Do you have a Plan B?
When practice becomes more challenging than you're accustomed, it's tempting to work up a Plan B in case things go south. Teaching positions. Consulting. Working for a relative. Even changing careers.
At first glance, this sort of thinking is justified as being prepared, resourceful, a good planner or just being wise. It is not. When you "hedge your bet" in this way it's actually a vote against yourself. In fact, knowing that you have an alternative plan prevents some from fully investing in their practice; pulling back and withholding just enough to produce the very circumstances they were worried might happen in the first place.
Burn your ships in the harbor! Close off the escape path! Become completely engaged! Patients, and especially staff members, can tell when you aren't. And they rightfully conclude that if you're not going to fully commit, why should they?