In this episode, Dr. Killeen reflects on a powerful idea from Nicolai Tangen about ambition and how it shapes outcomes. When goals are small, even success does not create much progress. But when ambitions are higher, the effort required to pursue them drives growth, learning, and better performance along the way. This mindset can change how a practice operates. Aiming for excellence in patient care, systems, and leadership pushes you to improve in ways that simply getting through the day never will. Even if the end goal is not fully reached, the progress made in pursuit of it leads to stronger results. Think a little bigger about what is possible and to take one small step toward that vision. The level of your ambition often shapes the level of your outcome.