This episode normalizes salary discomfort and reframes it as valuable data rather than something to feel ashamed of. Dr. Onwuemene walks listeners through five key questions to ask when the thought “I should be making more money” comes up, helping physicians think strategically, emotionally, and practically about compensation, negotiation, and long‑term financial goals.

This episode is especially relevant for physicians in academic medicine, career transitions, or anyone questioning whether their current role can truly support the financial life they envision.

Key Topics Covered

• Why it’s normal—even for high‑earning physicians—to feel dissatisfied with their salary
• The emotional weight of pay cuts and lifestyle expectations during career transitions
• Wage compression, equity, and fairness in academic and institutional settings
• The difference between wanting more money and wanting fairness
• How to think clearly and productively about salary negotiations

The 5 Questions to Ask When You Want a Higher Salary

1. What’s really driving this desire? Is it truly about money—or is it about equity, fairness, recognition, or comparison? Clarifying the “voice behind the voice” helps you approach negotiations calmly and effectively.

2. What kind of financial future can this institution support? Think of your workplace as a financial foundation. Is it built to support a “ranch house” or a “skyscraper”? Understanding structural limits helps you decide whether to adjust your goals—or change environments.

3. Who is already earning what I want to earn—and what are they doing? Look around. Identify people achieving your financial goals and examine the price they’re paying in time, energy, call schedules, and lifestyle. Then ask: Is that a price I’m willing to pay?

4. What is actually possible here? Avoid prematurely closing doors. Many physicians create significant income through consulting, entrepreneurship, hybrid models, or strategic roles—even within academic settings. Ask: How could this be possible?

5. Do I have the courage to act? Comfort can be a trap. Building wealth often requires discomfort, risk, and change. This step is about having the courage to move—even when the path feels uncertain.

Final Takeaway

Institutions can set ceilings—but you get to decide whether to push against them, raise them for others, or build somewhere else entirely. The key is clarity: about your goals, your environment, and the moves you’re truly willing to make.

If you’ve ever thought, “I should be making more money,” this episode will help you unpack that thought and turn it into informed, intentional action.

In today's episode, Dr. Onwuemenenvites physicians to pause and ask a powerful question:

What am I optimizing for in this season of my career—and who chose that target?

Too often in medicine, we inherit our optimization goals. Early on, it may be productivity or proving ourselves. But as our lives evolve, so do our priorities.

Dr. Onwuemene reflects on how her own decisions shifted across seasons—from choosing proximity to family over prestige in medical school, to prioritizing community when transitioning to faculty, to seeking institutional environments that truly supported physician-led research.

She outlines seven optimization targets physicians may consider:

• Community – proximity to family and meaningful support
• Experience – the type of training or growth an institution enables
• Opportunity – whether advancement pathways are real and documented
• Networks – access to collaborators and intellectual community
• Lifestyle – schedule flexibility and structural breathability
• Time – protected space to build beyond clinical work
• Finances – income, asset building, or long-term wealth strategy

The key is not which category you choose. The key is choosing intentionally.

Every institution is a vehicle. The question is whether it’s designed to help you optimize for what matters most in this phase of your life.

Priorities shift. Seasons change. What served you five years ago may not serve you now—and that’s okay.

Reflection Prompt: What are you optimizing for at this stage of your career? And does your current platform support it?

DM Dr. Onwuemene on LinkedIn and share your answer.

Podcast: Visionary MD Podcast Host: Dr. Ion

Early-career physicians often sign job offers under pressure. In this episode, Dr. Onwuemene shares 7 essential principles to help you evaluate offers strategically, avoid common traps, and choose a role that truly supports your future.

Key Points

1. You are not desperate Urgency is learned in medical training—not required. This decision deserves time and clarity.
2. Expect a power differential You’re negotiating with experienced professionals. Get help from 2–3 trusted advisors.
3. Ask questions (and get clarity in writing) If something doesn’t make sense, don’t assume—clarify and document it.
4. Do the math Look beyond salary: clinical load, promotion requirements, professional development funds, dues, boards, and moving costs.
5. There are other offers Even if it doesn’t feel like it, more options exist—academia, industry, government, locums, or hybrid roles.
6. Don’t rely only on job postings Network proactively. Many roles come from conversations, not listings.
7. Is this actually what you want? Don’t just pick the “best” available job. Choose one aligned with your goals—or wait and bridge strategically.

Bottom Line: Your first job is a long-term investment. Choose from confidence, not fear.

Listen now and share with a colleague navigating their first offer.

In this episode, Dr. Onwuemene speaks directly to physicians about navigating constant, accelerating change in healthcare and leadership. While many hope for a return to “the way things used to be,” this episode reframes ongoing disruption as the new normal—and challenges physicians to respond with intention rather than resistance.

Drawing on the shared experience of medical training, Dr. Onwuemene reminds listeners that they have already embraced profound change many times before. The same willingness to grow, stretch, and tolerate discomfort is still available—and necessary—today.

Key Takeaways

Change is inevitable. Change is already here and cannot be avoided or reversed. Longing for the past ignores the reality that both the system and we ourselves have changed.

Resistance is costly; intention is powerful. Physicians can resist change or lean into it—but even neutrality allows change to carry us without choice. Leaning in means acknowledging reality and intentionally deciding how to respond.

Face change before you’re forced to. Ignoring change delays decision-making but ultimately removes control. Proactive reflection preserves agency and expands options.

Discomfort signals growth. Just as in medical training, discomfort often means you are entering necessary new territory. This is not the time to retreat to safety, but to move forward with courage.

Optimism is a strategy. Tomorrow is better because you bring more wisdom and experience to it. Optimism fuels action; pessimism prevents it.

Final Encouragement

Even in unprecedented times, physicians are not powerless. You have embraced challenge before—and you can do it again. Growth, leadership, and possibility still lie ahead.

If you’re seeking support through executive coaching, career development, or leadership growth, connect with Dr. Onwuemene on LinkedIn.

References & Citations

This episode is based on professional experience and reflective insights; no external references were cited.

In this episode, Dr. Toyosi Onwuemene speaks directly to physicians considering new leadership roles and administrative opportunities. Drawing from a recent coaching conversation and her own experience as a medical director, she explains why many leadership roles offered to physicians lack protected time, resources, compensation, and clear metrics for success leading to burnout, underperformance, and lost career opportunities. This episode offers a clear framework to help physicians evaluate leadership roles before saying yes.

Key Points Discussed:

• Why unresourced leadership roles create unsustainable workloads for physicians
• The real meaning of protected time for physicians—and why it is essential for success
• How lack of staffing, funding, and infrastructure leads to physician leadership burnout
• Why unpaid or underpaid administrative roles undervalue physicians’ expertise
• The negative impact of uncompensated leadership roles on existing clinical and academic responsibilities
• The opportunity cost of accepting unsupported leadership positions in academic medicine
• Why unclear expectations and missing metrics for success place physicians at risk
• How saying “no” can initiate meaningful leadership role negotiation
• What to look for in leadership roles that truly support long-term career advancement for physicians

Links and Resources Mentioned:

• AAMC Faculty Salary & Compensation Reports – National benchmarking data for physician leadership and administrative compensation: https://www.aamc.org/data-reports/workforce/report/aamc-faculty-salary-report
• Connect with Toyosi Onwuemene on LinkedIn (DMs open for physician coaching inquiries): https://www.linkedin.com/in/tonwuemene

Call to Action: If you are a physician navigating leadership opportunities, protected time negotiations, or uncompensated administrative roles, subscribe to the podcast and leave a review so more physicians can find these conversations. Share this episode with a colleague who is considering a new leadership role—and pause before saying yes.

Sponsor/Advertising/Monetization Information: This episode is sponsored by VisionaryMD, a leading provider of executive coaching and professional development resources for physician leaders. VisionaryMD is committed to supporting physicians on their leadership journey.

Looking for a coach? Sign up for a coaching discovery call today: https://www.coagcoach.com/service-page/consultation-call-1

This episode invites physicians to step back, clarify who they are as the “passenger,” define their destination, and intentionally choose (or create) the vehicle that will actually take them there.

Key Points Discussed:

• You are the passenger: career journeys only matter once you decide where you’re going.
• Vehicles (institutions, jobs, mentors, systems) are neutral—they simply go where they go.
• Defining your destination narrows your options and exposes misalignment.
• Frustration is not about a “bad” institution; it’s about being on the wrong plane.
• Physicians often try to force vehicles to change direction instead of choosing a better-aligned one.
• Sometimes no vehicle exists—and visionary physicians create a new path.
• Being “closer” to your destination expands options, even if the vehicle isn’t perfect.
• Career peace comes from clarity, not comfort, prestige, or tradition.

Links and Resources Mentioned:

• LinkedIn for coaching inquiries

Call to Action: If this episode resonated, subscribe to the Visionary MD Podcast, leave a review, and share it with a physician colleague who may be questioning their current path.

As a physician leader, your words carry extraordinary weight. They can unify a team or divide it. They can encourage in crisis or deepen discouragement. In this episode of VisionaryMD: For Physicians Who Lead, I share seven ways to use your words with clarity, confidence, and vision — so you can lead more effectively and create a culture where people thrive.

A Swiss study of more than 1,500 physicians found that leadership communication — tone, feedback, and information quality — is one of the strongest predictors of physician satisfaction and well-being. That means your words are not just tools — they’re your leadership legacy.

In this episode, you’ll discover how to:

1. Recognize your words carry power.
2. Learn to use words well.
3. Speak with intention.
4. Encourage in crisis.
5. Set a daily intention.
6. Feed your mind with high-quality material.
7. Listen well to lead well.

By practicing these habits, you can create trust, inspire your team, and shape a culture where people thrive.

📌 Key Takeaway

Your leadership is amplified through your words. When you use them wisely, you shape culture, build trust, and inspire your team to perform at their best.

🔑 Resources & References

• Heuss SC, Datta S. Impact of leadership communication on job satisfaction and well-being of physicians.Discover Global Society. 2023.

🚀 Ready to Grow as a Physician Leader?

If you’re a physician in academic medicine ready to step into leadership with clarity, confidence, and vision, I can help. As an executive coach, I work with physicians to:

• Strengthen communication skills.
• Build cohesive, motivated teams.
• Lead effectively in complex healthcare systems.

👉 Schedule a complimentary coaching consultation here:

💬 Let’s Connect

I’m Toyosi Onwuemene, an executive coach for physicians in academic medicine. If you’d like support on your leadership journey, schedule a virtual consultation or connect with me on LinkedIn.

In this episode of the Visionary MD Podcast, executive coach Toyosi Onwuemene speaks directly to physicians who feel frustrated, stifled, or slowed down by the people they’re forced to work with. Drawing from a real coaching conversation, she reframes this tension as a leadership challenge—one that begins not with changing others, but with leading yourself first.

Key Themes

• Why physicians are fundamentally different—and why that matters in team dynamics
• The danger of trying to “fix” cultures that don’t support excellence
• Leading with presence instead of frustration or control
• Choosing intention over resentment when collaboration feels impossible

Five Leadership Strategies for Physicians

1. Leave – If the environment tolerates what you can’t, it may not be the right place for you.
2. Stay Well – If you stay, commit fully and adjust your attitude to protect your energy and health.
3. Understand Who You’re Working With – Clarify others’ motivations and recalibrate expectations.
4. Help Them Win – Lead through service, not dominance. Care personally to influence effectively.
5. Design for Strengths – Create workflows that make the best use of others’ actual capabilities.

Core Takeaway

Transformation doesn’t start with changing the environment—it starts with changing how you show up. Physicians lead most powerfully when they combine presence, intention, and service to others.

About the Host

Toyosi Onwuemene is an executive coach who helps physicians lead with presence, speak with purpose, and bring healing and transformation to the communities they serve.

Connect

Find Dr. Onwuemene on LinkedIn: @toyosionwuemene. Listen for the next episode of the Visionary MD Podcast

In this episode of the VisionaryMD Podcast, Dr. Onwuemene, physician and executive coach for physicians, explores one of the most challenging transitions in medicine: the shift from trainee to faculty.

Inspired by a recent coaching conversation with an early-career physician, this episode addresses the quiet questions many physicians ask once training ends:

• Why is this so frustrating?
• Why does it feel harder than it should be?
• Why does no one seem to be helping me anymore?

Using The Wizard of Oz as a metaphor, Dr. A outlines seven signs that you are “not in Kansas anymore”—and why recognizing this shift is essential for building a sustainable, fulfilling academic career. This is the first of a two-part series.

Key Insights from the Episode

1. The journey doesn’t start until you choose a direction In training, your success aligned with the institution’s success. As faculty, that alignment fractures. Progress begins only when you define what “winning” means for your career.
2. Trying to please everyone will hold you back The approval-seeking behaviors rewarded during training can undermine faculty success. Not every voice deserves equal priority.
3. You’ll meet quirky companions along the way Once you define your path, you encounter colleagues whose values and goals align with yours. These relationships appear because you’re moving—not before.
4. Your clarity enables others to lead When you articulate where you’re going, others organize themselves around that direction. Leadership begins with leading yourself.
5. You’ll encounter leaders who lack resources to support you Many academic leaders achieved success under very different conditions. Some are unavailable; others unintentionally send physicians on resource-poor missions. This is common—and predictable.
6. You will succeed anyway Most physicians who remain in academic medicine do so not because the system worked, but because they refused to quit. Grit, optimism, and persistence matter.
7. The thing you’re looking for is you Like Dorothy’s red shoes, the capacity to move forward—vision, resourcefulness, leadership—was with you all along. The real work is developing yourself, not waiting to be rescued.

Core Takeaway

The greatest asset in your academic career is not a title, institution, or mentor. The gift is you.

What’s Next

In next week’s episode, Dr. Onwuemene will discuss what to do once you realize you’re not in Kansas anymore—and how to take charge of your career with clarity and intention.

References

• The Wizard of Oz (1939), Metro-Goldwyn-Mayer
• Covey, S. R. (1989). The 7 Habits of Highly Effective People. Free Press

Welcome to the inaugural episode of the VisionaryMD Podcast — the rebranded and relaunched version of what was once The Clinician Researcher Podcast.

After taking time away, I realized that both my work and the world of academic medicine have changed. Physicians are being asked to lead in new and bigger ways — beyond research, beyond clinical care. And that’s why this podcast has evolved into VisionaryMD: For Physicians Who Lead.

In this episode, I share seven reasons for this rebrand — and why it matters not just for me, but for you as a physician leader:

1. Academic medicine is changing. Resources and roles are shifting, requiring new kinds of leadership.
2. Physician identity evolves. From clinician, to scientist, to leader — your identity continues to grow.
3. Training is leadership training. Every step of your medical career has been preparation for leadership.
4. Impact is expanding. Physicians must step into broader spheres — education, operations, health systems.
5. Relevance and resonance. Leadership requires retooling for a rapidly changing environment.
6. Being the vanguard. Physicians must chart new paths in healthcare leadership.
7. Clarity of purpose. For me, that clarity is serving physicians as they lead with confidence, clarity, and vision.

This rebrand is about more than a name. It’s about reflecting the reality that you are a leader — in the clinic, in the classroom, in research, and in your institution.

📌 Key Takeaway

Just as I’ve rebranded this podcast, you may need to rebrand your own leadership identity. Growth requires clarity, courage, and vision.

🚀 Ready for Your Own Leadership Rebrand?

If you’re a physician in academic medicine stepping into leadership — whether in research, education, or administration — I’d love to support you. As an executive coach, I help physicians:

• Transition confidently into leadership roles.
• Strengthen communication and influence.
• Expand their impact within complex healthcare systems.

👉 Schedule a complimentary coaching consultation and let’s explore how you can lead with clarity, confidence, and vision.

💬 Connect

Subscribe to VisionaryMD so you never miss an episode. Share it with a colleague who is stepping into leadership. And connect with me on [LinkedIn] or at [your website] — I’d love to hear your story.