Dr. Lawrence Yang's powerful story begins with a stark confession: "My body had to say no for me because I didn't know how to do it myself." This candid admission sets the tone for a conversation that weaves together personal vulnerability, system transformation, and the science of hope.
As a family physician who once installed a bedroom and shower in his clinic to work longer hours, Dr. Yang's burnout journey will resonate with healthcare professionals everywhere. His turning point came through an unexpected avenue—quality improvement science—which provided both methodology and community when he needed it most. "I think quality improvement science is a science of hope," he explains, revealing how structured approaches to system problems can alleviate the moral distress that accompanies witnessing poor care experiences repeatedly.
The conversation explores British Columbia's innovative Physician Quality Improvement program, which has trained nearly 800 physicians through a unique collaboration between government and clinicians. This "silent army" represents tremendous potential for healthcare transformation, demonstrating what's possible when improvement capacity is intentionally built at scale. Dr. Yang artfully distinguishes between moral injury, moral distress, and burnout, while explaining how joy in work requires leaders to facilitate safety, purpose, autonomy, community, fairness, and recognition.
Looking toward 2030, Dr. Yang envisions primary care transformation through honest quality assessment, team-based models enabling everyone to work at top-of-scope, and transparent metrics aligned with the "sextuple aim." His advice to new clinicians cuts through professional martyrdom culture with refreshing clarity: "The system will not benefit from your martyrdom. What's in your job description is to model sustainability and wellness for your patients, colleagues, and family members."
This conversation isn't just about surviving in healthcare—it's about finding the courage to bring our full selves to the work we care about, and in doing so, creating the conditions for healthcare transformation. What might be possible if we approached system change with both vulnerability and courage? Dr. Yang's journey suggests the answer could be revolutionary.