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What if the real leadership crisis in healthcare isn’t a lack of knowledge — but a lack of space to act on what we already know?
Mariam is joined by consultant cardiologist, coach and red team thinking instructor Dr Toomas Saarev for a thoughtful conversation on regenerative leadership, the “knowing-doing gap”, and why so many capable leaders end up stuck on autopilot. From emotional intelligence and psychological safety to courage, reflection and systems thinking, this is a powerful exploration of what it really takes to lead well in complex environments.
If you’ve ever felt like you’re functioning, but not fully aligned, this one will land deeply.
Leadership isn’t hierarchy — it’s coherence.
Autopilot can look like competence while quietly driving burnout.
The “knowing-doing gap” is often emotional, not intellectual.
Heart, mind and hand must align for sustainable action.
Real change starts with reflection, courage and small consistent shifts.
“I didn’t leave clinical medicine. I repurposed it.”
“A clinician treats, but regenerative leader restores and multiplies.”
“Smart leaders are not short on skill. They’re short of space.”
“When people say they are stuck, it’s rarely laziness. It’s misalignment.”
“The most radical thing you can do in a system that thrives on speed is pause and reflect.” Mariam is a GP trainee in Wales passionate about improving our healthcare colleagues' wellbeing. She has experience on the Schwartz Round Steering group and as a facilitator for her health board, and she created and led the Balint Group Programme for Foundation Doctors in her hospital. These are regular spaces for healthcare professionals to speak about real issues that affect their well-being amongst colleagues to improve mutual support and camaraderie in the workplace. She also holds qualifications in Life Coaching and healthcare leadership and management. Whatever your reason for joining us on this podcast, we are glad you have taken the time.
If you are having stressful days at work, leaving you feeling demotivated, and depleted, I'm hoping I can help here.
This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/