Jennifer Maravillas for HBR
Earlier this year the European Union’s highest court ruled that employers could prohibit employees from wearing visible religious symbols at work, as long as they banned all religious wear, and did not single out a particular religion. However, the case centered on two Muslim women who had been fired for refusing to remove their headscarves while on the job, and the ruling was seized on by politicians in Germany, France, and the Netherlands as a “headscarf ban.” It’s the latest event in Europe’s [...]
“Janice,” a hypothetical patient, is female, 46 years old, African-American, and a convenience store clerk living below the poverty level. These traits, particularly her gender, race, and socioeconomic status, immediately elevate her risk of cardiovascular disease.
These are important indicators her doctor, who would probably be male, white, and affluent, needs to keep in mind as he treats her. Several studies have shown that a patient such as Janice might be less likely to have insurance, less likely to have a regular physician, less likely to report symptoms, less likely to [...]
Nearly everyone in health care wants to cut waste and reduce unnecessary costs — until the conversation turns to advanced chronic illness and end-of-life care. Fears about “pulling the plug on granny,” no matter how ill she may be, have slowed progress toward value-based care. As Atul Gawande notes in Being Mortal, “Such talk, however carefully framed, raises the specter of a society readying itself to sacrifice its sick and aged.”
A new clinical model based on an advanced illness-management program one of us (Brad) developed at Sutter Health, an integrated s [...]
Avoiding or delaying a difficult conversation can hurt your relationships and create other negative outcomes. It may not feel natural at first, especially if you dread discord, but you can learn to dive into these tough talks by reframing your thoughts.
Begin from a place of curiosity and respect, and stop worrying about being liked. Conflict avoiders are often worried about their likability. While it’s natural to want to be liked, that’s not always the most important thing. Lean into the conversation with an open attitude and a genuine desire to learn. Start from a place of curios [...]
A debate has erupted within medicine over how to ensure that physicians maintain their clinical skills throughout their careers. The American Board of Internal Medicine (ABIM) has long required internists to pass Maintenance of Certification exams every 10 years to keep their board-certified status. However, this policy has recently come under scrutiny due to its high burden to doctors and the lack of sound evidence that recertification processes improve doctors’ quality of care. In response, the ABIM announced it would offer a new assessment option starting in January 2018, allowing doc [...]
When venture capitalists (VCs) evaluate investment proposals, the language they use to describe the entrepreneurs who write them plays an important but often hidden role in shaping who is awarded funding and why. But it’s difficult to obtain VCs’ unvarnished comments, given that they are uttered behind closed doors. We were given access to government venture capital decision-making meetings in Sweden and were able to observe the types of language that VCs used over a two-year period. One major thing stuck out: The language used to describe male and female entrepreneurs was rad [...]
Jennifer Maravillas for HBR
When your team is tasked with generating ideas to solve a problem, suggesting a brainstorming session is a natural reaction. But does that approach actually work?
Although the term “brainstorming” is now used as a generic term for having groups develop ideas, it began as the name of a specific technique proposed by advertising executive Alex Osborn in the 1950s. He codified the basic rules that many of us follow when getting people together to generate ideas: Toss out as many ideas as possible. Don’t worry if they’re too crazy. Build o [...]
We’ve all been in situations where the boss has a favorite. It’s frustrating to feel underresourced and underrecognized while someone else is getting all the attention. Ironically, though, it can be just as challenging to realize that you’re the boss’s new “pet.”
While it’s great to get extra attention and have your work recognized, there’s often a price to pay for being the favorite. You could find yourself at risk in four ways. First, your teammates can start to resent you because of your proximity to power. They may see you as an informant or [...]
Many companies continue to struggle with advancing and retaining women. As we’ve studied our own progress at BCG, we have found that gender disparities in our senior cohorts are not completely explained by traditional workplace concerns, such as work-life balance, maternity leave, unequal pay, and differential ambitions. We have identified a very different explanation, which is just as critical: the quality of the day-to-day apprenticeship experience.
Apprenticeship, the working relationships of junior team members learning alongside experienced colleagues, is critical to mastering [...]
Joan C. Williams, director of the Center for WorkLife Law at the University of California Hastings College of the Law in San Francisco, discusses serious misconceptions that the U.S. managerial and professional elite in the United States have about the so-called working class. Many people conflate “working class” with “poor” — but the working class is, in fact, the elusive, purportedly disappearing middle class. Williams argues that economic mobility has declined, and explains why suggestions like “they should move to where the jobs are” or “they [...]
Across industries and sectors, the track record for organizational change is bleak. Research finds that anywhere from 50%–75% of change efforts fail. And for those that do succeed, many don’t achieve the goals of the original vision. Why is change so hard?
Usually, figuring out the right answer is not the challenge, whether it’s a new strategy, more-efficient processes or systems, or a new structure that better meets the needs of a growing company. The biggest hurdle to effective organizational change is people. A core part of your job as a leader is to help others overc [...]
You’re ready to make a career move, up to a higher level or into a different industry or an entirely new field. But your current title doesn’t match the titles on the job postings that most excite you. How do you avoid your applications getting tossed by HR or automated filters? How do you use your résumé to tell stories that match those new positions’ requirements?
It’s important to tweak your résumé for each opportunity. You can have a foundational version that compellingly articulates your most important information, but you may have to alter it, [...]