D4V is a Tokyo-based early stage Venture Capital in partnership with IDEO. Two years ago, D4V invested in healthcare startup Ubie, which develops a service called AI Monshin Ubie. The digital service was created with the goal of reducing the burden on healthcare professionals working long hours, under harsh conditions. AI Monshin Ubie automates a number of patient registration and documentation processes through digital tools, enabling doctors to spend less of their time on manual paperwork, and to dedicate their valuable skills and attention to the patients themselves. Currently, the service is installed in 200 medical institutions in 41 prefectures across Japan.

With AI Monshin Ubie, patients fill out preliminary forms on a tablet, rather than paper, entering information about their health history and current symptoms directly into their digital medical record. As patients fill out the questionnaire, the Ubie AI generates questions in real-time according to patients’ responses, which results in more appropriate and accurate data. The patient’s responses are automatically formatted for the doctor to review prior to and during the consultation. As a result, doctor consultation times and facility operation times are drastically reduced.

With the Coronavirus raising fears of a possible health system breakdown, Ubie has made improvements to anticipate and possibly prevent in-hospital infections. Until recently, Ubie’s services have been primarily used by large hospitals; but in light of the global health crisis, Ubie approached D4V—who partners with IDEO—to help rethink the onboarding experience and quickly facilitate the introduction of AI Monshin Ubie in regional clinics across Japan. D4V and IDEO have been working with Ubie for many years to collaborate in various areas, including UX, rebranding, international research, and more. Therefore, they had a foundation of knowledge from which to build these new features.

Typically, AI Monshin Ubie has been introduced to new hospital clients through direct, in-depth instructional visits from Ubie sales staff. This approach has worked well for rolling out the product to Japan’s 8,000 large hospitals; but for the 100,000 smaller clinics, Ubie needed a more efficient onboarding method to enable staff to get set up smoothly and independently.

During research, D4V and IDEO team members engaged with many different clinic staff members, including full-time doctors, part-time doctors, nurses and receptionists. The researchers found that staff tend to react skeptically to new tools and services, with a common preconception that they will add to their workload. One clinic director’s first impression of AI Monshin Ubie was, “It looks complicated.” But once he actually used the service, he realized that it was very user-friendly.

The team quickly understood that it was important to remove preconceptions by clearly communicating Ubie’s benefits and ease of use. They created a two-minute animation and designed three separate guidebooks. The animation adopted a friendly tone and expressed empathy for doctors, staff members and patients, highlighting how Ubie can bring benefits to each of them. The animation showed how Ubie fits into the existing workflow and explained complex systems in a straightforward and accessible way.

WATCH: A short video clip explains the benefit of their product and service to avoid the users’ concerns in advance.

The guidebook for doctors and directors explains how Ubie’s AI smooths the patient consultation experience and greatly improves the quality of medical care. It also introduces concrete how-tos around set-up, implementation, and ideal workflow. FAQs were also included, addressing concerns about whether or not elderly people would be able to use it.

Ubie business development leader Kenji Yamada says, “D4V and IDEO have a deep understanding not only of design, but of our entire business. They provide inspiration by bringing experience and knowledge that comes from working with other industries and clients outside of healthcare. We appreciate that they can share the knowledge that they’ve obtained with our business.”

Read the Japanese-language version of the Ubie case study here.
When You Feel Unwell, Ask Ubie: Check your symptoms for free
Learn more about Ubie: Global Company Website

In the emergency room, an intervention that’s administered too slowly could cost a patient their life. With COVID-19 fueling a surge in acute respiratory conditions, intubation—a procedure that involves inserting a tube through the mouth or nose and into the airway—is more common than ever. For patients struggling to breathe, the tube can be connected to a ventilator that pumps oxygen to the lungs, keeping them alive.

While a laser-focus on the present is critical for successful patient outcomes, hospitals and physicians often don’t have time to look ahead and anticipate the future of the operating room experience. As technology rapidly improves, there is a ripe opportunity and pressing need to evolve medical equipment to be more innovative and intuitive. Verathon Medical, a global medical device manufacturer, is supporting health care providers at the cutting-edge of care.

Verathon approached IDEO to redesign the existing product system for laryngoscopies and bronchoscopies—procedures that examine parts of the throat through intubation. During these examinations, a tube with a camera embedded in the tip is inserted through the patient’s nose or mouth. The doctor can then see inside the throat on a video monitor, and therefore more easily and quickly intubate and perform the exam.

To create a groundbreaking device, the team observed over a dozen laryngoscopies, bronchoscopies, and intubations. They noticed that many anesthesiologists relied on fixed equipment during the procedures. For example, some had grown accustomed to looking over their shoulder—away from the patient—to view the monitor.

During interviews, physicians and residents expressed difficulties with the current technology, sharing that the small screens aren’t conducive to team viewing or student instruction, and they must often use a separate computer to record patient notes. Others reported frustrating workflows, needing to constantly divert their attention and move their hands between the patient, prep tray, monitor, sterile bin, and disposal bin. These inconveniences and inefficiencies are not only cumbersome, but can increase the risk of infection and fatality.

The team relied on these insights to start designing a next-generation product. Through sketching, storyboarding, and building in real-time alongside doctors and clinic staff, designers quickly teased out additional findings and validated concepts.

This work led to the creation of the GlideScope Core: an all-in-one, portable product system that supports both video laryngoscopies and bronchoscopies. The base of the device—a wheeled cart—has built-in storage units for tools and a disposal bin, offering more mobility and accessibility for medical professionals.

The product’s tagline, “see more, do more,” points to the improvements made to the video system, including a large 10- or 15-inch high-definition touch screen monitor. Displayed images can be enlarged and rotated 180 degrees for improved visualization, team viewing, resident training, and classroom demonstration. To help doctors keep both the patient and monitor in their line of sight, the detachable screen can be secured to an adjustable arm that can be positioned directly over the patient. Additionally, the monitor’s patient annotation feature gives staff access to more of what they need in one device.

The product has been especially valuable for providers and patients during the coronavirus pandemic, when it’s imperative for doctors to keep their distance from patients’ mouths and noses. The GlideScope Core’s movable, detachable, and large, high-definition monitor makes it easier to take this precaution and intubate more quickly. This usefulness is reflected in the 5-fold increase in cart-based device orders for Verathon. While most providers typically order anywhere from 1 to 20 devices for airway procedures, one hospital system requested 600 GlideScope Core systems to meet current intubation demands.

Through modern technology and a focus on human needs, the GlideScope Core supports improved patient outcomes and creates a more seamless operating experience for medical professionals. The product underlines the key but often overlooked fact that often, in order to ensure the healthcare industry is patient-centered, medical device manufacturers and hospitals must also focus on improving the experience of providers.

Healthcare is notoriously difficult to change. Rules and regulations present complex barriers; health practitioners and organizations often have entrenched ways of working; and lives are literally on the line. Despite these significant barriers, the leaders at Newton-Wellesley Hospital (NWH) boldly committed to improving patient care through a new approach.

NWH is a community teaching medical center in Newton, Massachusetts. Because of its proximity to Boston—a city known for world-class healthcare institutions—NWH needed to differentiate itself. The hospital's new president, Dr. Michael R. Jaff, reached out to IDEO for help: "I knew that providing an unparalleled patient experience would set us apart from our competitors." But, Dr. Jaff’s particular approach was unique. He and Dr. Jodi Larson, Chief Quality and Experience Offer (CQXO), saw an opportunity to drive better patient outcomes through cultural and organizational change.

"You cannot learn any more than when you get to listen to your potential patients say why they would never walk into your place." —Dr. Michael R. Jaff

IDEO partnered with NWH for a year of work together, kicked off by defining the vision for NWH and ramping up to in-hospital prototyping and the launch of several new initiatives. A pilot project with the Women's Imaging Center (WIC) focused on solving departmental and employee challenges to provide a better experience for women getting mammograms.

Fueled by this potential, the WIC team redesigned key work processes and created a set of experience principles that inspired new service prototypes. Guided by principles like "Express mutual gratitude" and "Honor every voice," the WIC team tested ways for patients to acknowledge outstanding caregivers and created tools to gather better feedback from patients and adjust quickly. The experience of designing better services inspired the WIC staff to become ambassadors for the power of design thinking across other departments inside NWH and they continue to build on the work through new prototypes and experiments.

Next, IDEO partnered with NWH’s ambulatory surgery group. They took an analogous research trip to Boston’s Logan airport to see with fresh eyes how other high-touch customer service organizations provide customer value in a complex setting. Insights from the trip were applied through live prototyping of several new experiences inside the hospital, including a pre-surgery visit summary and pre-operation care carts.

Analogous research helped us realize that we can learn from other industries and incorporate some (cool) best practices if we allow ourselves to get over the ‘that would never work in the hospital’ mentality. - Dr. Jodi Larson

One of the most impactful prototypes was Care Modes, a tool to empower the NWH care teams to tailor their approach and interaction with patients based on the patients’ unique needs, beyond simply their clinical requirements. Four distinct approaches were identified for engaging a patient before surgery—Explain, Partner, Embrace, and Encourage. The Care Mode is determined based on the provider's understanding of a patient's degree of self-advocacy and their confidence that surgery is the best solution to their issue.

Historically, care providers have been trained to deliver consistent care above all else. However, Care Modes powerfully acknowledge that patients respond differently to different types of care. The Care Modes empower the team—from surgeon to nurse to anesthesiologist—with a clear framework for how to interact with and provide care for patients so they feel most comfortable. Based on the prototype's success with patients and impact on the staff culture, NWH has incorporated Care Modes into EPIC, the hospital's electronic medical record.

The importance of being patient-centered has been central to the healthcare conversation over the past thirty years; but new explorations reveal that there’s far more potential for innovation and improvement when the provider experience is considered in tandem with the patient’s. Each enables the other, and design for both together yields stronger solutions and better outcomes. IDEO's work with NWH demonstrates this vital shift in user-centered healthcare—one can't design services and experiences for patients without designing for their providers’ culture as well. When these go hand-in-hand, meaningful institutional change in healthcare is more than possible.

The mission of Chicago's Museum of Science and Industry (MSI) is to inspire children to achieve their full potential in the fields of science, technology, medicine, and engineering. Leaders at MSI realized they needed to drive day-to-day operations and maintain historic exhibits while focusing on where to go next. To prepare for its next decade, MSI worked with IDEO to create a new business focus to support the museum’s aspirations for the future. The plan would allow MSI to respond to the demands of the marketplace and raise the funds to get there.

At the beginning of the project, MSI laid out its priorities: improve equity of access, enhance the museum experience, and create a more innovative culture. To dive into each of these areas, IDEO conducted immersive research with families, teachers, donors, and staff.

IDEO brought together 60-plus donors, board members, and staff members to engage in a design thinking exercise to unpack and address the tensions that come with choosing a new strategic trajectory. Instead of having a standard ballot vote, the IDEO team encouraged participants to get up and vote with their feet, helping the group of stakeholders physically align on the museum’s new direction.

At the end of the research and prototyping phases, MSI and IDEO developed a vision called Provoking Minds, Inspiring Futures, creating six detailed design briefs to equip MSI teams to bring initiatives forward. The briefs laid out everything from recommending a new Department of Next, dedicated to ensuring that the future is at the heart of everything the MSI does, to MSI Runway, a place for experimental, small-scale, and limited-run exhibits. The ideas were brought to life with an interactive exhibit, built quickly with everyday materials like plywood and circuit boards, to demonstrate that creating an inspiring vision of the future doesn’t have to be an expensive endeavor.

The team also focused on insights that highlighted accessibility issues some families brought up early in the design process—travel across the city via public transportation can be lengthy, and the cost of admission to special exhibits could be prohibitive. To address these concerns, IDEO came up with the Mission Accessible brief: Inspired by casino buses, MSI bus stop signs would be posted in various low-income neighborhoods, signaling a way to take kids and families to the museum for free.

During the project, the IDEO team identified some low-hanging fruit, like rethinking ticketing and improving the student field trip experience, and helped the museum create cross-functional innovation teams to apply design thinking skills towards solving those challenges. They researched, brainstormed, and pushed forward new concepts, meeting weekly to share and build on ideas. At the end of the four week period, each team prototyped their ideas—new outdoor programming, software tools for visiting tour groups—and pitched them to each other.

In 2019, two years after the conclusion of the project, the collaboration paid off. With its new strategic plan and additional resources, the museum has renewed its commitment to serving youth, and MSI’s team, including donors, are aligned on a collective vision of the future. MSI raised more funds than in any previous year, including the single largest gift in its history—$125 million, nearly half of its $380 million fundraising goal—that will help ensure the years ahead.

Name: Andrea Oh
Location: San Francisco
Role at IDEO: Front Desk Concierge, Experience team. Steward of magical work-life experiences. Gatekeeper of the guest Wi-Fi. (She guards it with a Gandalf staff made out of Twix chocolate).
Joined IDEO: August 2015
Instagram: @fermdaza
Titillating Fact: Matcha is my life! For someone who doesn’t drink coffee, a dose of matcha powder mixed in with water in the morning is my saving grace.

1. Isaiah Rashad: "The Sun’s Tirade" (2016)

There are a couple albums I’ve been gravitating towards in the past month, but the one that’s been in constant rotation—and I mean constant—is the debut release of Top Dawg Entertainment-signed rapper Isaiah Rashad, The Sun’s Tirade. His earnest, poetic musings on butter-smooth production make for perfect late-summer listening. Roll the windows down while you’re at it.

2. Drumming around with Pyle-Pro PTED01

I used to take drum lessons when I was younger and regrettably fell out of the habit of playing as I got older and distracted by high-school-Andrea things. I’ve had an itch to take it up again so I recently just purchased this electronic drum kit to practice exercises and learn new grooves and fills (YouTube tutorials are your friend). I don’t have the space to house a real set and classes in the city are steeper than I can afford, so this is a good alternative to keep that itch scratched.

3. Warsan Shire

I’ve been reaching a lot for Warsan Shire these days. She is a Somali-British writer, activist, educator—and one of my favorite female voices in contemporary poetry. She explores themes ranging from love, sexual violence, religion, war, displacement, and the immigrant experience. Her words are often sharp and unapologetic. I love that her writing is a celebration of womanhood and the female body, as well as a tribute to Somali culture and her ancestry.

Watch: Warsan Shire reads her poem “Conversations About Home (at the Deportation Centre)” from Teaching My Mother How To Give Birth.

Header image by Markus Spiske.

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In this series, we ask IDEO designers to share the stuff they're digging right now—tools, books, music, sites, people, places—so you, too, can drink from the fount of inspiration bubbling up here. This week's guest star: Andrea Oh.

1. Free Writing

Creativity manuals like the Artist's Way talk about the power of the "Morning Pages"—a ritual in which you start writing just after waking up, and bang out some prose before your conscious, self-critical self has fully come online. Conveniently, there's an app for that. Flowstate is a word processor with a twist: You set a timer, then write until it dings. If you hesitate for more than a couple of seconds, the app will delete everything that you've put down so far. Although it sounds like torture, the app can actually help you let go of editing and enter a state of uncritical flow.

2. Phone Denial

Before going to bed, move your phone charger to another room. Then, put a pencil and paper in its place on your nightstand. Now, when you wake up, instead of looking at Google News or Facebook, write down some thoughts that are related to how you're feeling, what is important for you, and how you're going to make a creative impact today. If that feels too involved right after waking up, draw a picture of something instead. Either way, don't let yourself get distracted by your phone until you've engaged your creativity.

3. Disposable Poetry

When Kurt Vonnegut was 84, he received a letter from a high school student, asking him to visit his school. The writer refused, claiming that he was now so old that he now "resembled an iguana." Instead of visiting, he sent a letter that contained a creative exercise. "Write a six-line poem, about anything, but rhymed. No fair tennis without a net. Make it as good as you possibly can." Then, Vonnegut said, the poem was to be torn up and discarded. "You will find that you have already been gloriously rewarded for your poem. You have experienced becoming, learned a lot more about what’s inside you, and you have made your soul grow." As a tribute to the great Mr. Vonnegut, try his ritual every morning.

4. Creative Collaging

Collect any old magazines or catalogues lying around your house. Leaf through them and cut out any interesting pictures or headlines. Assemble these into a collage. Take a photo of the collage and post it to Instagram, Facebook, or whatever social media site you use. Doesn't that feel better than posting a picture of yourself playing with your dog, or the avocado toast that you had for breakfast? Of course it does. You just stepped away from the ordinary world for a moment and created something original. For bonus points, download the Boomerang Gmail extension, and you can email your pictures to your future self—in a month or even a year. Think of it as a way to remind future you to stay creative.

5. Walking and Observing

Everyone from Beethoven to Steve Jobs relied on the inspirational powers of a walk. Neuroscience backs up their belief: A walk will remove you from the distractions of conversations and technology, freeing the mind to explore new associations between the ideas already in your head. Why not skip breakfast altogether and walk to work? Look around as you do so, and see if you notice anything unusual or surprising in the environment. Take a gander at other people too. Try to put yourself in their shoes, and imagine what they're thinking or feeling. Remind yourself that everybody sees the world differently, and that this kaleidoscope of human perceptions and viewpoints is a wonderful thing. Remember that inspiration is all around you—you just have to stop occasionally to breathe it in.

Illustrations by Megan Crabtree.

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Benjamin Franklin used to spend his mornings naked. Sigmund Freud would trim his beard. Marcel Proust smoked opium. There are many ways to start the day in a creative frame of mind. If you want an alternative to being nude, beardy, or high, here are some of our favorites.

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This post is a source of parody and is for entertainment, education and commentary purposes only.

You may have heard: Designers like fonts. They dream in Helvetica. Letterforms may play as central a role in a designer's life as their favorite bands. Knowing this, our Tokyo studio threw an event called "PLAY - Creativity at The Intersection of Design + Music." We needed posters to promote it, and asked ourselves: How might we bring music and design together? The exercise quickly devolved into a competition for who could come up with the worst font-band pun. There's a slim overlap in the venn diagram of people who appreciate both Frank Zappa and Zapf Dingbats, but that is exactly who we were aiming for. Got your own #ideobandfont? Do share.

What was the spark?

I’m the type of person who always has a plan B. For my entire working life, I’ve had a side hustle. It made perfect sense to me, then, that in 2006, while I was working as the Chicago editor of Flavorpill, I’d accept the challenge to be a local producer for Mortified, a grassroots comedy show started by Dave Nadelberg in Los Angeles five years earlier. Even though, at that time, I was more comfortable behind a laptop than on stage, the show’s premise — everyday people reading their childhood diaries in front of a live audience — had everything I liked in comedy and storytelling: It was awkward, cathartic, redemptive, and totally relatable to anyone who was once a kid. It turned regular people into comedy stars. I jumped at the chance.

Most memorable Mortified moment? (Say that five times fast...)

For this year's Valentine Schmalentine show, we surprised one of our favorite performers, Kerstyne Kromer, by inviting her childhood celebrity crush Eden Riegel to Skype in and read the part Kerstyne had created for her in one of her childhood soap operas. In the early 2000s, Eden played Bianca Montgomery, the first openly lesbian character on All My Children. Watching Bianca's struggles on daytime TV helped Kerstyne eventually come out to her family and friends. Kerstyne almost passed out from happiness.

For a decade, my friends and I have been "sharing the shame" in Chicago.

What keeps you going?

We just celebrated Mortified Chicago’s 10th anniversary, which is astounding to me. I never thought we’d be around this long, or that I’d still be co-producing six Mortified shows a year at big venues like Lincoln Hall and The Promontory while working at IDEO. (Or that Mortified, which is now 15, would expand into books, a podcast, a TV series, a film, etc.) What energizes and inspires me is meeting new people and helping them unearth long-lost stories from their childhood. It’s an incredible privilege to have total strangers open up to you and tell you amazing and sometimes painful stories from their past. The night of the show, I love to sit in the A/V booth, hear the waves of laughter, and watch as the audience falls in love with our performers. It’s immensely gratifying to know I had a hand in making that moment possible.

What lessons from your after-hours project do you bring into your day job?

Three things immediately come to mind: I’m a better listener, I’m more empathic, and I’m a stronger storyteller. Human-centered design is all about having empathy for the end user in order to design a more desirable product, service, or fill in the blank. I also draw on many of the same techniques I use on our performers to help our designers prep for big client meetings and public speaking opportunities. Although, in the case of IDEOers, I hope nothing about their experience will be mortifying.

Annette Ferrara has been publicly embarrassing people for a decade. As a producer of Mortified, a live comedy show, she spends nights and weekends coaching people on how to get up on stage and read from their deeply personal, purple-prosed, and yes, mortifying childhood diaries. We asked her about the side project, and how it has influenced her work.

I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.

Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.

My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.

I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.

For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?

My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.

Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.

I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.

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My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.

I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.

I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.

Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.

I advise global leaders on developing China-led innovation and capabilities.

In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.

Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.

Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.

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In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.

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The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.

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This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.

Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.

Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.

Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.