Vaults, Energy, and Keeping Score

This week’s reflection explores a moment every physician leader eventually encounters — when you’ve done everything right, and the system still doesn’t move. We walk through why this happens, how to recognize when you’ve entered the “high priority, low control” quadrant of the Energy Discernment Matrix, and what to do next. You’ll hear: Why effort often stops matching outcome How to know when you’ve hit the limits of your influence The difference between pushing harder and protecting your energy What it means to redefine success when outcomes stall A practical “alternate scorecard” that honors integrity, clarity, and groundedness Small, meaningful wins you can create even when leadership isn’t budging This episode kicks off a short mini-series on navigating stalled change with steadiness, purpose, and less frustration.