KevinMD January 26, 2026
Adam Carewe, MD

Across my career, including as CMIO of Kaiser Permanente’s Colorado medical group, I’ve had a front-row seat to how remote care and technology are reshaping clinical practice. I’ve also watched many colleagues make the shift to telehealth positions seeking flexibility and an escape from hospital and clinic burnout. These siloed jobs often lead to a different kind of burnout because they can be isolating, rote, and disconnected from actual systems of care. The difference matters.

The telehealth trap nobody talks about

The promise sounds appealing: Work flexibly, set your own hours, practice medicine on your terms. The problem is that these roles are about operating a specialized retail service, not practicing medicine. They’re only prescribing erectile dysfunction medications. Or only...

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