The Question Patients Cannot Answer posted on 2026-03-20
Procedural medicine is built on the premise that skills can be seen, measured, and compared. Physicians who perform procedures are trained, above all, to intervene, and their success is often defined by dexterity, decisiveness, and outcomes. It is therefore natural that patients would want to choose their doctors based on published results of technical success. [Read More]
Rethinking Legacy Thinking posted on 2026-03-08
Legacy thinking is often described as a way of thinking about the future, especially when it involves leaving something behind for the next generation. Yet the same phrase can mean something quite different. Legacy thinking can also refer to the habit of staying anchored to the past. In this sense, it means hoping or presuming [Read More]
The Physician’s Journey: Transitions, Burnout, and Reinvention posted on 2026-03-01
Medicine is a profession marked by transitions, though we rarely name them as such. In this Substack essay, I reflect on burnout, not as a weakness, but as a signal that change is necessary before health care professionals collapse under the burdens of accumulated years, growing responsibilities, unfriendly work environments, and shifting systems. As medicine [Read More]
Anyone Can Be A Mentor posted on 2026-02-22
Mentorship is an essential part of professional and personal development. In medicine, it has been an especially dominate force, in part because of traditional apprentice-like training, but also because it has been a most opportune way for health care providers to learn to emulate certain behaviors and ways of thinking. It has also been a [Read More]
Exponential Thinking…Wow posted on 2026-02-15
People in general, and physicians in particular, are not always comfortable with exponential thinking. This is because we live life linearly. We grow older year after year. We learn first to crawl, then walk, then run. We learn to invest month after month to grow our net worth (though it is here that most people [Read More]