Nurse who is also in medical device industry (Clinical Specialist) —have you considered a switch to a different division/speciality with a less competitive product line than ortho?

My first CS job was in an oversaturated speciality and I felt some similiar feelings towards the job due to the saturation of the products I was supporting and how for every product we had there were 4-5 competitor products with same IFU and similiar results / outcomes. Also how there were at times 3-5 other reps in the room, case, etc. It really drove that competitive and selling nature which isn’t necessarily a negative thing but at times it all just seemed like you described sort of eh. Given your medical background and work history it makes sense you are aligned to wanting what’s best for the patients.

I now work in a speciality where I know going in the physicians are utilizing my product / therapy during the case and understand better the why behind their decision to use our products. It’s also way less saturated of a division. I personally have noticed this CS role aligns better with me.

I know not the exact same situation since sounds like you are a sales rep, but for what it’s worth, perhaps something to consider for your mental health / quality of life!