Making BIG Shifts

MKTG Reboot

Making BIG Shifts is a growth and decision-making podcast for founders and operators, hosted by strategic integrator and founder of MKTG Reboot, Josh Anderson. Each episode features real operators, founders, and leaders unpacking the hard parts of running a business, the tough decisions, the setbacks, the inflection points, and the wins that follow. Through founder stories, growth strategies, and startup strategy insights, conversations span growth, marketing, leadership, systems, and strategy, with a focus on the shifts that actually move businesses forward.

  1. Jun 15

    The Career Trap Almost Every High Performer Falls Into

    Most high performers don’t burn out because they fail. They burn out because they succeed at the wrong game. In this episode of Making BIG Shifts, Josh Anderson sits down with Monica McKitterick, nurse practitioner, CEO of Impact Family Wellness, and founder in the Direct Primary Care space. After years inside a system driven by insurance, paperwork, and volume over care, she made a $20,000 bet on a different model. One focused on access, relationships, prevention, and real patient care. What started as a leap into the unknown turned into three clinics, a growing team, and eventually a harder decision. Stop optimizing for more, and start optimizing for life. In this episode, we break down: • The hidden career trap most high performers fall into• Why more growth often quietly reduces freedom• What Direct Primary Care actually changes in healthcare• How most founders misread success signals early on• Why marketing and sales matter even in medicine• The turning point between scaling and sustainability• How to know when “more” is no longer the right answer If you are a founder, healthcare provider, operator, or high performer building something meaningful, this conversation will challenge how you define success. Listen to the full episode, like, subscribe to Making BIG Shifts, and share this with someone who is building fast but starting to question what it is costing them. #MakingBigShifts #Leadership #Burnout #Entrepreneurship #HighPerformance #CareerGrowth #Healthcare #DirectPrimaryCare #BusinessStrategy

    27 min

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About

Making BIG Shifts is a growth and decision-making podcast for founders and operators, hosted by strategic integrator and founder of MKTG Reboot, Josh Anderson. Each episode features real operators, founders, and leaders unpacking the hard parts of running a business, the tough decisions, the setbacks, the inflection points, and the wins that follow. Through founder stories, growth strategies, and startup strategy insights, conversations span growth, marketing, leadership, systems, and strategy, with a focus on the shifts that actually move businesses forward.