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Major changes in the United States healthcare system over the past two decades have had a significant impact on the professional lives of gastroenterologists and the practice of endoscopy. For those practicing in large healthcare systems (academic or private), in addition to providing procedural services, they are being tasked with a multitude of additional responsibilities depending on their particular healthcare environment. I am Shyam Varadarajulu, an endoscopist in the Orlando Health Digestive Health Institute in Orlando, Florida. This 5-minute video outlines a typical day in my professional life. I want to share this video especially with young aspiring endoscopists.This is the not a promotional video but rather is an educational video that provides a brief glimpse of what it takes to aspire to the epitome of the new era of medical practice. For our international colleagues, this video will help to better comprehend our professional lives in the US. I hope that you will enjoy this brief video. Sincerely Shyam Varadarajulu