“Expressions” – 2023

USA

The Nature of Gratitude

Gratitude is often spoken of as emotion, a warm response to kindness or fortune, but its deeper value lies in practice. It is not only something we feel when life is generous; It is something we choose when life is challenging.

As a discipline, gratitude becomes an orientation, a way of seeing that illuminates meaning even in difficulty. It reminds us that joy is not found in having more, but in  being more appreciative.

Professionals accustomed to high performance sometimes overlook gratitude amid ambition. Yet it is gratitude that gives ambition integrity. It roots achievement in appreciation rather than accumulation.

Gratitude, practiced daily, transforms both the moment and the mind that perceives it.

Why Gratitude Must Be Practiced

Left to impulse, gratitude fades in the noise of daily life. The mind naturally focuses on what is missing or unfinished. The discipline of gratitude rebalances this tendency by redirecting attent...

“Perennial Legacy” – 2024

Mt. Moran

Grand Teton National Park, WY

The Nature of Legacy

Legacy is often thought of  as the sum of achievements, a list of accomplishments worthy of lasting  recognition. Legacy is, in part, what we leave after life; But it is much more: it is what we leave within life. It is formed every day through decisions, actions, and relationships. It exists not so much in the records of what we did, but in the lives we influenced through how we lived.

Legacy begins not with death but with awareness. The moment we recognize that influence extends beyond our own timeline, we begin to live differently. Priorities shift, the focus turns from acquisition to contribution, and meaning takes the place of ambition.

Legacy is not created by what we accumulate, but by what we cultivate.

Legacy As Living Influence

Professionals often view legacy as the distant reward of a career well served. Yet legacy is alive in the present moment; It unfolds every time we teach, men...

“Rising Beyond”  – 2024

The Teton Range

Grand Teton National Park, WY

Leadership Rooted in Character: The Genesis of Leadership

Great, existential challenges have a remarkable way of evoking different reactions from individuals with diverse personalities. The responses may range from cowering fear to towering bravery. The latter is witnessed in men known for their genuine boldness as well as the man who has been perceived as quietly meek. This seemingly outward meekness is sometimes misunderstood for a quiet, steadfast resolve. 

Who Are These Leaders?

Exemplary leaders may be found at a humble home, businesses small and large, churches, government bodies, medical organizations and in your own medical practice. The list is virtually endless. 

Some have a long record of leadership service; others seem to arise to meet the challenge that confronts them. You may have witnessed, as I have, a range of behavior of individuals in the face of crisis:

The usually, boldly verbose that bec...

Strength Amidst Adversity – 2010

Grand Teton National Park, WY

The Genesis of Leadership

Great, existential challenges have a remarkable way of evoking different reactions from individuals with diverse personalities. The responses may range from cowering fear to towering bravery. The latter is witnessed in men known for their genuine boldness as well as the man who has been perceived as quietly meek. This seemingly outward meekness is sometimes misunderstood for a quiet, steadfast resolve. 

Who Are These Leaders?

Exemplary leaders may be found at a humble home, businesses small and large, churches, government bodies, medical organizations and in your own medical practice. The list is virtually endless. 

Some have a long record of leadership service; others seem to arise to meet the challenge that confronts them. You may have witnessed, as I have, a range of behavior of individuals in the face of crisis:

The usually, boldly verbose that becomes uncharacteristically quiet. Or the ...

Rising Above the Rest – 2022

The Grand Teton and Range

Grand Teton National Park, WY

Challenges and Leadership

Great, existential challenges have a remarkable way of evoking different reactions from individuals with diverse personalities. The responses may range from cowering fear to towering bravery. The latter is witnessed in men known for their genuine boldness as well as the man who has been perceived as quietly meek. This seemingly outward meekness is sometimes misunderstood for a quiet, steadfast resolve. 

Who Are These Leaders?

Exemplary leaders may be found at a humble home, businesses small and large, churches, government bodies, medical organizations and in your own medical practice. The list is virtually endless. 

Some have a long record of leadership service; others seem to arise to meet the challenge that confronts them. You may have witnessed, as I have, a range of behavior of individuals in the face of crisis:

The usually, boldly verbose that becomes uncharacteri...

Facing Half Dome - 2008

Yosemite National Park, CA

Challenges and Leadership

Great, existential challenges have a remarkable way of evoking different reactions from individuals with diverse personalities. The responses may range from cowering fear to towering bravery. The latter is witnessed in men known for their genuine boldness as well as the man who has been perceived as quietly meek. This seemingly outward meekness is sometimes misunderstood for a quiet, steadfast resolve. 

Who Are These Leaders?

Exemplary leaders may be found at a humble home, small and large businesses, hospitals, churches and government bodies. The list is virtually endless. 

Some have a long record of leadership service; others seem to arise to meet the challenge that confronts them.You may have witnessed, as I have, a range of behavior of individuals in the face of crisis:

The usually, boldly verbose that remains uncharacteristically quiet. Or the quiet man that emerges confidently from the shadows whe...

Industry with Elegance - 2014

Idaho

First Steps

Like any grand goal, its accomplishment depends on completing tasks that are part of a plan designed to achieve your objective.

When it comes to transitioning from your practice, the first items to address are to prepare yourself personally and professionally. These include the creation of lifestyle and financial plans to determine whether your current assets will support your desired lifestyle. 

Once completed, it is prudent to undertake a thorough, objective review of the current condition of your practice. The purpose is to ensure that it's functioning properly. This is the subject of a previous article.

Next: Optimize the Value of Your Practice

The next  step in preparation is one that will benefit you in the near term as well as at the time of sale. That’s to optimize profitability and thus its value, to you as well as a prospective buyer.

The methodology of this endeavor is the Practice Value Optimization Plan. 

As is commo...

Mt. Morrison and Convict Lake - 2019

Sierra Nevada, CA

Steps and Phases

The End of Career transition is a process that’s usually lengthy. It’s comprised of several phases that focus on tasks that should be accomplished in a particular sequence, so that each builds upon the previous one.

The most challenging of these phases, primarily for personal reasons, is usually the first. This is when you come to terms with the fact that your career will come to an end. For a variety of reasons, physicians’s reactions will vary widely from joy of anticipation to apprehension and stress.

Regardless of how you perceive this phase of your life, there’s an element of loss that you will probably feel and benefit by coming to terms with it. A very positive perspective is to think of this as what it really is: a transition, rather than a “retirement.” (See previous article on this topic.) The term transition emphasizes its purpose: to experience renewal and fulfillment.

Retirement closes doors; tra...

Elements of Greatness - 2022

El Capitan, Cathedral Rocks,

Bridal Veil Falls

Yosemite Valley

Yosemite National Park 

Challenges and Leadership

Great, existential challenges have a remarkable way of evoking different reactions from individuals with diverse personalities. The responses may range from cowering fear to towering bravery. The latter is witnessed in men known for their genuine boldness as well as the man who has been perceived as quietly meek. 

This seemingly outward meekness is sometimes misunderstood for a quiet, steadfast resolve. 

Who Are These Leaders?

Exemplary leaders may be found at a humble home, small and large businesses, hospitals, churches and government bodies. The list is virtually endless. 

Some have a long record of leadership service; others seem to arise to meet the challenge that confronts them.You may have witnessed, as I have, a range of behavior of individuals in the face of crisis:

The usually, boldly verbose that remains uncharacteristically...

Encounter with Destiny - 2010

Rendezvous Mountain

Bridger - Teton National Forest, WY

 Character, Purpose and Leadership

Great, existential challenges have a remarkable way of stimulating different reactions from individuals who have diverse temperaments and personalities. These responses can range from cowering fear to towering bravery. The latter is witnessed in men known for their genuine boldness as well those who have been perceived as quietly meek. 

It is this seemingly outward meekness that is sometimes misunderstood for a quiet, steadfast resolve. 

Who Are These Leaders?

Exemplary leaders may be found at a humble home, small and large businesses, hospitals, churches and government bodies. The list is virtually endless. 

Some have a long record of leadership service; others seem to arise out of nowhere to meet the challenge they are confronted with. Perhaps you, as I, have witnessed these behaviors of individuals in the face of crisis:

• The usually, boldly verbose rema
...