Monday, September 13, 2021
wisdom vs. intelligence
Sunday, July 25, 2021
RWL #237 - “Preach the Gospel at all times. Use words if necessary.”
from the newsletter:
I came across this quote that is (almost certainly apocryphally) attributed to St. Francis: “Preach the Gospel at all times. Use words if necessary.” This is perhaps the best leadership advice I can think of. You have to replace “Gospel” with your organization’s mission, but otherwise, it’s perfect (unless your mission is to preach the Gospel, in which case no substitutions are necessary!). We used to attend a church in Texas that used the phrase, “Be the church”, to mean let your actions speak as much as your words. In reality, actions speak much more loudly than words, especially when the words and the actions aren’t aligned. A useful, simple variation on this phrase would be, “Preach leadership at all times. Use words if necessary.”
I see mentorship as a key function of leadership. Mentorship, especially in coaching mode, often requires words. While a good mentor acts as an exemplar, it is often necessary for the mentor to explain what s/he is doing to the protégé. It is often necessary to “use words” when pointing out to a protégé where the protégé is going wrong. But the words and deeds have to line up, as I said above. This is what makes this Franciscan-spirited quote so useful. There is a fundamental truth there, even if the Saint himself did not say this.
the rest is here: https://markbonica.substack.com/p/rwl-237
Sunday, July 11, 2021
RWL 235 - unbundling education
Friday, July 9, 2021
What is economics?
One of the things I told myself I would do once tenure came through was to take some time for reflection and reading. I just finished an excellent set of essays by one of my professors from my PhD program, Pete Boettke. His book is called, The Struggle for a Better World. Pete was an energetic and passionate lecturer and has an incredible breadth of knowledge about history, philosophy, and economics. His blog is here.
One of the essays included in his collection is called, Don't Be a "Jibbering Idiot": Economic Principles and the Properly Trained Economist. How can you not want to read an essay that includes the phrase "jibbering idiot" in the title? It has to be good, right? Well, it is. Below is an excerpt from the article in which Boettke defines economics from the George Mason University perspective.
Economics properly done is an invitation to inquiry, and the principles constitute a golden key that unlocks the deepest mysteries of the human experience. We live in a world of scarcity, and as a result, individuals must choose. In choosing, individuals face tradeoffs, and in negotiating those tradeoffs, they need aids to the human mind to guide them. Prices serve this guiding role, profits lure them, losses discipline them, and all of that is made possible due to an institutional environment of property, contract, and consent. These are the basic principles from which we work in economics. Economic analysis relies neither on any notion of hyper rational actors myopically concerned with maximizing monetary rewards, nor on postulating perfectly competitive markets. It relies simply on the notion that fallible yet capable human beings are striving to better their situations, and in so doing, they enter into exchange relations with others. Atomistic individualism and mechanistic notions of the market are, as Buchanan has stressed, nonsensical social science. Instead, economics as a social science is about exchange relations and the institutions within which those relationships are formed and carried out.
I love that he called economics an "invitation to inquiry", which is what drew me to the field. What I learned at Mason, with Boettke and others, was the rest of the paragraph. That economics is about individuals making decisions under scarcity within an institutional framework. GMU economists are not shy about making institutional comparisons and declaring which is better (spoiler alert: free markets are almost always better, but need to an institutional context of private property and enforceable contract). I'm hoping to return to my economic roots a bit more now that I have the freedom to do so.
Sunday, July 4, 2021
RWL 234 - advice to your 20-something self.
This week's newsletter is all about advice to your younger self. I'd asked readers of RWL to share the advice they would give their 20-something self. I received 16 responses which I analyzed using a qualitative approach, then produced an analysis which is linked to in the newsletter, and included links to pieces that explore the topic, too.
Check it out here:
Thursday, July 1, 2021
day 1 of being a tenured professor
Last week I was told I had officially been approved for promotion to associate professor and granted tenure. I wrote about how emotional this was for me in my RWL Newsletter here, so I'm not going to gush on again. I am moved by all the support I have received on the socials - even from some folks I don't know.
So I am the proverbial dog who has caught the car, and the question is, "Now what?"
Well, one thing is I have decided to bring back this blog. I'm planning to write about some of my teaching efforts and ideas, maybe share some raw thoughts on research, and talk about my efforts to help build my department, college, and university. So hopefully it will be of some interest to someone, but at least it will be a place for me to reflect and work out in public some of my thoughts and maybe get some feedback.
Being a professor you have three functions: teaching, service, and research. So a few thoughts about going forward:
Teaching
I'm still teaching primarily at the undergraduate level, though I have been working for several years with some executive leadership training for physicians. I've shifted away from teaching the management sequence over the last two years, which I have mixed feelings about. I was feeling a bit burned out with those classes, so it's good to get a break. But I also miss them because they were an opportunity to really engage with the students. I continue to teach the finance sequence and feel like I've achieved a solid level of comfort with those classes. I have taught health econ a couple of times, but will be handing that off to a new colleague next year who is a "real" economist (i.e., he actually does research in economics whereas I do not). I taught a health systems class this summer and hope to continue that next year. That is a fun class because it's pretty basic, but also very high level - you get to talk about the overall system, rather than get down in the weeds (for example, trying to explain how an encounter converts into a bill using the RBRVS). I also picked up the pre- and post-practicum courses for the major as part of taking on the internship program (more in service). I will be working to stand up an MHA program in the near future (more in service). This may allow me to teach at the graduate level again, which I would love to do.
Going forward, in the near-term, my main goal is to improve my delivery of the pre- and post-practicum courses. They're a little shapeless at this point, and I want to make them more meaningful and engaging (while also recognizing that they are 1 and 2 credits respectively).
I also want to continue to think about how I can create more open educational resources (OER). I really want to be able to create more resources for colleagues in the field and for people who want to learn, and be able to give them away. So I'll be talking more about that as I go on.
Service
The thing that takes up the bulk of my energy right now is the internship. Our department requires a 400-hour internship between junior and senior years, though during COVID we have truncated the hours dramatically (only 60 hours in the field during 2020, 120 during 2021). I took over the internship in March of 2020, literally just a week before the University went into lockdown. Talk about a baptism by fire. Almost all of the internships that had been scheduled were canceled that year. I spent from March through December trying to get all of the students placed. The last one finished his internship just in time for graduation. All of the calling and begging for the class of '20 paid off for the class of '21. Even though there was still significant uncertainty going into the spring, I was ultimately able to place all 35 of our students for the summer, and 31/35 landed paying opportunities and well over 120 hours of experience. I am looking forward to normalcy for the summer of '22 and continuing to grow and improve the quality of experiences the students get during their internships. I am tremendously grateful to our preceptors and partner organizations who are hosting our students. It was a leap of faith for many of them to take students.
I mentioned above that I am hoping to stand up an MHA program. The department had an MHA program 20 years ago, but for various reasons it was allowed to go dormant. My work with the physician leadership program has convinced me that there is a need in our community (broadly defined) for a high-quality program focused on providers. So that is my next major task.
I continue to be engaged with professional organizations - especially ACHE and HFMA. I will take on the education chair for the Northern New England Healthcare Executives chapter in '22. I'm also working with the local HFMA chapter and I am considering maybe getting involved with MGMA, though that has been difficult due to scheduling challenges.
Research
This is where "dog catches car" really comes in. I think I did some interesting research during my pre-tenure period, and if you step back and squint a bit, you can see how it mostly hangs together in a general theme of human resource development (HRD). I continue to be passionate about the HRD topics, especially mentorship and leadership development, broadly lumped under a careers umbrella. To me this a micro perspective for my larger question, which I think is how to create a free and prosperous society. I think meaningful work is critical for human flourishing, and if we want to be free, we need to help each other reach for our maximum potential. The macro perspective of a free and prosperous society is still of real interest to me. What does that mean? How do we shape the social institutions that constitute our environment to help individuals reach their maximum potential? This is where I think I want to spend more time, and where I might use some of the flexibility I now have as a result of getting tenure.
I've been reading several political economy books and really feeling my original economics training waking back up and wanting to come back out and play. Healthcare is largely about knowledge and uncertainty, and the insights from the Austrian school seem particularly well suited for thinking about the field. Having just taught Health Systems again has really brought that back into view for me. I thought I might pursue such a track when I wrote USING THE MANY-TO-MANY CAPABILITIES OF SOCIAL MEDIA FOR PUBLIC HEALTH COMMUNICATION. So we'll see. I'd like to think about how to bring my economics training back into use. Since I'm not a technician like most health economists, I'll need to find a different approach.
I'm excited to continue to grow as a researcher, and having caught the car, I am worried that I will do what every tenure committee fears - just lay down and bask in the freedom, rather than embrace it and do more.
**
That's a review of what I'm thinking on my first day on this side of tenure. I don't want to get comfortable. I want to keep chasing cars and keep growing. Otherwise, what was the point?
Monday, February 26, 2018
Suffering vs. Happiness
This question hit me as I have been listening to some of Jordan Peterson's philosophical work ( http://www.econtalk.org/archives/2018/02/jordan_peterson.html ). One of the comments he made is that every major philosophical system holds as a basic tenet that life is full of suffering, and that the goal of a healthy life is not to seek to be happy but to be free of suffering (I may be misquoting him slightly, but I am willing to embrace this statement as my own, regardless).
By way of example, Peterson talks about Buddhism's Four Noble Truths, the first of which is "life is suffering", and the second of which is "suffering is caused by attachment". I would add, in a similar vein, that Stoicism holds suffering arises from the desire to control that which is beyond our control. In both systems, one seeks to achieve peace and enlightenment by letting go of that which is beyond our control and recognizing the illusion of permanence. Both systems seek contentment rather than happiness.
I heard a lecture a few months ago (I wish I could find it) where the speaker talked about emotions as being like a compass for our behavior. Happy, sad, anger, joy are all emotions that change with circumstances. One does not mindlessly pursue happiness any more than one drives mindlessly north. Sometimes to get to where you want to go, you have to drive south.
So what I am thinking about is the idea that happiness and suffering are not on the same continuum. Happiness, at least as it is conceived in 2018 in the US, is a temporary state. It is an emotion that comes and goes the way a compass dial turns. Happy/sad is probably the right scale. This should be contrasted with contentment/suffering, which are existential conditions. I am making a point that emotional states like happy/sad are like the weather - on any given day we might have rain or sun, but the next day could (and probably will be) different. Contrast this with existential states which are more like climates. To be content or suffering is a long lasting pattern, like temperate, arid, tropical, etc.
A person who works toward wisdom is a person who builds in his soul a pleasing climate. In Hawaii there are occasionally cold days and occasionally hot and uncomfortable days, but there are few of them. Mostly the weather in Hawaii is a pleasant 80 degrees. Contentment is more than just freedom from suffering. I think one can achieve contentment while still have a degree of suffering. I think we can look at people on hospice who make peace with death achieve contentment even as they face death. Perhaps then, contentment is also not on the same scale suffering? I think contentment is linked to meaning, and thus one can both suffer and be content. More to ponder.
I ask my students during the first day of my Management I class, which comes at the beginning of their junior year of college typically, what a good life looks like. One of the most common responses is "to be happy." But I think they actually mean, "to be content". I think their sentiment is correct, but they lack an understanding of what they mean.
The pursuit of happiness in 2018, as opposed to the Jeffersonian pursuit of happiness, is a hedonic treadmill. To get to happiness, one must always covet one more thing - one more car, one more vacation, one more lover. This is the poisonous desire the Buddhists warn against, and it is the desire for things one cannot control that the Stoics warn against. The blind following of the compass in the direction of happiness inevitably leads to suffering rather than contentment.
I think it is a mistake to put happiness and suffering on the same scale. Happiness is a temporary emotion; suffering is existential. I am unsure whether I put suffering and contentment on the same scale, but I think it is closer to truth.
Saturday, February 17, 2018
Class 4 - Emotional Intelligence
https://www.youtube.
and take this quiz:
http://
I have been working with a physician leadership development program that is heavily focused on growing emotional intelligence, so I have been thinking about this quite a bit lately. I have become more and more convinced that emotional intelligence is an important leadership trait. It's a wide ranging construct that incorporates many capabilities and behaviors, so it is not a silver bullet that is meaningfully summed up with one number, which I rather liked about this test.
On a scale of 1-10, with 10 being the highest, I scored:
5 Self-awareness
9 Self-management
10 Social Awareness
10 Relationship management
As I reflected on those numbers, I felt the self-awareness score was too low, and the rest too high. So I have to conclude the tool is not great. I do like the constructs described in the analysis, which you can see here:
http://www.maetrix.com.au/emotional-intelligence/
In particular, I like this 2x2, which is not really a categorization tool like most 2x2s, but instead describes a flow.
I am a very reflective person, which is why I think the self-awareness score is too low. I spend a lot of time examining my own behaviors and thoughts and trying to improve the processes. Unfortunately, I have a lot of weaknesses. A trusted colleague said to me the other day, "You can go down a rat hole," meaning when I can get quite negative in my self-reflection at times. That's an indication of a lack of accurate self-assessment.
In terms of self-management, I think the score is maybe just a bit too high. I am very driven, though maybe not toward traditional goals. To be successful in the Army, you had to be adaptable. I do get frustrated at times when things aren't going the way I think they should, but I usually drive on despite that fact.
In terms of social awareness, I am a fairly personable person, and go out of my way to develop relationships (which leads to relationship management). I am empathetic (to a point where it sometimes gets in my way), and, through my many years in the Army, I believe I have developed a fine sense of service orientation, and even obligation.
In most of my professional career I have worked hard at relationship management, though I have to confess I have at times failed to work on that area as much as I should have within my own office/organization, while putting a heavy emphasis on bridging capital between my organization and other organizations. I learned that lesson the hard way many years ago and have since put an equal weight on both. The thing that motivated me the most as a leader was developing others; the thing I disliked the most was conflict management. In a sense, this mix led me to leave operations and pursue teaching. I found I was always seeking out opportunities to coach and teach when I was working in organizations. And what caused me the most stress was working with low performing, intransigent individuals. Becoming a teacher helped me play to my strengths and minimized my exposure to my weaknesses. I love working with bright young people who are looking to grow and make their mark on the world, and as a result, my job is very rewarding. And the fact that I had the self-awareness to make that jump, and to accept my strengths and weaknesses should indicate that my self-awareness score is a bit too low. Many people can't figure out what they are meant to do - I figured it out a long time ago.
Tuesday, February 13, 2018
Class 3 - Personal Resilience!
https://testyourself.and watch this videopsychtests.com/testid/2121
Trust your struggle | Zain Asher | TEDxEuston https://youtu.be/BT2XlI8oeh0
I scored a 78 on the resiliency test, which puts me at pretty resilient. I think that's reasonable. I have been lucky enough not to face any massive trauma in my life, but I have had to bounce back from lots of change. I'm feeling a bit stretched by work right now, so maybe today wasn't the best day for me to take this test. That's one of the downsides of these tests, of course. Since they are self-report, the outcomes are influenced by your current feelings and which experiences you choose to focus on when looking for an example.
As I was preparing to retire from the Army, there was a big push to try to train resilience in the force. This was being done because of the rising suicide rates, especially among those who had deployed multiple times. Here, in good fashion, are some actual Army training slides - including instructions on HTGS, or "Hunt The Good Stuff" (It wouldn't be the Army if they couldn't make it into an acronym - I wish that was done to be ironic, but I suspect it was not):
https://www.bliss.army.mil/IronSoldierStrong/Classes/Emotional/Hunt%20the%20Good%20Stuff.pdf
Another good slide deck describing the program as implemented:
https://positivepsychologyprogram.com/wp-content/uploads/2017/07/SERNA-JOE-Comprehensive-Soldier-Fitness.pdf
Another good resource to tap into for resilience is the work by Victor Frankl, Man's Search for Meaning, which describes Frankl's experiences in the Nazi death camps, and the philosophy that grew out of his experiences. A powerful quote:
What was really needed was a fundamental change in our attitude toward life. We had to learn ourselves and, furthermore, we had to teach the despairing men, that it did not really matter what we expected from life, but rather what life expected from us. We needed to stop asking about the meaning of life, and instead think of ourselves as those who were being questioned by life—daily and hourly. Our question must consist, not in talk and meditation, but in right action and in right conduct. Life ultimately means taking the responsibility to find the right answer to its problems and to fulfill the tasks which it constantly sets for each individual.The video the students assigned was interesting. I think there are a lot of great stories of resilience out there. Resilience is a fundamental human theme. What I liked about this video was Asher's (the speaker) message about trusting that opportunity would come, and therefore it was essential to prepare. I like that sense of agency. I also liked that she coupled her sense of agency with a sense of luck and generosity. I prefer to think of myself as collaborative, but I don't think I would have given my competition all the answers, even on a good day.
I'm interested to see what the students do with this topic.
Tuesday, February 6, 2018
class 2 - creativity!
The students assigned an article about creativity as well. I like the definition of creativity that the article uses: "the capability to create something novel, unique, and value-adding." I agree with that definition. The article argues there are three components to creativity: 1) personality, 2) mastery, and 3) courage. I saw 1 and 3 as too similar in this article. The authors argue that you have to be willing to be different and to resist social pressure in both sections. I do agree with these assertions. In my experience, if you have a new idea, you often have to overcome skepticism and inertia. People don't like change. It takes effort to think about new ways of doing things. The necessity of mastery is an interesting idea. I wonder if mastery would not cut both ways. I think you need to know the essentials of a field in order to innovate, but I don't know if mastery is required - but that depends on how you define mastery. I wonder if mastery wouldn't lock you in to how things have always been done.
Friday, February 2, 2018
class 1 - personality!
I like personality tests, even the ones that ask stupid stuff like, "What kind of ice cream are you?" The reason I like them is they are great for starting conversations (which you will see from the Big 5, I really like). The main limitation of any self-report tool like these is the data source - meaning you. How accurate these are depends on 1) how self-aware you actually are and 2) how important it is for you to answer truthfully. I've tried to answer as truthfully as I can.
I think as leaders, the process of self-reflection is critical. These tools are useful for stimulating self-reflection, and so they are very valuable. Except may the ice cream flavor type ones.
A trick for overcoming the two errors I mentioned above is to have a couple of people whom you trust and who know you well take the test as if they were you. Sometimes they can help you gain real insight.
DISC
Free version of the DISC: https://www.123test.com/disc-personality-test/
For the DISC, my results were Dominance, Influence, Steadiness, Compliance.
I have to say, the results were pretty close to how I look at myself.
"You have a strong inner motivation to influence people and circumstances. You thrive on competitive situations and challenging assignments. The stresses and pressures of everyday work and life are unlikely to reduce your effectiveness and enthusiasm."
Some descriptors:
- goal orientated and want to be recognised for their efforts.
- aim high, want authority and are generally resourceful and adaptable.
- are usually self-sufficient and individualistic.
- may lose interest in projects once the challenge has gone and they tend to be impatient and dissatisfied with minor detail.
- are strongly interested in meeting and being with people.
- are generally optimistic, outgoing, and socially skilled. (not sure about that last one - I said pretty close)
- are quick at establishing relationships. (not sure about this one, but I try)
- tend to enjoy change and variety in their work and non-work life. (absolutely.)
- are expansive by nature and tend not to like routine and repetitive work/activities.
- are independent and uninhibited. (sometimes to a fault)
- resent rules and restrictions. (really have a hard time following rules - not necessarily intentional)
- prefer to be measured by results and are always willing to try the untried. (yes and I do a lot of weird stuff)
Thursday, February 1, 2018
cross-cultural management styles
“The most surprising comment from our Chinese colleagues,” one Chill Factor executive later explained, “was that we were perceived not just as incompetent but as arrogant, because we didn’t take the time to explain to our staff carefully and in detail what we wanted them to do and how.”The Chinese employees' recommendations were:
- Before attending a meeting with your staff, prepare more ideas for yourself.
- Be more specific with directions to your employees.
- Have your own plan before allocating work to your subordinates.
I don't think this difference is just a cultural phenomenon, though I am sure there is an element of culture there. Instead, I think the main driver is the fact that the American economy is post-industrial, whereas China is, on average, still industrial. In the industrial economy, human beings are just organic cogs in a large corporate machine. This is especially true in low-wage countries where workers are plentiful and are substituted for physical machinery, where workers do repetitive tasks that do not require creativity. On average, any task that is repetitive in manufacturing has been replaced by a robot in the United States. That's why manufacturing jobs have plummeted in the US, while manufacturing output continues to grow. The workers left in manufacturing are there because their functions require creative problem solving, not repetitive work. A US a manager can't be as directive with creative workers, not because of preferences, but because by definition the manager doesn't have enough capacity to solve all the problems that her/his workers need to address. To the degree that Chinese workers still prefer to be directed as if they were human cogs is a cultural artifact linked more to the stage of their economy than their national culture, I believe.
Here's a link to the article, which is gated, and to a free podcast interview with one of the authors.
Article (gated): https://hbr.org/2017/07/being-the-boss-in-brussels-boston-and-beijing
Podcast (free): https://hbr.org/ideacast/2017/07/how-authority-and-decision-making-differ-across-cultures.html
Wednesday, January 31, 2018
reflecting on the MBTI
Use the Force - Thinking vs. Feeling
Sunday, January 28, 2018
MBTI time again!
Nice slideshare on the MBTI and team dynamics:
https://www.slideshare.net/malpascoe/mbti-team-dynamics
Take a free MBTI-based indicator:
https://www.16personalities.com/free-personality-test
I really like the MBTI as an ice-breaker for talking about personality and diversity. Most social psychologists prefer the Big 5, but the MBTI is so well known, it's good to have some familiarity with it. I think the "types" are interesting, and I feel like I've settled on one that reasonably represents me (ENFP), but it took me a long time to get there. I think that's one of the weaknesses of all these self-report tools. Even if people aren't trying to be deceptive or manipulative when the take these indicators, their lack self-awareness might interfere with an accurate outcome. I've suggested people have close friends or relatives take it for them, then compare the results.
Give it a try!
Thursday, January 25, 2018
Importance of a reading
Link to the podcast: https://www.artofmanliness.com/2018/01/23/leaders-reading-list/
Dr. Evil learns about inflation
https://youtu.be/cKKHSAE1gIs
Wednesday, January 24, 2018
human diagnosis project
https://jamanetwork.com/learning/audio-player/16121888
This is an online clearing house for primary care physicians who need advice from specialists, particularly if they have patients who cannot afford to see a specialist themselves. I love this kind of innovative use of information technology combined with altruism. This is how the culture of medicine is supposed to work.
Saturday, January 13, 2018
new course, old course
RWL Newsletter #78
Greetings from the University of New Hampshire! I'm back in the States, at least in body. One more week to our winter break, and then we start spring semester. I'm really excited because I get to teach a new course - Finance II - which is an introduction to financial management, and even more excited that I get a second whack at teaching organizational behavior, which I intend to do using open pedagogy again. Open Ped is a bit like jazz - it's an act of teaching improvisation. I think it suits me. And I think it provides a level of realism, particularly in the field of management that is valuable. I received notice that my open pedagogy paper will be published in an upcoming issue of the Journal of Health Administration Education. I'll put a link up when it comes out.
Read
What: McKinsey Quarterly, What AI can and can’t do (yet) for your business
https://www.mckinsey.com/business-functions/mckinsey-analytics/our-insights/what-ai-can-and-cant-do-yet-for-your-business
Why: I am convinced AI is going to transform healthcare in the same way as antibiotics did nearly a century ago. I think it will be a revolution in value-based care as the technology allows us to increase accuracy of diagnosis, but more importantly allows us to establish predictive models. When that will happen is still in question, but I think it is inevitable. This article is structured around the challenges to AI, so it gives some realism (in understandable English, not techno-babble) to the prediction. It is worth 10 minutes.
Watch
What: TED Ed, Why incompetent people think they're amazing (5 minutes)
https://youtu.be/pOLmD_WVY-E
Why: The video does a nice job explaining the "Dunning-Kruger" effect - e.g., why 88% of American adults think they are above average drivers. "Poor performers lack the expertise necessary to recognize how badly they are doing." Some good hints to fix this error - ask for feedback, keep learning.
Listen
What: CATO Institutes, Sally Satel discusses obstacles to organ donation and donor compensation (7 minutes)
https://www.cato.org/multimedia/cato-audio/sally-satel-discusses-obstacles-organ-donation-donor-compensation
Why: Should altruism be the only legitimate motivation for organ donation? I have some emotional difficulty with the idea of a free market in organs, but it seems something is broken in the market for organs - altruism just isn't sufficient. We're still a ways from 3D printing functioning kidneys, though that is on the way. This short podcast presents a few options short of direct cash payment. What do you think?



