In this raw and vulnerable episode, I take you on a journey from broken emergency rooms where administrators and clinicians speak different languages, through my frustration with MBA programs that teach theory while students will face chaos, to the creation of an integrated learning ecosystem that bridges clinical reality, business constraints, technology limitations, and the African healthcare context.

I confront the brutal math of impact: one doctor saves patients one at a time, but one ecosystem builder transforms how thousands of healthcare leaders are trained. I explain why Silicon Valley solutions fail in Durban, why simulation alone isn't enough, and why the multiplier effect might justify leaving direct clinical work behind.

This is the story of building educational infrastructure while a practice fails, juggling consulting and teaching and debt, and betting everything on the idea that fixing broken systems saves more lives than any individual clinician ever could.

If you're an MBA student wondering whether leadership training matters, or a clinician questioning your career transition, or anyone wrestling with whether building something new justifies leaving behind what you know, this confession is for you.

Hit subscribe so these confessions land in your feed. Connect with me on LinkedIn. I want to hear your story, your struggles, your 4 a.m. realizations about healthcare and business. And if you know someone who struggles with pivoting to healthcare consulting from clinical practice, send them these episode. See you in the next confession.