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. ...

“Celebrate the abundance within troubles.” – Will Miller, MD, Annals of Family Medicine, 2010 📸 Thanks to Jay Fetter for the reminder and this powerful slide in Atlanta last week where the year long STFM CBME pilot project wrapped up. The CBME pilot participants showed us what it looks like to le...

When physicians or faculty leaders are struggling in their roles—or with certain parts of them—I often ask: "When you think of a leader you admire, what qualities stand out?" They usually name things such as integrity. Strength. Clinical wisdom. Courage. Kindness. Collaboration. And almost always...

"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...