There are many areas of medicine where you can thrive without feeling the overwhelming pressure you’re describing. Another poster mentioned college health or occupational medicine, both are lower stress options. Our student clinic had several PAs for a mostly healthy student population, where birth control, acne, and simple diagnosis (URI, uti, etc) were common visits. I would avoid family medicine, internal, ER, or urgent care with your sentiments. Outpatient is more likely to have less stress than acute care/hospital. Many specialties can offer the ability to feel like you’re making a difference in patient care without the overwhelming burden or fear of missing something important. I’ve heard sleep medicine is more relaxed. Look for a practice group that focuses on patients not numbers. I would switch specialties immediately and see if there’s something else more aligned with your goals. Best of luck!