

Designing a better onboarding experience for an AI symptom checker at clinics
Enabling doctors to spend less time on paperwork and more on patient care.
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


An improved airway intubation system that helps physicians save more lives
The GlideScope Core offers elevated visibility and a seamless workflow for intubation, allowing doctors to better conduct routine procedures and respond to health crises.
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.


Transforming a community hospital from the inside out
Designing for caregivers to create world-class care for patients.
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.


Helping a historic museum prepare for the future
Using design thinking to improve access, experience, and culture.
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.


No Beards Allowed: Exploring Bias in Facial Recognition AI
How a creative code experiment helped people understand the pros and cons of artificial intelligence
As a user experience and interaction designer with a hybrid art and tech background, I’ve long been a fan of the concept of using art and design as a Trojan horse to make tricky concepts accessible. Through intrigue, curiosity, and play, these experiences can bypass our biases and open the door to understanding, without requiring deep comprehension. If you’ve ever visited a children’s science museum and watched kids excitedly engaging with subjects that would bore them to tears in book form, then you’ve seen the power of experience and play at work.

Meet ERNEST
That’s why my colleagues and I created ERNEST, an installation that gives the viewer the job of training a rudimentary artificial intelligence. Using facial and emotional recognition tech, ERNEST shows the user imagery and tries to see how happy it makes them. Our goal for this project was to engage users in a game-like experience to help them understand how machine learning models are trained, and subtly hint at the areas where bias could creep in.
Fellow IDEOer Matt Visco and I wanted to make sure ERNEST didn’t look like a modern computer—we designed it to look vintage. With its old hardware and nostalgic graphics, ERNEST doesn’t feel smart on the surface. Its look is meant to evoke a time when computers carried the promise of a utopian future, prior to mass connectivity and the ubiquitous collection of personal data.
The full installation uses five monitors, two computers, and three Raspberry Pis, which power several video loops that reveal the training data behind ERNEST, and give passersby a sense of the experience even if they don’t engage directly with it.
How it Works
ERNEST uses computer vision to perceive the user ambiently through facial recognition, allowing it to detect when a user is looking at it and how far away they are. When a user gets close enough, ERNEST comes alive and asks the user to help it learn. It then shows the viewer images intended to make the user happy, and gauges their emotional reaction based on their facial expression using a pre-trained model. The facial tracking and emotional data is displayed to the viewer in real time, encouraging users to make faces at ERNEST. Viewers can then validate the accuracy of the model to help ERNEST know if it was correct or not.
(Sound complicated? The video below might make it clearer.)
We installed ERNEST in IDEO San Francisco’s lobby for a couple of months, and also brought it to the San Francisco Art Institute Fort Mason Gallery for the CODAME Intersections exhibition in November 2018.
The Results
Many participants loved to challenge ERNEST, often emoting in varying ways through numerous loops of the game. Once, a group of participants spent nearly 20 minutes playing with ERNEST, takings turns to compare how it perceived each person.

When viewers interact and play with ERNEST, we’re helping them see that machines can have almost human-like perception, reacting differently to different faces, and sometimes being uncannily accurate...or completely wrong. The wrong guesses were in many cases more interesting, and were in fact a very intentional part of the design. We wanted users to see that artificial intelligence is sometimes not as intelligent as we might think.
ERNEST is meant to be a game, but what happens when real-world AI makes the wrong guesses? Or what if those wrong guesses are uneven, indicating an unintentional bias, such as working well for some faces but not others?

We wanted people to realize that designing systems that can ambiently perceive humans without direct input is rife with ethical concerns. And already, systems like these are being deployed at scale. The Guardian predicts emotionally-aware tech is already a $20B industry. Even something seemingly benign like ERNEST causes us to wonder—if an AI is trying to make the viewer happy, who determines what “happy” is? What if bad actors train Ernest to think that disturbing content is “happy?” What if the technology is repurposed to provoke anxiety or anger? What happens if we deploy technology like ERNEST widely?
Of course, ERNEST only scratches the surface of these big ethical questions, but we hope that it helps give people insight into how artificial intelligence thinks, and the ways its thinking can be flawed. The more that we as a society can start to understand these systems, the better we can judge their quality, and work to design them to be in line with our shared human values.
Artificial intelligence and machine learning are among the hottest topics of the tech world, but some of us at the frontier forget that many people feel intimidated—or even afraid of—these technologies. The pop-culture trope of machine intelligence gone rogue has been a part of our cultural psyche for a good 150 years. Think 2001: A Space Odyssey’s HAL 9000, The Terminator’s Skynet, and The Matrix’s... Matrix. Combine that fear with arcane tech-speak like “recurrent neural network” and “generative adversarial network,” and in addition to feeling emotionally intimidating, AI and ML can also feel incomprehensible.


How to Make Hard Feedback Pay Off
It's not easy to have your work ripped apart, but it's essential to the creative process. Here's how to make it less hard.
Feedback is a tricky thing. There’s always going to be differing opinions of right and wrong, and even if it’s explained to you in a calm, clear voice, it can sting like nothing else. But getting feedback on your work is the only way you'll grow. It forces you to rationalize your thinking and creative decision-making, and teaches you to swallow your pride.
I learned the hard way: A few years ago, I designed my first typeface called Emotiv. It was a concept for a messaging app that would help people express their emotions through language (instead of emojis).
Eager to get my work out there, I decided to send a sample to a very well-respected typographer whose work I greatly admired. Given this individual’s reputation (and my lack of experience) I was reluctant to share at first, but with encouragement from friends, I sent it along with an explanation of how it came to be, not really expecting a response.

A few days passed, and much to my surprise, an incredibly lengthy reply fell into my inbox and hit me like a ton of bricks. It was the toughest feedback I’d ever received. Alignment issues, inconsistencies, readability problems, the email went on and on. It felt like my career was ending before it even had a chance to begin. We designers consider our creations extensions of ourselves—meaning that we take the pain of feedback personally.
While I can't offer up permanent thick skin, I have come up with 4 mindset shifts that will help you get—and give—negative feedback in a constructive way:

1. Introduce constraints
The least helpful feedback goes something like, “Hmmm, I’m not sure I like this.” We all have personal tastes, but there is no build-off point from that—no way to develop and improve. Instead, ask the person giving you feedback to be constructive, give their rationale, and ask as many questions as they’d like, rather than give you a gut reaction.
2. Tag team
Rather than putting yourself on the receiving end, get involved in the process. Imagine that the work being critiqued isn’t yours and offer your own thoughts. That will help you stay focused on the work itself. Plus, by making the feedback process more of a collaborative effort, you can understand the work from new angles to make it better together.

3. Be Spock
Do your best to take your emotions out of the equation. Instead of hanging on every negative word, look for unbiased points that will help you better define and execute the work. Even if the person giving you feedback is using words like “I like...”, or “I don’t like…”, those words aren’t aimed at you—they’re aimed at uncovering the fundamental thinking or execution behind the work.
4. Don’t ask for the answer
When the feedback process unearths a problem with your work, it’s tempting to simply ask for a clear solution to the problem. But that won’t push you to go further and explore other possibilities. Solving the problem yourself gives you another opportunity to learn and grow your skills.
Looking back, I now see now that the typographer who crushed me was actually providing a great service. (Honestly, you could tell someone they are terrible at something in considerably fewer words.)
I’d made the same mistake my fellow design student had made in that first class—I reacted as if it was a personal attack on me as a designer. But that feedback prodded me to become much more critical about my own work, studying details that others might not notice, with an eye toward readability and alignment.
Getting negative feedback can hurt. You pour your time and effort into creating something, and with the swiftest of comments, it gets cut down. But receiving it not only makes your work better, it makes you better... especially at giving feedback.
Nothing prepares you for the reality of receiving negative feedback. In one of my first design classes, I watched in horror as a fellow student had his work ripped in two for the first time in front of all of us. Shortly afterwards, he quit the course.


The Best Managers Understand Their Employees’ Emotions—And Their Own
5 tips for building a positive emotional culture at work
We've studied the effects of emotions in the workplace, and the research shows that managers can make or break an office. In one poll, 50% of people said they’ve quit a job to remove themselves from a bad manager. (In another survey, 65% of folks said they’d take a new boss over a pay raise. Ouch.)
Managers often set the tone of the workplace. But that doesn’t mean managing has to be stoic, emotionless work. In fact, we think it should be the opposite.
There’s no set formula for becoming a perfect boss, but we have a few tips for building a positive emotional culture in the office and supporting the needs of the people that work for you.
Manage individually
After surveying almost 80,000 people, researcher Marcus Buckingham came up with the insight that “average managers play checkers, while great managers play chess.” In checkers, every piece is the same: they’re interchangeable. But winning a game of chess requires you to understand each piece’s strengths and weaknesses, and you can’t effectively play unless you understand why each piece is unique.
One of Mollie’s favorite examples of this individualized approach is IDEO’s new employee survey, which includes hardball questions like, “What’s your favorite office snack?” and “What kind of flowers do you like?” The answers give teams an understanding of their new colleagues right off the bat, and help managers address a newbie’s individual interests—even if it’s just a preference for vanilla vs. chocolate.

Address your feelings without becoming “emotionally leaky”
In her book Radical Candor, Kim Scott recalls a morning when a report told her, “I know what kind of day I’m going to have by the kind of mood you’re in when you walk in the door.” Managing your feelings is as important as managing your team; what you consider a throwaway comment or a momentary bad mood can ruin someone’s day. Reactive, hot-tempered managers are hurtful and demoralizing.
But don’t pretend that you’re not allowed to have feelings (you’re human. Accept it!). “The idea that you’re never going to have a bad day as a boss is bullshit,” Kim says. “The best thing to do is to cop to it. Say to your team, ‘I’m having a bad day, and I’m trying my best not to take it out on you. But if it seems like I’m having a bad day, it’s because I am.’”
You don’t necessarily have to go into great detail (oversharing is another complicated topic), but acknowledging that there’s something going on can help those around you avoid unnecessary anxiety.

Figure yourself out first
Like we said: You’re human. That means you have your own emotional responses to unpack before you’re fully equipped to help others do the same. The best leaders are able to hit the pause button when they become emotional, sit with their feelings, and understand where they’re coming from. Instead of taking action immediately, they ask themselves, “What’s behind this emotion?”
A great manager will realize, for example, that anxiety about meeting a deadline can be mitigated by building structure to help a team get work done on time, or that a tough design review means that next time, more prototypes might be necessary. Tapping into your emotional toolkit will help you arm others for the emotional demands of the office.
Listen
It sounds basic, but it bears repeating. One of the questions Wharton Professor Adam Grant fields most often is, how do you have your suggestions heard when you’re not in charge? "These are not questions asked by leaders," Grant notes. Hearing people out is an extremely important part of letting them know you appreciate their work.
Listening is also the only way leaders can understand the source of problems or strong emotions. As a manager, ask questions instead of immediately trying to problem solve. You’ll never understand another person’s perspective unless you listen and show compassion.
Find time to prioritize yourself
Managing means cooking something on every burner without burning anything. You also have to time every step perfectly to make sure the meal comes together. If the simple thought of that balancing act exhausts you, try taking a "Shultz hour." When he was in office, former Secretary of State George Shultz protected one hour each week for solitary reflection with paper and pen. No one was allowed to interrupt him (except the president or his wife, which we understand).
If solo time feels a little too isolating, seek support. Try connecting with peers and folks who have a similar role with whom you feel safe talking openly about personal and professional issues. As Liz Koenig, who managed Teach for America teachers, told us, “You can’t pour out of an empty cup.”
Acknowledging emotions in the workplace is one thing; harnessing their power to become a better manager is another. It’s not impossible, but it does take work. We’d recommend not putting on a brave face, but instead getting a little vulnerable with the people that work for you. Here’s one last reminder: You’re human.
Like playing the flute or choosing the right sized Tupperware for your leftovers, being a good manager is a skill. You’re not born knowing how to play scales or eyeball specific volumes of pasta—it’s something learned and practiced. And when it comes to building your managerial muscles and shepherding others through a career journey, there are a lot of emotional skills that can really boost your toolkit.


The 3 Mindsets of Great Interaction Designers
These tools are just as important as a good portfolio or the ability to code
Not necessarily, says Chris Nyffeler, IDEO Executive Design Director and a faculty member in the undergraduate and graduate programs in Interaction Design at the California College of the Arts. Those vocational skills are important, but they can come later. A foundation in design—whether built through education or early career experience—comes from understanding the process and building up the soft skills that all designers, but especially interaction designers, need to master.
Chris would often see his students hung up on mastering tools first. But according to him, great interaction designers have three things at their core—empathy for users, storytelling chops, and the instinct to prototype.
1. Empathy for users
The role of a designer is to be the voice of and advocate for the end user. This is especially true when you're working in-house alongside engineering and product teams that might feel disconnected from the customer.

Empathy starts with an awareness of others and an ability to detect their emotions and understand their perspective. What does it actually feel like to live with a problem, and how would a potential solution actually fix it? “The more that you can build that muscle of empathy,” Chris says, “the better you're going to be as a designer.”
And for more seasoned in-house designers, the more you can help your counterparts across the organization develop their empathy muscles, the more successful it will make you and your UX team in delivering great products to market.
2. The desire to tell a story
Chris describes storytelling as effectively envisioning ideas and putting them into a more strategic framework. That frame could be user insights (how the work is right for the user), a business context (how the work builds on business goals), or organizational context (how the team is well equipped to deliver on the work).

“Storytelling is an under-appreciated soft skill,” Chris says. Storytelling doesn’t just come in handy for presenting your ideas—it helps build consensus with cross-functional teams. Being able to share your ideas and bring others on board helps designers be strong advocates for their own work.
3. The instinct to prototype
At IDEO, we talk about prototyping as a central step in the design process, but it's also a mindset that should be fundamental to the way an interaction designer thinks.
“As they have an idea, great designers put pen to paper, or pixels on screen, or just start building something as a way of working out their process,” Chris says.

Designers should be skilled at prototyping at various levels of fidelity, but most importantly, their gut instinct should push them to test ideas early and often.
“I love seeing that, especially from designers who are just discovering prototyping as a tool in their tool belt,” Chris says. “Seeing them realize that there’s more than one way of doing things, and that their first assumption of how they should present an experience could be right or wrong.”
Putting unfinished, scrappy ideas out into the world can make a designer feel uncomfortable, but Chris says the best prototypes leave room for users to co-design parts of the experience. “If they show you something that’s not working,” Chris says, “quickly change it. Move a button, rewrite copy, replace an image. Users can also take you down unexpected, delightful paths that can lead you to a powerful new idea."
Connecting more deeply with that end user—the person you’re designing for—is key to developing all three of these skills.
Want to learn more about interaction design? Dive deeper with IDEO U’s on-demand class, Prototyping for Digital Experiences.
How do you identify the makings of a great interaction designer? Is it coding expertise? Mastery of digital tools? A beautiful portfolio of visual design work?


Lindsey Turner
I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.
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.


Rachel Young
My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it
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.


Brian Pelsoh
I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.
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.


Tony Wong
I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.
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.
How to use AI as an editor, not a writer
Ed White shares how he uses AI as an editor—not a writer—to sharpen storytelling, rehearse ideas, and preserve the productive friction that makes creative work better.
Ed White has a rule he's tested on his own writing: hold yourself as the writer, and let AI be your editor. Ed is a Senior Design Director at IDEO's London studio, where he co-leads the firm's AI portfolio across Europe. Before IDEO, he spent 12 years as a writer and editor at the Financial Times, Wired, and Contagious. So when he talks about when to use AI for storytelling and when not to, it comes from two decades of crafting his storytelling skills.
In this episode, Mina Seetharaman talks with Ed about two specific tools he uses to keep AI in an editor's seat: a "roasting agent" prompted to critique his drafts without any sugarcoating, and a simulated audience he rehearses pitches on before the real thing. They also get into what Ed is hearing from design leaders at Anthropic, Lovable, Shopify, and Google Creative Lab about how creative work is changing, and why he thinks the friction of writing something yourself is worth protecting rather than automating away.
Building a personal AI for the messiness of life: Sida Li
Becca Carroll talks with Cue co-founder Sida Li about designing a personal AI for the messiness of everyday life—not just work. They explore how Sida stays anchored to human needs while navigating fast-changing technology, product tradeoffs, business-model experimentation, and the realities of building an AI company today.
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.
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.
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.
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.
Designing GenAI for the emotional side of money: Johannes Seemann
Designing financial tools around the feelings that shape money decisions.
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.
The curious leader's edge in uncertainty: Scott Shigeoka
How genuine curiosity helps leaders navigate uncertainty with greater confidence.
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.
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