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How Physician Coaches are Transforming Health Care

AI halves clinical approval times / Too much shareholder input backfires / Data loss costs trust and millions

The LOUNGE - A Newsletter for Savvy Physicians

We scour the net, selecting the most pertinent articles for the busy doc so you don’t have to! Here’s what kept our focus this week…

  • As trust in traditional medicine declines, physicians may need to think less like diagnosticians and more like coaches.

  • From 91 days to 41 — AI is rewriting the timeline for clinical trial approvals.

  • In the age of stakeholder capitalism, some firms are learning that less engagement is more.

  • Data loss isn’t just an IT problem — it’s a billion-dollar compliance nightmare waiting to happen.

  • 34% of leaders reported feeling burned out daily or several times a week.

  • 80–90% of e-commerce startups collapse within two years—poor supply chain management is a key reason.

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Orthopedic surgeon Michael Day argues that physicians must evolve from disease-treating experts to performance-oriented health coaches. In his conversation with Kevin Pho on The Podcast by KevinMD, Day explains that public trust in healthcare is eroding, with many patients turning to influencers and fitness experts for health guidance. He believes doctors can reclaim credibility by offering accountability, context, and preventive strategies—similar to what performance coaches provide to athletes. Drawing inspiration from sports medicine, Day suggests physicians adopt metrics like VO₂ max, grip strength, and functional movement screens to assess health beyond traditional lab tests. He highlights that elite performance lessons can—and should—apply to everyone, not just athletes. Day also calls for a more open, individualized, and tech-enabled approach to patient care, emphasizing transparency when evidence is evolving. Ultimately, he envisions a healthcare model where physicians act as trusted guides, empowering patients to pursue fitness, resilience, and longevity.

The Medicines and Healthcare products Regulatory Agency (MHRA) has successfully integrated AI tools into its clinical trial approval process, cutting the average approval time from 91 days to just 41. Since the reforms began in August 2023, 99% of trial applications have been reviewed within statutory timelines, with most completed ahead of schedule. Two key AI systems — the Knowledge Hub and the Good Manufacturing Practice Compliance Checker — are now helping assessors analyze data faster by identifying common issues and verifying manufacturing documents in seconds. The changes are part of a wider digital transformation in UK healthcare regulation, emphasizing risk-based oversight where low-risk studies move quickly while high-risk ones receive deeper expert review. Health minister Stephen Kinnock and MHRA leaders say the reforms ensure patients access life-changing treatments sooner without compromising safety. Beyond efficiency, the initiative boosts the UK’s global reputation as a leader in fast, safe, and transparent clinical research. Patients can now even explore and enroll in trials through the NHS App’s “Be Part of Research” service — bringing innovation straight to their fingertips.

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A new Harvard Business Review article challenges the long-held belief that more shareholder engagement always leads to better outcomes. As ownership structures become more diverse and dispersed—spanning family firms, private partnerships, and fast-scaling startups—leaders often double down on engagement efforts. However, the research by Léa Wang, Jung Park, Jonathan Chaignon, and Cécile de Lisle suggests that excessive engagement can create misalignment, decision paralysis, and conflict over resource allocation. When shareholders have competing priorities or lack operational context, their influence can distract managers from long-term strategy. The study calls for a more selective, purpose-driven engagement model, where leaders tailor communication based on shareholder type, company maturity, and strategic goals. Rather than maximizing contact, the key is optimizing it—ensuring that conversations actually enhance clarity and cohesion instead of fueling confusion. The takeaway: in modern governance, effective engagement is about quality, not quantity.

In today’s digital economy, data management is a boardroom issue, not an IT chore. As data loss and breaches rise, businesses face not only operational chaos but also massive regulatory fines under laws like GDPR, HIPAA, and CCPA. Recent examples include Meta’s €1.2 billion penalty and Amazon’s $812 million GDPR fine. The article, by Chongwei Chen, emphasizes that leaders must integrate compliance into their overall risk management strategy, ensuring that data is protected like any other critical asset. Robust backup systems, access controls, and tested incident response plans are essential to both business continuity and regulatory defense. Employee training and governance can also prevent human error, one of the biggest weak points in data security. If a cyberattack occurs, organizations must prove due diligence through documentation, audits, and transparency with regulators. Finally, a strong legal team is vital to navigate investigations, negotiate settlements, and minimize penalties — turning what could be a compliance disaster into a manageable crisis.

A new survey reveals a startling truth about leadership burnout and disengagement: 46% of business leaders would willingly step down from their positions if it meant feeling more engaged at work. Once considered the cornerstone of company motivation, many managers are now among the most disengaged employees, with only 47% feeling “fully engaged” while 34% experience burnout multiple times a week. Emotional exhaustion, constant change, and the struggle to motivate apathetic teams have left many leaders feeling invisible and undervalued. The confidence gap is particularly severe among those managing hybrid or remote teams, where one in four admit to feeling unprepared. Compounding the issue, 57% of leaders say they’ve never received sufficient training on reengaging their teams, and only 17% report access to adequate motivational tools. The fallout is a workplace feedback loop where disengaged managers lead to disengaged teams, further eroding morale and productivity. The data suggests that rekindling leadership energy—and by extension, employee engagement—requires a shift toward empowerment, creativity, and genuine emotional connection at work.

Seasonal demand spikes can overwhelm startups that lack experience managing inventory, logistics, and staffing, but strategic planning can turn chaos into opportunity. The key lies in accurate forecasting—using historical sales data or, for new companies, educated estimates—to prevent costly stockouts or overstocking. With 80–90% of e-commerce startups failing within two years largely due to poor supply chain management, mastering inventory alignment is critical. Leveraging technology like automated inventory tracking and real-time shipment monitoring helps founders stay agile during demand surges. Flexible staffing—through temporary hires or adjusted schedules—keeps operations running smoothly without bloating payroll. Building strong partnerships with logistics providers such as Amazon Fulfillment or third-party carriers also allows startups to scale capacity quickly and maintain delivery reliability. Ultimately, combining predictive analytics, adaptable operations, and transparent communication with partners can help startups navigate seasonal peaks while sustaining cash flow, efficiency, and customer satisfaction.

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