HEALTHCARE EXECUTIVE COACHING

Healthcare Executive Coaching in NYC for Physicians and Healthcare Leaders at a Crossroads.

You already make high-stakes decisions for patients, teams, and entire systems.
But the most consequential decisions you now face now are no longer clinical or operational; they’re personal.

When career, identity, training, finances, responsibility, and thriving all converge, all at once, the frameworks that work well for decisions at your job are just not up to the task.

That’s where healthcare executive coaching in NYC comes in. Pro-con lists aren’t enough. You need coaching that’s built for physicians, leaders, and executives in healthcare trying to navigate what comes next.

Built for Physicians and Healthcare Leaders Facing Their Own High-Stakes Decisions

You trained for decades to make hard, consequential, even life-altering decisions. And you do it well. 

For your patients…

Then you reached the C-suite and you learned to do it for your clinic, your hospital, your healthcare system. 

It turns out, though, that the hardest decisions aren't clinical or operational. The hardest ones are about your own trajectory. And it’s shocking—you’re entrusted to make life-and-death decisions for patients, million-dollar decisions for your healthcare system, but nobody gave you a framework for those decisions, and you’re feeling stuck.

Healthcare executive coaching grounded in decision science gives you a rigorous framework for the choices that don't fit neatly on a balance sheet, whose KPIs are way more personal than the ones you’ve been trained to evaluate.

Why Healthcare Executives Start Looking for Coaching

Each person’s story is unique. But in healthcare leadership, patterns repeat:

  • Maybe a reorganization put you on a path you didn't plan for.

  • A health event—yours or someone close to you—that upends what you thought was your timeline. 

  • A colleague’s exit has left you wondering if you should exit too. 

  • The recurring Sunday-evening dread has metastasized into a nightly anxiety that no amount of deep breathing is able to metabolize. 

  • Maybe you’ve been spinning around that seemingly unanswerable question: Did I choose this, or did this choose me?

Each of these is a signal that the decisions compounding beneath your career deserve the same analytical rigor you bring to capital allocation and clinical strategy.

Coaching Options for Healthcare Executives

Get structured, independent clarity in 8 weeks

Self-Directed Course

Signature Program

Get the course + 12 weeks of group coaching + six 1:1 sessions

Ongoing, high-touch decision support

Private 1:1 Coaching

Not sure which option fits your situation? I can help you decide.

From Overextended and Uncertain—to Clear, Decisive, and in Control

Healthcare executive coaching is designed to produce very specific shifts. Quantifiable, measurable changes.

You’ll arrive carrying a vague sense of misalignment, and you’ll leave with a structured map of where you have genuine agency, an understanding of which constraints are real, and which are simply stories. 

You’ll stop confusing switching costs with reasons to stay. 

You’ll distinguish active commitments from accepted defaults. 

And you’ll reclaim agency and your own authorship of the next decade of your life, whether that means making an 8º shift or a 180º pivot

Who This Coaching Is For

This coaching is designed for senior healthcare professionals at high levels of responsibility and compensation who are facing complex career or identity decisions.

Typical clients include:

  • Academic or private practice surgeons

  • Physician executives (CEOs, CMOs, CMIOs, and other members of the C-suites of hospitals and health systems)

  • High-performing department chairs and division chiefs

  • Physicians considering transitioning into or out of leadership roles

  • Clinician-leaders navigating burnout, succession decisions, or late-career inflection points

This is decision support for people whose choices carry both professional and deeply personal weight.

What It’s Like to Work with a Healthcare Executive Coach

Coaching is about more than just feeling better.

It’s about knowing what to do next—and how to do it.

Our Work Is Structured and Evidence-Based

Because you and I know… fluff doesn’t work.  

Expect frameworks drawn from behavioral economics, expected-utility theory, and the empirical literature on physician burnout and executive transitions. Expect to be challenged on the premises that underpin your conclusions. Expect homework that resembles a well-designed study more than it does a simple journaling prompt or meditation exercise.

You are not coming to be soothed, to engage in talk therapy, or to find a vent session. You are coming to think more clearly than you currently have the bandwidth to think alone.

In other words: it’s clarity and forward motion!

Dr. Mark has been featured in…

The Atlantic CNN The New York Times Fast Company NPR Harvard TEDx The Atlantic CNN The New York Times Fast Company NPR Harvard TEDx

What Other Physicians and Healthcare Executives Are Saying…

Why Work With Dr. Mark Shrime as Your Personal Development Coach

Plenty of coaches can help you manage stress. Very few will help you make the hard decisions that actually realign your What with your Why

Solving for Why Coaching is different

I am a practicing surgeon, a PhD in health policy and decision science, and a researcher with over 200 peer-reviewed publications.

But what matters more than the titles is what sits behind them: I work at the intersection of career decision-making and formal decision science—the space where high-stakes choices are made under uncertainty, with incomplete information, and sometimes irreversible consequences.

In healthcare, I understand the reality we operate in: decisions are rarely clean, outcomes are rarely isolated, and the cost of being “technically right” can still be personally or professionally wrong.

I work with surgeons, physician executives, hospital leaders, attorneys, finance executives, founders, and diplomats: people who are highly capable, deeply successful, but find themselves stuck—not because they lack options, but because every option has meaningful tradeoffs that feel impossible to compare.

In other words, my work with physicians and healthcare leaders is not general executive coaching adapted for medicine.

It is structured, time-bound, and deliberately rigorous decision coaching, because that’s what’s needed for decisions that cannot be solved in the same way that clinical, operational, or logical choices can.

The goal is not to help you “feel clearer.”

The goal is to help you make decisions you can stand behind—no matter the outcome.

You don’t need someone to tell you what to do.

You need a framework that helps you decide—and a partner sharp enough to pressure-test your reasoning along the way.

I wish every professional had the opportunity to benefit from this career coaching.
— Dr. Elaine C

Frequently Asked Questions