I could be fast and impactful. Just in a negative way. The problem is that I come from the software dev side so I tend to be less interested in the medical side. It’s the same in a lot of safety critical. There is a lot of mundane work to tick the necessary checkboxes. There isn’t much that is interesting from a technological side. Maybe the result is interesting but getting there takes a lot of extremely boring work.
Maybe you should change your line of work. If you're that unhappy about what you do in spite of the fact that what you do is orders of magnitude more important than the next move-fast-and-break-things-advertising-driven-unicorn then that suggests to me that you should let someone else take over who does derive happiness from it and you get yours from a faster paced environment.
Personally, you couldn't pay me enough to do the latter and I'd be more than happy to do the former (but I'm not exactly looking for a job).
I am retiring next year. So that should solve my problem :). I don’t know how other medical device companies are working but in mine leadership is dominated by people who know medical devices from a sales or medical perspective. Software is kind of secondary to them although it’s becoming really important. A lot of our processes aren’t very good for software so we end up doing a lot of work that makes no sense and makes the product actually worse. It’s better not to fix bugs because a new release will take months of paperwork. The requirement structure doesn’t map to software but the SOP isn’t written by people who known software. It feels a little like the development speed of NASA with the SLS vs SpaceX who are basically doing everything faster and cheaper while still having high reliability . My company is NASA here. Just very frustrating