describe the image

Less Stress - More Balance - Prevent Burnout - Become a Better Leader


Follow Us ...



"Changed my toxic work situation"

"I started to feel better about my life within a couple weeks of beginning our conversations. I knew that I had an ally and friend. I realized that my feelings were predictable based on my circumstances, that I was “normal”. For the first time in years I had real hope that things would change for the better.

We worked together to find and interview for a new position in the worst job market for my specialty the recruiters have ever experienced. With Dike’s help and persistent positive attitude, I found a new position at a group that really cares about the doctors and I start in two weeks.

For me, the program has been worth everything. It has enabled me to emerge from my depression, change my toxic work situation, improve my home and family life, and allow myself to be happy and realize that I deserve to be happy.”

~ Anonymous MD



Current Articles | RSS Feed RSS Feed

Physician Burnout - Who Will Save Us

physician burnout solution is physician leadership opt

Physician Burnout - Who will Save Us?

In this article you will learn why Physician Burnout is a Physician Leadership Issue and what to do when you realize no one is coming to rescue you.


In articles and comments all over the internet, physicians do the same thing - blame, justify and complain about the work stresses we are under.

It is a futile show of frustration despite the fact that our concerns are legitimate.

On average 1 in 3 physicians are suffering from symptomatic burnout on any give office day. New levels of work stress seem to pile on each week. You can feel the longing to be rescued.

It is as if we are locked high in the castle tower, at the mercy of our evil captors - EMR, ICD-10 and Obamacare. Surely the king of everything that is right has dispatched a brave night to free us.

We shake our fists and ask "who is going to do something about this?" We dream of being rescued from these days of drudgery. This is not what we thought our practice would be like back in training.

All of these concerns are true and valid. AND understand one thing ...

Complaining and dreaming of a rescue is Playing the Victim - Pure and Simple

There is no brave knight coming to save you or anyone else

This only distracts you from Saving Yourself

Let me set a framework for addressing burnout effectively - the straightest path to meaningful change in your work day and your organization.

In the end you will see that Burnout is a Physician Leadership issue.

Patient Communication - What to do when a patient says thank you

patient communication patient says thank you opt

Patient Communication - What to do when a patient says thank you

I have asked hundreds of doctors to tell me a story of their most recent rewarding patient encounter. That patient interaction where, at the end of the day, they look back and said to themselves, "oh yeah, that's why I became a doctor."

These stories all have one thing in common.

No matter what the details of the case, each story always ends with the patient and/or their family and caregivers saying, "thank you."

Unfortunately, that same doctor can often miss the critical importance of these brief moments.

When a patient says thank you - no matter how rare an occassion this is in your practice - it is an opportunity for you to do two fundamental things:

1) Reconnect you with your purpose and sense of fulfillment in your practice and simultaneously inject energy to all three of your energetic bank accounts.

2) Give the patient and their caregivers the opportunity to connect with you in a whole new way.

If you don't take advantage of these brief moments of gratitude, they are quickly swallowed up by the pile of tasks in your practice day - and the opportunity is lost.

Healthcare's new Age of Engagement - bold steps you can take now

patient engagement physician engagement coaching questions opt (1)

Healthcare is entering a new Golden Age of Engagement

Patient Engagement
Patient satisfaction and quality of care are built upon a new foundation of patient engagement. In this new age you will be compensated for the level of engagement you create with your patients.

Physician Engagement
As employed physicians become the majority in the United States, your organization will create a competitive advantage by building new levels of physician engagement with your providers.

In this article, I will show you the single most important skill clinicians and physician leaders must learn in order to thrive in the years ahead.

Why the "Age of Engagement"?

For the first time financial incentives are aligning with your ability to Engage your patients and your people

In this New Age, failing to reach new levels of patient and physician engagement will hit you right in the pocket book in clearly visible ways for the first time

Patient and Physician Engagement - the Missing Step

physician engagement patient engagement wiifm opt

Patient and Physician Engagement - the Missing Step

We are entering healthcare’s Age of Engagement- and something is missing.

In this article let me show you the missing link to patient and physician engagement. Understand this engagement blind spot, and you will immediately upgrade your effectiveness as a clinician and physician leader

Engagement definition:
The full and enthusiastic participation in a course of action.

Work Life Balance for Physicians - How to Tip the Scales

work life balance for physicians opt

Work Life Balance is key to preventing Physician Burnout - but exactly HOW do you create balance in the first place?

Here are 2 Key Actions (and 3 Power Tools) to help you create more balance this week - Field Tested and Doctor Approved. 

Employed Physician Guide to Managing Your Boss

employed physician manage your boss opt

Employed Physician's Guide to Managing Your Boss - the 3 Keys

Here in 2014 - where employed physicians are projected to comprise a full 1/2 of the work force by 2021 - autonomy has become a quaint, old fashioned memory.

You are probably in the middle of your org chart with a boss above you. This person often has a frustrating ability to dictate the specifics of your practice ... unless you figure out a way to have some influence in their decisions.

In this article let me show you three keys to managing your boss if you are an employed physician. These are the tools you need to take back some control over your practice.


Have you ever asked yourself this question?

"If I am not the boss any more, how do I manage the person who is?"

Code Lavender and Preventing PTSD in Healthcare

code lavender cleveland clinic crisis management prevent burnout opt

Code Lavender has been in the news lately as a Burnout Prevention Tool ... that is NOT what it is.

You have heard of Code Blue and Code Red ... well there's a new code in town. Code Lavender.

Code Lavender is a code the hospital staff can call for themselves when they are being overloaded by stress and traumatic events at work.

When Code Lavender is triggered, the staff member gets a Chaplain consult, Reiki treatment, some down time and a lavender ribbon on their arm to tell everyone they are having a rough day. Code Lavender started by Earl Bakken at North Hawaii Community Hospital in Waimea in 2008 and has been reported on most recently in the Cleveland Clinic System.

This week I was interviewed along with Amy Greene, the Cleveland Clinic Director of Spiritual Care, on HuffPostLive on a segment titled:

Code Lavender: Healing One Doctor at a Time. You can watch the interview below.

In the remainder of this blog post (below the video frame) let me show you why Code Lavender is NOT a  burnout prevention tool and the function it actually performs.

Make 2014 Your Best Year Yet With this Breakthrough Process Download

2014 breakthrough process strategic planning for physicians best year yet opt

The 2014 Breakthrough Process will set you up for your Best Year Yet, in about one hour this weekend 

A year from now … as you look back on 2014 … what do you want the year to feel like? How about a 2014 that is your best year yet? Let’s make it a year of breakthrough success, happiness and satisfaction … what do you say?

Here is a personal strategic planning process planning process that is so powerful I call it the 2014 Breakthrough Process. It is specifically designed to help you breakthrough in those areas where you are feeling stuck – at work or at home.

Print out the worksheet below to get started

The Difference: Time Off vs. Life Balance - 3 keys for the holidays

work life balance for physicians prevent physician burnout 2 opt

Life balance is more than just taking time off or going on vacation.

If it feels like you are drowning at work ... you need way more than a few breaths at the surface to give yourself any kind of meaningful recovery.

Here are three keys to using holidays and vacation to recharge yourself in ways that will make a big difference. These are keys to actually creating work-life balance. Use these to ensure you head back to work rejuvenated and in a better place than when you punched out

I've tested all of these in my own life and with hundreds of physician coaching clients. Now is the perfect time to try them out over this two week holiday season when you are almost certain to get at least a couple days off.


1) Your Boundary Ritual 

Physician Group Culture Trumps Burnout, Maintains Physician Autonomy

physician culture physician burnout healthcare organization culture opt

Your Group's Culture is Key to Maintaining Physician Autonomy and Preventing Physician Burnout

Culture ... What Culture?

The basic challenge is this ...

... most physician groups/departments have never created a Conscious Culture that defines who you are and how you support each other.

This is one of the Key Blind Spots of our current Physician Leadership Vacuum.

A consciously created, supportive Physician Culture is hugely important for all doctors now and in the rapidly changing healthcare environment that is staring us all in the face. Yet the entire concept of a cohesive Physician Culture is completely absent in 85% of the healthcare organizations I interact with across the country.

What about your group/organization? 
Does the Culture of your group/department support you in building a healthy practice or actually get in your way?

All Posts