Why does doing my job well no longer feel like helping anyone?

You did not train for years to fill a quota. You trained to catch the mistake that would have hurt someone, to notice the patient who was scared, to be the one who looked up from the screen. Now the screen is the job, and looking up is what puts you behind. Call this what it is. You are not failing to keep up — you are mourning work that got taken from you while you were still doing it. That grief is honest. Do not let anyone talk you out of it with advice about resilience. But grief is not the end of the matter. You still choose what happens in the minute you have with each person. You still choose whether your team protects that minute for one another, or lets the metric decide alone. Decide that together, now.