Preserve

Developing Lifetime Action Plans: Preserve–Achieve–Avoid

An Excerpt From the Curriculum of the 4th Grapevine

This is the first of three analytical tools for ferreting out topic areas that may be rich with material for enhancing Visions, Lifetime Goals (optional) and Action Plans. As you zero in on those values and Lifetime Goals that fall short of your aspirations, it’s extremely effective to take the overall situation from a long distance perspective before you delve into specific actions. Preserve – Achieve – Avoid is an effective way to do this.

To begin, develop a heading that labels the situation, e.g., “Discontent with Patient Care.” Then analyze the situation under the following three columns, such as the following:

Preserve	Achieve	Avoid
the vehicle for being able to see patients the need to keep up-to-date on medical knowledge an environment with colleagues an income that provides my comfortable lifestyle being able to live in my present neighborhood	quality time with patients a happier patient care team more enjoyment as I practice medicine being a more enjoyable father/ mother, husband/wife when not at the practice that feeling of wanting to go back to work after vacation	the pressure of having to see patients every 10 minutes an underlying sense of anger that I must spend energy controlling having to practice medicine at more than two clinics contracts with ever decreasing reimbursement schedules

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