
The impact of the pandemic, payment issues, productivity demands, and an unsettled health care environment have generated considerable discussion about clinician burnout over the past few years. The concept of moral injury has been introduced into this dialogue, speaking to the condition that affects the provider's ability to provide their expected high-quality care, resulting in a conflict between what is required of the clinician and their "calling" to help people. While moral injury certainly has a profound impact on the individual PT or PTA, there are related consequences on patients and colleagues that impact the safe, effective, and ethical delivery of care.