“…A group leader may utilize storytelling by describing when the hospitalist group solved an intractable problem years ago that is now taken for granted, and the consequences of When invoking risks and consequences, remember three leadership imperatives: (1) do not propose a consequence that cannot be upheld; (2) ground the approach in respectful truth-telling, rather than intense emotions and threats; and (3) if the conversation feels stuck, use strategic pauses to enhance chances of reframing the discussion. 9 Thoughtful brinksmanship is not a win-at-all-costs strategy. Rather, it aims to create momentum toward compromise or novel, collaborative solutions that meet many of the stated needs of all negotiating partners.…”