# #198 Microskills for Change That are Big Enough to Matter, Small Enough to Win Page: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/198-microskills-for-change-that-are-big-enough-to-matter-small-enough-to-win Text version: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/198-microskills-for-change-that-are-big-enough-to-matter-small-enough-to-win.md Podcast: [Core IM | Internal Medicine Podcast](https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389) Published: 2026-01-21T09:04:42+00:00 Episode link: https://www.coreimpodcast.com/2026/01/21/microskills-for-change/ Audio file: https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/f87a5183-74a5-4e11-82a2-6f0d4c90151d/stream.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/198-microskills-for-change-that-are-big-enough-to-matter-small-enough-to-win Duration seconds: 1729 ## Resource Baby alligators - those betrayals of purpose , or, death by a thousand paper cuts ! Check out our latest episode, where Dr. Eileen Barrett walks us through how to tackle baby alligators with: Regulated curiosity Strategic empathy Small, well-chosen moves... ...and change that is big enough to matter, and small enough to win! 🔹 Sponsor: Caraway’s cookware set is a favorite for a reason. For 10% off, go to Carawayhome.com/ CoreIM or use code CoreIM at checkout. 🔹 Transcript & Shownotes 00:00 | What are “baby alligators” in medicine? 02:24 | Rifaximin & Workflow Fixes 14:17 | Verbal Orders Policy 18:39 | Micro Skills for Change 25:12 | Key Takeaways #PhysicianBurnout #DoctorLife #HealthcareEfficiency, CoreIM, Internal Medicine, Career Development, Quality Improvement, QI Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/198-microskills-for-change-that-are-big-enough-to-matter-small-enough-to-win/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/198-microskills-for-change-that-are-big-enough-to-matter-small-enough-to-win.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.