I think that paints an overly romantic picture of being a doctor. In reality you have to work with a bureaucratic health system where there's never enough time

I think that paints an overly romantic picture of being a doctor. In reality you have to work with a bureaucratic health system where there's never enough time for each patient. Also patients might not be as willing to cooperate as you wish (as an example I recently read about cholesterol medication where many doctors advised a healthy lifestyle opposed to medication but many patients just weren't willing or able to change theirs but prefer medication). Getting patients to smile is certainly satisfying but it's also not that easy.