Force #7: When values and reality diverge. There is a kind of tiredness that sleep does not fix. It isn’t physical. It isn’t even emotional. It sits somewhere deeper. In the place where your values live. I have seen it in the faces of good people. Not burned out. Not cynical. Just… disappointed . As though something they once believed in has quietly let them down. We talk a great deal about burnout in academic medicine. Burnout sounds clinical. Manageable. Like something you