Growing up, my world consisted of good kids like Spook, Ryan, Barry, Jean, and Christy. Especially Jean, she would draw fun pictures and write nice things in a note folded up for me at school: "To Tonya, my friend. From: Jean, your friend." There were bad kids like Eddie - who would come to our s...

In medicine and academic leadership, change is constant. But the kind we choose feels different than the kind we don’t. Lately, I’ve found myself thinking about what lies beneath the surface when frustration rises. Sometimes what looks like resistance or blame turns out to be something else entir...

We often resist change when it feels like it threatens who we are. But not all change is self-abandonment. Not long ago, someone shared that she felt a surprising amount of grief around changing—even when the change was meant to help a relationship work better. Authenticity was a deeply held valu...

Today, I reflected on a conversation with a colleague about how difficult it is to lose patients to medical conditions. They work with a population of patients who sometimes have terminal conditions. But I saw their pain through a different lens - that of a family member and friend to people who ...