04/22/2026
Today I had the honor of giving the plenary at the American Association of Medical Colleges () Joint Meeting for the Group on Faculty Affairs, Group on Business Affairs, and Group on Institutional Planning.
I spoke about trust, not as an abstract idea, but as something people feel and something institutions build or erode every day.
I started with my mother, because some of my earliest lessons about trust didn’t come from a textbook. They came from watching her move through the world as a physician, seeing how patients greeted her, how deeply she listened, and what it meant to be fully present with the person in front of her.
From there, I talked about what so many of us inherit in medicine and academic health systems: structures, assumptions, and histories that are often treated as fixed, even though they were designed. And if they were designed, they can be redesigned.
I also talked about the cost of misplaced trust, what happens when systems teach us to question patients instead of listening to them, and why trust isn’t soft or secondary. Trust is infrastructure.
For those leading in faculty affairs, business affairs, and institutional planning, that matters deeply. The decisions leaders make about what to measure, what to reward, and who to invest in shape whether an institution is actually worthy of trust.
I left the room with the same question I brought into it: What kind of future are we building?
Grateful to everyone who was in the room and helped make the conversation such a thoughtful one.