A clinical team in conversation during a morning huddle at a medical practice

Culture is what your team does when you are not in the building. Not the values on the wall, not the away day, not the thing you said in the last staff meeting. The actual behaviour when nobody is watching, under pressure, on a Thursday when two people called in sick. I ran healthcare operations … Read more

Clinical staff and an administrator talking together in a medical practice hallway

There is a moment familiar to anyone who has worked in healthcare on either side. A decision comes down. The clinical team reads it and immediately sees three problems nobody upstairs considered. Administration hears the pushback and concludes that clinicians do not understand the constraints. Both groups are right, and neither is talking to the … Read more

Healthcare administrator and clinical staff in discussion at a medical practice

Leadership in healthcare carries a particular weight. You are balancing patient care against regulatory demands against operational reality, and the three rarely point the same direction on any given week. The challenges are real, and most of them are structural rather than personal. I spent more than thirty years in healthcare, twenty-five of them in … Read more