I am an undergraduate student taking a medical sociology class. I found this paper extremely interesting and would like to comment on further implications of the points highlighted. These trends of physician disappointment and dissatisfaction will negatively affect the patients of these doctors. Physician stress, understaffing , and dissatisfaction has been positively correlated with more patient medical mishaps. It is unfortunate that not only the doctor suffers in the ways mentioned in the article, but the patient suffers possibly life-threatening consequences because of these factors as well. Furthermore, it seems that physicians must also carry a higher feeling of stress and responsibility because of these implications continuing to add to the cycle of physician fatigue and patient morbidity and mortality.