Presence is the thing physicians most want and least name as a structural problem


This week I wrote about presence.

About why the physician who is fully present in the room isn't trying harder — they built something that stops competing with their attention. About the single structural change that most improved my own presence. About a specific clinic day that worked differently, and why. About open loops and the mechanism by which they steal the attention you're trying to give your patients.

If you've read this week and felt something between recognition and frustration — recognition because this describes exactly what you experience, frustration because you're not sure how to build what I'm describing — I want to offer you the next step.

The structural work I do with physicians in coaching covers exactly this territory: documentation burden, cognitive residue, loop management, and the design of a clinical practice that protects the attention medicine requires.

This isn't motivational coaching. It's structural problem-solving. A focused conversation about your specific practice, your specific constraints, and the moves that are available to you.

I'm an ICF-credentialed coach. I offer sessions at multiple price tiers, including pay-what-you-can options, because I think access to this kind of support should be determined by whether it would help, not by whether you can afford the standard rate.

If you're a physician who wants to be more present with your patients and is running out of willpower-based solutions — this is the conversation.

mededwell.com/coaching

— Ryan

P.S. If you want a free starting point for the documentation pieces specifically: mededwell.com/chartingtips

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

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