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...

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...

Running Without a Map: Why Change Needs More Than Good Intentions

Christopher J. Colombo MD, CEC, CMC, CPP Introduction Feedback is a mirror. Over the past two posts, we’ve looked at two ways leaders stumble with feedback: ignoring it altogether (Ignoring the Mirror) and overreacting to every reflection (Trapped in the Mirrors). Both leave you stuck. But there’s a third trap, and it’s sneakier because it...

Ignoring the Mirror: Why We Resist Feedback and Growth

Christopher J. Colombo MD, CEC, CMC, CPP Introduction We previously defined feedback as the key enabling behavior of true mentorship. Good feedback acts as a mirror, reflecting something about us that we may not see on our own, and provides a pathway to change, grow, and improve.  But what happens when you don’t like the reflection?...

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...

The Resilience Rant: Reclaiming and Reframing Part 1

Why We Won’t Throw Out Resilience Just Because Some People Misuse It Christopher J. Colombo MD, CEC, CMC, CPP Introduction Resilience gets a bad rap these days—and not without reason. In recent years, especially in conversations about trauma, adversity, and systemic harm, the concept of resilience has sometimes been used to shame people rather than...