In Japanese culture, the philosophy of shuhari offers a profound perspective on mastery. Translated loosely as “obey, detach, transcend,” shuhari describes a three-stage journey that begins with following established rules to learning the fundamentals (shu); then, innovating by breaking from tradition (ha); and finally, achieving mastery by creating something entirely new (ri). It is not a straight path, but rather, a cyclical journey, grounded in humility, propelled by curiosity and courage.

This philosophy resonates deeply with our work as physicians, teachers, researchers, and leaders in academic medicine, where no discovery is final; no expertise is absolute. Our work demands not only relentless dedication but also an openness to begin anew—again and again. As we seek to advance and share knowledge, we find ourselves simultaneously mentors and students, pioneers and practitioners.

The spirit of shuhari challenges us to recommit to the dynamic process of growth. It is through this movement—a willingness to balance tradition and transformation—that we continue to create, inspire, and impart lasting change.

Adapted from Dr. Nita Ahuja’s annual State of the Department address, delivered Sept. 13, 2024.