Every year, high-achieving professionals—especially physicians—set ambitious goals with the best intentions. And every year, most of those goals quietly disappear by February. Not because people don’t care. Not because they lack discipline. But because motivation fades, and no system is built to sustain consistency.

In this episode, James Nutter breaks down why goals fail and walks physicians through a practical, repeatable framework for making real progress in 2026—across money, health, career, and relationships.

Rather than relying on willpower, James emphasizes design over motivation, showing how awareness, identity, systems, and tracking create momentum long after the initial excitement wears off. He explains why burnout is often misdiagnosed, how “being busy” can mask stagnation, and why time—not money—is the most valuable asset physicians lose without realizing it.

Listeners are guided through:

• Auditing how time is actually spent (not how it feels)
• Grounding goals in gratitude instead of dissatisfaction
• Using the Wheel of Life to identify hidden imbalances
• Setting just three high-impact SMART goals
• Identifying the deeper why beneath each goal
• Reverse-engineering goals into quarterly, monthly, and weekly actions
• Building simple tracking systems that make execution automatic
• Developing one key skill per quarter instead of chasing everything at once
• Knowing when to learn—and when to delegate
• Building the right support team instead of doing it alone

• Why motivation is unreliable—and systems aren’t
• The real reason New Year’s resolutions fail
• How to audit your time using real data
• Why gratitude prevents burnout and supports consistency
• How the Wheel of Life reveals hidden weak spots
• Why focusing on just three goals leads to better results
• How to define goals that align with your values (not Instagram)
• The difference between goals and identity
• How to reverse-engineer success into weekly habits
• Why tracking beats effort every time
• How learning one skill per quarter accelerates growth
• When delegating is the smarter move

You don’t need more motivation.

You need better design.

Goals fail in the living, not the planning.

Change what you repeat—and everything else follows.

Power Couple Rx is a 2026 segment focused on helping dual-physician couples stop drifting, reclaim their time, and intentionally build lives that support both career success and personal fulfillment.

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

Every week, dual-physician couples lose something far more valuable than money or opportunity: time. Not in dramatic moments—but through late nights charting, rushed mornings, postponed conversations, skipped workouts, and weekends spent recovering instead of living.

In this first episode of the Power Couple Rx series—rolling out throughout 2026—James Nutter introduces six powerful, practical prescriptions designed to help dual-physician couples buy back time without doing more.

Drawing from personal experience, coaching physician households, and insights from high-performance systems, James explains why burnout isn’t the real issue—drift is. Drift away from health. Drift away from connection. Drift away from the life your income was supposed to create.

You’ll learn why most physician couples don’t have a time-management problem—but a life-design problem—and how intentional structure, clear roles, fewer decisions, and smarter use of money can dramatically reduce friction at home.

This episode covers everything from defining household leadership roles and eliminating decision fatigue, to buying back time with delegation, running a weekly couple huddle, reverse-engineering your year, and surrounding yourselves with the right support.

This isn’t about hustle.
It’s about durability.
And building a life that works with your careers—not one that quietly collapses underneath them.

• Why dual-physician burnout is usually drift—not exhaustion
• How unclear roles silently destroy time and energy
• Why equality doesn’t mean shared responsibility for every decision
• How to eliminate decision fatigue at home
• The true cost of doing everything yourself
• How to use money intentionally to buy back time
• Why weekly couple “huddles” prevent resentment
• How to design your year backwards for more life, not more work
• Why elite performers never try to do it alone

You don’t need to add more to your plate.

You need to decide what finally comes off.

Time is the most valuable asset you have as a couple.

Protect it. Design it. Invest it—together.

Power Couple Rx is a 2026 segment focused on helping dual-physician couples stop drifting, reclaim their time, and intentionally build lives that support both career success and personal fulfillment.

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

As the new year approaches, most people start thinking about goals. New routines. New plans. A fresh burst of motivation that—statistically—won’t last past February.

Pauly Domenech doesn’t live that way.

In this episode of Life Well Lived, James Nutter welcomes Pauly for a raw, energizing conversation about why standards—not goals—are what actually change lives. Pauly’s life story is anything but polished: growing up feeling like an outsider, facing real consequences, rebuilding through discipline, combat sports, faith, and relentless consistency. What emerged wasn’t perfection—but resilience.

Pauly explains why goals fail when they’re not rooted in identity, why discipline eventually becomes automatic when standards are aligned with who you want to become, and how pressure doesn’t break you—it reveals you. From jiu-jitsu mats to Ironman training to leadership in business and family life, Pauly shares what it means to live by non-negotiable principles rather than fleeting motivation.

The conversation moves beyond productivity and into something deeper: servant leadership, faith, responsibility, and the idea that if you can do something—you must. Whether it’s your health, your relationships, your work, or your calling, this episode challenges listeners to stop drifting, stop negotiating with their comfort, and start showing up fully.

This isn’t about doing more.
It’s about becoming more—on purpose.

• Why goals fail when they aren’t tied to identity
• The difference between motivation and standards
• How discipline turns into freedom over time
• Why pressure doesn’t build character—it exposes it
• The role faith plays in resilience and leadership
• What “If you can, you must” really means
• How to create non-negotiable daily habits that compound
• Why servant leadership leads to lasting fulfillment
• How to stop letting feelings derail your potential
• Why the hardest seasons often become the greatest setups

A strong life isn’t built in moments of motivation—it’s built through standards you refuse to negotiate.

If you want a life that doesn’t break under pressure, you have to become the kind of person who shows up even when it’s uncomfortable—especially then.

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

Time—not money—is the true currency of a meaningful life.

In this solo episode, James Nutter invites physicians to step off autopilot and confront a hard truth: while doctors fiercely protect their income, homes, and assets, they rarely protect their time with the same urgency. The result is a life filled with drift—missed priorities, delayed dreams, and years that pass faster than expected.

James introduces a simple but powerful annual practice he uses to reclaim control: a time and life audit. By reviewing calendars, photos, and spending habits, physicians can clearly see where their time and energy actually went—and whether those choices aligned with what truly mattered.

The episode walks listeners through a practical framework built around three core questions:

• What needs to be left behind?
• What deserves to be carried forward?
• What moments delivered the greatest return on joy?

James also challenges the deeply ingrained medical culture of constant grinding, reminding physicians that fulfillment isn’t found in endless productivity, but in intentional living. From setting boundaries and saying no, to delegating wisely and building supportive teams, reclaiming time is both a mindset shift and a tactical skill.

This episode isn’t about doing more—it’s about doing what matters, protecting your most finite resource, and designing a life that feels as good as it looks on paper.

• Why time—not money—is the most valuable asset physicians own
• How unprotected calendars quietly erode joy, purpose, and presence
• A simple framework for auditing how you actually spend your life
• The difference between productivity and meaningful progress
• How to identify high “return on joy” moments and create more of them
• Why saying no is a skill physicians must intentionally practice
• How delegation and support systems buy back time
• Why traditional New Year’s resolutions fail—and what works instead
• How to design a life that aligns with your values, not just your title

You don’t get more time—but you can protect it better.

A life well lived isn’t built accidentally. It’s designed through awareness, boundaries, and intentional choices. When physicians learn to guard their time as fiercely as their finances, everything else begins to align. 

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

For physicians, student loans aren’t just math—they’re emotional. They shape decisions about jobs, families, burnout, and freedom.

In this masterclass episode, James Nutter pulls back the curtain on the confusion surrounding physician student debt and explains why so many doctors feel stuck, anxious, or ashamed about a system they were never equipped to navigate.

James outlines the three student loan repayment categories every physician must choose between:

✔ PSLF with a safety-fund contingency
✔ Aggressive full payoff (obliteration)
✔ Balanced repayment while building wealth

He explains what type of physician best fits each path, why math alone shouldn’t drive the decision, how to avoid catastrophic repayment mistakes, and how to build a plan that supports your life—not consumes it.

From news about the SAVE Plan shutdown, to backdating PSLF years from residency and fellowship, to refinancing strategy, tax filing decisions, income planning, and the psychological impact of debt, this episode reframes student loans as solvable—not suffocating.

The conversation closes with a powerful mindset shift: true success isn’t about the lowest interest rate or fastest payoff—it’s choosing the path that lets you sleep at night and live well now.

Physicians deserve clarity. This episode delivers a framework that reduces fear, builds confidence, and moves doctors forward.

• The only 3 repayment paths that truly exist for physicians
• Why PSLF success is rising—and how to actually qualify
• How backdating residency years can unlock forgiveness faster
• What the SAVE Plan shutdown means for doctors today
• How to build a PSLF contingency fund for peace of mind
• When full payoff is healthier than optimization
• Why “balance” may outperform speed for many physicians
• Real physician stories of forgiveness, payoff, and transition
• How refinancing decisions are changing under new rules
• How to automate discipline and reduce financial stress

• PSLF vs. payoff psychology: deciding with clarity
• The role emotion plays—fear, stress, uncertainty, shame
• SAVE Plan shutdown + what comes next
• Residency and fellowship repayment mistakes
• Dual-physician loan dynamics and tax filing strategy
• The mental burden of debt vs. the math of payoff
• Why aggressive payoff isn’t always the answer
• The case of $400K forgiven after overlooked qualifying years
• A 3-step execution system that actually works
• Building a financial plan that supports human wellbeing

Private practice isn’t dying—it’s evolving. Physicians don’t need to choose between burnout and selling out. With the right structure, systems, and support, autonomy in medicine is still possible.

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

Medicine wasn’t supposed to feel like this.

In this wide‑ranging conversation, James and Donovan pull back the curtain on why so many physicians feel trapped—overtrained professionals reduced to overworked note‑takers, buried under administrative chaos and shrinking margins. Donovan explains how the modern healthcare system has shifted power away from physicians and toward bureaucracy, creating burnout by design.

They explore why the usual “solutions” (hospital employment, concierge medicine, or walking away entirely) aren’t the only options—and often aren’t sustainable at scale. Instead, Donovan introduces a third path: rebuilding practices with the right structure, systems, and economies of scale so physicians can operate at the top of their license again.

From bleeding time and money through poor workflows, staffing instability, and under‑optimized revenue cycle management, to overlooked opportunities like value‑based contracts and AI‑driven operations, this episode reframes private practice as something that can work—if it’s built intentionally.

The conversation closes on a more human note: what freedom in medicine really means, how silence and space factor into a life well lived, and why reclaiming agency is about more than income—it’s about sustainability, purpose, and peace.

• Why physician burnout is driven more by loss of agency than workload
• How administrative burden quietly erodes time, money, and energy
• The real reason private practices struggle with margins and staffing
• Why selling to a hospital isn’t the only—or best—option
• How MSO models can restore scale without sacrificing autonomy
• Where physicians commonly leave money on the table in billing and coding
• Why value‑based contracts are a massively underused opportunity
• How AI receptionists and smarter workflows reduce chaos
• What it realistically takes to transition into private practice
• What “freedom in medicine” actually looks like in real life

• Loss of physician agency and the rise of administrative overload
• The 8:5 ratio: patient care vs. administrative work
• Why burnout makes hospital employment feel tempting
• Concierge medicine: helpful reaction, incomplete solution
• Bleeding points: margins, staffing, workflow, and energy
• The hidden cost of physician turnover
• Revenue cycle blind spots and missed reimbursement opportunities
• Scaling practices without sacrificing care quality
• Value‑based care as a long‑term lever for sustainability
• Redefining success, silence, and a life well lived

Donovan Miske is the founder of Kona Medical Consulting, a national managed service organization (MSO) helping independent physicians regain control of their practices. His work focuses on operational efficiency, revenue optimization, staffing stability, and long‑term scalability—so physicians can practice medicine without being consumed by the business of medicine.

Private practice isn’t dying—it’s evolving. Physicians don’t need to choose between burnout and selling out. With the right structure, systems, and support, autonomy in medicine is still possible.

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

Money is emotional, chaotic, and—if left unmanaged—one of the biggest sources of stress for physicians and families. In this actionable episode, James Nutter shares the exact systems he uses to help clients build a financial plan and actually stick to it.

He introduces the “Box and Shelf” method—a simple but powerful way to store all your financial tasks, documents, and priorities in one place so you stop juggling decisions in your mind all day. From there, he explains why single-tasking your finances (not multitasking) is critical, how to run monthly Family Board Meetings to keep alignment, and why “BAMFAM” (Book A Meeting From A Meeting) prevents money decisions from falling into no-man’s land.

James also breaks down the value of automation, the myth of perfect financial months, and how to navigate challenges without throwing out your whole plan. He closes with a reminder: consistency—not perfection—is what builds true financial freedom. When you structure your money life, you reclaim your peace.

• The 5-step system James uses with clients to stay financially organized
• Why multitasking drops your IQ more than being high (NASA study)
• How the Box & Shelf method eliminates clutter and overwhelm
• How to use monthly Family Board Meetings to stay aligned
• The power of BAMFAM to prevent lost tasks
• Why automation is your best friend in financial wellness
• How to adjust goals when life (or your budget) shifts
• Why financial clarity often takes 6–12 months—and why that’s normal

• Create your “Box & Shelf” digital vault
• Schedule your first Family Board Meeting
• Choose one financial project and create a 30–90 min single-task session
• Automate one savings goal this week
• Revisit and adjust goals monthly
• Book a free Financial Wellness Diagnostic with James at IMWealth.com

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

Financial clarity feels great — until life gets busy and everything stalls again. In this episode, James Nutter tackles the real gap most physicians face: execution. After laying the groundwork in the Financial Wellness 101 series, he walks listeners through practical frameworks for staying organized, focused, and consistent without burning out.

James introduces the Box & Shelf method to eliminate mental clutter, the 3×3×3×3 framework to prioritize what actually matters, and Darren Hardy’s 5-3-1 Plan for intentional skill-building without overwhelm. Along the way, he reinforces why single-tasking beats multitasking, why automation matters more than perfect months, and why consistency — not intensity — is what builds real financial freedom.

This episode is about reclaiming peace by building systems that carry you forward when motivation fades.

• Why execution — not information — is the biggest financial bottleneck
• How the Box & Shelf method reduces overwhelm and mental clutter
• The 3×3×3×3 framework for identifying your most critical priorities
• Why multitasking your finances actually lowers performance
• How Family Board Meetings create alignment and momentum
• What BAMFAM (Book A Meeting From A Meeting) prevents
• How the 5-3-1 Plan helps you build skills without burnout
• Why progress often takes 6–12 months — and why that’s normal

• Box & Shelf Method: One centralized system for financial tasks and documents
• 3×3×3×3 Framework:
  • 3 Financial Vitals
  • 3 Core Cash Flows
  • 3 Core Values
  • 3 Big Goals
  • 3 Key Team Members
• Family Board Meetings: Monthly alignment without pressure
• BAMFAM: Ensuring decisions turn into action
• 5-3-1 Plan: 5 books, 3 podcasts, 1 coach per quarter

• Build your digital Box & Shelf vault
• Identify your lowest-scoring financial vitals
• Schedule your first Family Board Meeting
• Choose one financial project for a focused 30–90 minute session
• Automate at least one savings or investment goal
• Decide: DIY, Done-With-You, or Done-For-You support

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

Money conversations are hard for everyone—even financial advisors and physicians who deal with high-stakes decisions every day. In this deeply relatable and practical episode, James Nutter pulls back the curtain on why couples struggle to talk about money, why “knowing” and “doing” are not the same thing, and how to create a repeatable structure that makes financial conversations feel safe, productive, and even connective.

Using stories from clients, personal experiences during wedding planning, and research around financial stress and divorce, James introduces his four-step Family Board Meeting Framework:

1. Create the Space – Schedule meetings intentionally and avoid talking about money when you’re exhausted, rushed, or emotionally charged.
2. Set Ground Rules – Avoid “HALT,” listen with humility, and use shared language that helps prevent misunderstandings.
3. Understand the Law of Familiarity – Why couples often don’t hear financial advice from each other, and how “out-of-town experts” help.
4. Run the Meeting – Use monthly and quarterly huddles, issue lists, and cash-flow reviews to keep your goals aligned and your decisions intentional.

James shares actionable scripts, meeting shells, mindset shifts, and practical tools—like issue lists, shared clouds, and curiosity-driven questions—that help families build trust and clarity around money. If financial conversations have ever felt heavy in your home, this episode offers a roadmap to bring stability, ease, and teamwork back to your financial life.

• Why money is the #1 source of household stress for 75% of families
• How the “love triangle” of money shapes your partner’s financial beliefs
• How to set ground rules that keep conversations calm and productive
• How the Law of Familiarity sabotages communication—and how to fix it
• The exact structure James uses for monthly, quarterly, and annual money meetings
• How to use digital “issue lists” to keep decisions organized
• Why humility and curiosity matter more than financial knowledge
• How to collaborate on financial decisions without resentment or pressure

📅 Schedule your first 30–60 minute Family Board Meeting
📓 Create your shared cloud folder with “issue lists” and monthly check-ins
💬 Ask your partner: “Do you want solutions or a listening ear right now?”
📝 Revisit your goals monthly
🔄 Schedule your quarterly cash-flow review
🧭 Identify 1–2 decisions that need alignment now

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.

This week on A Life Well Lived: A Physician’s Guide to Wealth, James Nutter moves from intention to action by breaking down the real math behind your goals. After helping listeners clarify their values, money love languages, and long-term vision earlier in the Financial Wellness 101 series, James now shows you how to identify what your dream life costs—and how to fund it, one intentional step at a time.

He walks you through the process of calculating free cash flow, evaluating whether your current lifestyle aligns with your values, and reverse-engineering every big goal (from student loans to dream homes) into monthly, achievable targets. James explains how to set priorities, build momentum with early wins, and adjust your plan if the numbers don’t quite match your dreams yet.

This episode is equal parts mindset, math, and motivation—giving physicians a real roadmap for creating a life that feels aligned, intentional, and deeply meaningful.

• How to calculate your free cash flow—and why it’s the engine behind your goals
• How to reverse-engineer every major goal into a monthly target
• How to evaluate whether your current lifestyle aligns with your values
• How to identify what you want “more of” in your present life
• Ways to adjust your goals or lifestyle if the numbers don’t match
• The difference between dreaming and doing—and how to automate progress
• How visualization and accountability drive long-term success

Next Steps

📓 List your top three financial goals—include the dollar amount and timeline

💡 Calculate the monthly cost for each goal

🧭 Compare your free cash flow to your goals

🔄 Adjust: increase income, reduce expenses, or shift timelines if needed

🎯 Prioritize your top 3–5 “rocks”

🚀 Set early wins for the next 30 days

📆 Revisit your plan weekly or monthly

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.