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
If you've been reading for weeks and haven't booked yet — this one's for you
This week I wrote about the long game.
About why endurance runs out and architecture holds. About the three structural decisions that have the most leverage across a career. About what I'm actually building toward at year twenty — and why naming it matters. About the one sentence that holds everything I've written for the past three months: structure protects what willpower cannot sustain.
If you've been reading these emails for weeks — opening them, nodding at them, forwarding them occasionally, thinking "this is exactly the problem" — and you haven't booked a coaching session yet, I'm curious what's in the way.
Sometimes it's timing. Sometimes it's uncertainty about whether a single conversation can actually move something. Sometimes it's the price, even at the pay-what-you-can tiers. Sometimes it's that the problem feels too large or too systemic to address in an hour.
All of those are real. None of them are unusual. And I'd rather you tell me which one it is than keep reading without it going anywhere.
If you reply to this email and tell me what's in the way, I'll respond. Not with a sales pitch — with an honest answer about whether what I offer addresses it, and if not, what might.
If you're ready to book: mededwell.com/coaching — pay-what-you-can sessions at $50, $97, or $150.
If you're not ready but you're close: reply and tell me where you are. I read every response.
— 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
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...