In this hot start episode of the Fire Chief Podcast, host Lee Scheinbart interviews Dr. Harpreet Pall, the recently appointed Chief Medical Officer at Hackensack Meridian Jersey Shore Hospital AND K. Hovnanian Children's Hospital.  Dr. Pall shares his journey from pediatric gastroenterology to adult hospital management, discussing the challenges and learning experiences he faced during this transition as a new CMO and covering adult medicine for the first time in his executive trajectory. He emphasizes the importance of leadership skills, building relationships with medical staff, and the need for effective time management. Dr. Pall also reflects on his first 90 days in the role and expresses concerns about what keeps him awake at night amidst the changing healthcare landscape.