Transitions. I think one of the most powerful but sometimes scariest things we do as physicians caring for patients, but also mentors to students and younger docs is help them create a compelling future life, and then actually watch it start to unfold right before our eyes.
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The decision to move forward. This, unfortunately, still remains a major stumbling block of many. Indeed, the slowness or lack of making even simple decisions, but most especially putting off critical decisions sometimes slows forward progress by weeks, months, and in some very unfortunate circumstances years.
I think one of the most powerful but scariest things we do as achievers is create a compelling future life, and then actually watch it start to unfold right before our eyes.
Think about it. If you are a doc, you did this as a student at several levels. In reality, many times.
I have a short list of reasons for failure, when a prospective client comes to me. The vast majority that ultimately become clients are successful because I personally vet all my clients on some really key issues.
Trouble is not far away when decisions are not based on knowledge of current private practice requirements.