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Nick Pachuda, a former surgeon, learned that success inside a large company like J&J required abandoning the expert's top-down authority. He had to develop humility, teamwork, and the ability to influence peers, subordinates, and superiors to get complex initiatives across the finish line.

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Transitioning to management is like moving to a foreign country; your identity, skills, and sources of fulfillment all shift. Success requires adapting to this new reality. Trying to operate with your old expert mindset will lead to frustration and feeling lost.

Superhuman's CTO credits a non-tech role managing submarine maintenance with teaching him to lead without technical legitimacy. By being forced to put his ego aside and drive change by asking fundamental questions, he learned to influence people far smarter in their domain.

Individual contributors are rewarded for having answers and sharing their expertise. To succeed as a leader, one must fundamentally change their approach. The job becomes about empowering others by asking insightful questions and actively listening, a diametrically opposed skillset that is difficult to adopt.

In a highly technical field, a leader's job is not to be the smartest person in the room. Instead, their role is to surround themselves with brilliant specialists, ask the right questions to connect disparate pieces of information, and guide the collective expertise toward a single, unified goal.

The transition from a scientist, trained to control every project variable, to a CEO requires a fundamental mindset shift. The biggest challenge is learning to delegate effectively and trust a team of experts who are smarter than you, moving away from the natural tendency to micromanage.

To succeed in large pharmaceutical companies, one must operate with a collaborative mindset. Influence is built not by individual discovery, but by working effectively with cross-functional teams (regulatory, commercial, medical affairs) and building trust by focusing on shared goals.

Many leaders, particularly in technical fields, mistakenly believe their role is to provide all the answers. This approach disempowers teams and creates a bottleneck. Shifting from advising to coaching unlocks a team's problem-solving potential and allows leaders to scale their impact.

Leaders, especially those from highly individualistic fields like surgery, must evolve from a top-down, self-reliant style to one that orchestrates diverse opinions. This approach fosters better problem-solving by surrounding oneself with people who have different, often stronger, skills.

The skills that make a great individual contributor or team lead in a specific discipline, like product management, are not the same skills needed for more senior leadership roles. Career progression requires a conscious effort to let go of beloved hands-on tasks and adopt a broader, more strategic perspective.

What made you a great PM will not make you a great director. The journey into leadership is a process of being humbled, recognizing your worldview is incomplete, and adapting your thinking. If you are not humble enough to change your mind, you will struggle to grow in your career.