The Podcast by KevinMD

"Disruptive" behavior is often a cry for help from depleted doctors

Mar 2, 2026
Jesse Mahoney, a pediatrician and certified coach focused on physician well-being and leadership. She discusses how labels like disruptive often reflect burnout and moral injury. Short bursts cover how depletion changes communication, why institutions punish rather than support, and how coaching and strategic approaches can restore clinicians and retain talent.
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INSIGHT

Disruptive Label Often Signals Systemic Failure

  • Disruptive labels often target highly skilled physicians who challenge broken systems.
  • Jesse Mahoney explains these doctors usually care deeply and react from moral injury rather than innate poor character.
ANECDOTE

Common Scenarios That Trigger Disruptive Labels

  • Examples include physicians calling out unsafe patient situations, system problems, or complaints that may be inelegantly delivered.
  • Mahoney acknowledges depletion makes people less eloquent and sometimes they raise issues in charts or the wrong forums.
ADVICE

Use Coaching To Recover And Communicate Better

  • Learn communication and leadership skills through coaching to reduce reactivity and improve advocacy.
  • Mahoney reports coaching helps physicians convert perceived personal attacks into learnable communication improvements.
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