Mackenzie, Skylar, Brooke, Morgan, and Lauren examine how critical thinking drives both clinical reasoning and everyday leadership in OT. After a “locked car” riddle, they compare classroom cases to fieldwork decision-making; contrast critical thinking vs. clinical reasoning; and reflect on practice habits (mulligans, self-awareness, Toglia’s just-right challenge). Guest perspectives include clinic leader Alexa Corley, OTR/L, plus faculty input from Dr. Ryan (OT) and Dr. Larimore (PT). The group ties these skills to the Iron Triangle (access, cost, quality) and hosts a respectful, mixed-view discussion on AI—where it can help, where it can harm, and why professional judgment still leads. Takeaways: critical thinking is learned and practiced; both followers and leaders need it; and OT leadership grows when curiosity, reflection, and collaboration stay front and center.Acharya, V. (2025, October). Intelligent healthcare ecosystems: Optimizing the iron triangle of healthcare (access, cost, quality). Cornell University. https://arxiv.org/pdf/2510.03331Beauvais, B., Kruse, C. S., Fulton, L., Brooks, M., Mileski, M., Lee, K., Ramamonjiarivelo, Z., Shanmugam, R. (2021). Testing Kissick’s Iron Triangle—Structural equation modeling analysis of a practical theory. Healthcare, 9(1753). https://doi.org/10.3390/healthcare 9121753Coles, J. (Host). (2023, February 16). 7 steps to improve your problem solving skills at work [Audio podcast episode]. In Enhance Training. https://open.spotify.com/episode/56I4peiKoMTQ1lCyYl559uGarrett, H. (2024, April 1). The indisposable role of critical thinking in healthcare leadership.Forbes. https://www.forbes.com/councils/forbesbusinesscouncil/2024/04/01/the-indispensable-role-of-critical-thinking-in-healthcare-leadership/Kissick, W. L. (1994). Medicine’s dilemmas: Infinite needs versus finite resources. Yale University Press: London, UK.Nelson, T. M. (2022). The dance of leadership and followership. In S. Dunbar-Smalley & K. Winton (Eds.), An occupational perspective on leadership: Theoretical and practical dimensions (3rd ed., pp. 151-166). SLACK Inc.Nickisch, C. (Host). (2023, August 16). 3 ways to build critical-thinking skills (Episode 19) [Audio podcast episode]. In HBR On Strategy. https://open.spotify.com/episode/2p0xzKV2rCgvNp6ddcNWEsQuint, K. (2022). A system approach to leadership in occupational therapy. In S. Dunbar-Smalley & K. Winton (Eds.), An occupational perspective on leadership: Theoretical and practical dimensions (3rd ed., pp. 137-149). SLACK Inc. Reggoug, N., Boulaz, F., Haouachim, I. E., & Omari, K. E. (2024). Assessing critical thinking in a professional context: A case study of healthcare professionals. European Modern Studies Journal, 8(5). https://doi.org/10.59573/emsj.8(5).2024.15Steffany, M. (2024, November 13). Applying critical thinking when deploying artificial intelligence. ASHRM Exchange. https://exchange.ashrm.org/blogs/ashrm-forum/2024/11/13/applying-critical-thinking-when-deploying-artifici 

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