Leading From Last Place: Why Self-Neglect Is a Practice Problem, Not a Personal Failing, EP 241

You were trained to put yourself last. Not explicitly—nobody handed you a brochure. It happened through culture, through modeling, through what got rewarded in medical school and residency and every clinical environment since. And by the time you opened your own practice, you were running yourself exactly the way the system trained you to: straight into depletion. 

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In this solo episode, Tracy Cherpeski names what most providers already feel but rarely say out loud: the conditioning that made you extraordinary in the clinic may also be what's driving your burnout. She breaks down why early-stage burnout looks nearly identical to excellence, what it costs the practice when the leader is operating from last place, and what genuine sustainability actually looks like in a thriving independent practice. 

This isn't about working less. It's about leading smarter—treating your capacity as a real variable, building structures that don't require superhuman endurance, and finding the kind of community that actually getsit. 

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