that is some brutal self-honesty right there

Especially since they mention being a surgeon in some other comments.

um, no i didn't

If you've been there 16 years, I'm sure you employer feels your impact has been worth the investment. Are you really saying that you don't feel you have made the impact you would have liked to make? Do you feel under-utilized?

You can work your entire career and have "no impact" depending on how you define it.

A factory worker may be one of the best assembling doodads, but have no real impact on the job over their career, for example.

That is because these days what used to be high impact is now table stakes.

That's interesting; I feel like like it's the opposite: What used to be great work is basically unfathomable today and what used to be regular productivity is seen as almost superhuman. People get almost nothing done nowadays and I've never felt like expectations were ever really at the level they ought to be at, especially with how much money people are getting.

Some people are more productive. Others less so.

There is a tension between the two groups.

Some workers think meetings are great. Others hate them.