We are taught to think about what needs to be done in order for our patient to go home when we are on the wards, yet there is no care meeting, discharge coordinator, or bed huddle in academic medicine. Julia Meade reflects on the difficulty of knowing when to retire from academic medicine. The essay read in this episode was published in the Teaching and Learning Moments column in the August 2025 issue of Academic Medicine. Read the essay at academicmedicine.org.

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