Residency programs are built on structure—rotations, case minimums, milestones, accreditation requirements. Yet within that framework are individual learners progressing at different speeds, with different strengths and needs. For program directors, the challenge is constant: how do you balance systems and people, standardization and flexibility, accountability and growth? In this episode of The Precision Educator, Dr. Larry Chu and Dr. Viji Kurup are joined by Dr. Bryan Mahoney of Mount Sinai and Dr. Marianne Chen of Stanford to explore precision education through the program director lens. The conversation examines the daily realities of program leadership: production pressures, limited time, fragmented feedback systems, uneven faculty engagement, and the difficulty of identifying struggling learners early. Both guests reflect on the limits of one-size-fits-all training and the practical strategies they use—from leveraging trusted relationships to developing longitudinal data dashboards—to create more responsive, individualized support. A central theme is trust. As programs collect more learner data, how can feedback remain formative rather than punitive? How do leaders protect psychological safety while still acting on meaningful signals? The episode explores the ethical guardrails required to use educational data responsibly and the indispensable role of human mentorship in interpreting it. Ultimately, this discussion reframes precision education as leadership work—less about technology, and more about culture, relationships, and the thoughtful integration of data with human judgment to promote not only competence, but human flourishing. Key takeaways from this episode: Why program directors operate at the intersection of systems and individual learner growthHow fragmented feedback, time constraints, and production pressures limit individualized educationThe central role of trust, relationships, and psychological safety in using learner dataPractical ways to make precision education participatory, actionable, and feasible within real-world constraintsEspecially useful for: Program directors, associate program directors, clinician-educators, CCC members, GME leaders, and faculty mentors interested in integrating data-informed approaches into residency training while preserving trust, humanity, and professional growth. Related episodes: For an introduction to the foundational principles behind this series, start with Episode 1: What Is Precision Education? Rethinking How Physicians Learn. For a deeper exploration of coaching as a core mechanism of precision education, listen to Episode 2: Talk Less, Listen More: Coaching as Precision Education. For a systems-level perspective on how data can inform learning trajectories and assessment, explore Episode 3: When Data Becomes a Coach: Rethinking Assessment, Coaching, and Learning Trajectories. Send a text
