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In this brief monologue, Clay Linkous addresses healthcare leaders about the pitfalls of delivering performance feedback to physicians using metric‑driven, “drive‑by” approaches. He cites a recent Harvard Business Review article that warns top leaders must anticipate the exact emotions their feedback will trigger. Linkous explains that high‑achieving, perfectionist physicians often react defensively when presented with spreadsheets of metrics, perceiving them as attacks rather than constructive guidance. To achieve true alignment, he urges leaders to change the delivery method: anticipate emotions, respect physicians’ expertise, and shift from a compliance‑focused mindset to a partnership culture that prioritizes the physician experience. The call to action is for leaders to lead the physician experience together by fostering collaboration and empathy in feedback conversations.

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