The majority of us in medicine are in it because we care.  But sometimes caring means saying “no.” We say no to one more initiative when our team is already stretched. We say no to a patient’s request when it’s not in their best interest. We say no to ourselves when we know we can’t do it all. ...

Leadership often feels like driving a narrow road. You’re trying to keep the vehicle moving forward, but there’s a ditch on each side that can take you out if you drift too far. Recently I had the chance to moderate an STFM GME Leadership Panel with three seasoned leaders in academic medicine — D...

Recently, I’ve been supporting my mom from afar as she’s gone through a complicated health issue. Like many patients, she didn’t show up with a single neat explanation. She had two separate issues—Occam’s razor didn’t apply. That alone created delays and misdirection, but this story isn’t about w...

Time Hack - I'm modeling scheduled rest and boundaries, so I got creative with scheduling this week's reflection. 😊 Time-hack - make your work count twice. I'm working smarter not harder - linking you to the reflection from my blog rather than writing something new while I'm off. The story: I'm o...

"I can either run on time, or I can address the patient's needs" "I can either get my work done, or build relationships with the staff." "I can either shirk my responsibilities at work and be there for my family, or I can shirk my responsibilities for my family and be there for work." These are o...