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In this heartfelt episode of the Fire Chief Podcast, host Lee Scheinbart engages in a profound conversation with Dr. Kevin O'Connor, the longest-serving White House physician. They explore the moral responsibilities of leadership in medicine, emphasizing the importance of values-based decision-making and the challenges of maintaining integrity in high-pressure situations. Dr. O'Connor shares insights on navigating ethical dilemmas, the significance of trust in healthcare, and the necessity of effective communication under pressure. The discussion highlights the need for young leaders to define their values and non-negotiables before facing crises, ultimately framing leadership as a journey of stewardship and service to others.  This episode sets the bar as a master class in physician leadership.