Episode 132: Teams, Boundaries and Creating a Supportive Work Environment for Clinicians

Welcome to the Sustainable Clinical Medicine Podcast!

In this episode, Dr. Sarah Smith sits down with Dr. Michele Knox, an accomplished ophthalmologist, physician leader, and passionate physician development coach. Dr. Knox shares insights from her nearly 30-year career, reflecting on what made her journey in medicine sustainable and fulfilling. Together, they explore the importance of building strong medical teams, cultivating community within healthcare, and finding purpose both inside and outside of clinical practice.

Dr. Knox opens up about the challenges and rewards of working in a large group practice, her transition into coaching and leadership roles, and the lessons she’s learned supporting early-career physicians. You'll hear practical strategies on how to delegate effectively, set personal boundaries, and prioritize wellness—both for yourself and your patients. Plus, Dr. Knox offers thoughtful advice on navigating patient satisfaction, self-compassion, and seeking support when burnout strikes.

If you're a clinician looking for realistic and actionable ways to create a more sustainable, joyful, and balanced practice, you won't want to miss this episode. Get ready for an inspiring conversation about resilience, mentorship, and the power of community in medicine.

Here are 3 key takeaways from this episode:

1.  Community Matters: Building and maintaining a supportive professional network—friends, mentors, and coaches—is essential for resilience and long-term sustainability in medicine. You’re never alone, and sharing experiences can make all the difference through the ups and downs.
2.  Delegate & Elevate: Practicing at the top of your training means focusing on work only you can do, while entrusting support staff with the rest. Streamlining workflow not only benefits physicians but also improves patient care and reduces burnout.
3. Life Beyond Medicine: Cultivating interests and relationships outside of clinical practice is vital. Hobbies, leadership roles, and simply giving yourself permission to rest can replenish your energy and passion for your work.

Meet Dr. Michele Knox:

Michele Knox, MD, Certified Physician Development Coach. Canadian Medical School & Ophthalmology residency, fellowship in US, stayed in SF Bay Area. Career in ophthalmology and physician leadership at very large group practice, recently retired and now giving back as Physician Development Coach, coaching through University Alumni Association & non profits.

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