The Rural American Surgeon

Setting Goals as a Surgeon: Building Direction, Discipline, and Financial Freedom


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Today Dr. Randy Lehman reflects on the practices he employs to live a life of intention, including conferences, family rhythms, financial tracking, and the systems he’s built to avoid simply bouncing around through life. 

From residency to rural practice, from debt payoff to financial independence, he shares the exact goal-setting framework he uses annually. 

If you’re a surgeon trying to build a life of impact, margin, and intentional growth, this one’s for you. 

0:00 Intro0:45 Conferences, Community, and Rural Surgical Connections3:16 Why Goal Setting Matters6:57 Consistency and the 1% Better Philosophy8:24 The 5-Year Perspective on Growth11:05 Out-Earning vs Frugality Early in Career13:14 What Gets Measured Gets Managed15:15 Applying Business Principles to Personal Life16:02 The Gap and The Gain Mindset19:23 Vision Documents and Annual Goal Structure23:15 The Daily To-Do List System26:09 Building and Tracking Net Worth28:58 Comparing Yourself to Your Former Self31:33 The One Sheet
Resources Mentioned:

📚 The Gap and The Gain by Dan Sullivan & Dr. Benjamin Hardy


📚 The One Thing by Gary Keller


Dave Ramsey’s Debt Snowball Method


🌐 North American Rural Surgical Society

 https://www.northamericanrss.org/


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The Rural American SurgeonBy Randy Lehman