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What is a Doctor’s Role?

This sounds like a crazy question. But it really isn’t. What does a doctor do? What’s my job with my patients. What is a doctor’s role? Some of what I do is transactional. Simple stuff with clear...

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Why DotMD Sold Out in Two Days

This past weekend the storied medical meeting DotMD sold out in two days. How did this happen and what does DotMD deliver that no other meeting does? Experiences. People are desperate for experiences....

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Goodhart’s law and patient satisfaction

Goodhart’s law suggests that when a measure becomes a target, it ceases to be a good measure. When I first read this I couldn’t help but think of healthcare and the quest for the perfect patient...

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The Circle of Safety and Physician Burnout

In his book, Leaders Eat Last — Why Some Teams Pull Together and Others Don’t, Simon Sinek discusses the importance of a safe work environment for innovation, productivity and survival. He calls this...

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The People Margin

I love this concept of the people margin. It comes from Automattic engineer Mike Shelton in 2018. Data can be precise, specific, absolute and is meant to represent the actions and behaviors of people...

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Drucker on How to Manage Change

Peter Drucker, the father of modern day management, inspired a generation of leaders with his quote, “One cannot manage change. One can only be ahead of it.” This needs to be reconsidered. Because...

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The Fierce Reflux Cascade by GPT4

In the caverns of our bellies, a tempest brews, A fiery storm, a fierce cascade, acid reflux ensues. With burning rage, it surges forth, a churning tide, A searing pain, a bitter plight, we cannot...

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The Angry Email

The angry email is a timeless problem among young leaders and managers. Something gets us upset and we impulsively take to the keyboard to try to fix it. What comes out is typically edgy and direct....

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Suboptimization as a Healthcare Strategy

Optimization has become a defining feature of modern healthcare. We optimize, review, tweak, and measure our systems and ourselves against a super-optimized standard. Better, faster, safer, more...

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Burnout is a sign

There’s lots of talk about physician burnout. There’s even more talk about how we get rid of it. Everyone has a solution. But the problem with the conversation is that burnout is a sign, not a...

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