Christopher J. Colombo MD, CEC, CMC, CPP And now for something completely different From time to time on this blog, I exercise editorial license to deviate from a series or a plan. Despite what feels like the last six months writing about physician leadership, and a plan for at least two more installments, real life...
Category Archives: Long Form
The Other Half of Stewardship
Christopher J. Colombo MD, CEC, CMC, CPP Introduction In the last installment, I dusted off A Message to Garcia, Elbert Hubbard’s old essay about Lieutenant Andrew Rowan being handed a message for a Cuban revolutionary leader whose location was uncertain, then figuring out how to deliver it. Rowan is memorable because nobody could tell him exactly...
The Leader’s Enduring Responsibility
Christopher J. Colombo MD, CEC, CMC, CPP Introduction On the surface, leadership has a clear criterion for judging performance. Did we accomplish the mission? That question matters, and the answer is grounded in the present. Organizations exist for a reason, and it is not accidental that those reasons are usually declared in a mission statement....
When Certainty Doesn’t Come
Christopher J. Colombo MD, CEC, CMC, CPP Introduction In When Expertise Isn’t the Answer, I argued that technical expertise is remarkably well suited to recognizing established solutions. Leadership, however, increasingly asks us to solve problems for which no established solution exists—not by abandoning expertise, but by extending disciplined expertise beyond the limits of pattern recognition. That...
When Expertise Isn’t the Answer
Christopher J. Colombo MD, CEC, CMC, CPP Introduction Most professions reward expertise and this generally plays as exactly what you’d expect for the profession to be effective. Patients deserve physicians who recognize subtle diagnoses. Aircraft deserve engineers who understand failure modes. Organizations benefit when accountants know the subtleties of tax law, software developers understand minute...
The Second Apprenticeship
Christopher J. Colombo MD, CEC, CMC, CPP Introduction Organizations love promoting experts. It makes intuitive sense. The engineer who designed the breakthrough product becomes the engineering manager. The scientist who built the most successful laboratory becomes department chair. The professor with the strongest research portfolio becomes dean. The physician with the broadest clinical, educational, and...
Leadership By Design
Christopher J. Colombo MD, CEC, CMC, CPP Author’s Note This article was originally written for Forge magazine. It became the catalyst for a broader series exploring how highly accomplished technical professionals transition into leadership. If you’re beginning here, you’re in the right place. Introduction It would be hard to find an organization that says it wants anything...
Imprecision in Thought: Capstone “I Didn’t Make This Up, Kid”
Christopher J. Colombo MD, CEC, CMC, CPP Introduction There’s something about the calendar turning toward July 4th that makes this feel a little less abstract. Maybe it’s being a bicentennial baby. Maybe it’s twenty years in uniform. Maybe it’s just the cumulative effect of watching the quality of our public conversations degrade while the volume...
Imprecision in Thought Part 4 Comfort, Complexity, and the Stories We Tell Ourselves
Christopher J. Colombo MD, CEC, CMC, CPP Introduction In the last post, we walked through how thinking breaks—how overusing shortcuts, collapsing distinctions, and grabbing onto explanations that are a little too clean pulls us away from reality while giving us the comforting sense that we’ve finally made sense of it. None of that is particularly...
Imprecision in Thought Part 3 Not the Same Thing: Where Thinking Actually Breaks
Christopher J. Colombo MD, CEC, CMC, CPP Introduction In part 2 of this series, we talked about the discipline required to avoid becoming the problem you’re trying to fix—slowing down, defining terms, showing your work, and resisting the very natural urge to react before you actually understand what you’re reacting to. All of that matters....