The Sustainable Performance Protocol
Performance. Renewed.
The SPMD Performance Protocol is a bounded, six-week clinical implementation program designed by a board-certified physician. It does what no coach, consultant, or wellness app can: take your SPMD Leak Assessment data and convert it into a functioning personal performance system across all five performance domains.
This is not an open-ended coaching relationship. SPMD Precision Coaching comes after. The Protocol is where the system gets built.
SPMD assesses performance, not health. SPMD is not medical care.
What You Arrive With
You arrive having completed the SPMD Leak Assessment. You already know your primary performance leak, and you have received your Initial MOVES. If you purchased the SPMD Fundamentals Toolkit, you also have your complete five-domain severity breakdown and a working vocabulary for DRAINS, CLEARS, and MOVES.
If meaningful time has passed since your Assessment, or something significant has changed in your life or operational tempo, you retake the Assessment at the start of the Protocol. Performance is not static, and a six-week program built on stale data produces a program built for someone who no longer exists. If your data is current, you start directly into programming.
An active DRAINS entry identified six weeks ago and still unaddressed is not waiting, it is compounding. The Protocol exists so the naming was not the end of the story.
What the Protocol Builds
Most performance programs treat the domain you scored worst on as the whole problem and ignore the rest. That approach misses how the 5P Domains interact. A person whose primary leak is Physical Readiness will show secondary effects in Prefrontal Operations, because sleep deprivation measurably degrades executive function. Treating only the loudest symptom leaves the quieter ones to compound.
The SPMD Performance Protocol builds programming across all five domains: Physical Readiness, Prefrontal Operations, Psychological Flexibility, Personal Systems, and Procedural Competency. Your Assessment data determines the weighting. The domain where you are leaking most gets the most attention first. The other domains are not ignored. They are addressed in proportion to what your data shows, so that gains in one area are not quietly undone by neglect in another.
By the end of six weeks, you will know your DRAINS across all five domains, not just the one you started with. You will know your matched CLEARS. You will have executed MOVES against real obstacles in your actual life, not hypothetical ones.
The Six Weeks, In Order
Week 1 recalibrates the foundation. Your DRAINS, CLEARS, and MOVES vocabulary gets reviewed against your current Assessment data, and the operating rhythm that will carry the next five weeks gets installed. You do not build on a layer you have not verified.
Week 2 builds the goal architecture: how your corrective work connects to what you are actually trying to accomplish, sequenced so that no single metric quietly consumes the rest of your life.
Weeks 3 and 4 install the two daily execution sequences, one for how your day opens and operates, one for how it closes and recovers. Which one you build first is determined by your typology and your data, not by a fixed curriculum. A person leaking through depleted recovery builds the evening sequence first. A person leaking through scattered execution builds the morning sequence first. By the end of Week 4 you are running both.
Week 5 is integration under load. Both sequences run together as one operating day, your backup planning gets pressure-tested against the moments the primary tools fail, and you learn to detect depletion early, before the tank is empty rather than after.
Week 6 is consolidation and handoff. Full-system review against your interval reassessment data, your Personal Reset Card gets built from what six weeks of your own results actually show, and the program closes with the path forward: independent operation, a longer runway on a specific domain, or Precision Coaching, decided by your data.
Beyond the Toolkit: The Build Layer
Everything in the Fundamentals Toolkit is corrective. It finds performance deficiencies and fixes them. The Protocol is where construction starts. On top of your DRAINS, CLEARS, MOVES, PACE, and HOPE foundation, the Protocol adds the preparation-for-execution layer: a structured morning execution sequence that puts your highest-leverage work where your cognitive resources actually are, an evening recovery protocol mapped to sleep physiology rather than wishful thinking, and the operating rhythm that sequences your CLEARS and MOVES into a working system instead of a list of things you know you should do. It also introduces goal setting that does not quietly sacrifice the rest of your life to a single metric. These are taught inside the program. First, you recover the performance. Then you build on it.
The Arithmetic of a Small Improvement
I will not show you testimonial screenshots with blurred names, because I do not have outcome data yet and I will not pretend otherwise. What I can show you is arithmetic.
Suppose the Protocol improves your daily performance by half of one percent. Not transformation. Not ten-x. Half of one percent, 0.5 percent, accumulated across the roughly 250 working days in a year (you do not forget it on weekends, but let us keep the math conservative), is the difference between the professional you are now and the measurably sharper one you could be this time next year. If your time is worth $75 an hour, a half percent recovery on a 50-hour week returns the cost of the Guided Protocol in under four months, and the system you build does not expire when the six weeks end.
That is the conservative case. The typical person arriving at a performance program is not operating at 99.5 percent of capacity looking for the last half point. They are leaking. If your Leak Assessment put you in a Moderate or Severe impairment band, the recoverable margin is not half a percent. It is the gap between how you are performing and how you are capable of performing, and you already know that gap is costing you more than the price of the program.
Choose Your Level of Physician Guidance
Every tier of the Protocol delivers the same six weeks of clinical materials. What changes is how much direct physician access travels with it. This is deliberate: the system is the system, and the fiduciary standard does not permit a stripped-down version of the clinical content at a lower price. What scales is guidance.
Session pricing inside the stack is a pre-purchase bundle rate of roughly $89 per 30-minute session, against a private rate of $150 per 30 minutes. The bundle exists because pre-committed sessions get scheduled and used, and a session that happens outperforms a discount that does not.
| Tier | Price | What is included |
|---|---|---|
| Materials Only | $98 | The complete six-week materials in the member section. No email guide. No sessions. |
| Unguided | $198 | Materials plus the six-week guided email structure. No sessions. |
| Guided | $297 | Everything above, plus one 30-minute physician session at the end of Week 6. |
| Additional Guidance | $386 | Two 30-minute sessions: end of Week 3 and Week 6. |
| Extra Guidance | $474 | Four 30-minute sessions: beginning, end of Weeks 2, 4, and 6. |
| Robust Guidance | $563 | Five 30-minute sessions: beginning, end of Weeks 1, 2, 4, and 6. |
| Comprehensive Availability | $652 | Six 30-minute sessions: beginning, end of Weeks 2 through 6. |
| All Availability | $742 | Seven 30-minute sessions: beginning and end of every week. One of the seven is free at this tier. |
Not sure which tier fits? The honest default is Guided. It is the complete program with the closing physician review, and if the six weeks reveal you need more contact, sessions can be added at the bundle rate rather than guessed at in advance.
Interval Reassessment
You cannot improve what you do not measure. At defined intervals across the six weeks, you reassess. Your programming adjusts as your data changes. If a domain is improving, the emphasis shifts. If a domain that looked stable starts to slip as attention moves elsewhere, that gets caught and addressed rather than discovered three months later as a new crisis.
This is the same clinical logic as managing a chronic condition: you do not set a treatment plan once and walk away. You monitor, you adjust, and the system stays responsive to what is actually happening, not what was true six weeks ago.
Personal Reset Card
By the end of the Protocol, you carry a condensed, personal Reset Card. Not a rescue plan for emergencies. A fast reference, built from your own data, for the moments when everything is compounding and you need to narrow the gap and steer, not start over.
30-Minute Sustainable Performance Coaching Physician Consultation
From the Guided tier up, the Protocol closes with a 30-minute consultation with the Sustainable Performance Coach and Physician who designed the system. Your six weeks of data gets reviewed together. Best next steps, whether that means independent operation, a longer runway on a specific domain, or moving into SPMD Precision Coaching, get determined based on what your data actually shows, not a default upsell script.
The DRAINS to CLEARS to MOVES Sequence
The clinical core of the SPMD Performance Protocol is the same three-part sequence introduced in the Fundamentals Toolkit, now applied across all five domains with real data behind it: Name DRAINS. Run CLEARS. Make MOVES.
DRAINS are the six performance-impairing states that map to the five domains. Drift is the gap between your stated values and your actual behavior. Resistance is the friction that produces avoidance and delay. Avalanche is the compounding of unresolved demands past the system's capacity to manage them. Identity Lock is the rigidity of a self-concept that blocks adaptation. Nerve Failure is the collapse at the execution point after commitment has been made. Spent is physiological and psychological depletion operating below conscious awareness.
CLEARS are the matched clinical interventions, one for each entry in the DRAINS. Clarify addresses Drift. Limit addresses Avalanche. Execute addresses Nerve Failure. Anchor addresses Identity Lock. Reset addresses Spent. Subtract addresses Resistance. The match is derived from the clinical and behavioral science literature on each state, not chosen arbitrarily.
MOVES are the implementation tools that bridge the gap between knowing which CLEARS to run and executing them. Knowing you need to run Clarify against your values does not tell you what to do at 0600 on Tuesday when the pull toward Drift is strongest. Your MOVES tell you exactly that.
The SPMD Performance Protocol applies all three layers, across all five domains, with enough clinical depth that you can run the sequence independently when the program ends. That transferable competence is the point.
Why Diagnosis Comes First
Every clinical encounter starts the same way. The physician takes a history, identifies the presenting complaint, and builds a differential diagnosis before recommending a single intervention. The prescription follows the diagnosis. It does not precede it.
Most performance programs invert this sequence. They prescribe a fixed curriculum to everyone who enrolls, regardless of where their system is actually breaking down. A sleep optimization module delivered to someone whose primary leak is in Personal Systems produces minimal return. A leadership accountability protocol applied to someone in physiological depletion produces frustration rather than change. The intervention was not wrong. The sequence was.
The SPMD Performance Protocol restores the clinical sequence. The SPMD Leak Assessment gives your primary domain deficiency, or the primary diagnosis. The SPMD Fundamentals Toolkit gives you all of your performance domain statuses, as well as ensures you master the material to repair yourself. The Protocol delivers programming matched to that diagnosis, across all five domains, weighted by what all of your data shows. The prescription follows the assessment. That is how medicine works, and it is the standard SPMD holds performance optimization to.
The 5 Operational Principles of Sustainable Performance
These are not motivational guidelines. They are the principles that govern every recommendation, every protocol, and every decision made inside this program.
The Clinical Lens: every performance problem is a clinical presentation until proven otherwise. Nothing is evaluated in isolation, because in the human body, nothing exists in isolation.
Medical Readiness: if you are not healthy, you are not ready. All performance optimization is built on a biological foundation, and if that foundation is compromised, nothing built on top of it will hold.
Process Over Motivation: motivation is the desire. Desire is abundant, cheap, and temporary. Process is the architecture that produces performance when motivation is gone, which is most of the time.
Psychological Flexibility: you are not your emotions. You are the organism experiencing them. The moment you can observe a thought or feeling without being governed by it, you have recovered full use of your cognitive and physical resources.
Honest Objective Science: you cannot improve what you will not honestly evaluate. Every recommendation here is held to the same standard: read the study, check the sample size, find the conflict of interest, ask who funded it. When the evidence is strong, you will hear that. When it is limited, you will hear that too. When something is overhyped, you will hear exactly why.
How these principles get applied to your individual situation, rather than just stated, is the Five Senses Clinical Standard. You can read more about it at the SPMD Method.
How It Is Delivered
The six weeks of clinical materials live in the gated member section, yours to work in any format that fits your life: read, watch, print, or work by hand. The guided email structure (Unguided tier and above) paces the six weeks so the program arrives in the right order at the right time. Physician sessions (Guided tier and above) run by video or phone, your choice. The format you choose is your choice, and it is another data point that helps us personalize all of your SPMD programming.
Every tier delivers the same clinical approach. What you are choosing is pacing and access, calibrated to how you engage best.
Is This for Me?
Are you a leader? A high performer? Are you responsible for other people's performance?
If yes, then yes.
If you are not sure yet, start with the SPMD Leak Assessment. It is free.
Managers. Sales leaders. Military officers. Physicians. Executives. If you have ever looked at the performance coaching industry and thought there must be someone in this space who actually knows what they are talking about, this is built for you.
If you are an executive, military leader, or operator outside of healthcare and are not sure a physician's coaching model is built for someone without a medical license, that question gets answered here.
You perform under real pressure. You need a process built to the same standard you hold yourself to. Evidence. Accountability. No shortcuts. No nonsense.
The Guarantee: The First Week Decides It
On any tier that includes the guided email structure or physician sessions (Unguided and above), enroll, complete Week 1, and if the Protocol is not what you expected, tell me and you receive a full refund. No exit interview, no retention script, no "let me offer you a discount instead." I am a physician operating under a fiduciary standard, and keeping money from someone the program is not serving would violate it.
Materials Only is a digital download and, like the Fundamentals Toolkit, is a final sale. If you want the safety net, choose a tier that comes with one.
One honest caveat, because honesty is the brand: the Protocol works on the data you give it. A refund policy can remove your financial risk. It cannot remove the requirement that you show up honestly for six weeks. That part was always yours.
Proof, in the Absence of Testimonials
New products do not have testimonials. I will not manufacture them, buy them, or trade free access for flattering ones. Here is what I can show you today instead.
The credentials are verifiable: active board certification by the American Board of Family Medicine, Fellow of the American Academy of Family Physicians, over ten years of military service, in the field with the Marines and deployed afloat as the Senior Medical Officer of a United States Navy warship. My license and board status are public records, which means unlike most of this industry, I have something real to lose by overclaiming.
The evidence base is public. Every mechanism is stated. Every citation has been read, not skimmed from an abstract. 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.
The standard is fiduciary, and it is in writing. Every decision and recommendation made at SustainablePerformanceMD has passed one test: is this in your best interest? Not an affiliate deal. Not engagement metrics. Not what worked for me personally. I hold a professional and ethical obligation to the people I serve, and that obligation does not disappear when I am coaching rather than treating. You deserve that standard. That is why SustainablePerformanceMD exists.
Results, Reported Honestly
The Protocol launched in 2026. Outcome data and client accounts will be published here as they accumulate, unedited in substance, including the mixed ones. Nothing on this page will ever be a paid or incentivized review. Until then, judge the method, the evidence, and the license. That is more than the rest of this space has ever offered you.