Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

You have to get comfortable with being uncomfortable to disrupt health

Chris Gibbons, MD, MPH
Tech
July 2, 2012
Share
Tweet
Share

Fitness maven Jeanette Jenkins recently tweeted that “to see big results you have to get comfortable with being uncomfortable.”

In other words, making change happen, inevitably leads to emotional or physical discomfort. If you are serious about change you must be willing to endure a lot of discomfort. While this is no doubt true, I would take things one or maybe two steps further and say, “Disruptive change will only happen when you become uncomfortable with being comfortable!”

Yes, change is almost always hard. But not all change is sufficient, significant nor even good.

There is probably no better example of this than in healthcare. Over the past decade there has been a significant amount of work done to understand healthcare disparities. This work has led to a lot of change (practice, interventions, policy, pharmacology) in many areas (Social Determinants of Health, Cultural Competency, Community Partnerships, Community Based Participatory Research, Environmental Health, Populomics, Big Data Science etc.) that took a lot of effort, on the part of many people to achieve, and the progress continues.

Yet, as we look across our nation, as the latest volume of the National Health Care Disparities Report indicates, there has been no significant, sustained improvement in any disparity in almost a decade. Similarly, a huge amount of effort at many levels is occurring around the notion of bringing our healthcare system into the digital age through notions of personalized medicine, genomics and more recently health information technology (clinical decision support tools, consumer health informatics tools, health information exchanges). As with the previous example, much effort along these lines, has resulted in much change in many areas, however the hypothesized and potential impact of drastically improved healthcare processes and outcomes, particularly at the population level, have not been realized.

While it can be credibly argued that we are just at the beginning of innovation curve in both these areas (as such it would be impossible to see significant change yet), I believe this is not the primary reason keeping disruptive improvements from happening. I believe this because when you study change, the type of large, life altering change that is so significant, the results could not have been predicted at the outset – so called disruptive change (iPhone, PC, Internet) – it rarely occurs as the end product of incremental improvements over time. Rather, the innovators, inventors, physicians, entrepreneurs or visionaries simply refused to be satisfied with the then current norms or absolutely relentlessly sought solutions to challenges that most others considered impossible.

In other words they became uncomfortable with accepting the status quo or reaping the comforts that the status quo afforded, even though others may not be able to receive the same benefits. They became driven by the pursuit of one thing, not just change, not only improvements, not financial gain, but rather large scale solutions and wide spread problem elimination! They pursued these goals often in the face of constant criticism, in spite of the “conventional wisdom” and even against the realities of their own past experience. They remained focused on the notion that societal solutions or personal triumph over failure was achievable, period.

Whether the goal is personal weight loss, professional achievement, disparities elimination, patient access to personal health data, societal health improvement, or global peace, resist the logical, evidence based tendency to be satisfied with “change,” and release yourself to achieve what others think impossible by first becoming uncomfortable with being comfortable.

Chris Gibbons is the associate director of the Johns Hopkins Urban Health Institute, and the director of the Johns Hopkins Center for Community Health.  He blogs at the Prepared Patient Forum.

Prev

The potential of patient initiated research in studying rare diseases

July 2, 2012 Kevin 2
…
Next

Doctors see little of the money patients pay towards health insurance

July 3, 2012 Kevin 24
…

Tagged as: Health IT, Primary Care

Post navigation

< Previous Post
The potential of patient initiated research in studying rare diseases
Next Post >
Doctors see little of the money patients pay towards health insurance

ADVERTISEMENT

More in Tech

  • Why clinicians must lead health care tech innovation

    Kimberly Smith, RN
  • Why medical notes have become billing scripts instead of patient stories

    Sriman Swarup, MD, MBA
  • a desk with keyboard and ipad with the kevinmd logo

    AI in health care is moving too fast for the human heart

    Tiffiny Black, DM, MPA, MBA
  • Why AI in health care needs the same scrutiny as chemotherapy

    Rafael Rolon Rivera, MD
  • The silent cost of choosing personalization over privacy in health care

    Dr. Giriraj Tosh Purohit
  • Why trust and simplicity matter more than buzzwords in hospital AI

    Rafael Rolon Rivera, MD
  • Most Popular

  • Past Week

    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How value-based care reshapes kidney disease management for better outcomes [PODCAST]

      The Podcast by KevinMD | Podcast
    • Imagining a career path beyond medicine and its impact

      Hunter Delmoe | Education
    • What is professional identity formation in medicine?

      Adrian Reynolds, PhD | Education
    • A step‑by‑step guide to crafting meaningful research questions

      Julian Gendreau, MD | Physician
    • When recurrent UTIs might actually be bladder cancer

      Fara Bellows, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 8 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How value-based care reshapes kidney disease management for better outcomes [PODCAST]

      The Podcast by KevinMD | Podcast
    • Imagining a career path beyond medicine and its impact

      Hunter Delmoe | Education
    • What is professional identity formation in medicine?

      Adrian Reynolds, PhD | Education
    • A step‑by‑step guide to crafting meaningful research questions

      Julian Gendreau, MD | Physician
    • When recurrent UTIs might actually be bladder cancer

      Fara Bellows, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

You have to get comfortable with being uncomfortable to disrupt health
8 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...