Past Letters

Imagine a Different World Order

Imagine working in an environment where a traditional model of hierarchical, authoritative, physician-centric management is replaced by new patterns of relating that foster collaboration, group learning, nurturing and a flattened social order on health care teams.

Voices of Duke Health: Are You Listening to My Story?

At the heart of the Voices of Duke Health is a passion for the art of listening.

Trust Starts With Trustworthy Leaders

Trust in an organization is fundamentally related to trust in its leaders.

A Simple Solution to Pointless Tasks

This fairly simple and straightforward program is an invitation to clinical staff who use the EHR to identify documentation and other practice requirements that should be eliminated.

Building Trust in the LGBTQ Community

The key elements of the practice—compassion, multi-disciplinary teamwork, robust huddles, story-telling and person-centered care–—can be applied everywhere.

Flipping the EHR: A Trust Builder

Over the next several weeks, I will devote this letter to writing about the winners of the ABIM Foundation’s recent Trust Practice Challenge.

Eroding Trust and Conflicts of Interest

In 2006, the ABIM Foundation and the Institute on Medicine as a Profession (IMAP), a non-profit health care think tank based at Columbia University, made a bold move to publicly confront the issue of physician conflict of interest (COI) and expose its threat to medical professionalism. A panel assembled by the Foundation and IMAP published... Read more »

A Choosing Wisely Story: Respectful and Trusting Conversations

While recruiting specialty societies to the Choosing Wisely campaign about six years ago, I attended a board meeting of a surgical specialty society.  I had flown to Chicago to meet with the society’s board as it considered whether to join the campaign.  The one question board members had for me was: What happens when a... Read more »

Trust and Direct-to-Consumer Medicine: A Prescription for Trouble?

What disturbs me about online retail medicine is the lack of face-to-face conversation between the patient and the clinician.

Where Have All the Flowers Gone: Choosing Civility in Medicine

Dialogue has to start with the assumption that all parties have good intentions and the belief that most people are reasonable most of the time.