In this episode, we explore contracting—the foundational step for building effective working relationships. We define contracting as clarifying expectations around communication style, decision-making, conflict, and boundaries (e.g., camera-on norms for remote work). You’ll hear real examples of how failing to contract can erode trust, and why explicitly agreeing on roles, response times, and disagreement protocols prevents misunderstandings. We share practical contracting questions—like “How will we handle conflict?” and “What does success look like for you?”—that set teams up to collaborate confidently from day one.

We’re thrilled to host Nancy H. Spiegel, Executive Leader for Medical Education, Leadership Development & Wellness at Southern California Permanente Medical Group, and Director of Clinical Science Operations at Kaiser Permanente Bernard J. Tyson School of Medicine. With 30 years at Kaiser, Nancy designs leadership and graduate medical education programs, outcome-driven wellness initiatives, and change-management strategies. She’s overseen organizational development, research, and the Employee Assistance Program, and taught organizational psychology at the University of Rochester. Nancy’s expertise in contracting and culture-building guides leaders toward more transparent, high-trust environments.

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