KevinMD January 2, 2026
The discomfort I felt around supervising did not arise in the clinic. It arose while reading the agreements meant to define it.
Supervisory agreements. Collaborative designations. Regulatory language that needed to be reconciled (carefully, deliberately) because names, roles, and obligations matter. Like many physicians, I have signed these documents countless times. But reading them slowly, rather than reflexively, produced an unexpected unease, one that felt structural rather than personal.
The language was familiar. The function was not.
Supervision and collaboration remain central terms in modern medical regulation. They sound reassuring, grounded in mentorship, shared judgment, and continuity. Yet the lived experience of many physicians suggests something quieter has occurred. The words persist, but the structures they describe have changed.
Historically,...
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