The Two Things Stopping You From Making Your Business Goals a Reality
30 Jan 2026 · 16 min
Dr. Nneka Unachukwu shares what's held her back and what she's learned building her business from $43,000 invested in a speakers program to Inc. 5000 ranking. The two things stopping you: not committing to your own growth, and not doing the actual work to build something scalable.
Questions this episode answers
September 28, 2018.
$43,000.
Over 550,000 downloads.
Over 300 doctors (host says closer to 400).
Over 5,000 people.
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. Oh, hello. Hello, my friend. Welcome back to another episode of the entremd podcast. Today is going to be a lot of fun because I'm kind of in my feelings a little bit at the time of this recording. It's September 2023, and on September 28th, we'll be celebrating five years of Entremd. And when I stopped to think about all the things have happened over the last five years, it really is mind blowing. It's humbling, is shocking, and it's also putting me in a position where I'm like, wow, if I could say yes to something that looked like an impossible dream and I could find myself here, then what could happen? If I make yes saying yes a habit, and to a certain extent I have, but when I look at the cumulative effect of it, it's a lot. And if I can take you back, I still remember I picked that day as our first day. Really, it was. Is a journey. Right? So you've heard me talk about 2016 being the time when it dawned on me that if my only skill is doctoring, that I'd be out of luck. And that's when I started pursuing my reinvention or retooling myself and acquiring other skills and being able to do other things and make money in other ways. I think I still remember where I was, where I was in my, my home office. And, and I thought about it. I'm like, okay, well, the first thing I thought of is, well, I could be the CEO of my practice as opposed to lead pediatrician, my practice. And, and that's different. That's a skill set that's all around building a business entity, building team, getting things done through people, being able to lead a very profitable practice even if I'm not seeing patients and all of those things. I was like, I guess that's the thing. And I'm like, okay, people make money speaking. I'm a super shy, socially awkward introvert. Introvert. But people make money doing that. And I thought of writing books, I thought of consulting. I'm like, I've started this practice, it's really successful. It's a pediatric practice, mostly Medicaid, still a seven figure practice. I'm like, so if the skills work here, they really work everywhere. And so I thinking about all those things. And the thing is, at that point, I couldn't do any of those things. And I couldn't actually see myself do. I couldn't see myself dominating on stage or being this consultant. I didn't even know what a coach was. I didn't say coach, I said consultant. I couldn't see those things. The CEO of my practice, I could kind of see that. But everything else was like totally, totally out of reach in my mind. And I'm so grateful that I decided, you know, even though I can't see it, even though I don't know how I'm going to go for it, I'm going to start. And I was committed to figuring it out. And it was almost a year later that I found this speakers program. And I didn't know anything about coaching. I didn't know. I didn't know you could be in a program and get an education that way. And I signed up for that. You've heard me tell the story many times. And I paid the $43,000 for it. And my husband and I still talk about it till this day, like, that's the best 43 grand we ever spent. And I spent that not knowing. I knew I would evolve, I knew I would do the work, but I couldn't actually tell you how I would make a return on my investment because I was a doc who saw patients in my private practice. I didn't. It's a little easier to see that stuff now, but I couldn't see entremd was not even remotely a figment of my imagination. I mean, the first things I did was I did some courses like over the summer for teenagers. I called it the Virtual Leadership Academy. And I would teach them personal development things, mindset hacks, habit hacks and things like that. And it was so rewarding. I mean I had, you know, teenagers, parents come and oh my goodness, you've given me a brand new child and things like that. So I did that. But I was like, I don't want to, I, I don't want this to be my thing. Like I couldn't give my life to this. And I said, well, I'll help entrepreneurs because it's really close. I love helping people become the best version of themselves. And entrepreneurship is one thing that will force the best version of yourself out of you if you let it. And, and, and started doing that. And I wasn't having the traction that I wanted. And the reason for that in my mind when I, when I had conversations with people is the people who were physicians or like, clearly you're not talking to us, you're talking to the other entrepreneurs. We're physicians, we don things like that. And then everybody was a non physician is well, clearly you're not talking to me because you, you have access to capital. You won't understand what we're going through and all of these things. And so I was just like, okay, I, I got pick and I said for, for the non physicians, they have a lot of stuff out there. There are a lot of programs, there are a lot of schools, they get it more than we do. But for us, we're just in this awkward place. We think entrepreneurship is of the devil, but it really is our ticket out of the mess that we find ourselves in. And I said, yeah, I can give my life for that. Like I can, I can do that for the physi can do, I can take ownership of the physician community and do that. And so literally that's when we're like, okay. And I started helping physicians with their businesses. Some coaches, some in private practice, like in a one on one capacity. When I say some people is one or two. But I wanted to share the vision of what we're going to do. And I had this event, I had six doctors at this event, okay. And three medical students. And at the event, it was our first event. That's when we formed On Trendy. That's when we coined the name entrepreneurial Maryland. And I remember they paid 30 bucks each, which was just to cover their meal. And I paid for the students. I doubt we broke. Well, no, we broke even. We broke even at least. And then, yeah, and then I shared the vision of this is why we need to embrace entrepreneurship and this is what is happening in the healthcare space. And I still remember, I still remember the docs who came. And that was our very first meeting was September 28, 2018. And so I stopped today to kind of think about it, like what are some of the things that have happened? And I share this to kind of give you a space to kind of dream to. If I said yes to the things that are in front of me, even though they look scary, even if I don't fully know how, what could happen. Right. Because the things that I'm going to talk about here, they're not things that I had even fully dreamt of. Like when I started I was just like, I know I have to do this. I know I have to do this. And so in the course of these five years, we have directly coached over 300 doctors, whether that's through the ontremd business school or one on one coaching or the programs that were precursors to the Entre MD Business School. Because we had two programs that were precursors and it's over 300 doctors. I think we're closer to 400, but it's over 300 doctors. Does it include our workshops? Our workshops. At this point we've put over 5,000 people through them. And if you've attended any of our workshops, our workshops are not, they're not fluffy, they're not things we just put on so we can run a sales pitch. They're like high value, really high value would change your life if you implement them type of workshops. And to think that we've supported that many people is kind of wild. We had two best selling books, the On Trendy Method book. If you haven't got it, you definitely want to grab a copy the On Trendy Method book and made for more, which is a collaboration book which that we did with some of the doctors from the ontremd Business school. And both of them are best selling books and sold thousands and thousands of copies. We have a podcast, this one you're listening to, it's crossed 550,000 downloads, which is so wild if you think about it, the podcast will be four years old in a few months. And so it's just wild to see what has happened. Built up my private practice and I wanted to set an example like you can build a practice As a business entity that has the capability of working without you. And so I went on a sabbatical as an experiment, amongst other things. And it's grown without me there, you know, like on trend. I fought for it to grow. One of the reasons is because I feel like I have an assignment to the physician community and there are a million physicians. And so I really have to get the word out there and do the work. And so I feel a responsibility to do that. I also feel like I have the opportunity to be a example of what is possible to the physicians. And so to build a seven figure practice and build a seven figure education business is kind of like, either way, we can do this, right? Either way. And it doesn't mean anybody has to build. What I've built is just to say, well, it's possible, it's possible. That's not a ceiling. You can't say physicians can't do that. It's possible. And so we have this, we have ontremd and ontram D is a, is a company, the ontremd business school is a, is an institution that is really disrupting this space for physicians, showing them what is possible. And it's so amazing. The doctors we've gotten the privilege of working with over the years and to see them cross the six figure mark, seven figure mark, eight figure, seven figure mark, multiple seven figure mark. I said eight and I'm waiting because we're going to do that too. To see a place that is so positive, like I am convinced is the most positive place on Facebook, really. And to see doctors in a time when people are so terrified they're terminating stuff. But these, I mean, these docs have been building brands, building business skills, building networks, collaborations, all of these things creating wealth even as employed physicians. And so when they tell them you're terminated, they come back and say, I got terminated today. And the crowd goes wild, whoopee. Now you can go do whatever it is you really want to do and they're celebrated and things like that. And they go on to kill it. It's a really great place, A place where doctors can, can dream and nobody shames them for their dreams. And they'll still call you out if there's stuff to be done that's not happening and things like that. But it's a really great place. And to think that we've built that, that is so humbling and so wild. And more recently, we made the Inc. 5000 list of fastest growing privately held companies in the United States. We were number 315 which to think that entre MD fastest growing and United States will be in the same sentence is like nuts. It's like absolutely nuts. And so when I think about all those things and wow, if I didn't say yes all the way back then, if I didn't explore in 2016, if I didn't say yes to my development in 2018, if I didn't say, okay, I'll hold the meeting with the six doctors and the three medical students, we wouldn't be here. Like, there's no way I could have predicted this is the way it would look. And the reason why I share all of this is I want you to think right now, in this moment, what, what have you not decided to say yes to just yet? Maybe you're afraid I was. Maybe you don't feel like you're the kind of person who can pull that off. I understand that. That was me. Maybe you feel like you've tried some things before and they didn't work. I get that. But I want to invite you to be curious and go, wait a minute, but what if this worked, right? There's all this, what if it doesn't work? What if this, what if I lose my money, blah, blah, blah, blah, blah. But what if it works? I mean, this is one life. This is not the rehearsal. And who wants to live in regret? Like I could have tried then I'm lining out, so I can't. I want to invite you to say yes. That is the place where magical things happen, right? And I don't want to just tell you, oh, say yes, go for it. I want to kind of give you a two step formula that I've used and I want you to, well, maybe three step, well, two step formula. And it's two things really. The first is a commitment to your evolution, right? Like the version of you that exists right now is probably not the version of you that pull that off. However, you're going to become that version and that's not something that's going to happen accidentally. You're going to intentionally do the work to become that person. And what does that mean? That means that if you decide, well, I'm going to build a seven figure company, or I'm going to build a multiple seven or eight figure company, your mindset is going to need to go there, right? Like you're going to start adopting the identity of the kind of person who does that. You're going to need to start adopting that you may not have the habits that support that, whether that is personal habits, like reading and listening to podcasts and. And curating your inner circle and like, those kind of habits, or work habits, like selling, you know, maybe, or leading a team or whatever, you may go, I don't do stuff like that. But because you. You decided, I want to take on this identity as this kind of person who gets these kind of results, then you're going to adopt that. Those habits, because now that's the kind of person you are, and that's what you do, Right? And so it's that. It's a commitment to evolution. I did this post on Facebook where I was like, you're more of. You're more like a, like, play doh. Than you are like a rock. Like, you are who you are right now.
Great.
But you're not stuck. You're not static. You're dynamic. You can become the next iteration, the next version. I mean, if an iPhone can do it and go from iPhone1 to iPhone2, iPhone3, what if we had a major upgrade every year? What if we had a major upgrade every 90 days? And that's kind of what I started working on, where every 90 days I wanted to have experienced an upgrade. And so the results I get are different and all of those things. And so. So evolution, like, you cannot. I mean, you can, but I recommend you don't fight to stay who you are. Like, this is just me. Like, why, why, why would you fight for that? You want different results. You got to let go of what you've always done or how you've always thought or all of those things. Evolution is the name of the game, right? And for me, I am committed to evolving till the day I leave this planet. I'm going to become more and more and more of who I have the capacity to be, right? And so that's the first thing. And the second thing, your mindset, work, all of those things will fall under your evolution. But the second thing is really doing the work. And I talk about this a lot. Motivation is not required. You don't have to feel a certain way. You don't have to be in a position where you can do it perfectly. You don't have to feel like it. There is work required. Your willingness to do the work required, right? So there are people who walk up to me and they're like, I'm an entrepreneur, but I don't really want to do the selling thing. I don't want to do the marketing thing. I just want to get a team. And I'm like, you don't know. You have refused to. To interact with the marketplace. So you don't even know what your marketing company can say, then they can't figure that out for you. And of course, you can work with a marketing company, but you can't abdicate marketing. It doesn't work that way. Right. You have this big revenue goal, but you don't want to do the selling work. And I'm like, and I just want to funnel. I'm like, the people with funnels are selling. Like, they sell. Like the funnel is not the magic cure. If it was, they won't be selling. They're selling too. So there's work that needs to be done. Maybe you've hired somebody before and they burnt you badly and you're like, that's it. I'm going to do everything myself. Well, you're just going to have to stay small if you will not do the work of becoming really good at hiring. I'm really good at de hiring. I'm really good at building company culture and good at leading your people. You're going to be by yourself and one is too small a number for greatness. And so you're just saying, I don't ever want to be great. Like, fine, I just stay where I am.
Right?
And so the work has to be done. The work has to be done. And when you think about, there is this, it's very subtle, meaning that you can miss it, but it's very aggressive in the sense that it's everywhere and it's in your face. And it's this narrative that entrepreneurship, when done right, is nice and smooth and you don't really have to work. Like, people will tell me, I just need to stop working this job because I want to do a business and just own my time, work when I want. And I'm like, you need to keep your job. Because that's not the. I don't know who told you that. That's not the way entrepreneurship works. Is it rewarding A thousand percent? Is it hard work? 3,000%. Right. And so if you. So it's the whole sit on the beach, sip the margarita, like it's just, ooh la la. That's entrepreneurship. But I told the doctors in the entrepreneur business school that entrepreneurship is more. A lot more like a construction site. And in the construction site, people have the dirty clothes on. It's really dusty, it's noisy, it seemed chaotic and all of those kind of things. There are delays, all these things. That's. That's construction. Now. You're going to end up with a really pretty building, but you're going to go through construction to get there. And if you have that attitude, then you're not confused that you need to work. Like, you don't come dressed for the Runway, okay? You come for the construction site and you do what is required, right? And now, of course, there are ways to make it easier, but there's no way to eliminate the hard work, right? Like, the hard work is a hard work and it just flat out needs to be done. And so if you'll be committed to evolving and committed to doing the work, then what's going to end up happening is you're going to get blown away by the results, right? Evolution, work results, Mind blowing results for everyone listening. This is my wish for you. This is my hope for you. I can't wait to celebrate when you do this. But if you decide to do the evolution and you decide to do the work, and you look five years from now, you're going to be blown away. Now, it's not going to take five years for you to be blown away. I've been blown away for a long time. But you will be, you'll be surprised. And to think that we're just hitting five years, like, what is about to happen over the next five, I cannot even imagine. You know, I'll try, but I don't think I'll hit it. I don't think I'll know for sure, you know, so those are the two things you want to do, right? And part of your commitment is the commitment to do it. To doing it. The other commitment is really the commitment to invest in yourself. Now, I will say this. If you're like, I got this, Dr. Una. I know exactly what to do, then I'll just say, you can hit the fast forward 30 second thing for a little bit, but there are many of you, like, you're, you're committed. You want to get this done. You're committed to the results. You're terrified of investing in yourself. And I would say to you that if you're like, I want to do this, but I know I need the mentorship, okay? I've been listening to the podcast for a long time and I know the things and I know they'll work and I've tried it here and there, but I haven't been able to do it consistently and all of that. And you're like, man, I've thought about the Entrepreneur Business School. I've seen my friends going to the school and I've watched their lives, like, completely transformed. I want to, I want to invite you and say hey, maybe this is the day, okay? You're in the same spot where it was five years ago when I had the opportunity to invest in, you know, the $43,000 speaker program. And I understand that feeling, and I understand the what if. I understand this is crazy. I'm like, I have never done anything like this before, but I am so grateful that for some reason, I said yes that day. And I want to invite you to say yes to yourself, too. Even if you're unsure, I want you to just go fill out an application. When you fill out an application, so Nikita will probably get on the phone with you and look through your business and all of that stuff. And if it is not the right next step, we will tell you. Right? If it is, we would love to welcome you and introduce you to your new community. We call it the EBS Commonwealth is just a group of rockstar physician entrepreneurs who are killing it. And there's. It's. It's such a great. It's such a great group. And we will get to be, you know, calls every week, live sessions, and we'll get to be in the same Facebook group. And you get to share your wins. You get to ask questions, ask how you can apply things. You get to watch other people do crazy things, and they'll be your inspiration and your daily motivation, if you will do that. Okay, so it's Entre md.com business. That's Entre md.com business. And start the clock. You know what I mean? Like, start the clock. And I would love to see what you would be saying in EBS, in the Entremity Business School, we live 90 days at a time. And so what that means is every 90 days, you can look back and go, whoa, look what happened. It's gonna be so wild. That could. That could totally be your story. Start the clock, okay? And whether you joined the school or not, I mean, as much as you can with what you know, start your evolution, start doing the work so that you can create results that will blow your mind. I can't wait to celebrate every single one of them. And what I would love for you to do is share this episode with another doctor in your life. Tell them, oh, my goodness, right? What could happen to us in five years? And you never know whose life you change by doing that. Share it. You share it on your social media. Tag us hashtag Entre md. I'd love to go reshare your stuff, shout you out, and I will see you, my friend, on the next episode of the EntreMD podcast. Hey, if you love listening to the EntreMD 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 entreand. Com ondemand and I love to have you join us. See you on the inside.
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