If you lead a team and recognized yourself this week, here's what I offer


This week I wrote about physician leadership and structure.

About why your mood is your team's weather — not as a metaphor but as a structural reality. About the single move that has the most leverage for physician leaders: building and visibly maintaining your own containment. About the moment I understood that what I was modeling was setting a baseline for people around me who hadn't been asked about it. About why leaders who model overload normalize it — and what the alternative actually looks like.

Physician leadership coaching is a specific area I work in. Not organizational leadership in the abstract — the concrete, structural question of how physician leaders can build practices that allow them to show up to their teams with capacity available rather than already depleted.

If you're a physician who leads a team — formally or informally — and you recognized yourself in this week's emails, the coaching conversation is usually about two things: what structure you're currently modeling, and what structure you want to model. Those are different questions than the ones most physician leadership training asks, and they tend to produce different results.

I'm a physician and a certified coach, currently in an ICF-accredited training program. I offer sessions at pay-what-you-can rates — $50, $97, or $150.

If this is the work you want to do, let's talk.

mededwell.com/coaching

— Ryan

MedEdWell | Sustainable Medicine for Physicians & Leaders

I help physicians and healthcare leaders build more sustainable clinic days by improving workflow, reducing hidden work, and operationalizing the Quadruple Aim through practical coaching and tools.As a life coach, I help physicians get work done at work so they can be more present for the things that matter most to them. Book a call at Mededwell.com/coaching

Read more from MedEdWell | Sustainable Medicine for Physicians & Leaders

Heading into work this week, I wanted to remind myself of something simple: you can't do this alone, just like you can't do life alone. I can't do what I do in clinic without my team. So this week's encouragement isn't really for you to do anything differently in your own charting — it's to reflect on your team. Thank them. Write a note, give kudos, check in on your MAs, your nurses, your staff. Or just ask, "how are you really doing," and actually listen. Have a great day! Ryan

Monday mornings feel heavy sometimes. A certain amount of that's normal. But I think it's easy in medicine to lose sight of something underneath that heaviness — the privilege we actually have. Not to hit a certain number of visits, or generate a certain number of RVUs, or complete a certain number of procedures. To care for individual humans. Daughters. Sons. Mothers. Fathers. We get to meet them in a time of need. I'm saying this as much to remind myself as anyone reading this. See today as...

I told a story this week that's very personal to me, one I actually tell pretty regularly. Eight months out of residency — good colleagues, work I loved, using my Spanish every day with patients — and I was still burned out. Charts on the couch every night, before my wife and I even had kids. She's the one who finally said, "Something has to change." What actually helped wasn't just working less, though that was part of it. It was rebuilding the workflows underneath — charting in the room...