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.
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.
They Codified Everything Except the Part That Makes Us Physicians
There is no CPT code for the moment a patient grabs your hand and says they are scared. A physician on why the unbillable parts of medicine are the parts keeping people alive, and why we are leaving.
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.
Auto-Denials Are Medical Decisions. Last I Looked, Health Insurance Companies Do Not Have Medical Licenses.
Dark navy square graphic with large white bold text reading "Auto-Denials Are Medical Decisions. Last I Looked, Health Insurance Companies Do Not Have Medical Licenses." Blue subtext reads "The physician who signs a denial is accountable, and so is the system that generated it." SPMD circular logo and text reading "SustainablePerformanceMD.com, Will King-Lewis, MD, FAAFP" in the lower left corner.
DENIED! The Insurance Industry Already Bet You Won’t Appeal their Auto-Denial
Dark navy square graphic with a large red distressed DENIED stamp overlaid diagonally across the center. White bold text reads "The Insurance Industry Already Bet You Won't Appeal their Auto-Denial." Blue subtext reads "Not medically necessary. Four days after his second suicide attempt." SPMD circular logo and text reading "SustainablePerformanceMD.com, Will King-Lewis, MD, FAAFP" in the lower left corner.
What Wellness Accounts Won't Tell You Coffee…
image for field notes (SPMD Blog) post titled Coffee, Wine, and Polyphenols: What a New Aging Study Actually Proves