The Cost of Burnout: A COO’s Guide to Systems and Sanity

4 Jun 2026 · 48 min
47:37

In this episode of the Second in Command podcast, Dr. Alan Voskanian, Vice President and COO of Cedars‑Sinai Medical Network, shares his unconventional journey from physician to senior operations leader and his insights on burnout, systems thinking, and personal resilience. He explains how taking unofficial leadership roles early in his career (“doing the job before the job”) built a foundation for his COO role. Voskanian outlines his learning strategy—continuous self‑education, a physician‑focused MBA, and mentorship—to acquire business, lean, and performance‑improvement skills. He discusses current passions: exploring AI, leveraging LinkedIn for knowledge exchange, and cultivating creativity through stand‑up comedy as a buffer against burnout. The conversation defines burnout in healthcare, distinguishes real symptoms from stigma, and describes how hospice and palliative‑care experiences reshaped his leadership priorities toward meaning, family, and joy. Voskanian details operational tactics: applying lean principles, identifying waste (e.g., inefficient printing, unstructured meetings), and using time‑tracking to surface hidden inefficiencies. He highlights change‑management challenges, financial constraints, and the loneliness of leadership, emphasizing transparent communication and supporting teams. Personal routines—early‑morning workouts, reading a page a day, adequate sleep—are presented as essential for sustained performance. Finally, he shares upcoming goals: personal health targets, team development, family milestones, mission trips, and continued creative pursuits.

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