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The Cost of Shrinking in Medical Leadership

n this episode of The Hidden Load, Dr. Santina Wheat tackles a deeply uncomfortable reality in medical culture: the pressure to shrink. We’ve been trained to view "quiet excellence" as the pinnacle of professionalism, but for leaders and educators, shrinking comes at a heavy cost. It normalizes burnout, stifles advocacy, and leaves our teams without a voice.

Dr. Wheat shares her own journey from staying silent in high-stakes leadership meetings to finding a "calibrated presence." She breaks down the difference between reactive emotion and grounded advocacy, offering practical tools to help…

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