Is it possible to differentiate burnout from exhaustion, or resilience from endurance? Sometimes, for program directors, clinicians, and residents, it can be difficult to recognize when difficulties are a part of the job, or something under their control. In this exciting conversation, program director and career coach Santina Wheat, MD, MPH, discusses the many ways coaching provides physicians an extra set of eyes that help them recognize the “hidden load” carried by many medical educators. She offers strategies to help leaders set intentional boundaries, take the time to pause with purpose, and model sustainable practices for the next generation of family medicine residents.Copyright © Society of Teachers of Family Medicine, 2026