant, and encourages “catching you” doing something wrong rather than grow you.
2. The incentives. There was once a time when a doctors salary was peak… and it still sort of is, but the opportunity cost of residency plus rising cost of living across the board makes it less so. Case in point, I’ll make nearly 200K out of med school. With promotions, there’s no speciality and no one in my class that will out earn me on any timescale.

3. The job itself. 50+% of your time is just spent charting. Seeing the same chief complaints over and over again. It’s been eroded from what it once was.

   It makes sense for some people, and they love the job despite all of the above. That being said, I only say all of this because I see way to many colleagues in this field who are so incredibly unhappy and unfulfilled because they realize all of these things way too late, and also because nonclinical paths aren’t talked about, so they feel locked in with no way out.

But it may also make sense, I wouldn’t be who I am without the growth medical school gave me, so it’s not a bad option to do MD and go nonclinical after, the equivalent being MBA or PhD, and if you aren’t too business minded right off the bat getting an MD can make sense.