The Cavalry is Here!
30 Jan 2026 · 23 min
Dr. Nneka Unachukwu argues physician burnout is a crisis: four in five doctors report it, and 78% considered leaving medicine. She proposes physician entrepreneurship as the fix, sharing examples of doctors who became media experts, coaches, authors, and business founders instead of leaving medicine entirely.
Questions this episode answers
January 3, 2022.
A September 2021 Medical Economics survey reporting four out of five physicians experiencing burnout.
78% (rounded in the talk to ~80% for illustrative math).
Seven Figure Physician CEO audiobook; promoted URL: www.entremd.com/7Figurebook.
EntreMD On Demand (EntreMD subscription/business school) — promoted via entremd.com.
Chapters
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.
Hello. Hello, everybody. Welcome back to another episode of the Entre MD podcast. We are going to have an absolute blast because we are going to be talking about one of my favorite things. But before we do that, I am going to read a quick review left by Dr. Jia Nji. It says, best medical entrepreneur podcast ever. Okay. And then she goes on to say, listening to Dr. Una is like having a mentor, slash business coach, slash best friend talking to me. She gives sage advice and empowers all of us. Importantly, she keeps it real, not empty motivational talks. I highly recommend the Entremd podcast. Well, thank you so much, Dr. Gia. That is such, such an amazing review. Thank you for sharing it with me. And this just lets me know that I am accomplishing what I want to accomplish, which is not empty motivation, but to inspire you, motivate you, and give you practical tips you can start applying right away. So thank you so much for listening. Thank you so much for sharing your review with me and with the world. I truly, truly appreciate it. And if you're listening and you haven't left a review yet, please go leave us a review. It really helps to get the word out there, which is what we need to do. Okay. All right, so we are going to be talking about something really fun, and that is the calvary is here. Okay? Now the medical space. There's a lot of stuff going on. I was just reading an article from September 2021 in Medical Economics, and it put up a survey, and the survey showed that four out of five physicians are currently experiencing burnout. Four out of five? That is insane. I mean, four out of five, they're a million physicians. We're talking 800,000 physicians, physicians. This is a problem. This is an epidemic. And if you've listened to the podcast for any amount of time, you know, I'm not big on talking about problems without talking about solutions, right? So we're going to talk about burnout and the state of medicine, and we're going to talk about what we need to do about it, all right? Now, when I looked at the reasons why people thought they were burned out, the things that came up were things like loss of autonomy, like they don't feel like they have any control over their career, too much paperwork and regulations, of course, the ehr, you know, death by a thousand clicks, working too many hours, poor work, life balance, declining reimbursements, things like that. These are things that most of us know about and most of us have experienced, okay? And the thing that makes this really sad is that they said, based on the survey, 78% of doctors were thinking of leaving medicine. 78%. 78. Think about the amount of money that has gone into training. 78. So let's just call that 80% for the sake of argument. And so the math is easier for me, okay? So if it's 80%, that's 800,000 physicians are thinking of leaving medicine. Please think about the impact of that. What happens to our health care system if 800,000 doctors actually leave? Think about the money spent to train 800,000 physicians. Think about the years spent training 800,000 physicians. And they're willing to walk away, okay? So we have a really big problem on our hands, really big. And we need to look at it. And this is not just an individual thing, because you may say, well, I'm among the 20%. I don't feel any burnout whatsoever. I'm living my best life and all of that. But listen, if 800,000 physicians were to walk away, or we're still 800,000 physicians are there, but don't want to be. I want you to think about the effect of that. It's going to affect everybody, okay? I mean, it already is, but it is going to affect everybody. So we may not have created this problem, but we're going to fix it, okay? That's what we're going to do. You might say, what does this have to do with business? Everything. Okay, Just roll with me. Everything. So what really is a solution for this? And you know, my book is going to be released in another two months or so from the time of this recording, is called the Entrepreneur Book. A proven roadmap for doctors who want to live life or practice medicine on their terms. And the dedication, when they're like, what's the dedication? I started writing, and it says, to my fellow physicians, the calvary is not coming. The calvary is here. The calvary is us. We are the solution. So that was the dedication. We are the solution to this problem. Nobody's coming to save us. Nobody's coming to make it better. This is us. But guess what? There's a million of us. Like, let's put this in perspective. One million. One million. And I have done a lot of research on movements and stuff like this because I'm like, we can change this, okay? And it said, to tip a culture, to tip the way things have been, you have to touch 10% of that community, and that's 100,000 of us. 100,000, okay? Out of a million. If we will rise. If we will rise above the system, if we will set examples, if we can do that, then this current state of things for physicians, it crumbles. All it takes is 10% of us, you and I, reaching out to 10%. Okay? So what if 10% of us decide to rise and be the solution that we want to see? Right? It will be the beginning of a grassroots movement that will force the system to change. It will force the system to change. We are not victims. We are not in situations that we don't have control over. No, we're going to change it. And I want to challenge you to join me. We are going to change it. We cannot have 78% of physicians walk away from medicine. We cannot have 80% of physicians being burnt out. We're going to change it. Okay? Now, you might go like, okay, how?
How?
Dr. Una. But the thing is this. There's so many ways. And this is whether you're employed or not, whether you own a business or not. Like, there's so many ways. So I'm going to give you a few examples. Just students in the business school, many of them, you've heard their stories and stuff like that. But I just want to show you examples, because what do we need to. Do we need to be an example of what is possible and we need to invite other people to come be examples with us, Right? So I've told you the story of Dr. Barbara Joy Jones Parks, who is a family medicine physician, and she's working in a hospital system, and she started building her own brand, started building her own brand as a medical expert on tv. So she'd been on cnn, she's been on Fox, hl, Sister Circle, all of those places. She's been there. And, you know, based on the brand she built, right? She was able to walk to her hospital and says, listen, okay, nobody else is out there representing you guys on CNN and all this other stuff. So it's not to your advantage that I'm here five days a week. So I want to work four days a week. And guess what? They said yes. And what did they do with her pay? They left her the same, and she had Fridays off. So she had a long weekend, every weekend, right? Now, does that look like it fixes the system? No, but it sets an example. It sets precedents, right? So other people can say, well, I want to work four days, too. Do you see what I'm saying? So that's one example. There's Dr. Whaley Gray who talked about bringing coaching to her institution, right? So she had experienced coaching, and she's like, wow, well, every physician should have this. And she went and she lobbied for it, for want of a better word, and her hospital system said yes. So now at no extra cost to the physicians, they have access to coaching. They have access, right? And you may say, well, you know, that's her hospital. That's not the entire system, but it is an example. It is setting precedent so other people can demand the same thing for their hospitals, right? We're talking about pioneers here. That's who we are. We're the Calvary. We're the pioneers. There's Dr. Amelia Be. She is a founder of Coaching for institutions, and she is going to institutions, right? She's going to institutions to establish coaching programs for them. This is what she does. This is the change that she's bringing to medicine, right? And she has all kinds of data to support that. Coaching does work, and she's bringing change that way. There's another doc. I'm not going to mention her name because this is not something that we've talked about publicly, but she was in a work environment that was not conducive. Let's just leave it that way, okay? And they're like, we're not Renewing her contract. Now, a lot of times this happens to be something that's devastating for physicians. Like, oh my God, they didn't renew my contract. You know, she's a high paying specialty and all of that. But she had already been in the ontremd business school for a year, building her brand, learning business principles and all of that when this happened. And so when it actually happened, she celebrated it. You won't believe it, she celebrated and she's like, you know what? I'm going to start my own thing. And she's in the process of doing that, but because she knows what to do, she's doing like a boss. So she's doing it so well that her lawyer and her accountants were like, my goodness. Usually when we get doctors, they don't. They don't know what they're doing. They're not like, you're so far ahead. How come? Right. And so she is going to rock private practice, like, totally rock it. And this is something that would have been a source of, you know, a lot of stress, a lot of burnout, a lot of bitterness and all of that. But she is celebrating it and she's rocking it and she knows exactly what to do. So she's going to be busy from day one. Day one. Okay, what is she doing? Setting precedents. Like, yeah, if they tell you, if they mistreat you somewhere, go make your own thing somewhere else. Like, whatever, right? She's setting precedents. There's Dr. Szabo and she's a dermatologist and she has built a multimillion dollar practice. And what is that? It is an example of what is possible. See, that's what the calvary is doing here. It's like, hey, guys, we don't have to do all that. Like, the limitations they've put on us, all those things, they're just fake. Like, really, you could have this other kind of life, right? You can have this other kind of life. And so she's an example of what is possible for physicians. She's an example that private practice is not dead. She's an example that you can build something successful. Okay, there's Dr. Michelle Quirk. She shared her story on here, right? And you know, she's a pediatrician, she's a run coach. And you know, her running for herself has brought so much peace and joy and all of that stuff in her life. And she was not a runner. She was not someone who did a marathon. She was not the person. Like, she didn't do any of that stuff. And so she Embraced running later in life and now she goes around helping other people do that. And it brings so much meaning because she has all of this impact outside of the exam room, right? And so she has so many people who, you know, it's my first 5Ks, my first 10Ks, my first half marathon. It's my first marathon. She recently had a couple complete their first marathon, right? And it's like all of this stuff. So she's not experiencing burnout in the way that others are because, you know, there's this meaning to what she does. There's this autonomy she has over her career. Right? You see what I'm saying? And she's doing well with it. I mean, like earlier in the year she had already done three times her revenue from the preceding year. Right? So she's doing really well with it.
And I can go on and on.
There are doctors who have done TED talks. What does that do? It sets precedents. It takes us outside of the exam room. It takes us to a place where we can be in control. We can negotiate bigger, we can be on bigger stages, we can be in bigger rooms, we can be at bigger tables. That's what it does, right? You have doctors who are best selling authors, and actually the business school, we are doing a collaboration book which is going to be a bestseller, right? And so all these doctors, they're all best selling authors, right? We have doctors who've been featured in Forbes, I've been featured in Forbes, like I've done contributing articles about four of them, you know, and I have doctors who are now, you know, when people have devices and stuff like that, the doctors are at the table having the meetings with the CEOs of these devices companies, these services and stuff like that. Because we deserve to be in the room. We're the ones who use these devices. We deserve a space at the table. And that is exactly what is happening now. These are only about eight examples. Imagine if there were 100,000 of us intentionally doing this work, showing doctors, no, what they've told you is not true. The more we grow our reach, the more we grow our impact. The more we grow our connections. The more we grow our financial freedom, the more empowered we are to rise above the system, the more empowered we are to take back control. But it will take all of us. It will take you, like you're listening to me, it will take you to do this. All right, now, there are a few things that have happened. I just want to show you the way the system, the society and all of that, the way they Think about us. And we're going to change that narrative, right? So, for instance, in the finance world, what do they call bad deals? They call them doctor deals. They call them doctor deals because they're like, oh, doctors, you know, they don't know anything. They don't know anything about business. And so when we have the bad deals, we send them to them because they're just going to sign up for it. And historically, that has been true, right? Doctors, you just like, oh, sign here. And they sign. That's it. Don't read, don't analyze, don't anything, right? But that's changed, okay? We are changing that narrative because Dr. Deals, that line is not going to work anymore, okay? It's not. We've had the thing of, oh, you know, stay in your lane. There's no lane, okay? We own the whole highway. There's no lane. There's no lane that we're going to stay in. Historically, this has worked. We've put our heads down and we've stayed in our lane. Not anymore. They have the nerve to call our salaries golden handcuffs. Like we're going to pay them that. And their hands are tied and they can't do anything else. Not anymore, okay? Not anymore. And I am inviting you to join me because we're not doing this anymore. Enough is enough, okay? So now what can you do? What am I asking you? Okay, Dr. Una, I get it. I'm all in. I'm rah, rah. Let's go. Take it. Enough is enough. What? What do I want you to do? I want you to do two things. One is I want you to become an entre md. I want you to become an entre md. What does that mean? An entrepreneurial md. Right. And what that looks like, practically, is you. Come on here, you listen to this podcast. I want you to become an entrepreneur. Or up level what you do as an entrepreneur, because we are the examples of what is possible. Okay? You might say, but I work a job. Fine. Own your voice, okay? That means get a platform. And that platform could be social media, could be a podcast, it could be YouTube. Own your voice, okay? Negotiate like a boss. Don't just roll over and play dead. And I'm not saying go cause a ruckus. I mean, if you listen to more than two episodes, you know that's not what I'm saying. But what I am saying is it's time to be a boss. In the entre MD world, you are an entrepreneur. Well, you have the opportunity to be an entrepreneur, whether you're employed or not. If you're employed, you work for Dr. U Incorporated. I want you to take care of your brand. I want you to elevate your brand. I want you to put your brand out there. I want you to start speaking on stages. I want you to look inside and see what your message is and start putting it out in the world. I want you to negotiate. I don't want you to roll over and play dead, okay? I want you to stand up for yourself. I want you to be that if you're an entrepreneur. I want you to make your business work, Okay? I want you to put yourself out there. I want you to speak. I want you to set a goal. Hey, my business is going to make $100,000. My business is going to make half a million. My business is going to make a million. My business is going to cross multiple million. I don't know. Wherever you are, take it up a notch. Take it up a notch. Set the example. Like, hey guys, this is what is possible. Because guess what, there's a million physician and 999,000, 999 doctors are watching you. And that's not from a pressure point, but they want to be inspired. They want to know what's possible. They want to know this is not the only way. And you, my friend, are the calvary. I'm the Calvary. We're it. So I want you to set the example of what is possible. I want you to set it, embrace your fears. Not just for you, right? Because all the magic, all the great stuff happens on the other side of your comfort zone, but I also want you to embrace the fear, to show some other doctor what is possible. Okay? So I want you to become an entre MD the things you hear on this podcast, lots of how to's. I mean, like, this is like a business education in your pocket. It's an MBA to go, right? I want you to take the things there and I want you to apply them and do it intentionally. Knowing I'm the Calvary, okay? I'm going to do it for me first, but I'm also going to do it for the physician community. If you're like, let's take it up a notch, come join us in the entremd business school. I cannot begin to tell tell you what is happening in there. Okay? Doctors are building six, seven multiple seven figure businesses. Doctors are daring their fears. Doctors are overcoming all kinds of stuff. They're going on stages. They're writing books, they're starting programs. They're getting called to the biggest Tables, Biggest tables. Okay? So number one is becoming entre md. Number two is becoming infectious ontram D. This is not about you. This is not about me. This is about the physician. Physician community. Okay? So be contagious. You listen to an episode, share it with another doctor. You talk with a program director of a residency program, share it with them. Tell them, listen, how can you graduate physicians who know nothing about business in a world where competition is the norm and competing is mandatory? Like, how can you send them out there, how can you send them out there to go negotiate their first contract when they don't know what a non compete is? They, they don't know that they're signing away their intellectual property. They don't know any of that, right? If you go to associations, share the message. If you get an opportunity to speak to a group of physicians, tell them, listen, you have to go listen to this podcast because we're done. We are that grassroots movement who's going to topple the system in a good way, okay? We're not destructive in a good way, okay? Be contagious. Share it on your social media. Use the hashtag ontramdash. Be part of the movement. Be a contagious entremde. Okay? So those are the things that you can do. Very simple, very simple. Like take this episode and share it. The calvary is not coming. It is here. It is us. It is time for us to rise. It is time. Let me tell you something. This is the best of times for physicians because it is the beginning of the end of burnout, of the loss of autonomy, of being devalued, and a horrible return on investment for the time and money we spent becoming doctors. This is the beginning of the end. And you and I get to be a part of the movement that changes everything. Okay? So be an entre md. Be a contagious entre md starting right now. And let's make this what it really is, the beginning of the end. Okay? So thank you so much for listening. Thank you so much for being a part of this movement. And over the next 12 months, we're going to see dramatic changes happen because we say yes. All right? So if you got something out of this and you decided that you're part of the movement, I want you to take the screenshot of this episode, I want you to post it on social media, and I want you to say, I am part of the movement, the ontremd movement. Come join me, okay? And tag us ontremd, because I want to go reshare all your stuff. Okay. This is the beginning of the end, and I'm so honored that I get to do it for with you. So see you on the next episode of the ontremd podcast.
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