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Why Healthcare Leadership Is So Hard — And What to Do About It

March 18, 2026

https://doi.org/10.55834/sp.1079724205

Join host Mike Sacopulos for a compelling conversation with Michael S. Hein, MD, MS, MHCM, PCC, senior vice president and executive coach, MEDI Leadership, about his new book, Shifting Towards Unorthodoxy. Drawing on nearly four decades in healthcare — from competitive swimming coach to general internist, CMO, CEO, and now executive leadership coach — Hein tackles a question that haunted him throughout his career: Why is healthcare leadership so difficult?

In this episode, he introduces the crucial distinction between complicated and complex systems, explores how industrial-age mindsets contribute to burnout and suffering, and shares practical insights from coaching hundreds of healthcare leaders across the country.

  • How mental models and beliefs shape thinking, which determines actions and results

  • The difference between being a "hero leader" versus a "gardener leader"

  • Why shifting mindsets is uncomfortable — and connects to our deepest beliefs about reality

  • What healthcare executives and competitive athletes have in common

Shifting Towards Unorthodoxy by Michael S. Hein, MD , — an invitation to think differently about healthcare leadership and an introduction to navigating complexity in organizational life.

Learn more about the American Association for Physician Leadership .