Medicine teaches clinicians to triage crises, lead teams, make decisions with incomplete information, and learn openly from failure without ego. So why do we still act as though they arrive in the C-suite knowing nothing about leadership?

In this episode of Leadership Rounds, Dr. Reena Pande sits down with Shamiram Feinglass, MD, MPH, a physician executive, public-health leader, Managing Director at Manatt Health, Sandoz board director, and co-author of The 60-Minute Clinician MBA. Their candid conversation covers what it actually takes to move from clinical expertise to enterprise healthcare leadership.

Shami’s career has crossed nearly every part of the healthcare ecosystem: clinical medicine, public health, federal policy at CMS, the U.S. Public Health Service, global medical device and diagnostics leadership at Zimmer and Danaher/Beckman Coulter, pandemic response, governance, mental-health advocacy, and healthcare consulting. Today, she advises healthcare and life sciences organizations at Manatt Health while serving on the Sandoz board and as affiliated faculty at the Johns Hopkins Bloomberg School of Public Health.

Her career also exposed a persistent problem: clinicians moving into executive roles are often underestimated because the business world fails to recognize how much leadership training is embedded in medicine. Clinicians themselves are rarely given a practical roadmap for filling the gaps.

That frustration inspired Shami to co-author The 60-Minute Clinician MBA, a practical guide to financial literacy, strategy, operations, leadership, innovation, and career advancement for clinicians entering the C-suite.

This conversation makes a compelling case: clinicians do not need to leave their clinical identity behind to become outstanding business leaders. They need to understand the leadership skills medicine has already given them, intentionally learn the ones it hasn’t, and become fluent enough in the language of business to bring their expertise fully to the table.

The themes and personal examples come directly from the episode transcript.

• Why clinical training produces powerful (but often overlooked) executive skills
• How triage translates into business strategy
• Why clinicians need business fluency (but don’t need to become experts in every function)
• The difference between breadth of understanding and depth of expertise
• Why trust and relationships (not transactions) drive influence
• How leaders should make failures visible and “fail fast”
• Why Shami asked for an executive coach the moment she entered the industry
• What leading a global workforce through COVID taught her about crisis management and communications
• Why financial literacy is non-negotiable for clinician executives
• How clinicians can work effectively with finance, legal, operations, communications, and supply-chain leaders
• Why healthcare needs a stronger pipeline of physicians and clinicians prepared for enterprise leadership
• The importance of mentorship and “lifting as we rise”