How do I do my job well when the workflow gives no time for it?

You are good at the very thing the system barely lets you do. You could counsel almost anyone safely, and instead the workflow rushes you past them. That grief is the ache of a skill with no room to breathe, and it is a sign you care about the work, not just the pace. You cannot fix the whole broken pace by yourself. But you can refuse to let it erase the moments that matter most. Not every patient needs a full conversation. Some do, and part of your skill is spotting which ones, then giving those the minute that could actually change something. Choose your battles. Let the routine refills move fast, and slow down for the new medication, the confused patient, the risky combination. Spend your limited time where it counts most. You will still grieve what the system takes, but you will know you gave the real help to the people who most needed it.