#198 Microskills for Change That are Big Enough to Matter, Small Enough to Win
Core IM | Internal Medicine Podcast
Core IM Team
4.8 • 1.2K Ratings
🗓️ 21 January 2026
⏱️ 30 minutes
🧾️ Download transcript
Summary
Baby alligators
- those betrayals of purpose
, or, death by a thousand paper cuts
!
Check out our latest episode, where Dr. Eileen Barrett walks us through how to tackle baby alligators with:
Regulated curiosity
Strategic empathy
Small, well-chosen moves...
...and change that is big enough to matter, and small enough to win!
🔹 Sponsor: Caraway’s cookware set is a favorite for a reason.
For 10% off, go to Carawayhome.com/CoreIM or use code CoreIM at checkout.
00:00 | What are “baby alligators” in medicine?
02:24 | Rifaximin & Workflow Fixes
14:17 | Verbal Orders Policy
18:39 | Micro Skills for Change
25:12 | Key Takeaways
#PhysicianBurnout #DoctorLife #HealthcareEfficiency, CoreIM, Internal Medicine, Career Development, Quality Improvement, QI
Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840
Our Sponsors:
* Check out Branch Basics and use my code branchbasics.com/COREIM for a great deal: https://branchbasics.com
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
* Check out Quince for high-quality clothes with affordable pricing and use code quince.com/coreim
Advertising Inquiries: https://redcircle.com/brands
Privacy & Opt-Out: https://redcircle.com/privacy
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Here at Quariam, we're all about the real things that help anyone who works in healthcare, |
| 0:04.7 | and today we're talking about how the scrubs you wear, they can make a difference. |
| 0:09.0 | I can't remember a time when I have seen someone in figs and not looking put together. |
| 0:16.0 | Fig scrubs are made specifically for doctors, residents, students, healthcare professionals like us. |
| 0:20.8 | We're putting in long hours and we need care that can keep up and perform at our level. are made specifically for doctors, residents, students, healthcare professionals like us. |
| 0:25.1 | We're putting in long hours and we need gear that can keep up and perform at our level. |
| 0:29.3 | And now it's a new year, new you, or at least a new uniform. |
| 0:33.4 | If you're in healthcare, it's a perfect time to upgrade your scrubs to figs. |
| 0:39.2 | They're lightweight, durable, super functional, antimicrobial, and ridiculously soft. |
| 0:41.8 | You have so much going on in any shift. |
| 0:44.2 | Your scrubs are the last thing you want to think about. |
| 0:51.0 | Plus, with the new limited edition colors, styles, figs is putting the fresh in the uniform refresh. |
| 0:56.0 | Scrubs, outerwear, footwear, accessories, and more, you'll be looking sharp, |
| 1:02.5 | feeling good, and ready to take on anything. 2026 is here, and so let's do this. Take 15% off your first order at wearfigs.com with the code figs rx. That's wearfigs.com code figs rx. And with |
| 1:10.5 | that, let's get back to the episode. There can be like 10,000 baby alligators on you in a day and that those baby alligators are those little betrayals of purpose and that you can just take off one little baby alligator at a time. I do recognize I have never actually seen a baby alligator, but then I finally did. And I was like, wow, they're huge and they look fierce. |
| 1:33.6 | But just the idea that it's something that is your betrayal of purpose that's sort of latched on and how can you just get rid of one at a time? |
| 1:38.5 | Because once you get rid of one, then you often learn how to get rid of others. |
| 1:41.5 | So today we're talking about baby alligators. |
| 1:45.7 | Those little betrayals of purpose, those death by thousand paper cuts, |
| 1:50.7 | whatever you call it, it's those silly workarounds, those many phone calls it takes to get radiology to push over images. Oftentimes it leaves us feeling so angry at the system and, |
| 1:56.7 | you know, these inefficient workflows, maybe you'll vent the person sitting next to you, |
| 2:00.3 | or you'll utter some curse words under your breath, or you try to go home, you don't want to think about it, your doom scroll until you feel some type of dopamine. But either way, I think all of us have been there, and I'm so excited for Headspace to think about this a bit more. I'm Dr. Shreda Trudetti. And I'm Dr. Marissa Castro, and honestly, I've definitely been there. But what do you think, Shreya, what if we could actually change some of these, you know, baby alligators? I can't. It's always going to stick now. Yeah. And so we talk to someone who's actually made those changes and tried to take off some of those baby alligators one at a time. Dr. Eileen Barrett, she is someone who is so humble and gracious. And until you really probe her and ask her, you wouldn't know that she's made all these changes to the system she's been. And she's not someone out there trying to get credit. You know, and she just has a superpower when it comes to, quote, unquote, fixing broken systems and not in the way where she's trying to, like, over a haul of whole healthcare system. |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Core IM Team, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Core IM Team and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.

