Name the performance leak you have been compensating for.
If…
You set expectations, and they go unmet.
You lead the team, but no one works the plan you gave them.
You sit down to work, and finish nothing you intended to.
You put in the effort, and run out of gas before the results show up.
These are not motivation problems.
They are Performance Leaks.
Find your Performance Leak for free with the
SPMD Performance Leak Assessment below.
No cost, no card, just ten minutes and your results and action plan are emailed to you.
Performance leaks are not character flaws and are not discipline problems. They are specific, identifiable impairment in one of the five areas that govern how people function under sustained pressure. You can be leaking badly in one area while performing well in the other four, which is exactly why it stays invisible and why effort alone does not close it.
SustainablePerformanceMD was not written about pressure. It was written under it.
SPMD was built by William King-Lewis, MD board-certified physician, Fellow, and over a decade of helping Marines and Sailors sustain peak performance.
Ten minutes. No cost, no card. You get your result and one specific thing to do about it inside 48 hours. This is not medical care. It tells you where your performance is leaking and what to do about it.
WHAT A PERFORMANCE LEAK IS
Every high performer has at least one active DRAINS. A specific, identifiable state causing a performance leak in one of the five clinical performance domains. DRAINS consume resources and degrade output across everything you do. Left unaddressed, one DRAINS breeds others. Drift accumulates into Avalanche. Avalanche produces Nerve Failure at exactly the moment you cannot afford it. Spent builds silently underneath all of them until the reserves are gone. That is not marketing urgency. It is the natural history of the condition, the same way an untreated blood pressure of 150 does not politely hold at 150.
You cannot fix what you cannot name. Most people never name their DRAINS. SustainablePerformanceMD identifies your leak, names it, matches the correct CLEARS against it, and teaches you the MOVES that fix it for good.
WHO THIS FINDS
The SPMD Leak Assessment sorts real people into recognizable presentations. These are composite clinical pictures, not client testimonials, and they are labeled as such because you deserve to know the difference.
The Overloaded presents with a Process leak. Usually a leader in the busiest stretch of their career, running on capability and caffeine, whose systems were built for a job two promotions ago. Nothing is delegated cleanly, everything is urgent, and the calendar is a record of other people's priorities. The Overloaded does not need more discipline. The Overloaded needs Subtract and Limit run against a system that was never designed, only accumulated.
The Depleted presents with a Health leak. Often the strongest performer in the room and the last to notice their own physiology, because Spent accumulates below conscious awareness. Sleep became negotiable years ago, training became sporadic, and the focus complaints they think are the problem sit downstream of a biological foundation running at deficit. The Depleted does not need a productivity system. The Depleted needs Reset, and then everything else gets easier.
If you saw yourself in one of those paragraphs, that recognition is the same signal a physician gets when a presentation matches a pattern. The Assessment exists to confirm it with your data instead of your guess. And if you do not recognize yourself in your result, walk away. It cost you nothing.
Where can I get a performance assessment to identify areas for improvement in my leadership skills?
Start with an assessment that measures function and readiness, not just style preferences. The useful ones show you where performance is leaking, not which color your personality is.
A strong assessment covers physical readiness, cognitive operations, psychological flexibility, your personal systems, and your actual competencies. Leadership sits on all five, and weakness in any one of the domains will show up under real pressure.
The SPMD Leak Assessment is a free, physician-built version of exactly this and takes only a few minutes.
How Physician-Led Performance Coaching Works
There is a right order to this:
Name your DRAINS. The free SPMD Leak Assessment identifies your primary performance leak archetype the across five clinical performance domains and gives you an evidence-based starting point. Ten minutes. No cost. This is where it begins.
Master the CLEARS and MOVES. The SPMD Fundamentals Toolkit gets you your full Assessment results and provides all the tools necessary to develop mastery of the six DRAINS, six CLEARS, and the full taxonomy and database of all MOVES implementation tools. Eleven dollars. Permanent access. Most people find this is enough to start seeing real change without buying anything else.
Build the architecture. The SPMD Performance Protocol converts all of your assessment data into a personal performance program, designed over six weeks. It closes with a 30-minute physician consultation. You exit operational.
Sustain it. SPMD Precision Coaching is where the system becomes permanent. Physician-led, longitudinal, calibrated to your data. The operating system for the rest of your career.
The SPMD Leak Assessment
Free. Ten minutes.
FOUNDING 100, THROUGH 31 JUL 2026. Complete the SPMD Leak Assessment, answer the short feedback form that follows, and you will get the complete SPMD Fundamentals Toolkit at no cost. One hundred spots. This offer exists because your early and honest feedback is worth more to SPMD right now than eleven dollars.
The Performance Leak Assessment is free and takes ten minutes. It will name the leak you have been compensating for. What you do after that is up to you, and every next step is priced, guaranteed, or free in a way that makes the decision easy to make honestly. You can take the SPMD Leak Assessment.
Diagnose. Recover. Build. Sustain. Fiduciary. Performance. Coaching.
The Fiduciary Standard
Every other coach can recommend anything. I cannot.
That's not a limitation. It is the whole point.
I am a board-certified Family Medicine Physician with a binding professional fiduciary obligation to the people I serve. Every recommendation, every protocol, and every tool I put in front of you has passed a single test: is this in your best interest? Not the best interest of a product line. Not an affiliate deal. Not engagement metrics. Yours. A coach who has never accepted that obligation can promote whatever pays. Does that mean every other coach is compromised? Of course not. But every coach without a fiduciary oath certainly can be, and they face no professional consequence for being wrong. I do. My license and board status are public records, which means, unlike most of this industry, I have something real to lose by overclaiming.
If I would not take it, would not buy it, would not do it, and would not have my family do it, I will not be recommending it for you.
Still suspicious? Good. Keep that.
Skepticism is a screening instrument, and the people this system is built for should not switch it off for anyone in this industry, including me. So do not trust me. Audit me. The credentials are verifiable. The evidence base is published and reviewable, and every tool in the MOVES Database carries an honest evidence label, including one flagged with an open evidence question, kept in the database on purpose. Ask any other performance product to show you its evidence labels and watch what happens. When client outcomes exist, they will be published here honestly, including the unimpressive ones. Nothing on this site will ever be a paid or incentivized review.
Links: "The credentials are verifiable" → /about · "The evidence base is published and reviewable" → /evidence
The Leak Assessment is free, so the only thing you are risking on all of this is ten minutes.
The wellness industry sells confidence without credentials.
You've seen the content. Energy chews, protein powders, skin creams, high-performing coaches with before-and-afters, and supplement stacks. Some of it sounds right. Some of it even works…for a while.
But none of them are accountable to you the way a physician is. They can cite a podcast. I cite peer-reviewed literature. They can walk away when the advice doesn't work. I never will.
SustainablePerformanceMD exists because high performers, physicians, military personnel, executives, and operators deserve a system built on the same standard they hold themselves to. Evidence. Accountability. No shortcuts that do not actually work.
THE FOUR STAGES OF SUSTAINABLE PERFORMANCE
There is a right order to this. Most people skip straight to the end. The ones who do not get there faster.
SPMD Leak Assessment
Free. 10 minutes. Identifies your primary performance leak across the 5P Performance Domains, names your DRAINS, matches your CLEARS, and delivers your Initial MOVES: an evidence-based first intervention matched to your presentation. It is the standard starting point. Everything builds from here.
Performance. Revealed.
SPMD Fundamentals Toolkit
The architecture underlying everything at SPMD. Mastery of the six DRAINS, six CLEARS, full MOVES taxonomy, PACE, and HOPE, with permanent access to the complete MOVES Database: every clinical MOVES mapped to its DRAINS, its CLEARS, and its 5P Performance Domain. Also your full five-domain Assessment breakdown, obtained inside the member area.
$11, once. No subscription, no upsell required to use everything inside. Priced deliberately below the point where affordability is ever the real question, because the diagnostic vocabulary should not be gated behind a coaching-industry price tag. Most people find this layer is enough to see real change without buying anything else.
Performance. Recovered.
SPMD Performance Protocol
The build layer. Everything in the Toolkit is corrective; the Protocol is where construction starts. Over six weeks it converts your Assessment data and your Toolkit foundation into a personal performance operating system: structured execution rhythms, recovery built on sleep physiology rather than wishful thinking, and goal setting that does not quietly sacrifice the rest of your life to a single metric. It closes with a 30-minute physician consultation reviewing your six weeks of data. And the risk sits with me, not you: complete Week 1, and if the Protocol is not what you expected, full refund, no retention script. If it recovers even half of one percent of your daily performance, it pays for itself within months, and the arithmetic behind that claim is shown in full on the Protocol page, because I do not have testimonials yet and I will not invent them.
Performance. Renewed.
SPMD Precision Coaching
Where the system becomes permanent. Physician-led, longitudinal, calibrated to your data: your Leak Assessment and Protocol results are the baseline, and every session builds on the one before it. No resets, no re-explaining. Precision analysis across all five domains, and precise small improvements that accumulate across a career.
Performance. Realized.
SPMD FOR EXECUTIVES
SPMD is not what most physician-credentialed coaching is. This is precision coaching for people who perform in high-pressure, high-stakes situations. That includes physicians, but it is definitely not limited to the profession of medicine. Learn how SPMD applies to your executive career.
MULTIPLE FORMATS, ON PURPOSE
SPMD materials are available in multiple formats: video, video conference, recorded program, phone consultation, email-based, transcript, and self-directed workbooks. Bandwidth, learning style, and a schedule you do not control are design constraints here, not excuses. If a specific format serves you best, email will@sustainableperformancemd.com and I will get you the material in the form that works. How you choose to engage also becomes one more data point for personalizing everything that follows.
The Performance Leak Assessment
Free. Ten minutes.
It will name the leak you have been compensating for. What you do after that is up to you, and every next step is priced, guaranteed, or free in a way that makes the decision easy to make honestly.
Take the SPMD Leak Assessment
Diagnose. Recover. Build. Sustain. Fiduciary. Performance. Coaching.