What happens when your childhood calling collides with a system that limits your capacity to live it out? In this Echo Episode, Dr. Maria Sturchler shares her extraordinary journey from first-generation college student to educator to medical student, years after being told she “wouldn’t make it” in medicine. Now double board-certified in Emergency Medicine and Palliative Care, Maria reveals how serendipity, mentorship, and resilience brought her back to her original dream on her own terms. She and Andrea unpack the realities pushing talented clinicians out of traditional EM practice: night shifts, moral injury, violence in the ED, corporate interference, loss of autonomy, and the identity crisis that comes with stepping away. Maria gives voice to the hidden grief, burnout, and shame physicians carry when “the path” no longer fits. But this is not a story of defeat. Maria now leads an innovative palliative care model embedded inside the emergency department, freeing EM physicians from burdens that don’t belong to them, reducing patient suffering, and restoring meaning to clinical work. Her message is equal parts invitation and disruption: medicine is not a prison. It’s a “choose-your-own-adventure” and there are more off-ramps, pivots, and second chances than most physicians believe. You’ll Hear How They: Reframe imposter syndrome and harmful feedback that derails dreamsNavigate grief when an identity built on EM no longer aligns with personal well-beingDescribe the hidden toll of EM: disrupted circadian rhythm, motherhood challenges, pandemic trauma, and corporate shiftsIntegrate palliative care inside the ED, reducing length of stay, improving communication, and radically supporting EM physiciansUse mentorship, self-inquiry, and values alignment to identify career pivots About the Guest “Medicine is choose-your-own-adventure.” — Dr. Maria Sturchler Dr. Maria Sturchler is a dual board-certified physician in Emergency Medicine and Palliative Care, a three-time Ironman competitor, and a former mathematics educator whose doctoral work examined gender disparities in STEM. After being discouraged from medicine early on, serendipity and mentorship led her back to her calling. Today, she helps patients, families, and clinici'hat integrate palliative medicine directly into emergency care. LinkedIn: linkedin.com/in/mariasturchler Website: sturchlermd.com Resources + Mentions Unlocking Us podcast — Brené BrownBring ’Em All In (referenced EM mantra)Multidisciplinary collaboration models in palliative and acute careTop 3 Key Takeaways Career paths are not linear—nor should they be: Your training is a foundation, not a life sentence. EM skills travel well into palliative care, leadership roles, education, coaching, and hybrid models that better honor your values.Boundaries are not betrayal—they are survival: Choosing your health, family, sleep, identity, and emotional bandwidth is not weakness. It is wisdom. Physicians cannot sustain compassion without protecting their humanity.The future belongs to systems that humanize care: Embedded palliative programs, interdisciplinary partnerships, and values-based innovations reduce burnout, shorten ED holds, and restore dignity to medicine—one conversation at a time.🩺 About the Host: Dr. Andrea Austin is a board-certified emergency physician, educator, and passionate advocate for system-level change in healthcare. As the creator and host of Heartline: Changemaking in Healthcare, Dr. Austin brings curiosity, compassion, and bold honesty to conversations with leaders who are challenging the norms and reshaping medicine from the inside out. With decades of experience in high-pressure clinical environments, Andrea has seen firsthand the cracks in the system—and the people working to repair them. Whether she’s mentoring residents, speaking on national stages, or recording with a fellow disruptor, she centers one theme: change doesn’t happen in isolation. It happens heart to heart. 💫 About the Show: Heartline: Changemaking in Healthcare isn’t just a podcast—it’s a pulse check on what’s possible. Hosted by emergency physician and educator Dr. Andrea Austin, Heartline features conversations with healthcare leaders, innovators, and quiet disruptors who are challenging the way things have always been done. Each episode explores real stories of change—from redefining leadership and communication, to reimagining systems built on burnout and hierarchy. This is a space for truth-telling, for asking better questions, and for reconnecting with the reason we all got into medicine in the first place: to make it better. This isn’t about perfection. It’s about progress—with heart. --------------------------------------------------- 🎓 Upcoming Events & Opportunities 🔥 Recalibrate: Group Coaching for PhysiciansStarting 2026, I’ll be co-leading Recalibrate with psychologist and coach Sharee Johnson. This 6-month group coaching program supports physicians in rediscovering mindfulness, meaning, and wholehearted practice. I'm an alum myself—this program transformed my career. Learn more and enroll here, and please share with colleagues who may benefit. AAWEP St. Lucia Retreat | March 5–8, 2026For women EM physicians. Sun, connection, and reflection in a stunning setting.Heart of Medicine in Uluru, Australiao Join us for this incredible one of a one-of-a-kind event in the heart of Australia at one of our most spectacular locations—Voyagers Resort in Central Australia in 2026. o Learn from some of the world's medical leaders in compassionate care, and how heart-centered healthcare can empower and heal healthcare workers and their patients. o For: Doctors, Nurses, Allied Health Clinicians, Healthcare Leaders, Coaches and Supervisors of Medics, Patient Advocates and all healthcare workers. o When: 29-31 July 2026 Where: Voyages Ayers Rock Resort, Central Australia Women in Medicine Summit | Chicago, Sept 24-26, 2026—------------------------------- 🎧 Thanks for tuning into Heartline: Changemaking in Healthcare! 🌟 Learn more and book a free discovery call today at andreaaustinmd.com/coaching. Stay connected and keep making a difference: ✅ Subscribe to the Heartline newsletter for insights into reclaiming your well-being as a healthcare professional, improving teams around you, and transforming the system. 📱 Follow us on social: Instagram, LinkedIn & YouTube 📚Discover Dr. Austin’s book Revitalized: A Guidebook to Following Your Healing Heartline. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
