Welcome to Leadership Academy Insights, the official newsletter of the AAST Leadership Academy. This newsletter is intended to be practical, reflective, and grounded in the real leadership work many of us are doing every day.
Welcome to Leadership Academy Insights, the official newsletter of the AAST Leadership Academy (LA). This newsletter is intended to be practical, reflective, and grounded in the real leadership work many of us are doing every day. Our hope is to create a shared space for learning, dialogue, and connection across the LA community.
This initiative is guided by Leadership Academy faculty committed to developing surgeons as leaders:
Leadership Academy Insights Chair
Leadership Academy Insights Chair
Leadership Academy Insights Chair
Leadership Academy Insights Chair
Leadership Academy Insights Chair
Leadership Academy Insights Chair
LA members will have access to archived LA sessions that you can view at your leisure. The LA website will also contain all issues of Leadership Academy Insights, upcoming events, important updates, etc. This website page is only available to LA members and faculty.
Once complete, you will receive an email on how to login and view the webpage. You will receive login instructions by March 2nd.
Written By:
Jason W. Smith, MD, PhD, MBA, FACS
Chief Executive Officer and Executive Vice President
UofL Health University of Louisville
The contemporary healthcare landscape is unforgiving toward organizations that lack strong, adaptable leadership. The convergence of financial volatility, labor shortages, demographic change, and rising public expectations has exposed the limitations of conventional governance paradigms. Academic health systems now operate at the intersection of clinical intricacy, educational obligation, and research advancement, all while navigating increasingly constrained financial margins. In this environment, leadership is not an administrative indulgence; it is a critical imperative.
Continued...
Disrespect hurts. It hits the chest first. Then the throat. Then comes the familiar urge to react, to defend, to explain, to strike back with words sharp enough to make the pain visible.
What I wish someone had told me earlier is this: the moment someone can control your reaction, they control you.
Every time we explode, shut down, spiral, or lash back, we hand over power. Not because we are weak, but because we are human. And humans feel deeply. Strength is not pretending it doesn’t hurt. Strength is feeling it fully and still choosing your response.
I have watched brilliant, kind, capable leaders get pulled off their path by one careless comment, one dismissive tone, one moment of disrespect. Not because they lacked talent or intelligence, but because their energy got hijacked. Their focus shifted from purpose to self-protection. From mission to ego. That is when I began to understand the difference between being mission-focused and being self-focused.
Mission focus is not just about the organization’s purpose. It is about your own. If you don’t know what you stand for, everything feels personal. Every critique feels like an attack. Every disagreement feels like a threat. But when you are deeply anchored in your mission, both the institution’s and your own, you stop asking, how does this make me look, and start asking, does this move the work forward?
Self-focus is seductive. It shows up as the need to be right, to be seen, to be validated, to protect your image. It feeds on comparison, on drama, on the noise of who said what and who got credit. It drains energy quietly and relentlessly. Mission focus is steadier. It asks you to serve something bigger than your feelings in the moment. It does not erase emotion, but it keeps emotion from driving the car.
This is where becoming Teflon matters. Let it land. Let it register. But don’t let it stick. Not everything deserves your nervous system. Not everyone deserves your explanation. Not every slight deserves your fire.
If you are easily offended, you are easily manipulated. And the world, especially leadership spaces, is full of people who benefit when you lose your center.
Becoming Teflon does not mean you are indifferent. It means you are intentional. You pause. You breathe. You remember who you are and why you are here.
Your calm is not passivity. Your restraint is not weakness. Your silence can be wisdom.
Mission-focused leaders understand something self-focused leaders do not: the mission is the boss. When the mission is clear, decisions get cleaner. Feedback becomes information instead of insult. Failure becomes a data point, not a verdict on your worth.
This applies to organizations and to individuals. Organizations that lose their mission begin to chase margins at the expense of meaning. Leaders who lose their personal mission begin to chase validation at the expense of impact. In both cases, trust erodes and the work suffers.
Knowing yourself well enough to lead is not a luxury. It is a responsibility. You have to know what triggers you. What pulls you into defensiveness. What makes you reactive. Not to eliminate those responses, but to recognize them before they take the wheel.
Self-focus is not always bad. Discipline, ambition, and the desire to grow matter. But when self-focus is untethered from purpose, it becomes fragile. When it is anchored to mission, it becomes fuel.
Mission-focused leadership is outward-looking. It asks, how do I help others succeed? How do I protect the work? How do I keep us moving forward, even when it’s uncomfortable?
Self-focused leadership asks, what does this mean about me? One builds systems that last. The other burns energy trying to control perception.
Leadership is not tested when things are easy. It is tested in moments of disrespect, failure, and uncertainty. Those moments reveal whether you are serving the mission or serving your ego.
Protect your peace like it’s sacred. Because it is. When you stay anchored to mission, when you know yourself well enough not to be derailed, you become harder to manipulate, harder to distract, and far more effective. You move forward untouched, unbothered, and fully in your power.
That is the kind of leadership that endures.
Members of the LA are invited to submit real-life scenarios they are facing in their professional roles. These submissions will be featured in the monthly Leadership Academy Insights under this section, Hard Cases, Strong Leaders.
Hard Cases, Strong Leaders submissions will remain anonymous and be used for group learning and leadership development. Once submitted, your scenario will be answered by LA faculty in an issue of the monthly Leadership Academy Insights newsletter.
Cases may include workplace conflicts, difficult conversations, team dynamics, navigating institutional challenges, general leadership dilemmas, etc.
Please briefly describe:
| Paul | Albini, MD | Riverside University Health System Medical Center |
| Jeffrey | Anderson, MD | Medical College of Wisconsin |
| Nikolay | Bugaev, MD | Tufts Medical Center |
| Benjamin | Davis, MD | University of Arkansas |
| Stacy | Dougherty-Welch, MD | Morehouse School of Medicine/Grady Memorial Hospital |
| Jared | Gallaher, MD, MPH | University of North Carolina at Chapel Hill School of Medicine |
| Reyna | Gonzalez, MD | Riverside University Health Systems |
| Charles | Harris, MD | Inova Health System |
| Ashley | Hink, MD, MPH | Medical University of South Carolina |
| Parker | Hu, MD | Chippenham Hospital |
| John | Hwabejire, MD | Massachusetts General Hospital and Harvard Medical School |
| Laura | Kreiner, MD | MetroHealth Medical Center |
| John | Kubasiak, MD | Loyola University Chicago |
| Stefan | Leichtle, MD, MBA | Inova Fairfax Medical Campus |
| Hassan | Mashbari, MBBS | Jazan University, Saudi Arabia |
| Jacques | Mather, MD, MPH | University of South Florida |
| Katherine | McKenzie, DO | New York University Langone Health-Long Island |
| April | Mendoza, MD | University of California San Francisco-East Bay |
| Nishant | Merchant, MD | Hartford Health Care |
| Koji | Morishita, MD | Institute of Science Tokyo |
| Rachel | Rodriguez, MD, MS | University of Kentucky |
| Trista | Rosing, MD | Desert Regional Medical Center |
| Alexander | Rowan, MD | University of Nevada, Las Vegas |
| Ayodele | Sangosanya, MD | Yale School of Medicine |
| Collin | Stewart, MD | University of Arizona |
| Lance | Stuke, MD, MPH | LSU Health New Orleans |
| Michael | Wandling, MD, MS | The University of Texas Health Science Center, Houston |
| Andrew | Young, MD | The Ohio State University |
Join us in Dallas, Texas at the AAST Annual Meeting for an in-person Leadership Academy event on Thursday, September 17th!
More info to come!
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