I Have Some Questions...

171: "Can Companies with 5 Employees and 50 Digital Employees Thrive?" ft. Justin Coats

43 min · 9 jun 2026
aflevering 171: "Can Companies with 5 Employees and 50 Digital Employees Thrive?" ft. Justin Coats artwork

Beschrijving

Erik and Justin unpack what an “AI orchestration layer” actually means when agents move from experiments into day-to-day operations. They focus on the practical shift from building tools to managing systems: mirroring the org chart with digital agents, defining who maintains them, and creating an auditing layer so leaders can trust performance at scale. 🧭 Conversation Highlights * Teams are quickly moving from a handful of agents to managing 5 to 10 agents per person, and that forces org design questions, not just tooling questions. * Justin frames the orchestration layer as translating real job responsibilities into AI agents, then stacking the necessary “maintenance” role to keep them current and connected. * An agent’s basic structure includes channels (where it can communicate), instructions/persona (its “job description”), skills (step-by-step processes written in plain language), plus memory and access * Auditing is still emerging: some systems show activity and conversational logs, but companies will need better frameworks to measure outcomes, effectiveness, and risk across many agents. 💡 Key Takeaways * The big change is managerial: leaders (and future roles) will oversee two mirrored systems, humans in the physical org chart and agents in the digital one. * Maintenance becomes its own discipline because agents rely on specific workflows, skills, knowledge files, tool integrations, and ongoing updates. * Agent development can be lower-friction than people expect because “skills” and “instructions” can be described in natural language rather than requiring traditional software engineering. * Trust at scale will depend on auditing: what agents did, how well they did it, and whether changes (like tool updates or memory behavior) quietly degrade performance. ❓ Questions That Mattered * Who should own agent maintenance when one person might end up responsible for dozens of digital entities? * What does an agent need in order to operate reliably (channels, instructions, skills, knowledge, memory) and how do those parts change over time? * Where does visibility come from today: can you audit outcomes and correctness, not just view that the agent “worked”? * How do you measure agent effectiveness in a way that’s actually accountable, like tracking nudges, accept rates, and task completion? 🗣️ Notable Quotes * “You need to start thinking about how you manage two mirrored org charts where you have for every position 5 to 10 different digital entities.” * “What you're talking about is a new job, a new role. It lives sort of in IT, it lives sort of in HR.” * “Agents are fairly new. Last year, 2025, the infrastructure for agents to work was being worked on. Now that infrastructure exists.” 🔗 Links & Resources * Listen To Other Episodes Co-Hosted With Justin [https://www.google.com/url?q=https://podcast.languageofleadership.io/categories/i-have-some-ai-questions-with-justin-coats/&sa=D&source=editors&ust=1780528759104935&usg=AOvVaw1Ae6zodJyXV8bCEIrb8Qo1]

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Alle afleveringen

183 afleveringen

aflevering 185: Cameron Sabet: "The Real Breakdown Happening Inside Healthcare" artwork

185: Cameron Sabet: "The Real Breakdown Happening Inside Healthcare"

Cameron Sabet operates at the intersection of medicine, venture capital, journalism, policy, and global public health—and somehow manages to connect all of them into one coherent worldview. In this conversation, Erik and Cameron explore the collapse of trust in healthcare, the unintended consequences of technology and social media, the loneliness epidemic, venture capital’s role in shaping human progress, and why human connection still sits at the center of medicine. They also dive into the future of AI in healthcare, the economics driving modern hospital systems, antimicrobial resistance, and what it actually takes to lead across multiple high-performance environments without burning out. 👤 About the Guest Cameron Sabet is an award-winning researcher working at the intersection of surgical outcomes, health policy, and medical data science. His work has been cited more than 10,000 times across over 100 peer-reviewed publications, including publications in Nature, JAMA, The Lancet and The BMJ. He is a senior collaborator on the IHME Global Burden of Disease Initiative, serves as Chief Strategy Officer for surgical AI company CardioVis, advises startups and policymakers, and hosts the leadership podcast Cutting to the Case, featuring notable guests such as Mark Cuban, the CEOs of Kaiser Permanente and Humana, and multiple United States Ambassadors. At just 23 years old, Cameron is also finishing medical school at Georgetown University. 🧭 Conversation Highlights Why Cameron Rejects the Idea of a Single “North Star”. Cameron explains why he intentionally operates across multiple fields rather than committing his identity to one singular mission. For him, medicine, policy, journalism, and venture capital all strengthen one another. The conversation explores the growing collapse of trust between patients, physicians, insurers, and healthcare institutions. The result is a system where human connection is being compressed by economics and scale. Why Psychiatry May Survive the AI Shift Better Than Other Fields. Cameron believes many healthcare systems will use AI to increase physician volume rather than improve patient care. But psychiatry may be different. 💡 Key Takeaways * Leadership across multiple domains requires systems, delegation, and trust—not superhuman productivity * The healthcare system’s trust crisis is deeply tied to misaligned incentives and loss of autonomy * AI may improve healthcare administration, but human connection remains irreplaceable in fields like psychiatry * Venture capital doesn’t just fund businesses—it shapes the future of human progress ❓ Questions That Mattered * What happens when physicians lose the time necessary to build trust with patients? * Can healthcare systems ever fully align patient outcomes with financial incentives? * What role should physicians play in journalism and public communication? * Are we becoming culturally fragmented beyond repair? * What does meaningful human connection look like in an algorithm-driven world? 🗣️ Notable Quotes “As soon as you don’t share the wealth, you lose the magic of compound effort.” “A lot of policymakers are writing healthcare legislation without physician input.” “You have to sit with the patient. If you don’t sit with the patient for a long period of time, they won’t give you the information.” “People are so entrenched in their own frameworks for dissecting reality.” 🔗 Links & Resources * Follow Cameron on LinkedIn [https://www.linkedin.com/in/cameron-sabet-nremt-ms-mba-ma-pgdip-pgcert-178079250/] * Check out Cameron's Website: www.cameronsabet.com [https://www.cameronsabet.com/]

25 jun 20261 h 26 min
aflevering 184: Christopher Sund: "Is Healthcare Staffing Broken Beyond Repair?" artwork

184: Christopher Sund: "Is Healthcare Staffing Broken Beyond Repair?"

Erik sits down with healthcare staffing leader Christopher Sund for a wide-ranging conversation about the future of healthcare, hiring, leadership, and AI. From staffing shortages and burnout to interviewing, recruiting, and organizational culture, Chris shares what he’s seeing firsthand from hospitals and healthcare systems across the country. The conversation explores why healthcare staffing challenges are bigger than most people realize, why great recruiters are really great listeners, and why technology may never replace the human side of care. They also dive into leadership, accountability, interviewing mistakes, and what actually makes someone a great fit inside an organization. 👤 About the Guest Christopher Sund is the President and COO of Uniti Med and GQR Healthcare, a Maxwell Leadership Certified Speaker and Coach, and founder of Amplify Speakers. His work focuses on healthcare staffing, leadership, organizational growth, and helping companies build stronger teams and cultures. 🧭 Conversation Highlights * Why America’s healthcare staffing shortage is becoming a long-term structural problem  * The hidden challenges rural hospitals face when recruiting specialized talent  * How AI is helping healthcare workers reduce friction without replacing human care  * Why great recruiters need emotional intelligence—not just sales skills  * The biggest mistakes organizations make when interviewing candidates  * Why most companies aren’t actually recruiting—they’re just posting jobs  * How better hiring systems can improve retention and culture  * Why empathy alone isn’t enough to make someone an effective leader  💡 Key Takeaways * Healthcare demand is rising faster than the workforce can support.  * Burnout is often caused more by broken systems than by patients themselves.  * Technology can improve efficiency, but people still want human connection.  * Great interviewing is about uncovering traits—not just reviewing experience.  * The best recruiters help people move toward growth and fulfillment.  * Strong leadership requires balancing empathy with accountability.  🗣️ Notable Quotes “The best medicine can just be an employee making another person feel seen.” — Christopher Sund “A recruiter is helping someone make one of the biggest decisions of their life.” — Erik Berglund “Most healthcare needs aren’t going away. If anything, they’re growing exponentially.” — Christopher Sund “People leave when they stop feeling like they’re moving forward.” — Christopher Sund 🔗 Links & Resources * Follow Christopher Sund on LinkedIn [https://www.linkedin.com/in/christophersund/] * Check out Uniti Med, one of Chris' companies: unitimed.com [https://unitimed.com/]

Gisteren1 h 2 min
aflevering 183: "Kids Are Intuitively Hacking AI With Their Voice, Not Their Keyboard" ft. Justin Coats artwork

183: "Kids Are Intuitively Hacking AI With Their Voice, Not Their Keyboard" ft. Justin Coats

Erik shares how he’s running a week-one “vibe coding” summer curriculum for his 10- and 7-year-old daughters using voice-first ChatGPT. He and Justin unpack what’s working, what friction to watch for, and how to think about learning, iteration, and human responsibility as AI becomes the new interface. 🧭 Conversation Highlights * Erik’s kids start with voice prompts to generate images, then turn them into stories and comic panels. When they hit “out of ideas,” they switch to a question-driven loop. * Justin connects voice interaction to a future where typing may matter less, especially compared to the speed and friction adults experience when typing vs speaking. * Erik explains how he designed the curriculum to teach creativity in steps: character ideas, then world-building and story arcs, then tools like Scratch. * They debate “creation” and responsibility: Erik pushes that he created the curriculum using a tool, while Justin emphasizes co-creation language and the need to define responsibility clearly. 💡 Key Takeaways * Voice-first prompting reduced friction and boosted creative iteration for kids, without requiring typing skills as a constraint. * A curriculum that gives kids a narrative “vehicle” (character, world, arc) is more effective than letting them only “play” with the tool. * Guardrails matter: AI should support thinking, questions, and drafts, but kids still need to physically do the writing to keep the skill building. * Ownership and responsibility should stay human-centered until AI can be held accountable for outcomes, not just outputs. ❓ Questions That Mattered * What’s the right sequence for teaching kids creativity with AI tools so they don’t stall out at “what do I make?” * How should adults think about the shift from typing to speaking as the primary interface with AI? * Where do we draw the line between using AI as a thinking partner versus outsourcing the actual work (like story writing)? * When AI helps generate curriculum or content, what does “created by” actually mean, and who is responsible for downstream impact? 🗣️ Notable Quotes * “There’s no wrong answers, there’s no test. It’s just… I come up with an idea, I see it.” * “If you create your digital baby, you didn’t do any of those things. It has to go do those things on its own.” * “It really seems like creativity tends to be a function of speed.” * “Until I can hold the AI responsible for something it created, I’m not confident I could use the language that it created something.” 🔗 Links & Resources * Listen To Other Episodes Co-Hosted With Justin [https://www.google.com/url?q=https://podcast.languageofleadership.io/categories/i-have-some-ai-questions-with-justin-coats/&sa=D&source=editors&ust=1781887755498709&usg=AOvVaw2JnYHGdDmE77nuMrr2R01A]

23 jun 202653 min
aflevering 182: "What is Being Hyper-Responsive Actually Costing You?" ft. Alli Murphy artwork

182: "What is Being Hyper-Responsive Actually Costing You?" ft. Alli Murphy

Erik and Alli dig into “invisible rules” that shape how we behave at work, especially the ones that reward constant availability and create anxiety. They compare examples from different cultures, then get practical about how to change the rules without triggering backlash, using shared wins and a trial mindset. 🧭 Conversation Highlights * What starts as “being committed” at work often turns into guilt-based expectations like staying connected on vacation or responding immediately after hours. * Some invisible rules are cultural, but many are reinforced by habits and performance anxiety that feel safe because they helped people earn promotions. * Alli describes how effective change comes from running experiments, not making instant identity-level shifts, so your nervous system learns that “different” is safe. * Erik emphasizes that changing norms requires influence, and that framing behavior changes around shared wins helps peers and leaders buy in. 💡 Key Takeaways * Invisible rules can be both harmful and useful, depending on what they’re trying to solve and whether they’re implemented in a way that supports real outcomes. * When you want to change an individual behavior, pair “who do I want to be?” with a time-limited experiment to gather data and reduce the fear of committing forever. * For structural change (processes, cadence, meeting design), tie changes to shared wins so the organization understands the point. * You usually cannot change these patterns in a vacuum. People are watching, so communicating clearly and aligning with outcomes is part of the leadership move. ❓ Questions That Mattered * Are these invisible rules actually cultural expectations, or are they performance anxiety patterns that individuals bring from previous environments? * What are we trying to solve for when we enforce an availability expectation, and is timeliness the real driver? * If I don’t do this, who do I think will be mad at me, and what does that reveal about the root consequence? * How do I explain the behavior change so peers and my boss understand it as a shared win, not a personal preference? 🗣️ Notable Quotes * “When you start a new job, it's kind of like you're drinking from a fire hose.” * “Doing something different is safe… you’re not just gonna talk yourself into one day waking up and being like, I lead differently now.” * “It ended up being really well received, and I never went back to having meetings on Wednesdays.” 🔗 Links & Resources * Listen To Other Episodes Co-Hosted With Alli [https://www.google.com/url?q=https://podcast.languageofleadership.io/categories/leadership-talks-with-alli-murphy/&sa=D&source=editors&ust=1781714640679047&usg=AOvVaw0ItvZMqrDveyoMraxCzfjg]

22 jun 202618 min
aflevering 180: "What If Your Team Already Knows What’s Broken, But Won’t Say It?" (reflections on Josh Frantz) artwork

180: "What If Your Team Already Knows What’s Broken, But Won’t Say It?" (reflections on Josh Frantz)

🧠 Erik’s Take After reflecting on his conversation with Josh Frantz, Erik kept coming back to a deceptively simple idea: every company has hidden problems that leadership would absolutely want to solve — if they actually knew about them. The challenge isn’t just finding the problems. It’s creating an environment where people feel safe enough to tell the truth. What stood out most to Erik wasn’t the technology behind Blyndspot. It was the human reality underneath it. Employees often stay silent not because they don’t care, but because speaking up feels risky. Sometimes they fear blame. Sometimes they fear retaliation. Sometimes they fear making themselves obsolete. The real challenge for leaders, then, is psychological safety. Not performative safety. Real safety. Erik also found himself reflecting on how much organizational progress depends on workflow clarity. Most companies still don’t truly understand how work gets done inside their business — especially all the unofficial workarounds employees create to keep broken systems functioning. As AI adoption accelerates, that lack of workflow clarity may become one of the greatest bottlenecks companies face. 🎯 Top Insights from the Interview Psychological Safety Must Be Earned Leaders can’t simply claim feedback is safe. Employees need evidence that honesty won’t be punished — and that their ideas will actually be heard. Anonymous Feedback Changes Behavior. True anonymity increases both participation and honesty. The moment employees believe leadership can identify them, the quality of feedback changes dramatically. Closing the Loop Builds Trust. If employees share feedback and never hear what happened next, participation dies. Acknowledgment matters almost as much as action itself. Workflow Is Becoming the Competitive Edge. AI can only improve systems companies actually understand. Most organizations still lack clarity around how work truly happens at the operational level. 🧩 The Personal Layer One of the ideas Erik kept wrestling with after the interview was how emotionally difficult it can be for leaders to admit there are problems inside their company they don’t fully understand yet. That admission requires humility. It also requires confronting the uncomfortable reality that employees may already know what’s broken — and may have known for a long time. Erik reflected on how many organizations unintentionally train employees to stay quiet. Sometimes through fear. Sometimes through inaction. Sometimes simply by asking for input and then disappearing without responding. The conversation also reinforced something Erik deeply believes about leadership: trust is built behaviorally, not rhetorically. Leaders don’t create safety by saying “my door is always open.” They create it by consistently responding to truth without punishment. 🧰 From Insight to Action * Audit where feedback currently dies inside your organization.  * Ask yourself whether employees genuinely believe it’s safe to speak honestly.  * Create visible follow-through when employees share ideas or concerns.  * Clarify workflows before trying to automate them with AI.  🗣️ Notable Quotes “There are problems that exist in your company that if you knew about them, you would take action.” “Your people don’t want to tell you.” “You’re going to have to work really hard to build psychological safety.” “Workflow is now king.” “You can’t automate what you don’t already know how to do.” 🔗 Links & Resources * Listen to Josh Fratz's episode [https://podcast.languageofleadership.io/182-josh-frantz-the-value-behind-extracting-knowledge-from-frontline-employees]

19 jun 20268 min