Episode 6: 10x is Easier than 2x

Episode 6: 10x Is Easier Than 2x — How to Grow Without Grinding

In this episode of Medical Mentor Coaching for Physicians in Their First 10 Years of Practice, Dr. Stacey Ishman and co-host Kirsten Bombdiggity unpack 10x Is Easier Than 2x by Dr. Benjamin Hardy and Dan Sullivan — a bold new way to think about growth, focus, and fulfillment.

They explore how early-career physicians can stop “grinding harder” and instead design their next-level careers through focus, purpose, and elimination. You’ll learn why chasing “more” isn’t the answer, how to identify your true 20%, and how this approach can transform both your professional and personal life.

No need to take notes — the companion blog post breaks it all down with practical steps for academic physicians.

If you’re interested in my Academic Accelerator Course (for physicians in their first 5 years of practice who want to fast-track promotion readiness, build national visibility, and clarify their ideal career path), DM me on Instagram @sishmancoach  or email [email protected] .

Key Points

1. Introduction: The 10x Mindset (00:00 – 02:00)

  • Dr. Ishman and Kirsten introduce 10x Is Easier Than 2x and its challenge to conventional thinking.

  • Overview of how the 10x mindset applies to physicians seeking promotion, impact, and fulfillment.

  • The goal: stop incremental growth, start transformative thinking.

2. The 20% Rule: Focus Over Frenzy (02:00 – 04:00)

  • Kirsten explains the Pareto Principle — 20% of your work drives 80% of results.

  • The danger of staying trapped in “busy work” that feels productive but doesn’t move your career forward.

  • Dr. Ishman discusses the tension between letting go of tasks you enjoy and focusing on what truly matters.

3. The Four Freedoms Framework (04:00 – 06:00)

  • Time, Money, Relationships, and Purpose as key measures of success.

  • Growth comes from expanding freedom in all four areas — not just career metrics.

  • Why alignment across these freedoms prevents burnout and builds momentum.

4. The 10x vs. 2x Shift (06:00 – 08:00)

  • Dr. Ishman explains that 2x growth comes from doing more of the same, while 10x requires a new strategy.

  • Letting go of 80% of what doesn’t serve your mission.

  • “You can’t do 10x by doing more of the same — you have to become a different person with a different strategy.”

5. Identity, Boundaries, and Saying No (08:00 – 13:00)

  • Why becoming 10x requires identity evolution — moving from helper to strategist.

  • Common pitfalls for women physicians: over-serving, under-recognizing, and guilt-driven work.

  • Dr. Ishman introduces the concept of healthy vs. unhealthy guilt and shares real coaching examples of setting boundaries without losing credibility.

6. From “Helper” to “Leader”: The Power of Sponsorship (15:00 – 16:00)

  • How saying “no” can create opportunities for others.

  • Dr. Ishman shares how she transitioned off editorial boards by sponsoring early-career colleagues — turning her “no” into their “yes.”

  • A model for sustainable leadership in academic medicine.

7. Designing Your Dream Identity (16:00 – 19:00)

  • Kirsten reframes 10x as designing your “favorite version of yourself.”

  • Relationships, purpose, and environment as multipliers for growth.

  • Choosing peers and mentors who hold you accountable to your best self.

8. The 10x Filters (17:00 – 18:00)

  • Evaluate decisions through four lenses: Time, Money, Relationships, and Purpose.

  • Each 10x leap requires a new way of thinking across all four dimensions.

9. Final Takeaways: Purpose and Play (19:00 – 20:30)

  • 10x isn’t harder — it’s lighter, more focused, and more joyful.

  • Embrace play, curiosity, and experimentation to accelerate growth.

  • Dr. Ishman closes with two quotes from the book:

    “10x is not about working harder. It’s about raising your standards for what matters.”
    “You don’t become 10x by adding more to your plate. You become 10x by becoming more of who you really are.”

Summary

10x growth doesn’t come from doubling effort — it comes from redefining success, eliminating the 80% that doesn’t serve you, and expanding freedom across time, money, relationships, and purpose.

For physicians in academic medicine, that means learning to say no strategically, focusing on high-impact work, and creating alignment between who you are and what you want to build.

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