If you focus on the problem, you won't see the solution.
Stage magicians are masters at using simple diversionary techniques to misdirect the audience's attention. Practice challenges can be just as distracting, misdirecting your attention to the most pressing symptoms, causing you to overlook the underlying cause.
Like patients who think their headache is the problem, the illusion that the problem is the problem is what keeps us stuck.
The "problem" is often only the symptom. Avert your eyes for a moment and you may be able to see the underlying cause. The lack of certainty. Poor preparation. The unwillingness to role-play. Untrained staff. The shunning of consistent and predictable systems. The risk of taking a stand. The fear of standing out. The anger that patients don't "get" it. Wanting to be liked.
Consider the high mountain stream. Sure, a few boulders are in the way, but gravity calls.
What's calling you?