Thursday, May 25, 2017


Love and truth form a good leader; sound leadership is founded on loving integrity.
Proverbs 20:28 (MSG)

In his recent book, Medical Catastrophe: Confessions of an Anesthesiologist, Ronald W. Dworkin. M.D., describes his life and identity as an anesthesiologist.  His thesis is that there is a loss of understanding of what it means to be a doctor with the loss of physician leaders. This book is also a memoir documenting personal loss he and his family have felt.  He shares some complicated medical “misses” and “near misses” of his anesthesia practice.  

I have seen most of the catastrophes that Dr. Dworkin shares.  I also share his concern about the loss of medicine as a vocation (my word).  He primarily sees a corporate world of medical technology with a craftsman identity of physicians.  It is an understandable perspective given his speciality and history.  The larger cultural forces have pushed all of us into an “unhappy” corner.  His solution is less clear but seem to reside in virtues like courage and a community that will reaffirm the importance of doctors as leaders.

I still see the reality of vocational calling that can be found in the applications to medical schools.  What we need to be, as older doctors, are mentors to those who will be benefactor/leaders of the future.  We can do this by naming the healing (my word) that is also found in Doctor Dworkin’s catastrophe stories and the benefactor/leaders that show up in times of great need.



Dworkin, R. W. (2017). Medical Catastrophe: Confessions of an Anesthesiologist (1 ed.). Rowman & Littlefield Publishers.

Hage, M. L. (2011). Healing Agent Education.

Dungy, T. (2011). The Mentor Leader: Secrets to Building People and Teams That Win Consistently. Tyndale Momentum.

Hage, M. L. (2012). “Burnout” and a “Path Report”

Hage, M. L. (2012). God’s Grace.

Hage, M.L. (2013). God’s Grace Revisited.

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