What happens when a seemingly great hire isn’t delivering? Underperformance is a roadblock we all face as leaders—but it doesn’t have to be the end of the road for your team member.

In this episode, I’m breaking down how to handle underperformers with the right mix of accountability and support. From assessing their potential with the “4 A’s” framework to practical steps like my RPM strategy, I share exactly how to turn things around—or make the tough call.

Tune in to learn how I evaluate, coach, and help team members level up their skills and mindset, so they can hit the ground running.

In This Episode:

- Hiring A-players

- The four A's of hiring

- The RPM method

- Prioritization strategies (Pareto's Principle 80/20 rule)

- Coaching vs. cutting losses

- The fifth "A": Authenticity

- Creating a coaching culture

- From mercenaries to missionaries

Resources:

➡️ Free community of high-performing physicians: the Physician Wealth Accelerator - https://limitless-md.mn.co/

➡️ Check out my programs - https://vikramraya.com/coaching-tab-revamp/

➡️ Apply to become a Limitless MD - www.I8mastermind.com

Connect with Vikram Raya:

🌐 Website: https://vikramraya.com/

📸 Instagram: https://www.instagram.com/vikramraya/

👤 Facebook: https://www.facebook.com/Vikramrayamd/

🔗 LinkedIn: https://www.linkedin.com/in/vikramraya/

🎞 YouTube: https://www.youtube.com/@vikramrayalimitless

Special Thank You to Music Provided by Music Library: https://soundcloud.com/music-library-non-copyrighted-sounds/300-violin-orchestra-jorge-quintero-copyright-and-royalty-free