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Letters to a young doctor… Learning to say No

Letters to a young doctor… Learning to say No

‘What has been the hardest lesson you have had to learn?’

‘Saying No instead of Yes….’

Hello….

It has been surprising to me that the hardest lesson I learned from Medicine is how to say “No’.  I suspected the lessons in school would be the hardest, maybe the ways to have delicate conversations, or to sit with the dying.  However, nothing comes close to learning to say “No’. 

Healing a Health System....

Healing a Health System....

Can the Health System survive?

It comes down to the people.  It is not about their work, but how they feel; feeling valued, feeling your work is valuable to those you serve, and feeling valuable doing the work.  It is work as an extension of what you believe, what you love, and how you want the world to be reflected back to you.

For 22 years I have watched systems work to chart their way into the future. It is a difficult future; the Baby Boom generation is such that it is going to be a costly future as well.  It is not a problem, problems can be solved. This is a predicament, it is inevitable, it must be managed.  To manage a predicament people must bring their best, give it, and do that repeatedly.