Professional Presence

Professional presence is a dynamic blend of poise, self-confidence, control, and style that empowers people to command respect in any situation.

Executive presence centers on gravitas, poise under pressure, decisiveness, effective communication, and appearance.

1. Online

LinkedIn

Facebook

Email

2. Phone

Details Matter

Good Manners

Be Concise

3. Body Language

4. Clothing

5. Hygiene and Etiquette

6. Verbal Communication

Speak Up

Maintain Composure

Avoid Submissive Language

Know What You Don’t Know

Be Engaged

7. Feedback

Ask for honest feedback from two or three people about how they perceive your professional presence across online, phone, and in-person interactions.


Data Science Project
Identifying Actionable Treatment Variation in Episodes of Low Back Pain

Source code from a project with Blue Cross Blue Shield of Massachusetts, with data and additional files omitted to respect intellectual property and confidentiality.

Background

Low back pain affects a large majority of adults at some point, and treatment expenditures in the United States are substantial each year.

Despite extensive clinical guidance, practice patterns still vary widely, so this project focused on identifying where providers can adjust care pathways to improve outcomes while reducing overall medical costs.

Data Overview

The analysis used roughly 33,000 treatment episodes of low back pain from 2015–2016, focusing on how costs concentrate in a small subset of cases.

The highest-cost 5 percent of episodes accounted for more than half of total spending, and all of these high-cost cases included surgery at some point, within a clinically homogeneous group of patients with similar health status.

Objective

The central question was why patients with similar low back pain conditions can end up on very different treatment trajectories, with some receiving expensive surgical procedures while others receive non-surgical orthopedic care at a much lower cost.

The model supported an analysis of which factors are associated with these divergent pathways, helping highlight levers that clinicians could adjust to steer patients toward effective, lower-cost options when appropriate.

Methods

  1. Isolate patients into an approximately clinically homogeneous cohort to reduce confounding by baseline health differences.
  2. Identify potentially important and actionable features with clinical input, such as imaging use, physical therapy utilization, and key medical history characteristics.
  3. Address class imbalance so that the model can learn from both common and rare outcome patterns.
  4. Fit a random forest to a bootstrapped training sample and evaluate performance on a validation subset.
  5. Interpret feature importance in close collaboration with clinicians to translate model signals into meaningful, actionable insights.

Model HTML with Inline R Code

The block below contains the exported model HTML with inline R code. Use the controls to copy or toggle highlighting of inline R chunks.