Leadership cannot be taught, it has to be encouraged. That is my view of the world and nothing I have seen in my very short lifetime has shown me otherwise. The problem of leadership in American culture is a complex challenge. We have bought into the idea that leaders are created in business school with ever more specialized management degrees. This philosophy could not be further from the truth. Leadership is about getting those around you to perform above their own expectations and to feel included and empowered. Leaders are great managers, unfortunately great managers are not necessarily great leaders. Business school can turn poor managers into great managers, but cannot create leaders.

The education that creates leaders starts in early childhood. It starts in the home at play. Creating leaders is about allowing your toddler to make decisions. It is about allowing her to be her own change agent. It is about explaining why. It is about explaining your yes and no answers equally. It is about recognizing that our toddlers learn from us. They are sponges and their best and worst habits are learned long before they can explain their decisions. Early training prevents later correction.

As the father of the two smartest daughters in the world I can attest to the strength of character of toddlers. My girls are now 3 and 5 and it is clear that they have very different personalities. In spite of their differences they both are confident and insist on making their own choices. They don’t readily follow the crowd. They, like little girls everywhere have been infected with the princess bug, but I smile when they choose the “boy” toys or face paint patterns. I am happy that they have been allowed to make their own choices and will not follow the other girls to the dolls but more often than not want both the doll and the truck. Having a community that supports our  girls is vital for the development of future female leaders.

For me, growing up around equally strong men and women instilled a powerful sense of place and robust confidence. This is what I want for my daughters and all our daughters. However, there is a noticeable lack of strong female leadership in our country. I would consider myself a feminist and believe that my girls are capable of doing and achieving anything they desire. Because there are physical limitation does not mean that she is not capable. The question is, are we willing to design and improve so she can express her full potential? This is the key question that needs answering. I know what my answer to that is. My daughters will never be told by me that they cannot. No one in my presence will go unchallenged if they suggest that my daughters cannot. I will lovingly push and challenge them, because they are just as capable as their male peers. It is time for us to use technology to level the playing field and allow all who would to be challenged by all this worlds has to offer.


All of us have our quirks. The question is, can the people around you live with them. On most days I think the people around me can survive. Mine is my drive for efficiency. I once was told that the fastest way to get a task done is to do it the right way the first time. If you work with me you have heard that before and you know that my way is the only correct way. Thanks for the indulgence. What motivates me is accomplishing a task in as few steps as possible. In health care that can be a challenge.

In the world of rising cost and decreasing reimbursement the imperative in healthcare is keeping cost to a minimum. My take is that patient safety is the first goal followed closely by efficiency. Some may wonder about that combination but I posit that they are one and the same. If your question is how so, let me expand by looking at one of the most frequent complaints in healthcare. Timeliness. What is timeliness and do you respect it?

The most offensive ‌thing to me is inefficiency. Inefficient use of time is the highest form of disrespect. The fundamental question is do you respect others. As importantly, do you respect your reputation. You first have to show respect for yourself before you can respect others. Respect motivates and challenges. It creates internal expectations that demand attention. The expectation that you must be the best at each task demands attention to the details of the task. Attention to the small details of the task shows others your commitment to success and will reinforce your reputation for succeeding at your goals. We all want the successful and self motivated on our team. Respect for one’s reputation means always doing ones best, including being on time. Respect for time, I posit carries over into ones preparation for treating patients and will result in better care being delivered.

Unfortunately many in our society have come to equate the cost of their time to value. Value is not defined by cost equations, but by the totality of benefit provided to others. Your time is not more valuable than that of others. As a physician I try to respect my patient’s time. However that attribute is not universally acknowledged and  that  leads to delivery of less than optimal care. The lack of preparation for our patients is reflected in lack of respect for the time of patients and results in us going for the easy fixes instead of the optimal. The easy fix is destroying the reputation of the Medical Profession. “ObamaCare” and Government regulation is just the latest scapegoat for the total lack of respect that physicians have for time and timeliness and by extension our patients. This directly affects our reputations, but too many don’t see the connection. Patients have become a number not because of the business of medicine but because physicians have not shown enough respect for our patient’s time. Too many physicians see patients as a captive audience. Even if our patients do not have many options we should still treat them with the respect they deserve. All of natures children deserve respect and humans no less than our cats or dogs. If we do not reverse this trend, one day we will wake up and find that we are not the only ones taking care of patients. Truth be told that reality is already here. Welcome to the evolving world order.