Dr. Karen Rigamonti

Dr. Karen Rigamonti I am a Certified Life & Leadership Coach, Cultural Toxicity Consultant, Physician, MBA, and a Master of Public Health.

Quick case: A director gave her team back one scheduling decision. Within two weeks the team reported less friction and ...
10/24/2025

Quick case: A director gave her team back one scheduling decision. Within two weeks the team reported less friction and more ownership. Small acts change systems. If your week felt heavy, it might not be on you alone.

Join our upcoming Compass of Compassion workshop—designed to help healthcare teams build trauma-informed communication skills, identify moral injury, and lead with more clarity, courage, and care.

👉 Schedule a conversation to see if it’s the right fit for your team. Link in comments

There’s a kind of leadership pain that sleep can’t fix. It’s called moral injury — when systems force you to betray your...
10/20/2025

There’s a kind of leadership pain that sleep can’t fix. It’s called moral injury — when systems force you to betray your values. This week I unpack what it looks like and how leaders can begin to repair it. Full piece in Tuesday’s newsletter. (Link in the comments)

This season, gratitude reminds us of connection — across teams, families, and borders. Wishing our Canadian friends and ...
10/13/2025

This season, gratitude reminds us of connection — across teams, families, and borders. Wishing our Canadian friends and colleagues a Thanksgiving filled with rest, reflection, and renewed inspiration. 🍂

Today is a milestone I’m excited to share: my chapter,“T𝘩𝘦 𝘔𝘪𝘴𝘴𝘪𝘯𝘨 𝘝𝘪𝘵𝘢𝘭 𝘚𝘪𝘨𝘯: 𝘞𝘩𝘺 𝘊𝘰𝘮𝘱𝘢𝘴𝘴𝘪𝘰𝘯𝘢𝘵𝘦 𝘊𝘰𝘯𝘷𝘦𝘳𝘴𝘢𝘵𝘪𝘰𝘯𝘴 𝘈𝘳𝘦 𝘵𝘩𝘦 𝘒...
09/16/2025

Today is a milestone I’m excited to share: my chapter,
“T𝘩𝘦 𝘔𝘪𝘴𝘴𝘪𝘯𝘨 𝘝𝘪𝘵𝘢𝘭 𝘚𝘪𝘨𝘯: 𝘞𝘩𝘺 𝘊𝘰𝘮𝘱𝘢𝘴𝘴𝘪𝘰𝘯𝘢𝘵𝘦 𝘊𝘰𝘯𝘷𝘦𝘳𝘴𝘢𝘵𝘪𝘰𝘯𝘴 𝘈𝘳𝘦 𝘵𝘩𝘦 𝘒𝘦𝘺 𝘵𝘰 𝘛𝘩𝘳𝘪𝘷𝘪𝘯𝘨 𝘛𝘦𝘢𝘮𝘴 𝘢𝘯𝘥 𝘏𝘦𝘢𝘭𝘵𝘩𝘪𝘦𝘳 𝘚𝘺𝘴𝘵𝘦𝘮𝘴,”undefined
is now published in the new book 𝙒𝙞𝙧𝙚𝙙 𝙏𝙤 𝙒𝙞𝙣.

I wrote it because I believe compassion isn’t just a “nice to have.” It’s as essential to leadership as any clinical vital sign. When we bring it into our conversations, we don’t just improve morale — we improve outcomes.The Kindle version is available this week for $0.99.

👉 https://a.co/d/bMul8Cp

I’d love to hear what stands out to you when you read it.

Emotional Oxygen: The Leadership Tool No One Talks AboutWhen tension rises, many leaders default to logistics:“Let’s fix...
08/13/2025

Emotional Oxygen: The Leadership Tool No One Talks About
When tension rises, many leaders default to logistics:

“Let’s fix the process, restructure the team, or rewrite the policy.”

But healing begins not with organizational structure—but with nervous systems.

Emotional oxygen is the space you create when you acknowledge real emotions without trying to fix or rush them.

It’s the moment a nurse breaks down in your office—and you resist the urge to tell her to “take a breath” or “go home early.”

Instead, you say:

“I’ understand how you feel. You’re allowed to be overwhelmed.
What do you need right now?”

That single moment could change how safe she feels in your organization.

Leaders who offer emotional oxygen reduce turnover, build trust, and model exactly what’s needed to shift culture from survival to resilience.

Want a cheat sheet with the 3 Most Powerful Compassion Cues?
https://drkaren.org/say-this/

Grief isn’t just about death. It’s about loss of time, trust, safety, self.What would shift if we treated emotional fati...
08/12/2025

Grief isn’t just about death. It’s about loss of time, trust, safety, self.

What would shift if we treated emotional fatigue like we do infection control—something to track, name, and proactively address?

If your staff is loyal but emotionally spent…
If your leadership team is “fine” but no one’s thriving…
Let’s talk about what you’re facing—and what else is possible.

Today is National Disability Independence Day, commemorating the signing of the Americans with Disabilities Act (ADA) in...
07/26/2025

Today is National Disability Independence Day, commemorating the signing of the Americans with Disabilities Act (ADA) in 1990.

For me, it’s not just a line in legislative history—it’s a line in my life’s story.

My son was born four months early. He is autistic and blind. And every day, he teaches me what independence really looks like: resilience, creativity, and the quiet courage of adapting in a world not always built to include him.

As a healthcare leader and executive coach, I’ve seen how policies change systems—but people change culture.

The ADA is a legal foundation. But the real work? It’s in how we lead. It’s in how we listen, design, hire, and include.

🛠️ Does your organization truly make room—for every body and every brain?

🎧 Do your systems include every voice?

Accessibility isn’t just compliance—it’s compassion in action.

This day is a reminder: independence doesn’t mean doing it all alone.
It means having the right support, access, and dignity to thrive.

Let’s lead with that truth.


35 Years of the ADA — and Still LearningYesterday, I had the privilege of attending the 35th anniversary celebration of ...
07/24/2025

35 Years of the ADA — and Still Learning

Yesterday, I had the privilege of attending the 35th anniversary celebration of the Americans with Disabilities Act, signed into law on July 26, 1990. This landmark legislation built on the foundation laid by the Rehabilitation Act of 1973 — and together, they’ve changed countless lives.

One of the most inspiring speakers was Carol A. Beatty, Maryland’s Secretary of Disabilities. Did you know Maryland is still the only state with a separate Department of Disabilities—and a cabinet-level Secretary who reports directly to the governor?

Even more powerful: By law, the Secretary must be a person with a disability, and at least some of the department’s staff must be as well. Today, 40% of her team are individuals living with disabilities.

That’s what true representation looks like.

We’ve made tremendous strides—from accessible transportation, housing, and restrooms, to funding assistance and inclusive programs. But perhaps most importantly, we’re recognizing the value, dedication, and insight that people with disabilities bring to our workplaces, our communities, and our world.

There’s still more to do. And more to learn.

Compassion isn’t a box we check—it’s a practice we keep refining. Inclusion isn’t just about compliance—it’s about connection, contribution, and shared humanity.

Every person has value. Every voice matters.

Let’s keep building a world where everyone feels seen, welcomed, and empowered to thrive.

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Culture change in healthcare doesn’t start with policies—it starts with conversations.When leaders lean into compassiona...
07/18/2025

Culture change in healthcare doesn’t start with policies—it starts with conversations.

When leaders lean into compassionate communication, teams become more trusting, more engaged, and more effective. It’s not just kind—it’s strategic.

👂 Listen deeply
🧠 Respond intentionally
💬 Speak human-to-human

The most powerful shifts I’ve seen didn’t come from the top down—they came from the inside out.

If your team is under pressure, overwhelmed, or stuck in survival mode… let’s talk about what’s really possible.

📞 Book a discovery call: TalkWithDrKaren.com

🎂✨ A Birthday Toast (and a Little Reminder) 🇺🇸✨This year, I got to share my birthday with our country — as I do every ye...
07/05/2025

🎂✨ A Birthday Toast (and a Little Reminder) 🇺🇸✨

This year, I got to share my birthday with our country — as I do every year — and I felt so beautifully seen and cared for.

I celebrated at a fabulous restaurant run by an executive chef who was once a Top Chef contender — a perfect mix of Asian contemporary and western touches. The sweetest surprise? The wonderful waitress brought me a taste of their amazing potatoes just because she thought I’d love them. Then she appeared with two glasses of prosecco and a candlelit dessert to share.

It was simple and special — and reminded me how good it feels to be pampered now and then, to feel like you belong, you matter, and you’re appreciated.

May we all remember to offer each other these small gestures that make life feel a little more sparkly.

Happy Birthday to our country — and to me. 🥂✨

Burnout isn’t the problem. Disconnection is.When staff feel unseen and unheard, no policy can fix it.Here’s how we turne...
06/24/2025

Burnout isn’t the problem. Disconnection is.

When staff feel unseen and unheard, no policy can fix it.
Here’s how we turned around a toxic healthcare culture—without adding more rules.

👀 Engagement: +90th percentile
💬 Patient satisfaction: skyrocketed
🤝 Strategy: Trust + Humanity

👉 Read the story:
https://www.linkedin.com/pulse/from-burnout-breakthrough-case-study-creating-where-karen-fvhke

When 60% of healthcare workers say they’re thinking about leaving their jobs, it’s not because they don’t love the work. It’s because they don’t feel heard.

Well, this was unexpected and a bit exciting!  The Humane HR Awards celebrate individuals and organisations who go beyon...
06/24/2025

Well, this was unexpected and a bit exciting!

The Humane HR Awards celebrate individuals and organisations who go beyond compliance to create work cultures grounded in dignity, empathy, and growth. Established in 2024 by HR for Humans at Work, the Awards are part of a global movement to humanise HR and champion fairer, safer, and more inclusive workplaces.

See the article that put me on their radar below...

https://hrforhumansatwork.com/2024/11/15/humane-hr-talk-with-dr-karen-hoenig-rigamonti/

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