42. Curing the Culture: Why Healthcare Burnout is Solvable with Dr. Laura Suttin

43. Trust Overload: How Workplace Intimacy Masks Inequity with Sarah Mosseri

The hidden costs of workplace intimacy and how to navigate systemic betrayal. Episode Summary We are often told that trust is the foundation of a healthy workplace, but what happens when that trust is used to mask deep-seated inequity? In this episode, sociologist and author Sarah Mosseri joins host Ellen Whitlock Baker to discuss her book, Trust Fall: How Workplace Relationships Fail Us. Sarah shares the "weird puzzle" that sparked her research: while institutional trust in America is at an all-time low, over 80% of workers still claim to trust their managers and peers. Through over 1,200 hours of ethnographic observation across tech startups, restaurants, and the gig economy, Sarah reveals why we cling to these bonds even when the underlying systems are increasingly insecure. The conversation dives deep into the phenomenon of "trust overload," where personal relationships are forced to do the work that fair rules and structural protections should be doing. Sarah explains how "Maverick Managers"—often white, cis-gender men who use plain talk or "endearing incompetence"—can build intense loyalty while women and people of color are often denied that same latitude (think Michael Scott from The Office). Ellen and Sarah explore how these dynamics shift risk onto the most vulnerable employees, making workplace betrayal not just personal, but systemic. Finally, Sarah offers a way forward using her MAP framework: naming the Moment, Analyzing the pattern, and finding your People. Ellen and Sarah discuss the power of collective action, the lessons learned from ride-hail drivers who fought back against platform invisibility, and the importance of building community outside of our primary job. Whether you are a leader looking to build genuine accountability or a worker trying to "unlearn" toxic norms, this episode provides a necessary reality check on what it really means to trust at work. Keywords trust in workplace, organizational culture, workplace inequality, management practices, employee relationships, ethnography, workplace trust, systemic bias, leadership, workplace research Key Topics The paradox of trust in workplaces with low institutional trust Ethnographic research across diverse workplaces How managerial practices influence trust and betrayal The role of systemic inequality in workplace trust Strategies for building genuine trust and community Resources Trust Fall by Sarah Mosseri - https://www.smosseri.com/trust-fall [https://www.smosseri.com/trust-fall] Sarah Mosseri's Website - https://www.sarahmosseri.com [https://www.sarahmosseri.com/] Work Fails (Substack) - https://workfails.substack.com [https://workfails.substack.com/]

42. Curing the Culture: Why Healthcare Burnout is Solvable with Dr. Laura Suttin

In this episode of the Hard at Work podcast, host Ellen Whitlock Baker sits down with Dr. Laura Suttin, a family physician, consultant, coach, and author of The Purposeful MD, to tackle the crisis of healthcare burnout. While the medical field often treats self-sacrifice as a "badge of honor," Dr. Suttin argues that the current level of clinician fatigue is a solvable systemic issue rather than an individual failure. They dive into the reality of modern medicine, from the burdens of Electronic Medical Records (EMRs) designed for billing rather than care, to the staggering statistic that a typical family physician would need 27 hours in a day just to manage their patient panel effectively. Dr. Suttin shares practical, high-impact solutions for healthcare leadership, emphasizing that the "system" is ultimately made of people who have the collective power to demand change. The conversation explores the promise of AI in healthcare to reduce charting burdens and the importance of "practicing at the top of your license" through team-based care. Whether you are a clinician looking to lead without guilt or a leader striving to build a sustainable workplace culture, this episode offers a hopeful roadmap for moving beyond survival mode and reclaiming purpose in the medical profession. What’s Inside the Episode: The "Badge of Honor" Trap: Why the medical culture of self-sacrifice—often neglecting basic needs like food and sleep—is unsustainable and how to shift the narrative. The 27-Hour Workday: A look at the staggering data showing that family physicians would need 27 hours in a day to manage their patient panels under current systems. EMRs vs. Care: Understanding why Electronic Medical Records were built for billing rather than doctors, and how AI tools are starting to reduce the charting burden. Practicing at the "Top of Your License": The importance of team-based care and why doctors shouldn't have to be the social worker and mental health professional in every visit. Leading the Change: Why we need more clinicians in leadership roles and how to bridge the gap between clinical training and management skills. Show Notes: * Laura's Website: drlaurasuttin.com [https://drlaurasuttin.com/] * Laura's Book: The Purposeful MD: Creating the Life You Love Without Guilt [https://www.thepurposefulmd.com/] * Laura's Podcast: Designing Healthcare that Cares [https://www.google.com/search?q=https://drlaurasuttin.com/podcast/] — Hosted by Dr. Laura Suttin. * Laura's Course: The Clinician Leader Course [https://www.thepurposefulmd.com/courses] — Specifically designed for new and aspiring clinician leaders. * Connect with Dr. Laura Suttin on LinkedIn [https://www.linkedin.com/in/drlaurasuttin/]

41. Solo - When Rest Feels Like a Risk: Overcoming the Guilt of Doing "Nothing"

Have you ever sat down to rest, only to find your brain spinning with a mile-long to-do list and a heavy dose of guilt? You aren’t alone. In this episode, Ellen dives deep into the "insidious inability to rest" and why our brains view healthy changes—like setting boundaries or recovering from surgery—as a threat to our comfort zones. Even as a coach who teaches burnout prevention, Ellen reveals her recent struggle with the "itch" of productivity and why choosing yourself can often feel countercultural. It’s time to unlearn the belief that rest is a reward you have to earn. Ellen shares a practical, three-step process to navigate uncomfortable feelings: naming the emotion, locating it in the body, and using Susan David’s "what the func?" method to understand what your brain is trying to tell you. Whether you’re recovering from a setback or just trying to survive a Tuesday without a meltdown, this episode offers a compassionate roadmap for unravelling yourself from toxic productivity—one color-by-number page at a time. Key Takeaways & Links: The Science of Naming: Why labeling your emotions makes them easier to manage. What the func?: Understanding the function and purpose behind your emotions. Practical Mindfulness: How simple acts (like coloring) can quiet a spinning mind. Show Notes: * Tricia Hersey's Rest is Resistance and The Nap Ministry [https://thenapministry.wordpress.com/] * Tricia Hersey's Rest Deck [https://rep.club/products/nap-ministry-rest-deck?_pos=1&_psq=tricia+hersey+rest&_ss=e&_v=1.0] * Listen to Episode 13 [https://open.spotify.com/episode/4Ie3vW1acJ0dxN9xC5aCpu?si=eWt6vz_6R2mvrgNyNMK1lw]of Hard at Work, "When Rest Feels Wrong" * Susan David's book Emotional Agility [https://bookshop.org/p/books/emotional-agility-get-unstuck-embrace-change-and-thrive-in-work-and-life-susan-david/d2287ef0cd2acd68?ean=9781592409495&next=t](creator of "what the func?")

40. Solo - Your Team Isn't Listening To You. They're Watching You.

Is your "experience" actually creating rigidity? In her first solo episode of Season 2, Ellen Whitlock Baker dives deep into the essential leadership skill of modeling. While many leaders espouse the importance of work-life balance and behavioral health, Ellen challenges us to look in the mirror: Are you actually living the values you’re teaching, or are you a "do as I say, not as I do" leader? Drawing on insights from past guests like Kira Mauseth, Trystan Reese, and Britt Frank, Ellen breaks down why the "old school" management books from 20 years ago don’t cut it in today’s reality—especially when it comes to managing Gen Z and rejecting toxic, "always-on" work cultures. * The Hidden Cost of After-Hours Communication: Why sending that "quick" 2:00 AM email ruins your team's ability to disconnect, and how to use delayed send or notes apps to protect your boundaries. * The Science of the Nervous System: How true out-of-office time (no lurking on Slack!) is clinically necessary to move from "fight or flight" into a restorative parasympathetic state. * The "Meeting Overload" Trap: Why a schedule with no breathing room makes you unavailable to your team and leads to systemic burnout. * Micro Yeses for Leaders: Using Britt Frank’s philosophy to reclaim your calendar one hour at a time—without the world falling apart. This episode offers you the ability to find one tiny, actionable thing you can do tomorrow to make your workplace healthier for everyone. Tags: Leadership Development, Empathetic Leadership, Modern Management, Servant Leadership, Executive Coaching, Healthy Workplace, Toxic Productivity, Burnout Prevention, Work-Life Balance , Behavioral Health , Modeling Behavior , Micro Yeses , Time Management , Reducing Meetings , Out of Office Best Practices , Gen Z in the Workplace , Managing Younger Generations , Kira Mauseth , Trystan Reese , Britt Frank

39: Emotions as a Tool for Connection: Trystan Reese on Leading Bravely

In this episode of the Hard at Work podcast, host Ellen Whitlock Baker sits down with award-winning author, facilitator, and coach Trystan Reese [https://www.trystanreese.com/] to explore the transformative power of "adaptation skills" in the modern workplace. Reese challenges the prevailing "throwaway culture" by arguing that no employee is truly disposable, particularly when harm is caused unwillingly due to a lack of awareness or a steep learning curve. By moving away from shame-based reactions and toward restorative coaching, organizations can help leaders transition from causing harm to becoming genuine accomplices in building more inclusive environments. Reese introduces the "farming for dissent" framework—a strategy used by leaders like Barack Obama—to proactively seek out and reward disagreement as a means of building trust and improving project outcomes. Listeners will learn how to implement "pre-mortems" to identify risks before they become failures, turning potential workplace disasters into opportunities for collective growth. For people who struggle with receiving feedback, Reese provides a masterclass on navigating rejection sensitivity and the physiological "tunnel" of emotional triggers. He shares practical "nervous system hacks," such as the power of starting a difficult conversation with a simple "thank you" to signal safety to both the speaker and the receiver. The episode also highlights the importance of modeling self-awareness by allowing leaders to "tap out" of conversations when they are too emotionally activated to respond productively. Finally, the discussion reframes the goal of workplace culture from "psychological safety" to "brave leadership". Reese explains that while safety can be misconstrued as mere comfort, bravery allows for the discomfort necessary to dismantle systemic biases and foster real change. By centering dignity and curiosity over defense mechanisms, teams can create higher-trust environments. #BraveLeadership #WorkplaceCulture #ConflictResolution #TrystanReese #InclusionAndBelonging #FeedbackSkills #PsychologicalSafety #HardAtWorkPodcast #LeadershipDevelopment #FarmingForDissent