How to Create a Profitable To-Do List
30 Jan 2026 · 22 min
Dr. Una teaches physicians to use the 80/20 rule on their to-do lists, cutting busywork and focusing on four things: building an audience, converting followers to clients, serving them, and generating revenue. Prioritize uncomfortable high-impact tasks like guest spots and webinars. Delegate the rest.
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If your business isn't working the way you expected, it's not because you're bad at business. It's because no one ever taught you how it actually works. We were trained to master algorithms in medicine, but when it comes to revenue teams and growth, we were never taught anything. We weren't even told to figure it out. We just assumed somehow we'd know. Like it would magically make sense. But it doesn't. The era of the seven Figure Physician CEO is here. And it's not about working harder. It's about learning entrepreneurship as a system. The same way you mastered ACLs and pals, you can master the algorithm of building a profitable scalable business. That's why I recorded the Seven Figure Physician CEO audiobook. Whether you're building a medical or non medical business, and whether your goal is your first million, first 2 million, first 5 million, first 10 million, this is where the journey starts. There is no calvary coming to save us. We are the Calvary. So. So go get your audiobook now. Www.entremd.com 7Figurebook. And let's rewrite the narrative for physicians starting today. Hi, docs. Welcome to the Entre MD 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. Una. Well, hello. Hello, my friends. Welcome back to another episode of the entremd podcast. As always, we're going to have a super amazing time. If you have not taken time to subscribe to the podcast, you do want to do that so you don't miss an episode. All right, today we're going to be talking about something that may hurt a little bit, but it would make you so much more productive. It will help you do so much more in less time. And you, you will thank me later. Okay? So when it hurts a little bit, just know this is all done in love. All right, now before we go into this, I want to read a review for the EntreMD method book. This is our book, a proven roadmap for doctors who want to live life and practice medicine on their terms. It was number one new release on Amazon the entire first month that it was out. It has 94 reviews, which we're so grateful for. And I want to read one of those. Okay, so this says Amazon customer. So if you hear this and you're like, that was my review, Dr. Una, you let me know on Facebook, okay? It says, must read. Every doctor, and honestly, every entrepreneur needs to read this book, I started taking screenshots of my favorite parts, and then I realized I took a screenshot of almost every page. Okay, so it is 196 pages of liquid gold. Thank you so much for that review. I truly appreciate it. Thank you for getting a copy. Thank you for leaving us a review. It helps us get the word out there because our goal is to put it in the hands of the physicians so that we can bring total change to the physician community. We are not rolling over. We are not playing dead anymore. At the beginning of the book, I did say, the calvary is not coming. It is here. It is us, and this is how we change medicine. So thank you so much. If you haven't got your copy, you can go get your copy and you write us a review, too. Okay? All right, so let's talk about this. How to edit your to do list. Okay? Now, I ask a lot of questions. So if you talk to the doctors in the on trendy business school, they will tell you that I ask a lot of questions, and they learn so much just from answering them. There are no questions there that are random. They're done on purpose. They're designed in a way to help them think about how they're approaching their business, see where they are maybe dabbling and not really showing up like they should and stuff like that. And so one day I asked a question. I was talking to a group of entrepreneurs, and I said, okay, what are you going to do for your business this week? And so, you know, some people are like, I'm going to update my website. And some other people are like, I'm going to learn how to post better on social media. Some of the people are like, I'm planning out episodes for my podcast. Some of the people are like, I'm looking for a new building to move my my business into. And some of people were like, I'm going to put an ad out for a team member. And it was a very small percentage that talked about anything that had to do with attracting a new audience, like, people who don't know that they exist. It was very few that said anything about actually making offers or inviting people to work with them. And when I looked at it, I was like, huh. Well, this is the thing, though. If we execute all these things we're planning to do, does it really give you the results you're looking for in your business? And for most people, the answer to that would be no, because in our businesses, we're looking to have bigger impacts. We're looking to bring in revenue Right now, are there other things you have to do? Absolutely. We're physicians, right. Your aorta is a major vessel. We don't play with it. You know what I'm saying? Like, there's some things you don't play with. Like, and you attracting people who will work with you, and you giving people the opportunity to work with you. That's your aorta. You're going to have serious problems if that's not happening. Right. Okay, So I want us to look at, you know, how do I put the right things on my to do list? Right. So you know about the Pareto principle, the 8020 rule, that 20% of the things you do will give you 80% of the results you want. You want to always remember that not everything matters. And many things may matter, but some matter more than others. You always want to be crystal clear on what your 20% is. You don't want to fill your to do list with 80% things that only have the potential to give you 20% of your result. You want to fill your to do list with those 20% things, maybe even delegate the 80% that's left. Right? Okay, so the way I look at it is you want to reverse engineer your business success. Okay? You want to reverse engineer it. So let's take this, you know, from the end. Let's travel to the end and then work back to the beginning. Okay? Now let's say it's December 31st, and you're. You're like, oh, my goodness, my business. I am so grateful. I'm an entrepreneur. Yes, I had challenges and all that, but I wouldn't trade it for the world. Right? Chances are you're going to be talking about the massive impact your business had in the lives of your patients or your clients. You're going to be talking about the revenue that it generated, and indirectly, you'll be talking about what that revenue made possible. Right? So maybe I was able to get on a team, so I spent more time with my kids, or I was able to get a team. And so I was able to take a month or two off in the year, or I was able to take my mother around the world or whatever that is. So let's use the two big things, impact and revenue. Okay? That's the big thing we want our business to do. It wanted to change the lives of people. We wanted to buy us financial freedom. Okay? I think we can agree on that. So if that's what we want, right, then if I want to have a huge impact and I want to generate revenue that Means I need to serve a lot of clients or patients, right? I need to serve them so I can get them that impact. And the thank you note they give me is money, which is the revenue, right? So I want the impact on the revenue to do that. I need to serve clients, okay? Now if I'm going to serve clients, then that means that I have to be able to convert people from my audience, from people who follow me or people who are in my audience or people who are my email list or people who follow me on social media. I need to convert them from followers to clients, right? I need to convert them, right? Followers don't pay. I saw this on Instagram. It was the funniest thing. Someone said something to the tune of, you know, be more interested in stripe notifications than Instagram notifications. It was so funny, right? But bottom line is this, right? You have to have the people who follow you, who are in your audience, who know about you, to decide to work with you, okay? So let's take it back from the beginning. So step one, big impact, lots of revenue, okay? Let's call that step four. Now, for step four to happen, we have to have step three, which is I serve a lot of clients, right? And for step three to happen, step two has to happen where my audience, my followers are converted to clients, right? Now, for step two to happen, step one needs to happen. And step one is I have to have an audience, right? I have to create an audience. I have to make people aware. It was John Lee Dumas who said, if you build it, they will not care except you make them aware. So you have to go out, you have to extrovert into the marketplace and let people know I'm here. This is what I do. This is a service I offer. Okay? All right, so roll with me. I know you can see it. I think I'm painting a good enough picture. So step four is where we want to go. Impact and revenue, okay? For that to happen, we need to serve clients. For that to happen, we need to convert followers to clients. For that to happen, we need to create an audience, okay? So the evidence that you are working towards step four, which is impact and revenue, is that you are serving clients. You are converting your audience to clients, and you're building your audience. You see, these three things are non negotiables in your business, okay? If you are trying to get a new building, who are you going to want to serve in the building? Clients. Where are you going to get them from your audience? Where are you going to get the Audience from out there. Out there in the marketplace, okay? And so even though getting a building is important, these other things are important. They're more important, right? It's almost as though everything else exists to support this thing. Number one, building an audience. Number two, converting the audience to clients. Number three, serving those clients so they continue to want to work with you and they bring new people into your world. These three things are your top revenue generating activities. The things you do to make these three things happen are your top revenue generating activities. So I want you to think about this. If you looked at my to do list and my to do list said, you know, I'm going to be a guest on two people's podcast today. What that means is I'm going to be in front of people who don't know about me. So that means I'm growing my audience, right? And then let's say that I also tell you that I'm going to have a webinar, right? And I'm going to teach and I'm going to give people an opportunity to come work with me. So maybe give them an opportunity to come into the ontremd business school. So if you see that, then you're like, wow, she means business. And then I also see that I'm going to do a Facebook live in the on trendy business school because I noticed this trend and there's this thing they're struggling with. And then so I'm going to do a, a class on that. What am I doing? I'm serving them. So they continue to want to work with me. They want to tell others about me and all of that stuff, right? If all I do is those five things, what have I done? I've done a lot to promote what I ultimately want, which is huge impact and lots of revenue. Okay? Now the problem with the things that I gave you examples with is that those are the things we typically procrastinate on, right? Like, oh, demi guests. Then how am I going to find the people to be a guest on their podcast? And what if they ask me a question I don't know the answer to? Oh, I haven't done my hair and makeup, so I don't think I'll look good to be on there. Like, we procrastinate. And so what we'll do there is we'll say, well, I want to learn about how to be a good guest on a podcast. So what's on our to do list to, you know, take this course on how to become a better podcast guest. What is that? Is Procrastination is procrastination. That's put in a low level task because we don't want to brace the fear of doing the high level task. And you might go like, no, but I really need to learn. And I'm like, come on, you're a physician. You're a primary care physician. You walk into your office, you're going to see 25 patients, okay? That's 25 people who are going to ask you questions you may not have the answer to. That's 25 people that you may not even know at all. Maybe half of them are new patients. That's 25 patients that you have to go in and give a speech every single time. When you discuss your medical decision making and your plan, that's a talk. HPI is a question. I had a fever yesterday and I had, you know, vomiting and all that stuff. Like, could this be Covid? Right? Like, that's a question. And you get 25 of them. We're really good at this stuff, okay? And speaking, yes, there's the skill of it that you have to learn. I have many podcast episodes on that. In the ontarim, the business school, we talk about that a lot. But it's like riding a bike. You can take all the classes you want. When you're done, you need to ride the bike. Okay? The only way to become good at riding a bike is to ride the bike. Okay? So if I talk about going in to do a Facebook live, it's like, you know, what if I miss my thing? I'm not really good at tech. What if the Internet goes out? What if I miss my lines? What if I forget what I'm going to say? It's not like I can go back and edit it. Like, we run away from those things. But that's a bigger bang for your buck, right? It's a bigger bang. Or a webinar. Like, you have to ask people to work with you. And that can be nerve wracking. But I'm trying to tell you, the 20% that gives you 80% of your result is usually nerve wracking. And that's why we don't put it on our to do. We don't put those things on our to do list. We put things that we're more comfortable doing, right? And so I want to challenge you to go to your to do list and go look at the things you wrote there and ask yourself this question. If I executed this excellently, what impact will it really have on my business? And if you know that it has no impact, Then you have to ask yourself the next question. What do I know should be on my to do list that I deliberately left out because I don't want to do it. And then we need to get in the habit of putting those things on there, right? Like I said, this might hurt a little bit, but this is for your good. Okay, so are you going to need to do legal and accounting, a website, and hire a team and choose office space and all that? Absolutely. But not at the expense of the real reason why the business exists. The business exists to serve people in a profitable way. The ultimate thing you want out of it is a lot of impact and a lot of revenue. So you don't want to do the things you don't want your to do list to be filled with things that have no impact on the revenue and no impact on the impact. Right? So a lot of those things are there to support these main big buckets. Right? And like I said, these are the things that we procrastinate on the most. You know, to grow your audience, you can go be a guest on someone's podcast. You could go speak in someone's Facebook group. You could go to a networking event. You can host an event and reach out to your colleagues to help you fill it. You can do all kinds of things. But again, those are the things we usually run away from. Okay, so what I want you to do with all of this is I want you to take a moment to look through your to do list for the last week or so. I want you to think, these things I wrote here, are they mostly in the 20%? The things that really matter, are they mostly in the 80%? Right. I want you to look at it and say, what is missing from this list? What did I not put on this list because I'm too afraid? Right? Like, this makes me nervous. This is uncomfortable. I want to let you know this. The entrepreneurs who thrive, really thrive, are the entrepreneurs who are aware of the 20%. They're the entrepreneurs who embrace discomfort. You don't have to run away from discomfort. We were taught that, you know, we should strive to be comfortable, but really not the comfort zone. It's not even a neutral place, right? It's a dangerous place. It's where dreams go to die, is where the best version of you is covered up and nobody will ever see. Nobody ever see her. Nobody ever see him. You show up. The real you shows up on the other side of your comfort zone. The best version of you shows up on the other side of your comfort Zone. The business of your dreams is on the other side of your comfort zone. So don't create a to do list that's, you know, wrapped up in comfort. Those things you know you should do, but they're a little nerve wracking. You want to embrace them. I promise you can get to the stage where uncomfortable things become comfortable. You become comfortable being uncomfortable. I never knew that was possible till I practiced it for a few years. And I found myself in this space where I was like, huh, it's uncomfortable, whatever. And that's a beautiful place to be. So I want you to edit your to do list. I want you to look at all those things you used to fill up your time. I want you to look and ask yourself, what is the 20% in my business? Write those down and make sure they feature in your to do list. That's where the money is. That's where the impact is. That's where the financial freedom is. That's where your legacy is. It's all there. Identify the 20% and make sure it always makes its way to your to do list. Okay? Now I want to paint a picture of the other side. You can be a very savvy, very, very savvy physician entrepreneur. Okay? I have studied businesses. Six figures, multiple six figures, seven figures, eight fig figures. And I will tell you that the foundation of these businesses is the same. I know people who are on track to make nine figures, who are relentless about building their audience, relentless about converting them to clients, relentless in wowing their clients in such a way that referrals, renewals and upsells are just natural things that are happening. And because of that, they have a big impact and they have a lot of revenue. Okay? So I'm not giving you some low level thing. That's not what this is at all. You can be a very savvy entrepreneur. But one of the things you must master is you must know what the 20% is. You must know what the vital few are. You must know what the trivial many are. Okay? There's a vital few. There's a trivial many. Don't fill your to do list with the trivial many. Fill it with the vital few that you know. If I can zone in and focus and stay consistent on doing these things, my business explodes in a good way. So that can be you. And you can create a business you did not dream of. People may have told you that businesses don't do well and you can't replace a physician's salary. Please hear me. Please hear me, okay? And when you hear This. I want you to make sure you share this episode so the other doctors in your life can hear this. This is the way I think about it. If you look at the data from 2018, it says that 9% of businesses hit the $1 million revenue mark. 9%, okay. To which you're like, golly, then why bother? Okay. But I need you to remember who you are. On average, the acceptance rate to medical schools runs between 1 and 3%. 1 and 3. Okay. You beat those odds. So when they tell you only 9% make a million, you decided to beat the odds before you can decide to do this again. And there are people who do not have your level of connections. They do not have your access to capital. They do not have access to your ability to learn. They do not have access to the ability to practice delayed gratification. They have none of that. And they're doing this. Okay? So I want to challenge you to learn how to get it done and not forget who you are. You are a 1 percenter. In fact, why don't you Google your school and check out the acceptance rate to your medical school? Maybe post it in the face in the ontremd Facebook group. Let me know what is the acceptance rate? You beat those odds. And if you beat those odds, you can beat this, too. So don't dabble in your business. Don't do it like, let's see if it might consort, Go all in, lean in. You've beat odds before. You can beat these odds, too. You went into medicine because you have a heart. You want to help people. You want to change the sector of society, you want to change the world. You want to make a huge impact in the lives of people, and you can still do that. Maybe the current healthcare space doesn't give us the opportunity to do that, but if we learn these business skills, whether you're an employed physician or you own a private practice or you're a coach or you do a product or you run a nonprofit, it doesn't matter if we learn the skills, we can still do what we set out to do. Okay? All right. So thank you for listening. I hope this did not hurt too bad. That was not the aim. But if you apply this, it dramatically changes your life. So go apply it. Let me know how it helped. Let me know the changes you made, and I will see you on the next episode of the Ontremity Podcast. Hey, if you love listening to the Ontremity Podcast, I want to invite you to join Entre MD 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 entremd.com ondemand and I'd love to have you join us. See you on the inside.
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