Wellbeing requires more than an intervention: it requires a substantial shift in institutional priorities

Burnout among medical students and physicians threatens healthcare delivery, yet while many individual wellbeing interventions are shown to have benefit they can remain limited when isolated from systemic reform. Drawing on personal experience as a disabled physician and researcher, this paper argues that burnout stems primarily from structural factors rather than individual coping deficits. Effective change therefore requires embedding interventions within core curricula, dedicated institutional resources, but most importantly fundamental cultural reform.