How physician leaders handle change resistant colleagues, with John Schneider, MD | Ep495
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What do you do when a colleague needs coaching but resists every step?
In this essential episode for physician leaders, host Dr. Bradley Block welcomes back Dr. John Schneider, as they explore starting productive conversations with those who don't want to hear it: from remediation for below-standard behavior to subtle issues. Dr. Schneider stresses asking questions from their perspective, building psychological safety, and inviting participation to open doors for change, not pushing through them. He warns against "hammer" approaches like HR escalation unless minimum competencies fail, and shares the "challenge plus support" quadrant: challenge without support leads to retreat; support without challenge stalls growth. Drawing from his roles as Assistant Dean for Faculty Coaching and private practice coach, he emphasizes leading with belief in people, connecting to their original "calling" in medicine, and accepting that not everyone will walk through the door. If you're in leadership facing resistance.
This episode offers nuanced, practical strategies to foster trust, inspire evolution, and avoid burnout for you and your team.
Three Actionable Takeaways:
- Start with Their Perspective, Not Yours: When addressing resistance, ask questions that uncover what they need, not what you think they need. Avoid starting from remediation or "hammer" tactics; build psychological safety by showing you believe in them, inviting participation to make change feel meaningful and voluntary.
- Balance Challenge and Support for Growth: Use the quadrants: Challenge without support causes retreat; support without challenge leads to stagnation. As a leader, consciously provide both, holding accountable while being "with them" to open doors for self-reflection and behavior shifts, even if they don't always step through.
- Reconnect to Their Original Calling: Remind resistant colleagues of why they chose medicine, the inspiration that's often buried under policies and metrics. Frame changes as ways to rediscover that purpose, making evolution feel like a personal win, not an imposed fix; not everyone changes, but this invites possibility.
About the Show:
Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!
About the Guest:
Dr. John Schneider is the Division Chief of Rhinology and Anterior Skull Base Surgery and Associate Professor at Washington University in St. Louis. He serves as the university’s first Assistant Dean for Faculty Coaching and is a Master Certified Physician Development Coach. In addition to his academic and clinical roles, Dr. Schneider runs his own coaching practice called Physicians’ Mind Coaching, focused on helping physicians improve self-awareness, leadership, communication, and professional fulfillment. He is a nationally recognized expert in physician coaching, particularly in having difficult conversations, addressing disruptive behavior, building psychological safety, and guiding reluctant physicians toward personal and professional growth. He trains faculty coaches at Wash U and frequently speaks on topics including conflict resolution, the coach approach in leadership, and burnout prevention.
Email: john@physiciansmind.com
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