How do you separate the obstacles you can handle alone from the ones that need outside help? By being brutally honest about the behaviors and capabilities present in the practice today, not the ones the doctor wishes were present. List every risk that could derail the twelve-month goal. For each, ask: given the current state of the team's skills, the doctor's habits, the time available, and the financial resources, is there a realistic path by which this practice can resolve this risk on its own? Many risks pass that test. Many do not. A doctor who has tried and failed to [...]

How do you separate the obstacles you can handle alone from the ones that need outside help? By being brutally honest about the behaviors and capabilities present in the practice today, not the ones the doctor wishes were present. List every risk that could derail the twelve-month goal. For each, ask: given the current state of the team's skills, the doctor's habits, the time available, and the financial resources, is there a realistic path by which this practice can resolve this risk on its own? Many risks pass that test. Many do not. A doctor who has tried and failed to [...]

How do you separate the obstacles you can handle alone from the ones that need outside help? By being brutally honest about the behaviors and capabilities present in the practice today, not the ones the doctor wishes were present. List every risk that could derail the twelve-month goal. For each, ask: given the current state of the team's skills, the doctor's habits, the time available, and the financial resources, is there a realistic path by which this practice can resolve this risk on its own? Many risks pass that test. Many do not. A doctor who has tried and failed to [...]