“…T he challenge of providing orthopaedic care can drag on us all, regardless of age, sex, gender, race, stage of training, specialty, or mode of practice. Frustration born from loss of practice control and rising administrative burdens can sometimes overwhelm the rewards of patient care [4]. Physical and emotional exhaustion can lead to cynicism, ultimately impacting the patientdoctor relationship, and potentially impairing the skills central to performing as a safe orthopaedic surgeon.…”