One of the responsibilities of leadership, particularly when it comes to creating cultures and gearing towards innovation—is the need to focus on urgency.
In his talk at The Global Leadership Summit, Malcolm Gladwell explored the untold stories of two leaders who accomplished breakthrough innovations. He unpacked what was behind these successes and how they utilized their influence to create urgency and give the permission to risk all for innovation.
Enjoy these official session notes to help you dive deeper into what you learned!

The Story of Emil Freireich and Childhood Leukemia
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- Emil Freireich, hematologist in America, was sent to the National Cancer Institute.
- Freireich’s boss, Gordon Zubrod, said, “I want you to cure childhood leukemia.”
- Leukemia was the one of the most common causes of death for children at that point. Doctors were often unwilling to use the drugs commonly used because it prolonged the agony.
- Freireich studied the four drugs and began to use them together.
- In 1965, Freireich published an article saying, “We have cured childhood leukemia.” It was one of the most important medical findings of the 20th century.
- This is a classic example of a great innovation. It was operational risk-taking.
Social Risk & Urgency
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- To do something truly innovative, you need to take a social risk. You must convince others that what you are doing makes sense.
- What is at the core of social risk-taking? Urgency.
- What Freireich was proposing to do was conduct a blind experiment on deathly ill children using four untested, horribly toxic drugs. The idea was crazy. But he was persistent.
- Up until that moment, no one had seen the problem like Freireich had seen the problem.
- What sets Freireich apart is that he is in a hurry. He sees the urgency. He’s willing to stick his neck out and try something new.
The Story of Xerox PARC
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- Xerox PARC was right in the middle of Silicon Valley. It was started in the 1970’s. Xerox hired 60-70 of the greatest computer scientists of the day. They were to imagine the office of the future.
- They built the first real personal computer. They created the graphical user interface. They invented the mouse. They created the idea of windows, the ethernet, word processing, laser printer, etc.
- In December 1979, Steve Jobs visits Xerox PARC. They showed him the Alto, the personal computer. He asks, “Why haven’t you brought this to market?” They were working to perfect it.
- Jobs runs back to his headquarters. He tells his engineers to change what they’re doing. They create the Macintosh.
- Was Jobs smarter than the engineers at Xerox PARC? Was he wiser? No. But Jobs had a sense of urgency. He wanted to do it now.
- Jobs had to admit that his own ideas were wrong, and others’ ideas were better.
- Jobs had to convince people to take another path. That social risk-taking is what leaders must do.
Protect & Nurture Risk-Taking: Back to Freireich
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- Freireich introduces a new treatment with horrible side effects. He says that he is going to have to do it every month for two years. People think he is a monster. Other physicians on the ward refuse to help. They would stand in the back of the room and heckle him.
- He was not at the National Cancer Institute to make friends. We need this attitude to take risks.
- Our leaders need to learn to protect and nurture this disruptive spirit.
- The real hero of the Freireich story is not Freireich, it’s his boss Gordon Zubrod.
- Zubrod understood that his responsibility as a leader was to make his organization safe for risk-taking.
- We need more Emil Freireich’s in this world but we won’t get them without more leaders like Gordon Zubrod.
Malcolm Gladwell
Host | Revisionist History PodcastThe Global Leadership Summit
GLN Staff Writer | Globalleadership.org/SummitGLS21 Notes: The Urgency of a Leader
Published August 6, 2021TOPICS IN THIS ARTICLE
Complex ThinkingDecision-MakingExecutionInfluenceLeading OthersLeading YourselfLearning AgilityManaging PeopleResilienceStrategyOne of the responsibilities of leadership, particularly when it comes to creating cultures and gearing towards innovation—is the need to focus on urgency.
In his talk at The Global Leadership Summit, Malcolm Gladwell explored the untold stories of two leaders who accomplished breakthrough innovations. He unpacked what was behind these successes and how they utilized their influence to create urgency and give the permission to risk all for innovation.
Enjoy these official session notes to help you dive deeper into what you learned!
The Story of Emil Freireich and Childhood Leukemia
Social Risk & Urgency
The Story of Xerox PARC
Protect & Nurture Risk-Taking: Back to Freireich
View All GLS21 Session Notes >>
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About the Author
Malcolm Gladwell
Host
Recognized as one of the 100 most influential people by TIME magazine and one of the Foreign Policy’s top global thinkers, Malcolm Gladwell is a world-renowned, five-time best-selling author and sought-after thought leader delivering expertise and practical application on management, innovation, history and leadership. Through his writing and speaking, Gladwell takes you on an intellectual adventure and challenges your assumptions. He has been a staff writer for The New Yorker since 1996 and has been honored by the American Psychological Society and the American Sociological Society. He was also previously a reporter for The Washington Post. As host of the popular podcast, Revisionist History, Gladwell re-examines an overlooked or misunderstood aspect of past events. Gladwell is the author of five New York Times best-selling titles including The Tipping Point, Blink, Outliers, What the Dog Saw, and David and Goliath: Underdogs, Misfits and the Art of Battling Giants. Gladwell’s latest book, Talking to Strangers: What We Should Know About the People We Don’t Know, offers a powerful examination of our interactions with strangers and why they often go wrong.
The Global Leadership Summit
GLN Staff Writer
The Global Leadership Summit (GLS) is a two-day infusion of actionable leadership insights and inspiration broadcast to hundreds of host sites across the United States every August. In the following months, the GLS is translated, contextualized and hosted by local leadership committees at hundreds of locations across Africa, Asia, Latin America, Europe and the Middle East. This global event convenes a world-class faculty who share their distinct perspectives and expertise, inspiring and equipping people around the world with practical leadership skills that can be applied within their context, wherever they have influence, and used to empower positive transformation where it’s needed most. Attracting an audience that represents various industries, including marketplace, non-profit, healthcare, education, government, ministry and corrections, the GLS has become a unique platform, unlike any other, bringing people together to not only empower better leadership within the organizations they represent, but in a growing number of cases around the world, this event also acts as a catalyst for organic local movements initiating systemic, city-wide change. What started as a single event back in 1990’s, the GLS has grown to attract tens of thousands of people today.