Terrariums in the Weedy Garden

Physician leaders and healthcare executives sometimes speak of creating oases of efficiency and people-centeredness within organizations or systems they consider dysfunctional. Get enough people together for long enough, they say, and years of good policy intentions turn redundant, excessively complicated, and wasteful. Dysfunction in healthcare systems (often pejoratively described as “healthcare bureaucracy”) is especially problematic…

Subject to Object

It’s a forest-through-the-trees kind of thing. You don’t see your thinking because you’re using your thinking to see. Perception begets interpretation > Interpretation begets emotion > Emotion drives behavior. Many physicians, physician leaders, healthcare executives and leadership teams don’t take the time to examine these perception-feeling-behavior progressions and their impact on performance. Yet failure to…

Neglected Adaptive Growth

Physicians dedicate their young lives to technical growth: pre-med requirements, preparing for and taking entrance exams, medical school, passing boards, residency, and so on. Often, the price of this laser focus on technical growth is neglected adaptive growth. Adaptive growth is associated with wisdom, gravitas, maturity, courage, complex thinking, governance, vision, competent leadership, and confidence. Adaptive…