The high achievers reached the "peak" of medicine in plastics, etc. If they're not satisfied, the only place they have to go is away from medicine.
The PCP is at the bottom of medicine in terms of competive achievement. They imagine that the grass is greener if only they can beat out the competition within their sphere and get that plastics paycheck and patient population.
Just MHO.
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Why do family physicians have the most regret of any specialty?
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