In S4 E14, the penultimate episode for season 4, I am delighted to welcome three clinicians from North Metropolitan Health Service (NMHS) in WA to speak about their collaborative work to create and implement the multiple award-winning organisational initiative to improve Junior Medical Officer working conditions, wellbeing and experience, The JMO Manifesto. The NMHS JMO Manifesto was developed in collaboration with JMOs and DITs ( Doctors in training), Sir Charles Gairdner Hospital ( SCGH) RMO Society, Senior Clinicians and the AMA. https://www.nmhs.health.wa.gov.au/News/2022/12/14/Junior-Medical-Officer-Manifesto In this conversation I hear from Dr George Eskander current executive director of medical services at NMHS and proud executive sponsor of the JMO Manifesto , Dr Katie McCleod, registrar working in a medical administration and research role at SCGH and Dr Roberta Dumbrava, the SCGH RMO Society co-president and current PGY3 RMO. ( Full bios in episode and on website ) All three clinicians play instrumental leadership roles and work in collaboration to implement, iterate and evolve the JMO manifesto. In this conversation I hear about the nuts and bolts of the manifesto from concept to implementation, the success to date and future plans to evolve the system and process. On first hearing about the JMO Manifesto it might sound like a "unicorn" in building a robust healthcare workforce value proposition but on paper the NMHS JMO Manifesto is quite simple and, indeed, rather obvious. It is however very clear to me, in speaking to the team, that excellence in collaborative values-driven leadership and building a culture of genuine psychological safety have been the enablers. George, Katie and Robbie describe a shift in "the feel of the place" and that their organisation has done a "180 flip". All three clinicians are passionate about creating sustainable organisational and cultural reform and embracing genuine staff wellness through strategic action. The JMO Manifesto is an excellent blueprint for strategic organisational wellbeing reform I am grateful to Dr George Eskander, Dr Roberta Dumbrava and Dr Katie McLeod for sharing their time and expertise. This is how we learn from excellence.