As a pediatrician, I have always known the value of my presence. At least, that is how I remember feeling during long nights in the hospital taking care of sick children, in the clinic or in any situation that required pediatric expertise. “How can I help?” I would always ask as I entered an exam room. Answering questions from wide-eyed parents about their foreign and frightening new bundle of joy, ...

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Burnout is a tragedy.  It terminates careers, friendships, marriages and sometimes lives, prematurely.  It threatens the well-being of individuals, families, patients, organizations and our society. The current media focus on the crisis of physician burnout is appropriate and timely, but the industry itself needs a reality check.  While burnout is experienced by the individual, it is the manifestation of a dysfunctional environment that only we as physicians and leaders in ...

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Here’s a leadership challenge: Get a group of highly independent, intelligent individuals to come together to build a boat.  But imagine the blueprint for that boat is vague and untested.  Now imagine that this boat must be built in choppy, progressively inhospitable waters, while said individuals are frantically treading water to stay afloat.  Convincing these smart people that there’s a problem isn’t the issue.  Convincing them to abandon their desperate ...

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