A doctor explains how to flip the 80/20 rule: instead of chasing high-impact work, identify the bottom 20% of tasks that eat time without making money, then eliminate them. The tension between serving your community and running a sustainable practice resolves when you cut the low-value work.
Chapters
That's always a big question. How do I deal with the existing patients? And over time, you just kind of winnow that out. You have to go through a process. So 80/20 is dual, right? This is what Arianna did. 80/20 is dual. Most people focus on the 20% that drives the 80%. What I want you to do is I want you to identify the 20%, the bottom 20%. And what are the bottom 20% of the things that are eating up a big chunk of your time that don't make you any money? Now, this is always a conundrum with doctors, right? Well, but I want to serve my community. Nobody else in my community is doing it just like me. Look, we get that and we understand that. But if I'm talking about this from a pure business standpoint, that is getting in the way. That's the resistance that's getting in the way for you to actually go to your calling. Yeah. So you have to cut out the bottom 20%. You have to be ruthless about it.