The expression lead, follow, or get out of the way has more than a kernel of truth to it. Leaders must lead. They cannot bog themselves down in the morass of consensus building. As the etymology of the word consensus indicates (with + thinking) it waters down decisions as a result of compromise and giving…
Hospital-Centric Healthcare
The Only Thing the Hospital Has to Fear Is Fear Itself
Hospitals often rely on fear to control negotiations with physician groups. Learn how fear tactics work—and how you can politely refuse to play the game.
Are You Infected with a Hospital-Centric Meme?
Physicians are certainly well acquainted with the concept of nosocomial infections, infections acquired by patients during the course of hospitalization and infections acquired by hospital personnel. But physicians are for the most part unaware of another type of infection relating to hospitals: the meme, or mind virus, an accepted cultural idea or paradigm, infecting physicians in…
Align or “A Lyin’?”
Physician alignment is all the rage. But of course, as I’ve written before, hospitals use the line “align” when they’re actually a lyin’ to you. That is, unless the meaning of the word align actually is “to control.” However, as is the case with much propaganda, there is a kernel of truth within the concept…
Harnessing “Me to We”
Shift from transactional to relational: leverage the “we” mentality to strengthen physician-hospital partnerships to resist hospital control.
The Two Classes of Hospital Based Medical Group Disruptors – Podcast
Most hospital based groups focus on outside competitors but ignore the threat from within.
Stars Don’t Audition. Why Are You Responding to That RFP?
When I first began practice, I worked for a law firm that represented clients in the entertainment industry. One thing that struck me from each morning’s required reading, Daily Variety, was that although it carried many announcements of auditions for minor roles, stars didn’t have to audition at all – in fact, the paper often…
The Group-Physician Relationship – Podcast
Why are group-physician relationships so complicated when the rules are so simple?
Ignoring the Perceived Bounds of Weakness – Podcast
If your medical group signals its weakness, it will become easy prey.
From Me to We: From Physician to Provider
Understand the modern physician’s position amid societal changes that emphasize communal values and collective health.



