Swim with Current or Stand Like Rock?

Another quote among the many that remind me of important principles, morals, or lessons.  As professionals, it is critical that we know how to distinguish between when we go with the current, versus stand firm for our principles.  In your career, there will be times when you have to make this call.  What does this mean?

Jefferson reminds us that “matters of style” are fluid.  These superficial themes, styles, or situations change with time—they evolve.  Our clothing, media, way of speaking.  In matters of style, we should enjoy the freedom to change or adapt over time. But the key word is “superficial”.  In clinical practice, there are many times we must embrace change.  The media or methods used for documentation are certainly rapidly evolving. Access to best practices and recommendations come more easily.  We need to learn how to use technology to our advantage (and that of our patients).  That doesn’t mean that we suddenly change the aspects of documentation that must be included.  Or pursue recommendations that have no supportive evidence, potentially AI "hallucinations".

As Jefferson's quote importantly reminds us, beyond "style, we should have principles we hold true . . . the deep and mindful values that we embrace and use when choosing important actions.  We cannot toss those matters of substance aside on a whim to take the “path of least resistance".  In these matters, we maintain authenticity and face important challenges by standing like a rock. Being true to ourselves, authentic.  Part of  “excellence” or “leadership" involves following our ideals, whatever those may be.

Unfortunately, as mentioned in my last blog, it is possible to find news stories where various professionals have chosen to swim with the current on matters of principle.  At some point, they went astray. Reasons might include financial gain, maintenance of relationships, reputational growth, persuasion by other colleagues or their employer, or even satisfying patients.  Examples such as forging records, fraudulent prescriptions, participating in a “pill mill”, ordering medically unnecessary tests or treatments.  So many potential temptations to swim with the current.

Granted, it can be difficult to consistently “stand like a rock” for your principles rather than going with the path of least resistance.  But remember to listen to your gut; be skeptical when faced with “stylish options” outside the norm, even if “just once”.  Be authentic to your principles and beliefs. A tarnished reputation cannot be “untarnished”.  And I hope I am "preaching to the choir", but remember this message is important to instill in our colleagues, patients, preceptees, students, etc.  They will value you more if they trust your authenticity.  Support others by listening as they work through difficult decisions.