Field Notes:
Performance Medicine Physician Coach’s notes on the evidence of human optimization.
Field Notes is the clinical record of what actually works in human performance optimization…And what the wellness industry gets wrong about it.
Every post here is written by Will King-Lewis MD FAAFP, a board-certified Family Medicine Physician, Fellow of the American Academy of Family Physicians, and US Navy Senior Medical Officer responsible for the health and performance of 3,500 sailors.
I am a Sustainable Performance Coach creating a new fiduciary standard in personal performance coaching to ensure that your performance is grounded in evidence and designed to help you for the life. The standard applied to every recommendation here is the same one applied in his clinical practice, the Fiduciary Standard.
I read the study, check the sample size, find the conflict of interest, and ask who funded it. If the evidence is strong, you will hear that. If it is limited, you will hear that too. If something is overhyped, you will hear exactly why. Even if that means going against the grain and not recommending the newest hotness, or other popular, profitable, and aggressively marketed wellness junk.
That is what the MD means. That is what Field Notes is.
What a Physician Exodus Will Cost
Physicians are leaving medicine because expectations do not match reality and responsibility does not match capability. This is the third and final piece in a series on why, and what it costs everyone.
Precision Coaching Is Not More Coaching. It Is Targeted Coaching.
Precision coaching for leaders is not a more intensive version of standard coaching. It is coaching calibrated to a specific individual's performance architecture after a clinical diagnostic.
They Stopped Trusting Us to Do It: The Second Reason Physicians Are Leaving
The shortage is not a mystery. It is a mechanism. A physician explains the trust-to-expectation ratio, the prior authorization apparatus, and why efficiency became a trap.
Ready to Work with a Performance Coach? This is Where You Start
If you're ready to work with a performance coach but not sure where to start, identifying performance leaks is the first step when the process is physician-led and evidence-based and held to a fiduciary standard.
Finally, Executive & Leadership Coaching with Real Medical Credibility and Rigor
Leadership Coaching With Medical Credibility and Rigor. Medical credibility in coaching is not a credential to display. It is a standard of practice that changes how recommendations are made, evaluated, and revised.
Why A Sustainable Performance Physician Holds Coaching to a Fiduciary Standard, and Not a Research Standard
Demanding a perfect study for every coaching intervention sounds rigorous. It is not. A physician explains why best interest, not maximum evidence, is the real standard. and why he holds coaching to a fiduciary standard, not a publishable research or peer review standard.
The Clinical Threshold: When a Performance Problem Is Actually a Health Problem
Performance and health are not separate conversations. The line between them moves, and most coaches are not trained to see it.
Spent: The Performance DRAINS That Makes Refills Longer and Longer
Spent is the performance DRAINS that makes refills take longer and longer. The tank empties. You recover. It empties again faster. That is not tired. That is spent.
Performance Coaching That Doesn't Push Supplements
Most performance coaching comes with something to sell you. A physician explains why the supplement on the back end is a conflict of interest, and what coaching held to a fiduciary standard looks like instead.
The U.S. supplement industry generated $69 billion last year.
Blog post image of the post title the full $69,000,000,000 in serif so the zeros do the work, the calibrated rule with the one displaced node, and "120 federal cases. Not one fiduciary duty." beneath it.