This is a continuation of my thoughts on “Manage Your Energy, Not Your Time,” by Tony Schwartz and Catherine McCarthy, as published in the Harvard Business Review. The first series in the post dealt with physical energy, the second, on emotional energy.

Mental Energy

• Reduce interruptions by performing high-concentration tasks away from phones and emails.
• Respond to voice mails and emails at designated times during the day.
• Every night, identify the most important challenge for the next day. Then make it your first priority when you arrive at work in the morning.

This is nearly impossible on the wards since so many people want to page you. I did, at one point, try using a Bluetooth headset on my cell phone so that I could answer phone calls more efficiently. I noticed that the more efficient residents would enter in orders, write notes, and present cases (i.e. multitask) during rounds. The point that the authors try to make is to emphasize how important it is to reduce clutter, and it relates to a condition one psychiatrist, Dr. Edward Hallowell, has labeled attention deficit trait.

This is a continuation of my thoughts on “Manage Your Energy, Not Your Time,” by Tony Schwartz and Catherine McCarthy, as published in the Harvard Business Review. The first series in the post dealt with physical energy.

• Defuse negative emotions — irritability, impatience, anxiety, insecurity — through deep abdominal breathing.
• Fuel positive emotions in yourself and others by regularly expressing appreciation to others in detailed, specific terms through notes, emails, calls, or conversations.
• Look at upsetting situations through new lenses. Adopt a “reverse lens” to ask, “What would the other person in this conflict say, and how might he be right?” Use a “long lens” to ask, “How will I likely view this situation in six months? ” Employ a “wide lens” to ask, “How can I grow and learn from this situation?”

Renewing emotional energy is harder to accomplish when on a high-stress high-stakes service like internal medicine or surgery. read more→

The Harvard Business Review magazine often features articles detailing techniques for personal improvement based on more rigorous scientific research and analyses of successful organizations and leaders. One of the articles featured in its recently-published compilation On Managing Yourself, “Manage Your Energy, Not Your Time,” focuses on improving yourself by managing energy instead of prioritizing and stressing about time management. The four dimensions of personal energy include physical, emotional, mental, and spiritual, which I’ll tie in this post and subsequent posts. I’ll cover the article’s highlights, and tie it in to make it more relevant to healthcare professionals:

Physical Energy

Authors Tony Schwartz and Catherine McCarthy summarize their techniques along these points:

• Enhance your sleep by setting an earlier bedtime and reducing alcohol use.
• Reduce stress by engaging in cardiovascular activity at least three times a week and strength training at least once.
• Eat small meals and light snacks every three hours.
• Learn to notice signs of imminent energy flagging, including restlessness, yawning, hunger, and difficulty concentrating.
• Take brief but regular breaks away from your desk, at 90- to 120- minute intervals throughout the day.

No B.S. Time Management for Entrepreneurs provides some insight into high-powered entrepreneurs like Dan Kennedy, who ran businesses so they worked for him in his favor, instead of the other way around. I routinely try to find ways to complete projects as effectively and efficiently as possible, so this book gave me some very interesting thoughts. And these are great for physicians: I often find doctors running around like headless chickens trying to perform surgery on one patient while answering pages about other patients in the PACU or SICU and juggling teaching medical students and research and side projects of running clinics in Africa and having a marriage.

(gasp) Let me exhale for a moment.

In the book, Dan Kennedy provides nuggets called “No B.S. Time Truths”, with some of my thoughts: read more→

My list of personal goals has grown ever since I graduated: one of them, public speaking. And, as I'm typing this on BART, I should brainstorm what my real motivations are behind pursuing public speaking. Getting up in front of a crowd wracks the nerves, so why do something outside my comfort zone? read more→

This past weekend, I helped Carolen get her life organized. We spent, oh, six or more hours poring over paper planners and Palm PDA. (Pocket PC's have a user interface from hell and we Berkeley students like to stick it to the man when we can, so we avoided it.) After much debate over the advantages and disadvantages of each, we concluded that although Palms were much more expensive than paper, it was, by far, the most flexible and most portable way to get one's thoughts down. read more→

Last month, I tried using a pocket notebook to organize my time and my life, inspired by the productivity blog 43 Folders. They obsessively post about things to help keep life organized, heavily inspired by David Allen's Getting Things Done: The Art of Stress-Free Productivity book. Some of them are obsessed with a particular notebook, called the Moleskine notebook (illustrated here), useful for not only keeping track of life, but as a haven for creative ideas, an exercise log, engineering ideas, storyboards for animations or even storyboards for one's personal day in lieu of a more formal task list. I thought I would give this a try too.

I had a beautiful set-up: a black bound notebook with ... read more→