Patients know when you are not really present with them, and trust is built or broken in the first few minutes. Jess Bunin, an intensivist, and George Mount, a rheumatologist, co-founders of All Levels Leadership, argue that trust in clinical teams is a practiced skill built from three concrete components: empathy, logic, and authenticity. This episode is based on their article "The secret sauce of leadership trust in health care teams," published on KevinMD. You will hear why a critical care fellow was required to say "I don't know" once on rounds even when he knew, what a three-time cancer survivor noticed about the physicians she actually trusted, and how to communicate through genuine uncertainty without losing your team. You will also learn why George Mount spends the first few minutes of a patient encounter on trust before he asks about the chief complaint. Listen for a grounded framework for repairing trust when it wobbles.

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