“There’ll Be Some Changes Made,” Unfortunately
I envy guitar players. I wish that I was decent plucker of strings. I have been trying to make progress in this area for forty years. Two of my greatest disappointments in life are that I have never become proficient enough with any musical instrument to feel...
Joy In Practice, Part II
Over the years I have had some strange dreams. In one recurrent dream I am back in high school playing football. It is not like the old days when I was an All Star. Despite the fact that I feel that I am at least as good as the other guys, even though I am in my...
Examining “Joy in Practice”Through the Lens of Personal Experience
Last year I was delighted to write a preface for the book on patient and family centered practice written by Anthony DiGioia and Eve Shapiro, The Patient Centered Value System: Transforming Healthcare through Co-Design. Recently Eve emailed me with the request that I...
Understanding How the Amazing Success of the 9.9 Percent is a Risk to Better Healthcare for Everyone
I saw aristocracy up close at Harvard Medical School. I quickly realized that some of my classmates were from families that were either power brokers in New York or Washington, or were the elite of American medicine. I discerned that I had been slotted into the class...
The Triple Aim Depends on Developing Leadership With Commitment to Mission, “Soft Skills,” and Integrity
Does the Triple Aim depend on leaders who demonstrate a commitment to the larger mission, have “soft skills,” and obvious integrity? The answers seem to be obvious: yes, yes, and yes. My friend Michael Soman, the retired president of the Medical Group of the old...Case Study – Elizabeth Mcarthy
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