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Despite equal representation in medical school, women remain underrepresented in leadership, overburdened by domestic responsibilities, victims of sexual harassment and biases, and inadequately supported by our institutions. These challenges lead to decreased career satisfaction and higher attrition rates. The overuse of terms such as \u201cburnout\u201d without meaningful action has left many of us feeling acknowledged but unsupported. To improve both career and health longevity, we must focus on system-level reform utilizing evidence-based interventions, including paid parental leave, access to childcare and lactation policies, harassment protections, flexible work structures, mentorship, and leadership development. 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