Tag pyramid principle

Doctors are trained to tell the whole story first, then give the plan. Executives want the exact opposite: the plan first, then the why, then the details. Neither is wrong. But if we don’t switch gears based on context, we risk being misunderstood or ignored.

In modern healthcare, doctors and executives speak different languages. Doctors build the full case before giving a plan. Executives want the answer first, then reasons, then details. Both approaches work. But when they clash, doctors feel ignored, leaders feel buried, and progress stalls.