The EntreMD Podcast

You Don't Need Permission From Anybody But You

September 25, 2023 Dr. Una Episode 363
The EntreMD Podcast
You Don't Need Permission From Anybody But You
Show Notes Transcript Chapter Markers

Fourteen years ago, I made a daring decision to start my own medical practice, a decision that has since propelled me on a mission to empower a hundred thousand physicians. This episode is all about that audacious journey, and how you too, can take charge of your life, your dreams and your business without needing anyone's permission. Join me, Dr. Una, as we travel down memory lane to when I grappled with tough decisions like homeschooling my kids and building a business from scratch. As I share these personal experiences and insights, I aim to inspire you to also make bold, life-changing decisions.

In setting up a thriving business, remember that you are creating a masterpiece. We examine seven key areas, namely revenue, impact, team, service delivery, new verticals, quality of life, and collaborative relationships, that serve as the building blocks of this masterpiece. Prepare to shift your mindset and take action - it's time to become the version of yourself that can craft this masterpiece. But the journey doesn't end there. We delve into the importance of setting an example, inspiring not just yourself but also those around you. So, what are you waiting for? Jump in, and remember, you don't need anyone's permission to make your dreams come true. .

When you are ready to work with us, here are three ways.

1. EntreMD Business School Accelerator - If you are looking to make a 180 turnaround in your business in 90 days, this is the program for you.
2. EntreMD Business School Grow - This is our year-long program with a track record of producing physician entrepreneurs who are building 6, 7 and 7+ figure businesses. They do this while building their dream lives!
3. EntreMD Business School Scale - This is our high-level mastermind for physicians who have crossed the seven figure milestone and want to build their businesses to be well oiled machines that can run without them.

To get on a call with my team to determine your next best step, go here

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Speaker 1:

Hi dogs, welcome to the EntremD podcast, where it's all about helping amazing physicians just like you embrace entrepreneurship so you can have the freedom to live life and practice medicine on your terms. I'm your host, dr Ibnah. Well, hello. Hello, my friend, welcome back to another episode of the EntremD podcast. Today we are going to have a spin-off of a conversation that I was actually having with my mother, and I was telling her that I'm grateful for some really bold decisions that I've made over the last decade and a half, and I had no idea it would bring me to where I am right now, but I am happy that I took them, and by bold I don't mean no fear, I mean feeling the fear and deciding to do it anyway, and so I think about it. 14 years ago, I was just fresh out of residency, really, and there was this thing you can start a practice and I was really ignorant. I didn't know anything about anything at that time. If I did, I probably wouldn't have started a practice because I would have talked myself out of it. But I, for some reason, my husband and I, we just made this bold, audacious decision that we're going to start a practice, and maybe not conventional, maybe people don't do it that soon out of residency. But we decided we were going to do it. We didn't have the funds to do it and I mean like it was so much, but we decided to and I can look back on now and go, that was a fantastic decision. And then when I started my practice, I remember I mean first of all I just had this thought I want to work till I'm 40. I want to do the see the patients till I'm 40. And I want to retire at 40, which is a crazy thought. I mean I still think it's crazy, but it's a crazy thought Because I was like I know that I have nine lives in me and I want to live them all out. I didn't know what they were, I had no idea, I just knew there was more. And I remember that kind of drove me to try to build my business very early on my practice as a business that could work without me meaning I was big on training my team. I was big on bringing on other doctors as soon as I could. I mean my first hire literally worked one day a week. She worked on Fridays, which means I had a long weekend every weekend. But it also meant that if I needed to be away, I had somebody that I could pull on, things like that. But and I started thinking about systems how do you put this in a box? I would read the EMF physician and I was like, huh, how can I apply that? So I started thinking in terms of teams and systems, which, if you don't have those, you do have a job and you can never really separate yourself from it. And I thought about when it came time where it's like I really need to go in, all in on on TremD. I really need to chase down this mission of helping a hundred thousand physicians. I need to build out the business school, write books, go all in on the podcast, serve people at the highest capacity, speak on stages, do all of these things. And I made that decision like I was going to take a sabbatical from my practice and really go in. And the I mean it's, the growth has been explosive. The impact has been explosive. It's just been it's, it's, it's, it's mind blowing right. And I'm like, wow, what if I didn't make that decision? And there's a current project that we're working on and the boldness to say I'm going to do it? And it's just been one thing after the other, and even like the decision to pull my kids out of private school and homeschool them, and the level we're at the two and a half year mark now but the level of change that they have experienced and the things they've learned, the skills they've acquired, the character they've built, the faith they've built, I mean I'm like that is one of the best decisions I made, even though it was a decision that was really hard to make at the time, but I'm so grateful that I did. And so I'm thinking about all these really bold decisions and they're not necessarily conventional. There are many reasons why it was not the right time. I mean, when I started my private practice, I had two kids under the age of two. You know what I mean. So I mean that was not the right time. We didn't have the resources to pull it off. We had to get resourceful. There are so many what ifs right Along the way, just so many what ifs, and. But I can look back and you know, and hindsight and say I'm so grateful for those bold decisions and, if anything, it puts me in a position where I am committed to making more bold decisions, because I'm like, wow, if I continue along this path, then what could happen? Right? And so it made me think I don't need permission. I don't need for somebody to say it's okay for you to do this. I don't need somebody to tell me fine, go for it, you're gonna succeed at this. I have the opportunity of taking my life into my hands and building what is a masterpiece according to my standards, right. And today I wanna extend that thought to you to like you don't need permission. You may be like can I start a practice? Can I take my practice to seven figures? Can I hire this kind of team member? Can I, can I, can I? And what if you didn't need permission? What if you could just do it? You know what I mean. What if you could just take it? What if you could just make your dreams a reality, the things you've thought about and thought about and wished about and wished about? What if you could just make it a reality? You don't need permission. Nobody's gonna give you permission. Nobody's gonna call you and say, yeah, I think you can do this. And if we wait, when do we stop waiting? So I want you to think about this. I'm gonna bring this all the way home. I wanna look at seven areas where you don't need permission. If this is what you wanna do, then go for it. This is what you wanna do and you're committed, and I'll tell you what commitment means. Once I'm done with this, then go for it. So, for instance, you decided I'm building my business and I wanna make it a seven-figure business, or I wanna cross the multiple seven-figure mark, or I wanna cross the eight-figure mark. Well, why not? Why not? You don't need permission. If that's what you wanna do, you can do it. When I started off on Tram-D, I said, hey, I wanted to help 100,000 physicians and build profitable businesses so they can live life and practice medicine on their terms. And I've been going at it for five years and we are well on our way. We're not quite there yet, but we're well on our way and you may have some kind of impact that you wanna have. I have clients who have told me big shout out to Dr Dada. She is a rheumatologist in Seattle and she's I want to build the center of excellence for rheumatology in the greater Seattle area. That's the impact she wants to have and I say go for it. You don't need permission, right? You don't need permission. So revenue what is that impact? What is that For your team? What kind of team do you want to build? So maybe you have a team of producers, you have five people and you know it's time to bring in a manager, or it's time to bring in an executive, or any of those and you're like I don't know if I can do that. I don't know if I can lead that kind of person People like me. You don't do things like that and you don't need permission. You can build that. You can build that right. When it comes to service delivery, there's a type of service you want to give, so there's a way you want your clients to feel and all of that. You don't need permission. You can do this right. When I started my private practice, I was like I don't want my people to be a number. I want it to be warm and friendly. I want people to feel like oh, I came to see my cousins, who happen to be medical clinical staff, and I wanted them to be in and out within an hour. I wanted the turnaround times to be an hour. That is what I wanted. I don't need permission. I can build that. Maybe there are new verticals that you want to create in your business, right? So maybe you're a coach and you've decided I want to build this app. You're in private practice and you decide there are these other answer things I want to build that could be a seven-figure stream. Maybe you want to acquire another company and all of those things. You've thought about it and you want to go for it, but you're waiting. You're waiting. Stop waiting, stop waiting for permission. You are the one who's going to create your masterpiece business. You're the one who's going to do that. Maybe it has to do with quality of life. You want to work three days a week. You don't want to work five days a week. Nobody's going to give you permission. You're going to decide this is what I want to do, what needs to happen for this to be possible, and then go after it and get it done right, like you can decide. I said I wanted to go on a sabbatical and I've been on a sabbatical for, I think, 22 months at this time, and that's my call. That's what I want to do and you can create that. You may decide. I want to take a one modification In fact, in EBS scale, which is the tier of the Entranity Business School for doctors who are running businesses, over a million dollars in revenue. Our very first I think it was our first few meetings. I was like, okay, how much time did you take off last year? And so I'm like two weeks, some are like no weeks, and then five weeks and stuff like that. I'm like, okay, well, how about over the next 12 months you're going to double that? And I could see everybody's eyes go what are you talking about? I'm like. And then somebody asked a question which I guess was is on most people's minds Well, the impact is going to have on my revenue. I'm like, yeah, but what if you could take out, you could double your time off and you can increase your revenue. And they stopped and thought for a moment that's what we're going to work on, because that's what you want, that's what we're going to create. And for almost every last one of them, as I think about it, they have actually done that Grown their revenue increased, doubled. Like. Some of them have taken vacations every quarter, like it's a standing joke. Okay, where is this call going to be from? Because everybody's always somewhere Somebody's in Jamaica, someone's in Cancun, someone is in Scotland and because that you can create your masterpiece business and your masterpiece life, right? Okay? So maybe it has to do with collaborative relationships, like what kind of people do you want in your circle? What kind of people do you want in your network? You don't need permission, you can insert yourself into their circles, like you can make this happen and that can be your reality, right? And so if you think about these seven areas so I had revenue, impact, team service delivery, new verticals, quality of life, collaborative relationships you can pick, you can choose. You don't need permission, you can create it. We are entrepreneurs. We are literally making something out of nothing. You're a creator. Right Now, I do want to stop here and I want to talk about. I want you to see, because I don't want this to be a thing about wishful thinking this is what I want and then it's going to magically manifest and things like that. I would really want you to think this works if you decide on it and you're committed. And I want us to look at you know what is the evidence that I'm committed? Okay, because I want to make sure you have that piece so you can decide this is a masterpiece life I'm going to create and then you go on to create it, like you bring your commitment to the table and is a requirement. Okay, commitment is a requirement. There's no way around that. All right, now, evidence of your commitment Number one you are willing to evolve in your identity. Okay, so if you decide I am going to build a $10 million business before the $10 million business comes the person who builds a $10 million business and that means that you're going to change the way you think. That means you're going to go head on and attack limiting beliefs that you have. That means you're going to expand your expectation. That means you're going to work on all of those things. It is work to do that, but it is beautiful work, like the version of you that will show up on the other side of that you will absolutely adore, okay, and so that means you're somebody who does that. You do the mindset work. You do the shifts. In the Entremde Business School, we work on this a lot getting you to shift that identity, getting you to make those mindset shifts, getting you to identify what those obstacles are in your mind, are and facing them head on. Right, because you're not going anywhere on the outside that you haven't been to on the inside, like it just doesn't work. Okay, so that's the first evidence of your commitment You're going to do that work. And the second thing is that you're going to take the corresponding action. The person who is building a $10 million business how do they show up? How do they go after marketing? How do they go after sales? What is their brand like? What kind of service delivery do they have? What is that? And you start taking those actions even before you get there, because it's the actions that will get there, will get you there, right, and so you have the evolution in your identity. You have the corresponding action, so you cannot refuse to do the work that's going to get you to $10 million and sit and wish and vision board out $10 million, like it doesn't work that way. Okay, all right. So you have the corresponding action, you're going to do it and you're going to do it long enough, right, and so saying, oh, I hired I had one bad hire an executive, it didn't work out, I got burned, I don't do that anymore. No, if you didn't, you're going to go do it again. Okay, and listen, especially when it comes to hiring, because at this level of business, a lot of the issues around team and all of those things I had the privilege of being in a room listening to a speaker who was running a $500 million business and somebody asked her a question about. The person said you have so many amazing people on your team. Like, how did you find these unicorns? And I was so excited Somebody asked that question. I leaned forward. I was like she's going to tell me all the things. I'm going to go back, I'm going to change my company. It's going to be so amazing. And she said it really is trial and error. Now, first of all, I was upset. I was like wait a minute, at $500 million, are we still talking about trial and error? She says it's trial and error. You're probably going to kiss three or four frogs before you hit Prince Charming. And so my conclusion at the end of that meeting was you know what, since this is trial and error and since it may take me three to four hires to get to the person who is the person, then I guess I best get to it right. And so you're gonna have to do this stuff long enough. I mean, like it is what it is. And the reason why that happens, if I may digress a little bit, is because I mean, in the beginning, you don't really know what you want, right? And so maybe the first hire is even figuring out what do I want for this role, right? And you don't know how to lead that kind of person. So you're gonna have to grow in that Like it's all of that, right? So it's a two-way street, right? It's not just the people, it's the people and the leader, and so you have to do this long enough to get good enough to get the person you need, but anyway. So that's the second thing, the corresponding action, and long enough. And then the third thing is you have to be able to weather storms. Your commitment, when things are all rosy, doesn't mean anything. We don't know. You're committed till the storm show up. And in entrepreneurship, things are going to go down. In your life, things are going to go down, like things are going to happen. It's not going to be a bed of roses. Your ability to say no retreat, no surrender in the midst of a storm is what will put you in a position where you can make your dream life your reality, where you can make this masterpiece business according to your standards a reality, right. And so that's the evidence of the commitment. If those three things are not there, like you may be saying it, but it really is wishful thinking, right. And so, especially as physicians, I mean, we are in this space where it really is fascinating what is happening in the healthcare space. It doesn't matter what kind of entrepreneur you are whether you're an entrepreneur or you're running a practice, or you're a coach, or you're a speaker, or you run events or you have a product, is interesting times. But I'm here to tell you that we are the first generation of physicians who are going to be like MD 2.0, entrez MDs, where your MD is just no longer enough. Right, like you have it and you have all these business skills and all of this. And we are rewriting what a physician looks like. Like a physician before just means clinical skills, but we are rewriting that. We have the clinical skills. We understand how to negotiate in boardrooms. We are building seven, eight figure businesses. We are leading initiatives in the healthcare space. We are the ones who are influential with the loudest voices, like we're a new crop of physicians and I am telling you nobody's going to give you permission and you don't need anybody's permission. I want to invite you to give yourself permission today to go all in on what your dream business is. Go all in on what your dream life is, and I would love to watch you celebrate and celebrate and celebrate the life you go on to create. When I was talking with my mother, she was like there's no way you could have imagined that you'll be where you are right now and I'm giving that comment to you as a gift. You cannot imagine where you will be if you just give yourself permission to go ahead and build what you've been dreaming of. Take that dream, add commitment to it and go for it. I'm rooting for you and the physician space is waiting on you. I'll leave you with this. I had the opportunity to To be in a group with a number of entrepreneurs. These are people running multiple, eight, multiple, eight, multiple, seven figure businesses and I got to introduce my children to them and I got to bring my children into the room and they sat there while these people are talking about their businesses and talking about the challenges they're facing there, and someone's talking about how he's on track for his first $10 million year and somebody else's we hit our first $300,000 month and all of that and my kids. I'm thinking that what it did for them is it wasn't an overt message, but it was this thing of you belong in the room. This is a big room, but there's a spot for you in this room and they got to see things that maybe before they didn't quite know was as possible. But these are real people that they're talking to. Some of them got auntie and uncle status, the power of an example right, and they saw people of all races, all gender, like all of this stuff, and they're like, wow, the healthcare space, the physician community, is desperately looking for examples, and you're listening to this podcast. I want to challenge you do this for yourself and do this for the physician community, because everybody who sees you cannot unsee what they just saw and it drives them to say wait, then maybe I don't need permission and I can go do this and your life begins to trigger this ripple effect all through the physician community just by being, just by you being. So I'm inviting you do it for you, do it for the physician community. We are the Calvary, we are the first generation, we are the first crop and we're gonna get this done All right. So I'm rooting for you and I want you to embrace this concept that you don't need permission and go all in and create your masterpiece business and your masterpiece life, and I will see you on the next episode of the Aunt Tram Day podcast. Hey, if you love listening to the Aunt Tram Day podcast, I want to invite you to join Aunt Tram Day on Demand. It is my signature subscription program that gives you access to a library of business courses designed to help you do one thing as a physician entrepreneur, and that is to thrive. Just head out to ontramdcom, forward slash on demand and I love to have you join us. See you on the inside.

Embracing Bold Decision-Making in Entrepreneurship
Creating Your Masterpiece Business and Life
Empowering Physicians to Thrive in Business