
Nicole R. Jackson
Director of Autopsy & After Death Services and the Dorothy Ward Stansbury Endowed Assistant Professor, Department of Laboratory Medicine & Pathology, University of Washington, Seattle, Washington, USA
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Director of Autopsy & After Death Services and the Dorothy Ward Stansbury Endowed Assistant Professor, Department of Laboratory Medicine & Pathology, University of Washington, Seattle, Washington, USA
The choices we make – big and small – shape our identity, well-being, reputation, and legacy.
Choose action over fear. Our minds are powerful, but the subconscious often floods us with reasons not to act, amplifying fear of failure or shame rather than reminding us of our potential, preparation, and perseverance. I have seen people turn away from opportunities out of fear, while others seize them. I have also seen many blindsided by trauma or illness who thought they had more time.
To my mentees, I stress the importance of not letting fear limit their potential or silence their advocacy for others. I caution against delaying difficult cases or conversations and encourage them to lean into their weaknesses early, apply for awards or positions that feel out of reach, and begin mentoring wherever they are – sometimes by joining me in sessions with younger learners.
Choose quality over quantity. In demanding workplaces and training programs, many try to stand out by joining every project or committee. But time is our most precious commodity, and we are more than our CVs. For each case I handle, I think first of grieving families, not professional recognition. As Maya Angelou said, “Your legacy is every life you touched.”
I remind mentees that impactful work takes time and that our training often conditions us to rush. Ask about deliverables before committing. Learn to say no, because quality often requires declining less meaningful tasks. I try to model that leadership includes immeasurable contributions beyond metrics – like investing time in personal conversations that build genuine relationships.
Choose humanity and humility above all. I vividly recall early in my career training with leaders who, despite their seniority, always invited input from others. They listened carefully to every perspective, including trainees, recognizing the value in what they might have missed. Their humility, knowledge, and skill left a lasting impression. The opposite – those who believe they have nothing left to learn – leaves just as powerful, but negative, an impression.
Like my mentors, I do not hesitate to admit when I don’t know something, and I am quick to thank others for their insights. I encourage mentees to stay curious, carve out time for continued learning, and remain mindful that no one is ever too senior to be surprised. Above all, we must remember that while we are independent practitioners, we are also a team – here to support one another.
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