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My wife is a pediatric anesthesiologist. She's the director of her program. What I say below are my impressions as her spouse, so take it with a grain of salt. I'll ask her about this and chime in later (when she gets home after a 14 hour day).

She is in a good position, with a good boss, at a great hospital. And she talks about leaving medicine all the time. Tired of endless, inane paper work. Tire of getting nickeled and dimed. Tired of 80 hour weeks. Tired of idiotic rules clearly made up to satisfy the legal department as opposed to what is good for patients.

What I say next may seem mean, but she's also tired seeing grossly obese, non compliant patients. 400lbs dad and 300lbs mom show up with their 200lbs 12 year old, and (with a straight face) want to know why their child had issues with joint pain. Or worse, big pharma pill junkie mom who is showing up with her kid at every clinic in town just to score pills. A couple months ago, a mom got arrested because her kid was lying in a hospital bed with an opioid drip, and she took the needle out of her kids arm, and stuck it in her own.

Don't get me wrong, my wife loves her job in its pure form. Loves it when she can help a child and their family through a rough patch. She goes on medical missions to India and Africa, and will work 12 hours a day for a week straight, and is overjoyed at what she is doing. She comes home, it grinds on her how little of her time is spent in a room with a patient. And it grinds on her to see people wasting the systems time because of their poor life choices, choices that they are passing on to their kids. Imagine being 12 hours into your day, at the end of an 80 hours week, and having some junkie who's dragged her poor kid into your clinic trying to score pills, getting in your face and calling you names because you don't to be her drug dealer. Yeah, thats frustrating.