Episode 4: The Gap and The Gain on Your New Release

Episode 4: The Gap and The Gain: Celebrating Progress in the First 10 Years of Practice

In this episode of Medical Mentor Coaching, Dr. Stacey Ishman and coach Kirsten Bombdiggity dive into The Gap and The Gain by Dan Sullivan and Dr. Benjamin Hardy, exploring how early-career physicians can shift from perfectionism and comparison to joy and resilience.

Too often, physicians measure themselves against an impossible standard—the next paper, the next promotion, the next big milestone. This “gap thinking” fuels burnout and imposter syndrome. Instead, The Gap and The Gain offers a mindset shift: measure your progress against where you started, not where you “should” be.

Stacey and Kirsten share practical takeaways on reframing progress, celebrating small wins, and surrounding yourself with people who encourage your growth. They also offer personal stories (yes, including wardrobe hacks and Jenga towers!) to show how this perspective shift makes medicine—and life—more sustainable.

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

If you are interested in my Academic Accelerator Course, designed to chart your personalized path to promotion for physicians in their first 5 years of practice, please DM me on Instagram @sishmancoach or email me at [email protected] .

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

Join us to celebrate your gains—and build the foundation for a thriving career.

Key Points

1. Introduction (0:00 – 2:00)
Playful banter on used books and why we love physical copies
Introduction to The Gap and The Gain

2. What the Book is About (2:00 – 3:00)
Perfectionism and the tendency to focus on what’s missing
Reframing success: celebrate the 90 lbs lost, not the 10 left

3. Recognizing When You’re in the Gap (3:00 – 5:00)
The “but” problem—discounting accomplishments with disclaimers
How medicine conditions us to chase goals without grace

4. Celebrating the Gain (5:00 – 7:00)
Examples from academic medicine: papers, talks, patient volume
Comparisons fuel imposter syndrome; reframing builds satisfaction

5. The Jenga Tower Analogy (6:00 – 7:30)
Each block matters—every accomplishment contributes to your foundation
Gratitude strengthens resilience and prevents collapse

6. Practical Coaching Tools (7:30 – 10:30)
Surrounding yourself with people who call out “gap talk”
Reframing language and creating evidence of progress
Using timeframes (1 month, 6 months, 1 year) to highlight growth

7. Avoiding the Comparison Trap (10:30 – 13:30)
“Don’t compare your insides to someone else’s outsides”
Why outsiders only see polished versions—not the struggles behind the scenes

8. Summary and Challenge (15:00 – end)
You’re already further along than you realize
Take 2 minutes: Write down 3 ways you’ve grown in the last 3 months
Living in the gain fuels gratitude, joy, and sustainable success

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