In this inspiring episode, we welcome Dr. Julie Freischlag—a titan in surgery, education, and academic administration—to reflect on her groundbreaking career and the enduring lessons she's learned about leadership, connection, and resilience.

Dr. Freischlag is currently the CEO and Chief Academic Officer at Atrium Health Wake Forest Baptist and the Executive Vice President of Health Affairs at Advocate Health. A pioneering vascular surgeon, she has amassed a legacy of "firsts," including being the first female Surgeon-in-Chief at Johns Hopkins and the first female President of the Society of Vascular Surgery. She served as President of the American College of Surgeons from 2021-2022.

Dr. Freischlag shares the core principles that have guided her through 38 years in medicine, from the operating room to the executive suite. Known for her memorable "Julie-isms," she offers honest and brilliant insights on the reality of a surgical career, the power of storytelling, and the true meaning of leadership.

Featured in this episode:

• The North Star of Leadership: She reveals the simple yet powerful philosophy that has defined her career: You work for your patients and the people who work for you. Maintaining this focus ensures you always do the right thing, even when facing difficult decisions.
• The Power of Storytelling (and Connection): Discover why a personal connection is essential in medicine. Dr. Freischlag explains that sharing patient stories—even during the surgical time-out—makes the work real for the entire team. She also stresses that leaders must share their own stories, including vulnerabilities and failures, to help others realize they are "alright" and not alone in their struggles.
• Confidence and Open-Mindedness: Learn how increased confidence in leadership allows for greater open-mindedness and delegation. Dr. Freischlag discusses how she evolved from an early leader who delegated little to one who now embraces new ideas and trusts her team. She notes that the loudest voices are often the least confident and that listening is a key, underrated skill.
• Preparing for the Hard Conversations: Dr. Freischlag outlines her strategy for approaching hostile or difficult meetings: Be armed with data, stay composed (even if you have to "smile big"), and know when to cut the conversation short to regroup later. She emphasizes that if you're going to make a change, you need to understand the root of the problem and bring a plan, not just a complaint.
• The Value of Coaching and Peer Support: Hear about Dr. Freischlag's own experience with coaching, starting early in her career at Johns Hopkins, and why she now champions it for new leaders. She also highlights the immense value of peer counseling in combating imposter syndrome, which affects many new leaders—both men and women.
• The Resilience Piece: Dr. Freischlag reflects on the importance of resilience, modeling the idea that "it's not how far you fall, it's how high you bounce." She shares a powerful, years-later story of learning that she was intentionally not ranked by her desired residency program, demonstrating how setbacks can ultimately work in your favor.