Table 1 Unsettling: themes and sample quotes

Daily workplace inefficiencies

I want to leave behind… meetings, where people need to have lots of meetings to justify their time and justify why they exist in an organization, these layers of bureaucracy and committees and task forces where it feels like things were made more difficult for pointless reasons. Hopefully, healthcare will answer this call…. People are discovering in businesses around the world that you don't have to go in the office for meetings every day. You can do a lot of stuff and be productive from home

Barriers to patient care

The population that I work with at school, a lot of their parents are essential workers, so they're still working during COVID. It's been really difficult at times to get them to an appointment… There's a transportation barrier, there's a time barrier. With all of those things too, for a lot of people there's economic barriers because it also takes money to be able to go here and there, and if you're not at work, you're losing money. Those are just some of the issues that come up in everyday life when you're working with populations who have been disenfranchised in different ways

Not that I think telepsychiatry can solve that, but sometimes it does create some flexibility. You could talk about the other side of that, of being able to have access to the internet, to a computer or a pad or all of these other technologies that some people actually don't have access to either. I think those are other things that have come up during COVID which institutions or schools have now provided as a response, which were not provided before

Intraprofessional devaluation, loss of trust, and moral condemnation

It's not like [my colleagues] have said, "I really want to be there, I'm just too anxious. I will never forgive myself if while pregnant, years later, my child has anything, I'm going to blame it on this." I would understand that completely. But that hasn't happened, right? It's been this, "No, I can't do it," which comes across as precious, like "Oh, well, I guess that your life is really important. Mine, I'm just a schlub.”There were some interesting dynamics that were set up that I still think continue now, and people haven't forgotten those early days. It wasn't like “we're all in this together,” it was rather “well, I have kids or I just had a baby…” and at times it was this sense of “my life is of more value than yours.”