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. ...

I logged 24,000 steps a couple of weeks ago, not competing, just spectating. Cheering at an Ironman turned out to be its own endurance event! Somewhere between the cowbells and the cheers, I found myself thinking about what it really takes to sustain that kind of effort. Not just on race day and ...

I had just turned a group of faculty workshop participants loose to help each other work on short term career goals & to do so by practicing their new coaching skills with each other. I encouraged them to keep their advice-monster at bay. (See Michael Bungay Stanier's The Advice Trap). When they ...

One fall, 17 years ago, as I was driving in my new state of Alaska, I was in a bit of a hurry (as was a natural state for me at the time). So you can imagine, I was a bit annoyed when the line of cars in front of me didn't move when the light turned green. The middle lane was empty, so I decided ...

During our 30th anniversary trip, we explored new locales and discovered fantastic small restaurants that locals were trying hard to keep off TripAdvisor. One such gem was in Mainz, a cozy outdoor setting with beautiful ivy over the brick walls and around the fencing. If you have ever eaten out w...