Peter — thanks for your comment.
Michael Seid

Interesting thread.. Structure is needed but there must also be space for clinicians and patients to think and plan together. Per Senge:

“Create the space where ppl living with the problem can come together to tell the truth, think more deeply about what is happening, explore options beyond popular thinking and search for higher leverage changes through progressive cycles of action and reflection and learning

Plans and space are the yang and yin of leadership. Both are needed but what is needed even more is balance’

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