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I don’t always feel the strain of my decisions to travel or to add extra obligations to my already very full schedule. However, when I look across the breakfast table at my spouse and see that he has a hollow-eyed zombie stare and a three-day growth of stubble on his face, I can recognize how my lack of work-life balance equals his fatigue and burnout.

The Affordable Care Act, signed into law in 2010, is the roadmap for healthcare reform for the next decade. The legislation includes several initiatives that will impact the way physicians operate and change their everyday business practices. Here is a year-by-year outline of the biggest benchmarks that will affect physician practices.