In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Ron Epstein about dealing with stress and toxic culture in medicine.Dr. Horton and Dr. Epstein answer the following listener questions:- In an under-resourced settings, how do we reconcile the quality of care we wish to provide with the quality we feel we're limited to provide?- Are circumstances in health care in current times the most difficult they've even been?- What are good strategies to avoid internalizing stressors?- How can we best cope with change?- How can we find hope in a toxic culture or environment?- How do you teach resilience?- How can meditation help?- Has mindfulness become too pop culture?- and much moreDr. Ron Epstein is a family physician, palliative care physician, author, musician, researcher, and professor of medicine at the University of Rochester School of Medicine and Dentistry.Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-191277---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.