What’s happening, party people? Hey, thanks for watching these videos once again. You guys are awesome.

In this video, I wanna talk about something that a lot of people ask me about. I say that a lot, don’t I? Well, thank God you (bleep)ers ask me questions! Otherwise, I wouldn’t have no content. Nothing to talk about. I do like talking. I just wouldn’t have anything to talk about.

Being able to study for long periods at a time and actually getting your ass to do what you wanna do and not procrastinate is something I wanna talk about a little bit more, and there is a book that’s very popular. That is Seven Habits of Highly Effective People or something like that, and one of them is extremely important. It’s Start With the End in Mind.

I was talking to somebody the other day about this, and I was super focused in college and medical school. When I started, I (bleep)ed up a lot of college. When I finally figured my (bleep) out, I was very focused. I got straight As, and I did really well in med school.

We were talking, and the person asked me, “What would you do if you didn’t get in surgical residency?”

I was like, “I was gonna get it. Period.”

There was not a plan B, and I have an Instagram post where I said, “(Bleep) plan B.”

He was like, “Why were you so cocky? Why were you so confident?”

I was like, “I wasn’t confident. I had one goal.”

I didn’t have a goal of being a doctor. I had a very specific goal of being a surgeon. Well, less specific than being a pediatric cardiac surgeon or something like that. And so there was not an option for me to take a medical residency. Therefore, the only option for me was to find a way into general surgery. I did it in a roundabout way, and I took a lot of extra risk. And now that I think back, I’m like, “Man, I should’ve just taken a (bleep)ing medicine residency.”

I could’ve really screwed myself.

If you don’t know that story, the quick and dirty story is that I did not match because I didn’t put a residency program down that said they would match me because it wasn’t big enough for me because I had too high of an opinion of myself I guess. And then I ended up taking a pre-lim year, going through the match again, spending all of my money and my vacation time going through the match. Then doing really good on the ABSITE, and that program that I was in – the pre-lim program – they said they’ll take me for the rest of the five years. And then I had to drop out of the match after I spent all my money and my vacation time on it. In March, March 1st. Then I dropped out of the match.

The reason I did all that stuff was because I was like, “There’s no way I’m doing anything else.”

The question I get all the time is like, “How do I focus? What if I don’t get in? What if it doesn’t happen for me?”

Blah blah blah.

You can’t even think like that. Start With the End in Mind is what this book talks about, and that’s because if you have blinders on – horses have blinders so they can walk in a straight line – that’s what you need to do. You need to walk in a straight line and not be distracted by everything else. The small distractions can (bleep) you up and can get you off your path and gets you lost and take extra time and all that stuff. And so it’s very important to have as specific of a goal as you can make. Sometimes you can’t make…

“I wanna be a neurosurgeon who specializes in glioblastomas.”

Maybe you’re 15, and you don’t know that yet. That’s okay.

Try to get as specific of a goal or as specific of an end in mind first, and sometimes you have to do just a five-year. Sometimes you need to do a 10-year, sometimes you need to do a 20 or even a 50-year goal. If you know your 50-year goal, then saying no to all the other bullshit is easy. You’re like, “No, no, no. That doesn’t get me to that goal. That takes me off of that path.”

I did this when I was in residency. I took a year of research for NASA because I was like, “This is cool! I’ll work for (bleep)ing NASA! I’ll go on the zero gravity plane.”


It did me no good. I was on a line like this, and I went to the (bleep)ing right turn. Detoured for a year for no reason. Where did it get me? Nothing. Actually, what it got me is, I’ll tell you that I did not do a fellowship due to that because I already spent an extra year. So I was six years in residency already. If I did a one-year fellowship, then I would’ve been seven. And I thought that was too long, but everybody who did a fellowship, say in critical care, they’re all like, “I’m a critical care doctor.”

Blah blah blah blah blah.

What the (bleep)? Because they have that piece of paper. Because I didn’t do that one year, so that (bleep)ed me up big time for a lot. Even now, if I go to do certain things, they’re like, “Oh, well, you don’t have a critical care fellowship piece of paper.”

I’m like, “Yeah, I work with these two idiots over here who do have them. And they don’t know their ass from a (bleep)ing third elbow.”

It doesn’t matter because they got the paper. I don’t, so that really jacked me up.

I guess what I’m saying is make sure you have a goal, and try and get it as specific as possible. And that will help you even with the little tasks. Even every single day sitting down and studying because you have that image in your head that’s really powerful. If you can- Oh, look at the light right there. It’s real good, it’s real nice.

If you have an image in your head, it’s a really powerful motivator just to get you to start studying.

That’s it! That’s the end of the video. You know why? Because I’m home.

All right, you guys. Hey, thanks for watching these videos. If you want more study hacks like this, you should check out my It’s an awesome study course. I’ll put the link below. Check that out. If not, subscribe, like, comment, share. I love you guys’ comments. They’re awesome. I try to comment back.

That’s the end of the video.

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