This week marked the beginning of a big change: I shared with my partners, team and patients that I will close my practice at the end of November. Our youngest child is a senior, and the nest will be empty soon. My work in value-based care will generously allow me the flexibility to travel while working. The COVID pandemic has been difficult for healthcare workers everywhere; it certainly contributed to my decision to take a break from clinical medicine. For all these reasons, the timing is right to make a career change to administrative medicine.