Tag physician leadership

Why Didn’t Anyone Tell Me? — Humble Inquiry, Part 1

Humble Inquiry leads to open communication

Once, when a Chief Medical Officer, I rolled out a night call schedule that failed three weeks in. The team had seen what was coming; they just didn't tell me. The reason wasn't a communication failure — it was an asking failure. Drawing on Ed and Peter Schein's Humble Inquiry, this post explores why physicians, trained to be the person in the room with the answer, struggle to ask real questions when they move into leadership. It introduces the Scheins' four types of inquiry — humble, diagnostic, confrontive, and process-oriented — and shows how most physician leaders unknowingly default to confrontive questions that teach their teams to confirm a hypothesis rather than share what they actually see.

How Professionalism Becomes Armor That Hurts Leadership

All leaders wear armor that keeps them distant from their teams

Every leader wears armor. Most don't realize they're wearing it. Over-reliance on data. Excessive use of jargon and buzzwords. Cynicism disguised as realism. These forms of armor often punish the very behaviors that build trust. Your armor may have served you at some point. The question is whether it's still serving you now — or whether it's keeping your team from trusting you enough to follow where you're trying to lead.

Why Vulnerability Feels So Dangerous to Physician Leaders

excercising authority vs being open is one of the key tensions every leader must manage

Medical training teaches many things directly, but it also teaches a lot without ever saying it out loud. One of the unspoken lessons is: never look uncertain. So doctors develop habits that help them succeed in clinical work. They project confidence before they fully feel it. They hide uncertainty while they think. They sound clear, even when the situation is not. But when doctors move into leadership roles, these same habits can quietly undermine trust. Patients want reassurance, but teams want honesty. Patients look for confidence, while teams need openness. They need a different kind of trust.

The Business Case for Servant Leadership in Healthcare

The effects of servant leadership ripple through the organization

If you're a physician leader who believes in servant leadership, at some point someone in a boardroom will say, "That's nice, but what are the results?" This post gives you the answer. And if you're an executive thinking about physician leadership development, this is why servant leadership isn't a personality trait. It's an operating system you can support or undermine. Which choice you make will determine your organization's culture.

What Servant Leadership Actually Means For Physicians

Physicians know how to serve. We've been doing it since the first day of medical school. But serving patients and serving a team are not the same skill. The shift from one to the other is harder than most people expect. And getting it wrong can quietly undermine your leadership before you even realize what's happening. Robert Greenleaf's concept of Servant Leadership can help.

Why Your Speech Must Reveal Something About You

Whatever your message, someone has said it before. And someone will say it again. But when you say it with your story — your thoughts, your memories, your joy, your pain — that's when it becomes unforgettable. The final installment of this series covers the last two lessons: show yourself, and have fun. Together, they explain why ChatGPT can write a speech about your topic but can't write your speech, and why both showing yourself and having fun are indispensable to becoming a voice that moves.

Why You Can’t Practice Your Speech Without Saying It Aloud

Someone told me they practiced their speech while walking their dog. "Do you say it out loud?" I asked. "No," they said. That's not practicing — that's thinking. Part 3 of the series about lessons I learned from my Toastmasters contest last year covers two lessons about preparation: practice aloud to find the words make you stumble, and rehearse with real people to find out if your message actually lands.

How Saying Less Can Make You More Persuasive

Would you pay four people to do a job one person could do better? So why do we do that with words? Part 2 of this series covers two tightly linked lessons: make every word earn its place, and tell the truth without being boring. Together, they explain why cutting 44% of the words from one paragraph made it hit harder — and why a CMO's no-brainer proposal to imrove care took a whole year to make happen.

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