I’m introducing a new format to Success Is Never Accidental—short, focused conversations with experts on key leadership topics.

To begin, I spoke with my husband, Rodney Payton, a highly respected figure in medical education, about one of leadership’s toughest challenges: handling difficult conversations.

Act Early

Delaying conversations only makes matters worse. Address issues early, while they are still manageable, before they become more complex and emotionally charged.

Be Clear and Specific

Avoid vague feedback. Be precise about:

What has happened
Why it matters
What needs to change

This is about accountability, not criticism.

Use a Coaching Approach

Encourage reflection rather than directing:

What happened?
What was the impact?
What would you do differently?

Insight builds ownership—and ownership drives change.

Follow Through

If commitments are made, revisit them.
Consistency is what maintains standards and credibility.

Consider the Team Impact

Unresolved issues affect the whole team. When leaders don’t act, others notice—and confidence in leadership declines.

Balance Support with Accountability

Most people will respond positively—but if change doesn’t happen, it must be addressed clearly and consistently.

Leadership Challenge

Think of one conversation you’ve been avoiding.

Have it this week.
Be clear, constructive, and follow through.

That’s where leadership credibility is built.

EP 77 Constructive Feedback, Difficult Conversations Done Well