When Family Becomes a Verb: A Summer of Broken Bones

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...

You’re Part of the System Now: Burnout and Responsibility

Christopher J. Colombo MD, CEC, CMC, CPP Some Final Thoughts on Burnout There’s a point in many high-stakes professional systems where the questions quietly shift. Early on, they tend to be personal:Why does this feel so hard? What’s happening to me? How do I get through this without losing something I can’t get back? That’s...

When Burnout Isn’t About Stress or Recovery

Christopher J. Colombo MD, CEC, CMC, CPP Alignment, Identity, and the Limits of Fixing What Doesn’t Fit In the last installment, we followed burnout past the point where it could reasonably be treated as a private problem. Once responsibility for others enters the picture, the effects are no longer contained. They show up in judgment,...

Burnout’s Quiet Damage: Why It Matters Before Anyone Breaks

Christopher J. Colombo MD, CEC, CMC, CPP Introduction Burnout rarely announces itself with collapse. Most of the time, it arrives quietly—through gradually diminishing impact. Patience thins, and time isn’t spent on the investment in curiosity and connection. Imagination contracts, and robust interactions to spur innovation are no longer sought. Fewer questions get asked. Fewer risks...

Burnout Is a Wastebasket Term — and That’s Why We Keep Treating It Wrong

Christopher J. Colombo MD, CEC, CMC, CPP Simplicity Is Seductive — and Dangerous “I’m burned out.” That sentence has become professional shorthand—an all-purpose signal for exhaustion, frustration, disillusionment, or quiet despair. It lands with emotional force and usually earns immediate empathy. And because it sounds definitive, we tend to treat it that way: problem named, response deployed....

Time does not heal… it is what you do in time that heals.

“That was a long time ago, but it’s wrong what they say about the past, I’ve learned, about how you can bury it. Because the past claws its way out. Looking back now, I realize I have been peeking into that deserted alley for the last twenty-six years.” ~Khaled Hosseini “Don’t turn away. Keep your...

Simple Isn’t Easy…Yet Why Hard Things Get Easier (and How to Make That Happen)

Christopher J. Colombo MD, CEC, CMC, CPP Introduction Some things (2×2 tables for example) trigger an instant “old man shouts at clouds” reaction from my teenage daughter.I can be halfway into what I think is an insightful rant, cue the eyeroll. However, there is an inverse relationship between the rotational force vector of teenage eye-rolling and the...

In Praise of Doing Hard Things (Badly)

Christopher J. Colombo MD, CEC, CMC, CPP Introduction I recently bought an online singing course. Yes — me. A guy who, in high school, was told (by his best friend no less) that his back-up vocals were so wildly off-key that it “actually worked as harmony.” Spoiler: it didn’t. That wasn’t a compliment. So why,...

The Resilience Rant: Reclaiming and Reframing Part 6

The Wrap-Up: What We’ve Learned, What Comes Next Christopher J. Colombo MD, CEC, CMC, CPP The Rant Wasn’t Just a Rant Let’s face it—resilience needed a rebrand. Too many conversations about it either go Full Metal Jacket (“suck it up and drive on”), collapse into mushy platitudes (“just bounce back!”), or—on the flip side—dismiss resilience...

The Resilience Rant: Reclaiming and Reframing Part 5

What Actually Builds Resilience: Pressure, Process, and Purpose Christopher J. Colombo MD, CEC, CMC, CPP Introduction Let’s step back. Up to now, this series has focused on you—the individual reader. Your internal dialogue. Your emotional load. Your capacity to fall apart and rebuild. That work matters. But if resilience is real, it doesn’t stay static. If...