Field Notes

These are my notes and musings from 20+ years in clinical medicine, supervision, and coaching. I mostly write about the ongoing project of unlearning what the system taught us. This is for clinicians who are done running on empty and ready to think differently.

Self Trust Newsletter September 2026 Sep 09, 2026

Dear Med School Graduate May 17, 2026

BATNA: The One Negotiation Concept Every Physician Needs to Know burnout prevention everyday leadership gentle power Apr 24, 2026

The Neuroscience of Burnout: This Isn't Weakness. It's Biology. burnout prevention burnout recovery organizational culture Apr 01, 2026

THE COMPASSION TRAP Why the Quality That Makes You an Exceptional Caregiver Is Also Depleting You Mar 12, 2026

Write Your Own Obituary: A Surprisingly Joyful Way to Clarify What Matters everyday visionary lead with love Nov 13, 2025

When Anxiety, Over-attachment, and Worry Are Really Signs of Burnout burnout recovery Oct 19, 2025

skeleton with post it note that says "burnout"

5 Burnout Myths That Are Keeping You Stuck (and the Truths That Set You Free) burnout prevention burnout recovery Sep 22, 2025

Healthcare professionals collaborating in a team meeting, representing visionary leadership in action.

When Everyone Is a Visionary: Growing High-Functioning Teams everyday leadership everyday visionary organizational culture team based care Sep 05, 2025

I Thought I Was Ready for Leadership. I Wasn’t. burnout prevention everyday leadership lead with love Jul 29, 2025

The Process v. The Promise: How to Stay Engaged When Results Are Slow (Or Nonexistent) everyday leadership everyday visionary Jul 14, 2025

Real Leadership Begins with Your Humanity: Tools to Move Beyond “I’m Fine" burnout prevention everyday leadership everyday visionary Jul 09, 2025

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