One key limitation of this model is that walkthroughs provide only a brief snapshot of the classroom environment, capturing a moment in time rather than the full complexity of instructional practices. Achieving the level of detailed knowledge required to complete the Medical Model with fidelity can indeed feel overwhelming, particularly when curriculum requirements and instructional strategies are constantly evolving.

As instructional leaders, it’s natural to feel the weight of these challenges, which can lead to self-doubt or a sense of focusing on gaps rather than successes.