Leadership in healthcare rarely follows a straight line. It’s often an up, down, and sideways journey—one that stretches you personally and professionally. This reflection explores what leadership really is, why so many clinicians are thrust into it without preparation, and how greater self-awareness can make the path forward more sustainable and grounded.

Resident surgeons in Canada are reporting monthly death thoughts, high anxiety, and fear-based training environments—conditions driving many to leave for the U.S., where they feel more valued and supported.

Across the U.S. and Canada, residents and surgeons are carrying an extraordinary amount of stress, burnout, and emotional weight. A confidential wellness survey I conducted reveals what’s really happening behind the scenes—and why leadership, culture, and proper training are now essential for safety and well-being in surgical environments.

Even subtle flirting between boss and employee can shift power dynamics, affect trust, and put both staff and clinics at risk. This short self-assessment helps teams recognize early warning signs.

What does it take to build a high-functioning surgical practice? It starts with the right Medical Office Assistant and a culture rooted in strong boundaries. In this post, I unpack a decade of insights from real surgical environments—and how small systems changes can transform a surgeon’s daily life.

After losing my mobility, I learned that true strength begins where comfort ends. Today, I help organizations create workplaces where everyone — no matter their ability — can thrive.

One moment on a worksite reminded me that respect is still the missing link in too many workplaces — and it’s costing companies dearly.

Raising the bar on respect—treating every colleague with dignity regardless of age, race, or gender—is the real key to equalizing workplace culture.

Unlock the secrets to becoming a more impactful leader by mastering leadership presence. In this post, Nancy Riegel shares a personal story and practical insights on how emotional intelligence, self-awareness, and intentional leadership can help you build trust with your team and lead with confidence.

What does your leadership brand say about you—especially under pressure?
In this post, Nancy Riegel shares a personal and professional journey of defining her leadership identity, from a dramatic early job experience in the oilfield to helping senior leaders reduce stress and lead with clarity. With practical insights and heartfelt stories, this reflection invites you to explore what kind of leader you truly are—and how to bring that into the light.

Why I Wrote This Book (And Why It’s Essential for Surgical Practices)
What started as a mission to help my husband, a Burn and Reconstructive Surgeon, turned into a guide for transforming surgical practices. In this post, I share how strong leadership, clear systems, and the right strategies can reduce burnout, improve efficiency, and create thriving medical teams.

Being a servant leader means putting others first, leading with humility, and embracing challenges with grace. In this blog post, I explore the power of servant leadership, sharing insights on how it helps women in diverse roles—from CEOs to single moms—create meaningful change. Discover how embracing conflict and empowering others can transform your leadership style and make a lasting impact in your community and beyond. Leadership isn’t about personal gain; it’s about elevating others, even in the face of adversity.

A strategic plan for your business can be the missing link in moving forward.

According to Forbes magazine, people’s number one fear is public speaking. The second, is death.