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Researchers at MIT have questioned whether SMART goals (specific, measurable, achievable, realistic, time-bound) actually work. They suggest we might get better outcomes if we make our goals FAST (frequently discussed, ambitious, specific and transparent) not SMART.

Your struggle matters.

A new article by Harvard's Michael Beer & collaborator Johanna Pregmark identifies "seven silent killers" - leadership or organisational barriers that are publicly undiscussable yet consistently block the delivery of strategy & change. It builds on Beer's previous research that

The true measure of your potential is not the height of the peak you’ve reached, but how far you’ve climbed to get there. #distancetraveled #whatdoctorslooklike #bestjobever

Potential is not a matter of where you start, but of how far you travel. We need to focus less on starting points and more on #distancetraveled.

In the face of conflicts and uncertainty, a higher purpose can (1) energize us to continue pushing through in the face of competing demands, (2) help unite opposing forces, and (3) provide a long-term focus to help align our short-term decisions.

🎧 How do we help clinicians navigate poor outcomes without shame? aL'Ai alvarez, MD explores the role of #PeerSupport, self-compassion, & institutional culture in supporting recovery after critical events. Listen now: bit.ly/3DFIuOn #Burnout #MedTwitter Michael McGee

Energy givers vs Energy Drainers

Emotional agility is the application of our wisdom, compassion and courage, especially in the moments that test us most. It enables us to move forward both individually and collectively, as we step forward into a future of our own making.

Congrats to Dr. Al’ai Alvarez, the new Director of Quality Education at the Stanford Center for Compassion and Altruism Research and Education, founded with the support of the Dalai Lama. In this role, he will shape, strengthen, & oversee CCARE’s compassion training programs!

What look like differences in natural ability are often differences in opportunity and motivation.

Honored to step into a new role at CCARE — the place that taught me so much about compassion and service. Grateful for all who’ve supported me on this path. I can’t think of a better way to carry this work forward. Embracing this gift of serendipity with open arms. #bestjobever

So excited to be at #SAEM25! A day full of learning, expert insights, and great conversations - looking forward to tomorrow! SAEM SAEM RAMS aL'Ai alvarez, MD Andra Blomkalns, MD, MBA Indrani Guzman Das Italo Brown

Resumes shouldn't just showcase our success. They should feature our struggles too. No one's life is a highlight reel. Character isn't visible in our triumphs alone—it's revealed by the hardships we endure and the challenges we conquer. Here’s my lowlight reel. What's on yours?

When you find yourself avoiding something, ask: Is this behavior supporting the best version of myself? You can revisit this question time and time again, because your answer will likely vary depending on your time of life or the surrounding circumstances.

Most people save hard tasks for later, but it's better to tackle them first. Evidence: Doing difficult tasks early boosts productivity, creativity, helpfulness, and relaxation—especially for early birds. Starting the day by conquering a challenge elevates energy and efficacy.

Drs. Ryan Ribeira (Ryan Ribeira MD MPH), Jennifer Kanapicki (Jennifer Kanapicki Comer), Al'ai Alvarez (aL'Ai alvarez, MD), Maia Winkel (Maia Winkel), & Amanda Deutsch (Amanda J. Deutsch, MD) featured articles in @saemonline Pulse: Read the full articles: ow.ly/PlpO50VXnfQ #PhysicianWellness #EMWellness

Today might be the best chance you have to take action. The longer you wait, the more deeply embedded you get in your current lifestyle. Your habits solidify. Your beliefs harden. You get comfortable. It will never be easy, but it may also never be easier than it is right now.