Resources to Remember
A masterclass on IIH from a master teacher.
Listen to Hamza Shah, OD, and Leonard Messner, OD, share insights on new research showing promising outcomes from using GLP-1 agonists to treat IIH. The conversation then turned to the various aspects of managing IIH patients including when to order imaging, the use of OCT, and the most important symptoms to ask about. From Paper to Clinic
3 ways to pay yourself when you have multiple owners in a practice.
How do you pay multiple owners in a practice when they all have differing levels of responsibility? Chad Fleming, OD, unpacks his recommendations for paying doctor owners through production, administrative responsibilities, and equity. Independent Strong
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Protecting your practice starts with understanding your biggest risks.
PPP Practice Risk Assessment helps identify potential compliance, billing, HR, and operational gaps that could be impacting your growth and profitability — before they become bigger problems.
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Articles to Apply
A must-read if you manage glaucoma (this should be all of you...)
This excellent article covers the psychological aspects of managing glaucoma. Specifically, what your patients are likely hearing and feeling, and how to best communicate with them to ensure appropriate management and successful outcomes. It offers an oncology-based communication strategy called SPIKES. Enjoy. Clinical Ophthalmology
Quotes to Consider
"The health of an organization provides the context for strategy, finance, marketing, technology, and everything else that happens within it, which is why it is the single greatest factor determining an organization’s success. More than talent. More than knowledge. More than innovation."
"At its core, organizational health is about integrity, but not in the ethical or moral way that integrity is defined so often today. An organization has integrity—is healthy—when it is whole, consistent, and complete, that is, when its management, operations, strategy, and culture fit together and make sense." -- Patrick Lencioni, The Advantage
My Observations
Your wisdom, or your lack of it, will determine your value more than anything else in the new AI economy.
That's a bold claim. But I think it’s true.
Work has moved through a few distinct eras in the last several hundred years: agricultural, industrial, knowledge.
Each one rewarded a different kind of person. The industrial era rewarded whoever could operate the machine. The knowledge era, the one most of us built our careers inside, rewarded whoever could hold the most information in their head and retrieve it fastest. That's the era of the expert.
It’s ending not because expertise stopped mattering. Because it stopped being scarce. A lot of people writing about work right now, including those inside the AI labs themselves, have started calling what comes next the wisdom economy. Their argument is simple: knowledge got commoditized. What's left scarce is knowing what to do with it.
Here's what that means for you, specifically. Patients will choose you because they still can't get from a chatbot what made you worth your exam fee in the first place: someone who knows what to do with the information once you have it.
That knowing what to do with information, especially in the midst of different degrees of certainty, is called wisdom. So how do we get more of it to stay valuable?
Here are 6 habits that we all need to embrace to grow in wisdom:
One: Know the research. Read the primary sources yourself, not someone's take on them, including mine. When you process the data firsthand, you understand why a conclusion was reached, not just what it says.
Two: Know yourself. Know which cognitive biases you default to under time pressure and uncertainty. Know when you are prone to anxiety or lack objectivity in certain patient interactions that could cloud your judgment.
Three: Stay a student. Reject any sense of arrival in your training. The best clinicians stay acutely aware of the edges of their own knowledge and keep working to expand them. Instead of avoiding the edges of your knowledge, lean into them and learn from them. Wisdom starts with an honest inventory of what you don't know.
Four: Reject passivity. The complicated patient in your chair isn't an inconvenience; it's exactly where wisdom gets built. Reflexively deferring to a specialist or an algorithm skips the work that actually grows your judgment.
Five: Adopt a growth mindset. Treat a wrong call or a missed diagnosis as information about your reasoning, not a verdict on your self-worth and ability. The doctors who believe they can continuously improve and develop over time will improve over time.
Six: Embrace nuance. Most clinical and business problems don't resolve into clean binaries, and treating them like they do is a form of intellectual laziness. Wisdom lives in the gray, where you weigh probability and context instead of reaching for a rule.
Wisdom isn't a personality trait some doctors happen to have. It's a set of habits, built exam after exam, patient after patient, decision after decision.