A family physician in her mid-30s was a member of an established group practice. She worked three days per week in the practice and two days per week in an urban clinic for children and adolescents with developmental disorders (e.g., cerebral palsy, mental retardation, Down syndrome). She had been the medical director of this state-funded clinic for four years. Over this time, she increased her knowledge of developmental problems and associated medical conditions, and became attached to many of the families and children who received care in the clinic. The pace in the clinic was difficult at times, but manageable. She valued her work, and felt more satisfied and fulfilled working in the urban clinic than in her group practice. She empathized with the struggles of the youth and their families, and admired the commitment of the clinic staff.
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