When we talk about stewardship in medicine, it usually means handling precious resources wisely: Blood bank stewardship (don’t squander that O-negative so it’s there in a crisis) Antibiotic stewardship (use the narrowest spectrum possible, so we don’t fuel resistance) Resource stewardship (choo...

It’s that season again. Graduation programs. Thank-you speeches. Awards. A flurry of new titles, public praise, and quiet appreciation. We do this because it matters. Recognition is powerful. Appreciation even more so. But in the messiness of human systems, it doesn’t always land how we intend. I...

You know my husband and I have taken on quite a few renovation projects over the years. Back in medical school and residency, we bought an old historic home in a neighborhood filled with beautifully restored houses. Of course, we could only afford the fixer-upper. It was built on piers and had pl...

This past week, I had the great honor of sitting in a (virtual) room with five individuals who have dedicated decades of their careers to leadership in graduate medical education (GME). The idea for this gathering started one morning when I woke up thinking about how tough leading in GME can be. ...