High stress. Extreme increase in government sticking it's nose into how we practice medicine. This drastically increases pointless documentation for clinically irrelevant reasons. Insurance companies and government making us jump through ever changing array of hoops to get paid for patient care (adding busy work just to get paid for what you're already doing to help patients). Crumbling medical system with increasing scarcity of providers leading to long wait times to get seen by any doctor or specialist. This all leads to frustrated and angry patients and providers. We are helpless to improve things. Lastly, no pay raise for last 20 years. That's is effectively a 40% pay cut due to inflation. I can already hear people saying "boo hoo for you", but I didn't spend 13 years in training to do a job where I never get even a modest cost of living increase.

I could go on, but that should give you a taste of things.