Episode 3: Buy Back Your Time

Episode 3: Buy Back Your Time — Delegation, Boundaries, and Reclaiming Joy in Medicine

In this episode of Medical Mentor Coaching, Dr. Stacey Ishman and Kirsten dive into Dan Martell’s book Buy Back Your Time and how its lessons apply to physicians in their first 10 years of practice. They explore the power of delegation, the trap of non-promotable tasks, and how to protect your most valuable resource—your time.

You’ll hear practical strategies for aligning your work with your values, setting boundaries with leadership, and making intentional choices that create more space for joy, creativity, and career growth.

No need to take notes—just check out the Blog to get a summary of these insights.

If you’re interested in my Academic Accelerator Course designed for physicians in the first 5 years of practice, DM me on Instagram @sishmancoach  or email me at [email protected] .

This course will help you set up your practice, learn finances 101, build a research program, grow a national reputation, and create your personalized promotion plan. My mission is to help you envision your ideal career and chart your version of success.

Key Points:

  1. Opening Reflections (0:00 – 2:00)

    • Stacey shares her recent decision to resign from a job that no longer served her.

    • How shifting focus creates space for growth in coaching and business.

  2. Introducing Buy Back Your Time (2:00 – 3:30)

    • Overview of Dan Martell’s approach to reclaiming time.

    • Shifting from a “work leads to life” model to a “life leads to work” model.

  3. If You Don’t Have an Assistant, You Are the Assistant (3:30 – 4:30)

    • The “aha” moment about the cost of doing tasks outside your zone of genius.

    • Introduction to Martell’s Productivity Quadrant (enjoyment vs. skill).

  4. Delegation and Joy (4:30 – 6:30)

    • Why letting go of certain tasks frees you to focus on what matters most.

    • Giving others the opportunity to thrive in their zone of genius.

  5. The 80% Rule (6:30 – 8:00)

    • Why work that’s done 80% as well by someone else is still a huge win.

    • Real-life examples: from cooking shortcuts to research collaborations.

  6. What’s Your Hourly Rate? (8:00 – 9:00)

    • A framework for deciding which tasks to outsource.

    • Why paying others can create more time and value than doing it yourself.

  7. Investing in Help Early (9:00 – 11:00)

    • How hiring support (like a VA) validates your work as a “real business.”

    • Creative solutions: sharing support staff and scaling with others.

  8. Application for Academic Medicine (11:00 – 12:30)

    • How residents, faculty, and physicians can delegate academic tasks.

    • Examples: research assistants, scribes, poster formatting, editing help.

  9. Non-Promotable Tasks (13:00 – 16:00)

    • The hidden cost of taking on administrative or social tasks.

    • Why saying “yes” to these can slow career growth.

    • Framing boundaries in terms of department goals.

  10. Boundaries and Leadership (16:00 – 18:30)

    • How to communicate priorities with leaders.

    • The importance of reframing “no” as service to the larger mission.

  11. Takeaways and Action Steps (18:30 – 20:00)

    • Kirsten: List your top 5 dreaded tasks and explore ways to delegate or automate.

    • Stacey: Start with one task you can let go of this week.

Summary:
Buy Back Your Time isn’t just for entrepreneurs—it’s a playbook for early-career physicians who want to align their careers with their values. By focusing on your zone of genius, saying no to non-promotable tasks, and delegating strategically, you reclaim time for what matters most—your growth, joy, and impact.

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