"For the first time in a long time, I'm actually excited for my next shift."— Mizuho Morrison, DO, Emergency Physician and CEO of EM

High stakes. Thin margins. Complex decisions. That is supranormal work: the far edge of what most would consider sustainable. The people who build sustainable careers there don't just rely on grit. They recalibrate.

Medical training taught you how to diagnose disease, manage airways, and save lives. It did not teach you how to manage overwhelm, navigate conflict, recover from difficult cases, or build a career you actually want to keep.

Executive coach Rob Orman, MD, spent twenty years as an emergency physician and has logged thousands of hours working one-on-one with doctors through burnout, overwhelm, conflict, and career reinvention. He wrote Supranormal as a field guide to the problems nobody trained you for, the ones you've been figuring out the hard way.

• PURPOSE IS NOT ENOUGH. Why meaning alone will not save you from burnout, and what actually will.
• PUSH VS. PULL. How to turn resistant, heated interactions into genuine collaboration without backing down or blowing up.
• THE KRAKEN PROTOCOL. A personalized system for managing mid-shift overwhelm before it pulls you under.
• AFTERBURN. How to defuse the anxiety that ambushes you hours after a difficult case.
• THE DRIVEWAY DEBRIEF. A simple end-of-shift ritual that closes the workday, protecting your sleep and relationships.
• MICRO, MACRO, MEGA. Three levels of career recalibration, from small workflow fixes to full reinvention, without blowing up what is working.

If you've been told to be more resilient by people who've never worked a shift like yours, this book is for you.

Work with more clarity, handle conflict and hard conversations with more skill, recover with less mental residue, and build a career worth keeping. The goal isn't survival. It's joy. It's time to stop white-knuckling your career.