05-16-25 Yes! Session: "Job vs Career: Increase Efficiency and Improve Impact" with Christopher Sankey, MD

Name: 05-16-25 Yes! Session: "Job vs Career: Increase Efficiency and Improve Impact" with Christopher Sankey, MD
Uploaded: 2025-05-16T17:29:27.4866667Z
Duration: 1 h 1 min 51 s

May 16, 2025

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ID: 13146
To Cite: DCA Citation Guide

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00:00Afternoon. Welcome.
00:02We're excited that this is
00:03the
00:04the end of a second,
00:06year of this yes series.
00:08I'm sorry that my copartner
00:10in crime, Dana Dunn, is
00:12not with us here today,
00:13but we've
00:14put this series with a
00:15lot of,
00:16care and attention, and we
00:18have loved having many of
00:19you and others join us
00:20every week.
00:22Today for the finale,
00:24we have, Chris Sankey.
00:27Chris, as you can see
00:28from his titles,
00:29is all over, internal medicine
00:31and does all sorts of
00:33things there.
00:34He's an associate professor.
00:36He is very involved in
00:38the training
00:39aspects of the department. And
00:42something that I didn't know,
00:43many of you will know,
00:44I had to ask him
00:45what,
00:46firm chief is and what
00:48our firm. So I learned
00:49that it's really the heart
00:50of the education component for
00:52our
00:54graduates and and internal medicine
00:56residents. So that's a very
00:57important role.
00:59Chris,
01:01trained in medical school in
01:02Ohio State University, and then
01:04we were lucky enough to
01:05steal him and keep him
01:06since then. Almost two decades
01:08he's been with us.
01:09And,
01:10Chris has,
01:12been interested in a range
01:13of aspects in,
01:14in medical education.
01:16But today's, I think, is
01:18particularly relevant to us,
01:21job versus career.
01:23So we're delighted about this.
01:24And, Chris, if you could
01:25pass this next slide, please.
01:30So,
01:31every session, we've tried to
01:33yoke it to some of
01:34the elements of the ACGME
01:37clinical educator milestones.
01:39And,
01:40two of these three in
01:41blue are relevant today. So,
01:43certainly, Chris will be talking
01:45about teaching and facilitating learning,
01:47professionalism in the learning environment.
01:49But,
01:50there's no truth in advertising
01:52about feedback. You really won't
01:53be talking about feedback.
01:55But goal seven is also
01:56very,
01:57relevant here, learner professional development,
02:00and how do we go
02:01from the warm embrace and
02:03cocoon of training to the
02:04big scary world of jobs
02:06out there? And Chris will
02:07demystify
02:08all of this and more
02:09for us now. Chris, take
02:11it away. Oh, one more
02:12thing. If you could pass
02:13the next slide, Chris.
02:15By popular demand, you're all
02:17eligible
02:17to have, as party favors
02:19today,
02:20CME credits. So there you
02:22have the the code, and
02:23you can text it there.
02:25And,
02:26we'll periodically put that number
02:28in the chat if anyone
02:30comes in
02:31late.
02:31So, Chris, now please take
02:33it away. Thanks for being
02:34here.
02:36Great. Thank you, Andres. It's
02:38a pleasure to, to be
02:40here this afternoon and have
02:42the opportunity
02:44to, have this session with
02:45everybody.
02:48I you can see my,
02:50objectives,
02:52posted here.
02:54But let me just start
02:55by saying just the overall
02:58strategy for the next,
03:00forty to forty five minutes
03:02really are,
03:04one, we're not gonna do
03:06any, breakout rooms. We're not
03:07gonna have any specific pair
03:09discussions, but I I do
03:13it completely intend for,
03:16everybody to hopefully leave this
03:18session with some specific granular,
03:22behavioral
03:24options
03:25or opportunities that they can,
03:27that you can try in,
03:29in your day to day.
03:31And I have,
03:33they'll be both available by
03:35QR code at the end
03:37and certainly
03:38by, email delivery afterwards. I
03:41have a few deliverables,
03:42from this session that kind
03:44of reinforce some of the
03:45things that we're gonna be
03:46talking about.
03:49And,
03:50really,
03:51just to get to get
03:52into things here,
03:54I
03:55have three main objectives
03:58as we consider
04:00what,
04:02efficiency
04:03and impact really looks like
04:05through the lens of the,
04:08of the clinician educator.
04:11Really, the the the three
04:14objectives that I have here
04:15can be simply boiled down
04:17to context
04:19and, hopefully, what will be
04:20a helpful rubric
04:22and then an action plan,
04:24which, as I just mentioned,
04:25really will focus on some
04:27specific,
04:28behavioral opportunities. So
04:31let us dive into
04:33the context here.
04:36And and I would really
04:37like to to sort of
04:39develop a
04:40kind of a
04:42shared understanding
04:44right now of considering
04:46jobs
04:47and careers.
04:49Maybe this is something that
04:51that you do all the
04:52time, maybe not. I I
04:54was really interested to see
04:56when I I,
04:57presented this
04:58similar talk to this at
04:59a national meeting very recently.
05:02And
05:03there was a show of
05:04hands around the room
05:06amongst, attendees who really,
05:09suggested that they
05:11kind of viewed job and
05:12career as synonymous.
05:16And really what,
05:18you know, I'm wanting to
05:19contextualize this discussion around is
05:21that,
05:23in my view,
05:25and for the purposes of
05:26this discussion, they are
05:28different.
05:30I'm really
05:33viewing,
05:35for the purposes of this
05:36session, jobs as being
05:38the representation
05:40of the present day
05:42us's, the present day you.
05:46How do our
05:47roles
05:48and pieces of the pie
05:50add up,
05:51in our current
05:54jobs to to encompass everything
05:56that we do in our
05:57day to day. And I'm
05:59considering
06:00careers
06:01as
06:02the,
06:03representation
06:04of the future you.
06:07What is the cumulative
06:08impact of our day to
06:10day jobs and roles
06:12over time? In my experience
06:15over the last,
06:17twenty plus years, as Andres
06:19said,
06:20here at Yale,
06:22I I find these two
06:23to be two different concepts.
06:27And speaking frankly, I often
06:29find that my day to
06:31day roles and and jobs,
06:34while being necessary and important,
06:37do often encroach on
06:39more future based
06:41career type,
06:44considerations.
06:45And,
06:47another,
06:48fact of life that I've
06:49also experienced over the last
06:51twenty years is time flies
06:52before you know it.
06:53Your mid career or even
06:55a little past it, perhaps,
06:57like me, and,
06:59you know, you start to,
07:02really become aware of,
07:05I don't know, the things
07:06that you've done, the things
07:06you still,
07:08would like to do. So,
07:10I'd really like to contextualize
07:13this discussion on efficiency,
07:16for the in the hopes
07:18of perhaps,
07:20altering our present day
07:23you,
07:24us's,
07:25if you will, in service
07:27of our future,
07:30us's, if you will.
07:32While we will be talking
07:33about efficiency, this is not
07:35one of these sessions where
07:36it's basically like, look how,
07:38efficient I am. Just be
07:39more like me. We've all
07:40been to that talk. It's
07:41never as,
07:43interesting or as impactful
07:45as,
07:47the person giving it, seems
07:48to think.
07:50What I'm
07:51positing to this group here
07:53today is whether your
07:55desk looks like the upper
07:57desk
07:58or the lower desk,
08:00Regardless of what it looks
08:01like, I am willing to
08:02bet
08:03that all of us have
08:05a list of intermediate
08:08to longer term,
08:10to dos
08:12that is
08:13longer than we would like
08:14it to be.
08:16It is true for me
08:17now. It was true for
08:18me five years ago, and
08:20it will probably,
08:21be true for me five
08:22years from now. And so
08:24two fundamental questions that I'd
08:26like to address,
08:27over the course of the
08:28next
08:30thirty to forty minutes is,
08:32when it comes to thinking
08:34about my time and allocating
08:36my time,
08:38how can I improve
08:40my ability to do that?
08:41How can we all improve?
08:43And by doing so, what
08:44do we gain? Like, great.
08:45Maybe I'm a little bit
08:46more efficient, but what is
08:48it in service of? And
08:49that's gonna be,
08:51what we'd like to consider.
08:54So in the short term,
08:56I I I had just
08:58I don't intend for this
08:59in any way to be
09:00an all encompassing list. This
09:02is just kind of on
09:02the basis of of my
09:04experience over the last, decade
09:06or so. You know, I
09:08have found that our day
09:10to day
09:11collection of roles prevents us
09:13from doing some some longer
09:15term things.
09:16You know, we get
09:18wrapped up in the tyranny
09:19of the day, and perhaps
09:21we have
09:22projects that end up being
09:24abandoned or not started.
09:26Maybe we have grants or
09:28manuscripts that are
09:30put off and put off
09:31or ultimately,
09:34discarded.
09:35Perhaps
09:36there are skill building opportunities
09:38that we that we skip,
09:40whether they're,
09:42local. Right? It would be
09:43really easy to,
09:45you know, just catch up
09:46on some email during this
09:47very lunch break instead of
09:49attending a, a yes session.
09:53It would be easy to
09:54skip a, you know, a
09:56Pocus conference,
09:57to be able to,
09:59you know, to catch up
10:00on some other things. But
10:01oftentimes,
10:02these
10:03tyranny of the day type
10:04activities
10:05can prevent
10:08additional things, mentorship, sponsorship, coaching,
10:11relationship challenges,
10:13and and really, with respect
10:15to wellness, oftentimes, we get
10:17breaks that we don't take.
10:18So
10:19there can be some short
10:21term encroachment on longer term
10:22benefit.
10:25And
10:26what,
10:28in terms of what we
10:30stand to gain if we're
10:31able to be,
10:34perhaps more effective with our
10:35time?
10:37Is it possible that we
10:39are able to be more
10:40well or able to have
10:42more career satisfaction? Can we
10:44more effectively
10:46show our value,
10:48to our institution?
10:50Does it translate to promotion?
10:53I don't know, but,
10:55that's certainly,
10:56some of the questions that,
10:58that I I I've been
11:00grappling with.
11:03And
11:04an additional,
11:06thought that I'd also like
11:07to invite us to consider
11:09as we,
11:11again, kind of,
11:13anchor this,
11:15session on thoughts about our
11:17jobs versus careers, our current
11:19selves versus our future selves
11:22professionally.
11:24Having
11:25a,
11:26connection with an idea about
11:29our larger,
11:31meaning,
11:32purpose, and vision
11:37as educators,
11:39as faculty
11:40can also be really,
11:43helpful,
11:45and important. So getting in
11:47touch with the why it
11:48is that we do what
11:50we do
11:51can also be an important
11:53tether and
11:55lifeline that that can give
11:57some,
11:59structure and and purpose to
12:00some of the,
12:02specific behavioral changes,
12:04that that we may consider
12:06going forward. So
12:09that is our,
12:11context, and I would just
12:12like to,
12:14pause and just see how
12:16that
12:17that lands for folks. Are
12:18there
12:19questions?
12:20Are there comments?
12:22I'm interested in any thoughts
12:24anybody has about just the
12:25concept of job versus career,
12:29the the the challenges,
12:31around the tyranny of the
12:32day. Feel free to unmute
12:34yourself and and speak up
12:35or or put anything in
12:37the chat.
12:42I think it's a very
12:43helpful framework, and even the
12:44phrase tyranny of the day
12:45I've not heard before. That's
12:47a really kind of useful
12:48one to take forward.
12:49I think the question for
12:51me, and I'm curious if
12:52we'll get into this later,
12:54the,
12:56I think sometimes the trade
12:57off is work versus work
12:59or or or or work
13:00versus career or different things
13:02that all land within the
13:03professional sphere. But sometimes, actually,
13:06the tyranny of the day
13:07has to do with home
13:07tasks or other nonwork tasks,
13:09and so that also, I
13:10think, can be a trade
13:11off. So I'm curious where
13:12that lands as the as
13:13the talk continues.
13:15Sure. I I appreciate.
13:17Thank you, Alicia.
13:20Work life balance is an
13:22incredibly
13:22important
13:24topic,
13:24and it absolutely
13:26impacts,
13:27the tyranny of the day.
13:28There is no question.
13:31This talk is is mostly
13:33focused on on the professional
13:36spear, but especially as we
13:38get into perhaps auditing our
13:40smartphone use, which we're gonna
13:41do later on,
13:43there you will see I
13:44have some specific examples of
13:46of how some of the
13:47these personal things can, also
13:51sneak in there, but I
13:52appreciate you're bringing that up.
13:53It's a very important and
13:55very real world,
13:57consideration. We don't we don't,
14:00we don't sort of execute
14:02our jobs or our careers
14:03in a vacuum without
14:05a really fundamental,
14:08you know, impact of our
14:09personal lives as well.
14:18Ali Ali wrote that this
14:20describes exactly what I feel
14:21is getting in my way.
14:22Ali, do you wanna add
14:23something more?
14:36Thank you for that comment.
14:37It's okay. If not, also,
14:38I I I appreciate the
14:39the the input and the
14:41thoughts. I'm glad to hear
14:41that this sounds like, at
14:43least contextually, we're we're we're
14:45landing in a place that,
14:48that,
14:48some folks have some energy
14:50around. So I think,
14:51we can
14:54move forward to the next
14:57objective, which is considering
14:59a rubric
15:01to help us
15:02perhaps
15:04more effectively
15:05consider
15:06how it is we,
15:10evaluate, envision our time.
15:13I don't,
15:14present this as the best
15:16or the only,
15:18rubric. It's merely just a
15:19tool to to facilitate some,
15:22hopefully useful introspection,
15:25for for all of us.
15:26And the rubric that I'd
15:28like to,
15:30discuss is called the Eisenhower
15:31matrix.
15:32Many of you may have
15:33encountered this in some form
15:35or another.
15:37But Dwight
15:39Eisenhower, World War two, general,
15:41thirty fourth president,
15:44this aphorism,
15:45is attributed to him, which
15:47says,
15:48what is important is seldom
15:50urgent, and what is urgent
15:51is seldom important, and which
15:53for me, really,
15:55gets at that,
15:58current self versus,
16:01future self kind of,
16:04tug of war that that
16:05we often experience. And so
16:06that,
16:08statement has been,
16:10operationalized
16:11into this,
16:13what's called an Eisenhower matrix,
16:14which plots in a in
16:16a two by two table,
16:18urgent versus nonurgent,
16:20urgent and nonurgent tasks versus
16:22things that are important and
16:23not important. Again,
16:26I don't want, you know,
16:27the importance,
16:30is is not that's not
16:31necessarily meaning that there's lots
16:33of stuff we do that's
16:34just
16:35totally not important. It really,
16:37gets at the tyranny of
16:38the day, and I'll,
16:40discuss that a little bit
16:41more in a in a
16:41moment. But some of you
16:43may have encountered this as
16:44a time management matrix that
16:46is a part of the
16:48the Stephen Covey book, Seven
16:50Habits of
16:51Highly Effective People. Regardless of
16:54of where you've encountered it,
16:55I I have found it
16:56to be a really helpful,
16:59psychological rubric to help organize
17:01thoughts. And just to briefly
17:03go through the four quadrants
17:04here, quadrant
17:06one of urgent and important
17:08tasks,
17:09in my experience, tend to
17:10be,
17:11fortunately,
17:12fairly infrequent. These are the
17:14deadlines, the critical problems, the
17:16immediate needs. Now sometimes
17:18we can manufacture
17:19Quadrant I,
17:22deadlines, especially if we put
17:24off some,
17:26future deadlines.
17:28I've done that more than
17:29once, right? A
17:31manuscript deadline or a grant
17:32deadline that, you know, was
17:34three months away and all
17:35of a sudden now it's
17:36seventy two hours away and
17:37I'm I'm scrambling. But,
17:40quadrant one time, in my
17:41experience, tends to be fairly
17:43infrequent.
17:45The important not urgent quadrant,
17:48that's where I'm putting or
17:50thinking about things like
17:53scholarship and skill building and
17:54mentorship, sponsorship, coaching, networking,
17:58these long term goals, wellness,
18:00the future us
18:03kinds of
18:05considerations
18:06that tend not to have
18:08deadlines.
18:09That's what I that's what
18:10I mean by not urgent
18:11in this context is that
18:12it's it's there aren't specific
18:14deadlines. They are important.
18:16We value them,
18:17but they are easier to
18:19push off, especially when we
18:20compare them to these quadrant
18:22three things, the tyranny of
18:24the day, the meetings, and
18:25the emails. Often
18:27in our jobs and roles,
18:29we are subject to the
18:30priorities and expectations
18:31of others.
18:33And
18:34there is also the fourth
18:36quadrant here, which is the
18:38not important, not urgent, which
18:40we may reflexively think, well,
18:42gosh, I am a super
18:43busy clinician educator.
18:45I don't spend any time
18:46there. I submit that we
18:48all spend time here and
18:50probably more than we would,
18:53like to admit. I'll I'll
18:54come back to this a
18:56little bit later. But,
18:57really, this rubric for me,
19:01hopefully brings home the the
19:03concept of we we often
19:06spend more time in this
19:08job related present focused quadrant
19:11three, and it is often
19:12at the expense
19:14of the more career focused,
19:17future oriented
19:19quadrant two. And I find
19:21this rubric to be a
19:23helpful
19:24way to think about it.
19:26We'll come back to this
19:27in in in the next
19:28session section about how we
19:30can
19:31actually use this rubric to,
19:33to to govern some introspection
19:36and behaviors. But again, I
19:38am very interested to just
19:40open things up to the
19:42group. Looking at this rubric
19:44and these four
19:47quadrants, where
19:48where do you get hung
19:50up? Where if anybody, again,
19:51is was willing to share,
19:53either
19:54by unmuting or in the
19:56chat,
19:57where do you feel like
19:58you get hung up?
20:06Chris Chris, I can share
20:07some. I think I had
20:08hung up in quadrant one
20:11Mhmm.
20:12Because it seems like so
20:14many things are urgent,
20:16and it kind of crowds
20:17out
20:18urgent and important, but it
20:20crowds out, you know, other
20:22important things that I need
20:24to focus on
20:25that are really important in
20:27the long term. But today,
20:29the urgent things have to
20:30be done. So it seems
20:32like that list is too
20:33long in in quadrant one.
20:36Gotcha. Thank you, John. So
20:37John John,
20:39has challenges in quadrant one.
20:41Anybody else have quadrant?
20:44You know,
20:45anybody else have quadrant three
20:47or quadrant four challenges or
20:50or or hang ups? I
20:51I, for one, get stuck
20:53in quadrant three,
20:57very often. That's where I
20:58struggle. Anybody else have any
20:59thoughts they'd like to share?
21:03I was being cute, but,
21:04I I put in the
21:05chat quadrant epic.
21:07Quadrant.
21:08That's kind of what I
21:10wrote there. Yeah.
21:12Charting.
21:13We we we could get
21:15philosophical
21:15and put epic in either
21:17per perhaps quadrant three or
21:18quadrant four depending on how
21:20cynical we are feeling on
21:21a given day.
21:25But it almost feels like,
21:27quadrant three almost kind of
21:28guides your day to day,
21:30kind of like you're answering
21:31an email and then it's
21:32the next one and then
21:33the next one, and it's
21:34kind of like it it's
21:35almost like your to do
21:36list, and it it,
21:38it's
21:40quite jarring, you know, when
21:41it even kind of starts
21:43percolating into your, like, everyday
21:45life at home where you're
21:46kind of working on the
21:47emails through your phone instead
21:49of just,
21:51you know, putting it down.
21:52Yeah.
21:54How are you? Yes. I
21:56I appreciate that reflection and
21:58and, you know, that really
21:58resonates with me and even
22:00kind of goes back to
22:01Alicia's
22:02previous question about,
22:04like, the intersection of our
22:05personal and professional lives.
22:07I feel like I got
22:09conditioned
22:10to that to do list
22:11that governs quadrant three over
22:13so many years that I
22:14would bring that home with
22:16me. Like,
22:17during my family time, my
22:19weekends, my personal time, I
22:21would have checklists and be
22:23multitasking
22:24and really kind of struggling
22:26sometimes to
22:27to be present in a
22:28specific moment. So I I
22:30often find that some of
22:31these
22:32reflexive behaviors that we can,
22:36you know,
22:37develop over time and can
22:39insidiously
22:41find their way into other
22:43aspects
22:44of of our
22:45of our lives.
22:47Anybody else have any any
22:49thoughts they'd like to share?
22:50Otherwise, we can start moving
22:51on into some behavioral,
22:55ideas and challenges I have
22:56for everybody.
23:06Okay. So,
23:07really, let's talk about,
23:10some opportunities
23:11that we can consider
23:13to spend a little bit
23:14more time in in quadrant
23:16two, in that in that
23:17future us version,
23:19in that future us kind
23:21of quadrant of of time.
23:24And
23:26I I am intentionally
23:29hoping to focus,
23:31some of these,
23:33ideas and suggestions
23:35on what
23:36perhaps can even seem at
23:39first blush to be,
23:41very small, almost
23:44trivial,
23:46behaviors,
23:47which I think are
23:49extremely
23:50important just because they're insidious.
23:53That thing that takes a
23:54tiny little bit of time,
23:55but we repeat
23:57thousands and thousands of times
23:59can can really be
24:01powerful
24:02when,
24:04when protracted over longer periods.
24:07There's a fantastic book, if
24:09anybody has had the opportunity
24:11to to read it by
24:12James Clear, it's called Atomic
24:13Habits,
24:14which really
24:16in great detail,
24:18discusses
24:19the impact of of
24:21many small behaviors. And I
24:23just appreciated some of the
24:25thoughts that
24:26that he puts forth in
24:27this book about,
24:29you know, the when when
24:30we're thinking about,
24:33goals,
24:34as you know, for the
24:36purpose of this discussion, our
24:37quadrant two,
24:39future us goals.
24:40You know, the results
24:42really are about
24:44the the systems and the
24:45day to day behaviors that
24:47we employ to get there.
24:50And I I really love
24:52this this graph that he
24:54starts off the book discussing,
24:55which is
24:56if we can all just
24:57get
24:59one percent
25:00better
25:01every day at something, when
25:03you protract that over a
25:05year, it can be incredibly
25:07powerful. And by better, it
25:09just means towards any goal
25:12any of us are striving
25:13towards at any given
25:15time.
25:16And the analogy that he
25:18uses to bring this point,
25:21home really resonated with me.
25:22He said, you know, if
25:23you are an airline pilot
25:25and you are flying a
25:26plane,
25:28from LA
25:30eastward
25:31and you are headed to
25:33New York
25:35from LA, but that you
25:36decide to basically just turn
25:39south, like, a couple of
25:40degrees, a very small amount.
25:43But by the time you've
25:44flown all the way across
25:45the country, you end up
25:46in DC
25:48and not New York.
25:49So,
25:51there is very much there's
25:53a lot of power in
25:54my experience
25:55in smaller repetitive
25:57behaviors. And so some of
25:58the behaviors that we're gonna
26:00that I I'm gonna put
26:02out there, on the basis
26:03of my experience, I don't,
26:05again,
26:06pretend that these are the
26:07only behaviors to work on
26:08or the best ideas. These
26:10just, happen to be what
26:12have resonated with me over
26:13the last fifteen to twenty
26:15years. The behaviors we're gonna
26:16talk about are some specifics
26:18around our calendars,
26:20how we can explicitly use
26:21that Eisenhower matrix to prioritize
26:24the
26:25important nonurgent time. We're gonna
26:27talk about distractors and our
26:29smartphones,
26:31briefly talk about email efficiency
26:33and saying
26:34no when appropriate
26:36in the,
26:38ever present,
26:40number of asks that are,
26:43really inherent in in practicing
26:45in the academic medical center.
26:46So
26:48let's start off with the
26:49calendar.
26:51This is a great,
26:52article.
26:53It's focused on clinician educators.
26:55I think it really is,
26:57applicable to anybody, but,
27:00really,
27:01it suggests that we pay
27:04more specific
27:05attention to our calendars. Oftentimes,
27:08we treat our calendars as
27:10a quadrant three
27:12tyranny of the day
27:14purveyor.
27:16And we we we perhaps
27:17miss opportunities
27:19that we
27:20have
27:22to use the calendar to
27:24to serve the needs of
27:26our future selves and,
27:30and really,
27:32owning our calendars. I know
27:33many of us have many
27:35different roles.
27:36Many of us have administrative
27:38assistants. We have our own,
27:40entrenched ways of of of
27:43of,
27:44scheduling our time. I I
27:45get that. I'm merely hoping
27:47to put out there
27:49the idea that
27:51starting
27:52to, claim,
27:53reclaim,
27:54continue
27:55some modicum of control over
27:57our calendars
27:59can be, for those interested
28:01in doing so, a really
28:03powerful
28:04way
28:06to,
28:08protect
28:09and and map,
28:11our specific
28:14goals and needs and and
28:16specifically asking questions like,
28:19how does this how can
28:20my calendar serve my future
28:22career oriented
28:24needs?
28:25I I also think that,
28:27I was really kind of
28:28heartened by the fact that
28:29one of the take home
28:30suggestions in this article was
28:32we need to advocate for
28:34faculty development around time management,
28:36which is one thing that
28:37we're doing
28:38that we're doing here.
28:40So hopefully, you'll agree that
28:41this is,
28:43this is valuable. So being
28:45able to own the the
28:46calendar as a important tool
28:50can be helpful.
28:52Another thing that I found
28:53incredibly helpful, and one of
28:54the deliverables I have for
28:55this session is literally just
28:59a page sized
29:01blank Eisenhower matrix.
29:03I sat down once and
29:05just specifically
29:07identified
29:07at that point in time
29:09based on all of my
29:10roles and,
29:12positions,
29:13what
29:14I thought the various things
29:16I did,
29:18what what quadrant they
29:20belonged in. And it was
29:22just really eye opening because
29:24when I needed the second
29:26page to continue to fill
29:27out my quadrant three, it
29:29was just a very insightful
29:31moment for me to say,
29:34gee, it looks like I
29:35have some
29:37opportunity here. I may be
29:38getting bogged down in this,
29:40place. And when I
29:43specifically
29:44mapped
29:45the tasks
29:46and
29:48roles into these quadrants, I
29:50also found
29:52it empowering as opposed to
29:54overwhelming. I was like, okay.
29:56If I have my arms
29:58around
29:59what I'm doing and how
30:00much time I'm spending here,
30:02can I,
30:03again, through my,
30:07owning of my calendar, can
30:09can I be a little
30:10bit more explicit about
30:12spending time here
30:14in quadrant two? And and
30:16that's what I did. I
30:17started
30:18scheduling
30:19specific quadrant two time. And
30:20now
30:21it it doesn't have to
30:22be as, unimaginative
30:24as quadrant two time. I
30:26have seen some people call
30:27it meeting with Ted Lasso.
30:30You can call it me
30:31time.
30:32I have seen,
30:34some,
30:36who actually will color code
30:37it. They'll have quadrant one
30:39tasks as one color, quadrant
30:40two tasks as another color,
30:42and quadrant three tasks as
30:43another, and
30:44it provides, when when done
30:45in that way, perhaps a
30:47visual cue
30:48when you look at your
30:49calendar at a week view
30:50or a month view, sort
30:52of where you're spending your
30:54your time,
30:56and
30:58specifically, scheduling
30:59time for that scholarship and
31:01skill building and mentorship and
31:03networking
31:04can be a way that
31:06the present you and the
31:08calendar can kind of work
31:09together to serve the needs
31:11of the future you.
31:15So
31:17in this particular,
31:20section of behavioral
31:22opportunities,
31:23I invite,
31:25any of you interested
31:27to try
31:28any of the following
31:29possibilities.
31:31In terms of claiming the
31:32calendar,
31:33even pick, you know, pick
31:34a single role that you
31:36inhabit or a single task
31:37and just own
31:40that spot in your calendar
31:41and do it for a
31:42month
31:43and see if it,
31:45moves the needle,
31:46in a way that you
31:47are,
31:49aiming to move it. If
31:50it does, great. You can
31:52consider after a month how
31:54you take the next step.
31:55If it doesn't,
31:57no harm done.
31:59I encourage everybody to try
32:02scheduling one hour of quadrant
32:05two time per week and
32:07to do that for a
32:07month.
32:09If right now that feels
32:10like too much, then try
32:12thirty minutes.
32:13Anything that you feel like
32:15is enough. Again, with the
32:16whole James Clear one percent
32:18per day kind of,
32:21mindset,
32:23I I I I don't
32:24see there being, really too
32:26small of a of of
32:27of a a a an
32:29amount of time here, and
32:30then just check-in after a
32:32month.
32:33Did it did it work?
32:34Could I increase that from
32:36sixty minutes a week to
32:37ninety minutes, or can I
32:38do it two hours?
32:41Just see how
32:43that experiment
32:45lands.
32:46And
32:47and just as a as
32:48another
32:53advertisement, if you will, one
32:55of the deliverables of this
32:56talk will be kind of
32:57a compendium of all these
32:58suggestions of potential,
33:01behavioral cues. So, don't feel
33:03like you need to screenshot
33:04or write any of this
33:05down.
33:08Let's now focus on our
33:10attention. We've talked about
33:13the calendar and the rubric
33:15being powerful tools that we
33:16can combine to perhaps spend
33:18a little bit to be
33:19more explicit about spending time
33:21in in quadrant
33:24two.
33:25What about our attention? These
33:27two quotes are, again, from
33:29James Clear, this time from
33:30his blog.
33:32And and I really love
33:33this idea. The more control
33:35that we have over our
33:37attention,
33:38the more control we have
33:39over our future.
33:41And it starts with having
33:43enough courage to protect our
33:44time. That certainly goes back
33:45to the to the little
33:47section that we that we
33:48just talked about.
33:49But, I wanna move on
33:51now, to to really
33:53think about attention and distractors.
33:57And when I say distractors,
33:59I'm being
34:00very intentional here. I'm not
34:01talking about distractions.
34:03Distractors
34:05are things
34:06whose sole purpose
34:08they are developed, invented
34:11specifically
34:12to get the attention of
34:14human beings.
34:16And we are awash in
34:18them. I'll talk about that
34:20a little bit more on
34:21the next slide.
34:22But there are a couple
34:23of really interesting studies out
34:25there that suggest that
34:28when human beings are distracted
34:30from a specific task, it
34:32takes us a non zero
34:34amount of time
34:35to refocus.
34:37There's a a study from
34:38the UK a number of
34:39years ago that suggests that
34:41period of time is about
34:42a minute. There was another
34:43study that I came across
34:44that suggests it might be
34:46as long as three minutes.
34:47Regardless of where the truth
34:49lies, I think
34:51I I submit,
34:53to this group today that
34:54it's a non zero amount
34:56of
34:57of time.
34:58And so
35:00as a result,
35:02I think that really should
35:04be
35:05it should cause us to
35:06care about how many distractors
35:09we are
35:10encountering
35:11in a in a given
35:12day.
35:14And they are
35:15everywhere.
35:16I I give myself palpitations
35:18every time I put this
35:19up here. I I don't
35:20know know how many of
35:21you live in this space,
35:22but, like, that little red
35:24icon with a whole bunch
35:25of essentially
35:26undone work
35:28just,
35:29like,
35:31gives me,
35:33gives me, like, reflux,
35:35immediately.
35:36And
35:38any number of,
35:40icons on our,
35:42smartphones and desktops will have
35:44these. You know, the list
35:46goes on and on. I
35:47know some of these icons
35:48are dated, but the concept
35:50is still very much relevant
35:51to the present day, which
35:53is,
35:55we we have these devices,
35:57whether they're handheld, laptop, desktop,
35:59etcetera,
36:00that are always competing
36:02for our attention.
36:05I love it that, like,
36:06you know,
36:08sometimes the static distractors
36:10are are not enough, and
36:11so we need to make
36:12things actually move up and
36:14down. So
36:15we
36:16are just
36:18a wash, and,
36:21and and it matters. There
36:22is absolutely
36:23this dopaminergic,
36:26response that human beings have
36:28to interacting with these electronic
36:30distractors.
36:32Tristan Harris is a formal
36:33former Google employee whose job
36:35it was for many years
36:36to invent these distractors.
36:39I love this quote where
36:40he says seven several billion
36:42people have what, you know,
36:43amounts to a slot machine
36:45in their pockets.
36:46They're pulling it out and
36:47seeing what dopamine hits that
36:49they can get off of
36:50it at any given time.
36:52There was also this crate
36:53study that I found that
36:55suggested that even when you
36:57don't look at your phone,
36:59just having it near you,
37:01having it in the same
37:02room
37:03reduces available cognitive capacity. Right?
37:06Like so right now, I'm,
37:07like, sitting here in this
37:09session with my phone next
37:10to me, and I probably
37:11should have left it outside.
37:14But there is a really
37:16tangible,
37:18cost to these,
37:20electronic distractors. And so,
37:23I started to think really
37:24carefully about,
37:27how I could,
37:29really kind of reduce these
37:32in terms of number and
37:33importance in in my life.
37:34And and just as a
37:35really small
37:37kind of anecdotal story, I
37:38will never forget this. I
37:40was,
37:41I I I I'm a
37:43internal medicine hospitalist.
37:45I was in the hospital
37:46in the middle of a,
37:50a patient visit,
37:51and I remember there being
37:53a sound or a vibration
37:55distractor that went off in
37:57my pocket.
37:58I kind of reflexively
38:00picked
38:01the, phone out of my
38:03pocket, and I saw an
38:05email,
38:06my email icon with a
38:07brand new sort of red
38:09circle that said one, I
38:10you know, brand new email.
38:12And I actually,
38:14embarrassingly,
38:15excused myself from the patient
38:16encounter,
38:17went out into the hallway,
38:19opened the email, and found
38:21that it was a spam
38:22email. And so here I
38:24am, a clinician who,
38:26you know,
38:28unforgivably
38:29interrupted a patient visit, a
38:31face to face patient visit
38:33to get a
38:35spam email. And it was
38:37that moment that I was
38:38like, you know what? This
38:39has to stop. And so
38:40one of the most powerful
38:41things that I did,
38:44which is so easy and
38:45forgive me if this just
38:46seems like the most basic
38:47thing,
38:49I turned off the icon
38:51that tells me how many
38:52unread emails I have. I
38:54turned off the vibratory or
38:56the sound related alert that
38:58goes off when I get
39:00an email.
39:01And I found this
39:03completely
39:04transformational
39:05and and and allowed me
39:07to sort of take back
39:09the power in terms of
39:10deciding when it was I
39:11was going to check my
39:12email as opposed to just
39:14being subject to these sort
39:16of reflexive
39:17dopaminergic
39:18type
39:18behaviors.
39:21Another really powerful thing that
39:23I've done
39:24is that I have started
39:26auditing
39:27my
39:28smartphone use. This is this
39:29is not a just generic
39:31screenshot. This is my smartphone
39:34from
39:35last week.
39:37Any and and and you
39:38can do I I I
39:39am an iOS user. Anybody
39:41on the Android platform can
39:42do something very similar, but
39:44you can
39:45you can do this right
39:46now. If you pick up
39:47your iPhone and you go
39:49to settings
39:51and you go to screen
39:52time,
39:53you can see how many
39:55notifications you get in a
39:56given day or a given
39:57week. You can see how
39:58many times you pick up
39:59the phone, how much time
40:01you spend on it. You
40:01can see here that
40:03in the last four days,
40:05that I I I audited
40:06this last Wednesday. So in
40:08the preceding four days,
40:10I was averaging almost a
40:11hundred and fifty pickups of
40:13my phone a day,
40:16which is a lot.
40:19If anybody ends up auditing
40:20their own, I'd be interested
40:21to have you pick up
40:22to to put your average
40:24number of of pickups in
40:25the chat. It's it's,
40:27it's a lot.
40:29And I think this information
40:31can be leveraged,
40:34towards,
40:36change.
40:38One option again, this is
40:39an iOS version. You can
40:41do similar things in Android.
40:43You can pick
40:44you can pick focus. You
40:46can,
40:47you know, as,
40:49as a as a parent,
40:50I always still needed to
40:51be able to be reachable
40:52by my kid's daycare or
40:53my kid's school. I I
40:55was able to
40:56to set up some filters
40:58that allowed those numbers through,
41:00but everybody else not.
41:03You could see here, there
41:04is plenty of
41:06quadrant four stuff going on.
41:07Right? Like, my checking on
41:09the Cleveland Guardians or doing
41:11the New York Times spelling
41:13bee is not a quadrant
41:14two or a quadrant three
41:16kind of activity.
41:18And I found that
41:19for quadrant four kind of
41:21time wasters,
41:23time limits can be really
41:24helpful.
41:26There's only so much time
41:27I need to spend in
41:28a given day looking at,
41:29baseball cards on eBay. So
41:31you can set
41:32a very explicit time limit
41:34that tells you, like, hey.
41:36You've you've spent thirty minutes
41:37on eBay today. Maybe you
41:39don't need to do that
41:40anymore.
41:42The
41:43more recent,
41:44updates,
41:45of the iOS platform
41:47have,
41:48integrated some AI type,
41:52sort of more,
41:54nuanced and and smart ways
41:56to decipher
41:58the kinds of notifications that
41:59get through. I encourage anybody
42:01who's interested
42:02in doing so just to
42:04explore it and seeing if
42:05it's something that may or
42:06may not work.
42:09I I love this. I
42:09don't know how many of
42:10you have ever done this,
42:11but the after the last
42:12time I gave this talk,
42:13somebody came up to me
42:14afterwards and said, have you
42:15ever gray scaled your phone?
42:17And I hadn't heard of
42:18it.
42:19It there is a setting.
42:21Again, you can do this
42:22in both iOS and,
42:24Android platforms
42:26that takes the color away
42:27from your smart device,
42:30and
42:31it turns your smartphone
42:33into something that totally sucks.
42:35It is, like, the most
42:37uninteresting
42:38thing. I
42:39I gray scaled it for
42:41a day, and, like,
42:43every time I picked up
42:44the phone, I was like,
42:45wow. That is so unappealing.
42:48And
42:49it
42:50by the same token, it
42:52was a really powerful way
42:53to disincentivize
42:56picking it up and and
42:57using it and giving it
42:59my attention. So I think
43:00it's another really interesting possible
43:03tool.
43:04For anybody interested in in
43:06some of the specific directions
43:08on how to do any
43:09of this, I have links
43:10to articles in this in
43:11the in the reading list
43:12that will get disseminated.
43:14So
43:15when it comes to distractors,
43:17my suggestions to the group
43:19about potential
43:21behaviors to
43:22consider or try are as
43:25follows.
43:26Audit your smartphone
43:27usage stats
43:29stats.
43:30How much are you picking
43:31it up? How many of
43:32it? How much of it
43:33is driven by
43:35specific notifications or distractors?
43:38Set a goal. Say I'm
43:39okay. Week to week, I'm
43:41gonna decrease my smartphone use
43:43by one percent, two percent,
43:45five percent,
43:46from one week to the
43:47next. See how it see
43:48how it goes. Maybe it
43:50works, maybe it doesn't.
43:52I think another fun thing
43:53to try is pick one
43:55distractor,
43:55one alert, one notification,
43:58something that comes up on
43:59a smartphone,
44:00on a laptop, on a
44:01desktop,
44:02something that grabs your attention
44:04and is designed to do
44:05it, pick one and disable
44:07it for one week,
44:09see how it goes.
44:11Pick an app on your
44:11phone, set a time limit.
44:14And for anybody interested,
44:16like I did, just try
44:17gray scaling your smartphone for
44:19one day and really see
44:20what happens to your, pickups
44:22and usage. For me,
44:24my gosh, it,
44:26it plummeted.
44:28So,
44:31let's move on to change
44:33behavior number four. We'll have
44:35we'll have some time at
44:36the end for for more
44:37questions and and and certainly
44:38for others to share any
44:40additional success stories or challenges
44:42they've had, but two more
44:43change behaviors I I I'd
44:45like to get to.
44:47Email is obviously a a
44:49big, big topic. We could
44:51spend an hour or a
44:52day or a whole,
44:55you know, course on this.
44:57I just wanna throw some
44:58big ticket ideas out there.
45:00Maybe you're already aware of
45:01them, maybe not. But my
45:03hope is that, it it
45:04will stimulate some
45:06some some some synapses firing
45:09and and perhaps some some
45:10introspection. But there were a
45:12couple of really interesting studies,
45:15that I came across that
45:16estimated
45:17that
45:18the average,
45:19US professional
45:21spends
45:22anywhere from three to six
45:23hours,
45:24per day on email.
45:26Again, wherever the truth really
45:28lies, it's a big number.
45:31It is a it is
45:32a big time sink, I
45:34I I think, for all
45:35of us. It certainly has
45:36been for me for the
45:37last couple of, decades or
45:39longer.
45:41And this really amounts to,
45:42you know, all of us
45:43checking our email, like, every
45:45half hour. I I even
45:46think that's generous. I think
45:48for a lot of us
45:48who check our email continuously
45:50in real time,
45:52it looks a little bit
45:53more like this,
45:55which,
45:56is something that I have
45:57certainly been,
46:00guilty of,
46:03more than once.
46:05And so
46:08there are a couple of
46:09different articles out there.
46:11I have links to them
46:13in the reading materials for
46:14anybody interested to,
46:17make some headway here.
46:19There's a really neat
46:21article in the Harvard Business
46:22Review that suggests that these
46:25four email specific behaviors,
46:28if you are attentive to
46:30them, could save up to
46:32fifty percent,
46:34which by their estimation was
46:36about an hour and a
46:37half a day. Regardless again
46:39of what the time savings
46:40is, I I think it's
46:41real
46:43that the specific behaviors they
46:44call out are overchecking.
46:47And when it comes to
46:48overchecking, I think the real,
46:52simple philosophical
46:53decision we all have to
46:54make is whether we all
46:56check our email in real
46:57time or whether we batch
46:59it and say, I'm gonna
47:01check my email once an
47:02hour or once a half
47:03day or once a day,
47:04etcetera. I know we all
47:05have different roles and responsibilities
47:07that will govern that choice.
47:09There's no right. There's no
47:10wrong. But I think at
47:11least just making it a
47:12conscious choice as opposed to
47:15something we do reflexively
47:17can be helpful.
47:19No full inboxes.
47:21I'll talk about that more
47:22in in a moment.
47:24A lot of
47:26folks who write about email
47:28overuse,
47:29really
47:30stress
47:31the the human tendency
47:33to perhaps over file things
47:36in folders and subfolders and
47:37sub subfolders, especially now that
47:39all of our email engine
47:41search engines are as powerful
47:43as they are,
47:44and processing irrelevant email. Again,
47:46there's there's there's too much,
47:49granularity here, for the for
47:51the scope of this talk.
47:52But for anybody
47:54interested in taking a deeper
47:55dive, I have a link
47:56to this article.
47:57There's another article here that
47:59has some of the same
48:00concepts that really boils it
48:02down into, I think, three,
48:04pretty easy to understand steps.
48:07The three
48:09the three r's, which are
48:12to resist the r's, to
48:13impulsively check and respond, to
48:15reorganize our inboxes so we
48:17don't have that,
48:19you know, one thousand,
48:22you know, email,
48:24stack in in our inboxes
48:26that perhaps can obscure a
48:29really important new email that
48:31that comes in.
48:32And when responding,
48:34to be sort of intentional
48:36about whether we are just
48:37deleting it, whether we're doing
48:39it and then deleting it,
48:40or whether we're
48:41putting it on the back
48:42burner to come back to
48:44it at another time,
48:45or or delegating it to
48:47a colleague or an administrative
48:49assistant, etcetera.
48:52In my
48:53experience,
48:55these are the four things
48:58with respect to email that
48:59have really made a difference
49:01for me. I already have,
49:04talked about the email notifications.
49:07A zero inbox policy, I
49:08think, can be really helpful.
49:11There are lots of,
49:13specific ways to do this
49:15that I have, article links
49:16for.
49:18A brief word on the
49:19cc function, I think that
49:21it is
49:22kind of grossly overused. I
49:23think when we cc other
49:26people on emails we send,
49:27it really results in a
49:29lot more email that we
49:31get back to us.
49:34The sending emails after hours,
49:38also generates more emails for
49:41us, you know, forgetting the
49:43precedent that we set when
49:44we're interacting with,
49:46learners or others down a,
49:49a power gradient about what
49:50it says if I'm emailing
49:51at ten PM, what I
49:53expect you to do.
49:55I often, you know, learned
49:56that lesson. I remember specifically
49:58sending an email once at
50:00ten PM really being excited
50:01that I got to check
50:02that box,
50:03and three minutes later, I
50:05got a reply, which unchecked
50:07the box.
50:09So I think we can
50:10avoid a lot of volume
50:12just by some simple behaviors
50:14around cc'ing and and using
50:16the send later function.
50:19So it's it's,
50:21ten to one, and I
50:22just wanna make a brief
50:23statement that another important way
50:25that we can protect our
50:26time in service of
50:29our future career related needs
50:32are by saying no.
50:35Working in an academic medical
50:36center, we are awash in
50:39seemingly
50:39constant asks, and in my
50:41experience,
50:43there are really three responses,
50:46which boil down to the
50:48hell no,
50:49the no, and the maybe.
50:51The hell no is just
50:52like,
50:53hell no. I recently got
50:54a
50:55a a proposal from somebody
50:57emailed me and said, hey.
50:58How about your hospitalist group?
50:59Would they like to cover
51:01our service on weekends?
51:03That was just a hell
51:04no.
51:05But sometimes
51:06there is a
51:09a question that gets
51:11an ask of you that
51:13the answer ultimately is no,
51:15but it is really beneficial
51:18to have an adaptive and
51:19and and
51:22rapport maintaining
51:23way
51:24to,
51:26to say no.
51:27I, these two sources here,
51:29the Coaching Habit and the
51:31Power of a Positive No
51:32are really short, excellent reads
51:34that provide some very, very
51:37useful
51:38behaviors around how to do
51:40that.
51:42And
51:44when considering saying yes, saying
51:47yes a little bit more
51:48slowly and being curious about
51:50what it is, what it
51:51means. If I say yes
51:52to this, what am I
51:53saying no to? If I
51:54say no to this, what
51:56am I saying yes to?
51:57There are some very specific,
52:01I I think, considerations
52:02that we can all use
52:04around,
52:06saying yes and no to
52:08specific asks. Now I understand
52:09also that
52:12asks that come down power
52:13gradients can feel differently,
52:15and we often feel like
52:16we don't necessarily
52:18have a choice. I think
52:19that is a very real
52:20consideration
52:21in,
52:23in our roles as clinician
52:25educators and in our functions
52:27and
52:28academic medical centers. But I
52:30also think we often say
52:32yes to plenty of things
52:33that we can say no
52:34to. So
52:35I wanna get to some
52:36thoughts from the group. So
52:38I'll just wrap up this
52:40and the whole behavioral section
52:41to say that
52:43another potential,
52:45group of behaviors that I
52:47invite everybody to consider
52:49would be
52:51shifting if you are a
52:52continuous email checker to to
52:55consider
52:56a batching
52:57technique
52:58at an interval that makes
52:59sense to your
53:01headspace
53:01and roles.
53:03Try cc a fewer people
53:05on the emails you send
53:06for a week.
53:07Try some, using the send
53:09later function if it's not
53:10something that you routinely do,
53:12and consider saying no to
53:14one thing not fitting with
53:16your values and needs in
53:17the next
53:18six months.
53:20So kind of getting back
53:21to that those fundamental questions
53:23that I posed in the
53:24beginning,
53:25these efficiencies,
53:27how can I improve?
53:29What will I gain? I
53:31think the the final questions
53:32I would like to pose
53:33to the group is I
53:34would love it if anybody
53:36can unmute and and really
53:38just share with any of
53:39us
53:40either one
53:42sort of
53:44behavioral
53:45efficiency that on the basis
53:47of this session you're kind
53:48of most curious to try
53:51or a specific
53:53you related
53:54quadrant
53:55two,
53:58sort
53:59of thing that you're hoping
54:00to gain by being more,
54:04by being more efficient?
54:07Anybody
54:08willing to share?
54:10Something you're interested to try
54:11or interested to gain?
54:14Can I ask a question?
54:15Of course, please.
54:17I don't know how I
54:18can reliably
54:21or how can I get
54:22rid of my all my
54:24folders where I put all
54:25these emails and I still
54:26can't get rid of my
54:28inbox?
54:30So
54:32this is a big one
54:33for me. Yes.
54:36I I wish I could
54:37describe it for you with,
54:38like, a thirty second aphorism.
54:40It's absolutely
54:42a process, and it's like
54:44a philosophical choice. It's something
54:46that you say, like, I'm
54:47gonna do it. I'm gonna
54:48commit to it.
54:50There is a really great
54:51article that I found that's
54:52part of the reading list
54:53that I'm gonna make available
54:55to everybody
54:56that really nicely discusses
54:58the zero inbox concept, why
55:00it might be helpful for
55:01some, why it may not
55:03be the right thing for
55:04others,
55:05and how you can, just
55:06as you're asking, how can
55:08we kind
55:09of customize
55:10or selectively trim down the
55:12number of folders and subfolders
55:14in a way that makes
55:15sense for us?
55:17For me, it was a
55:18philosophical choice.
55:20It took me a certain
55:21amount of time, like, a
55:22week. I did it when
55:23I wasn't on service. I
55:24had some administrative time to
55:26spend on it, and I
55:27really feel like for me,
55:29it paid a lot of
55:30dividends.
55:31So I just put it
55:32out there as something,
55:34to consider. I I don't
55:36pretend that it will be,
55:38you know, you know, a
55:39a magical fix for everybody.
55:41Thank you.
55:44Chris, thank you for this.
55:46This is a great talk,
55:47and I'm, like, all in
55:48favor of this. So I'll
55:49give you a positive that
55:51I've done over the last
55:52few years and a negative
55:53that has replaced it. Thanks,
55:54Mark. Went actually one step
55:56further, and I deleted
55:59most of the apps on
55:59my phone.
56:01So I don't have mail
56:02or calendar or text message
56:04notifications,
56:05and my staff around me
56:06knows that if there's something
56:08urgent, call me, and I'll
56:09pick up. So the only
56:10thing that gets through is
56:11a a phone call.
56:14So, that's that's the pod
56:16and it's, like, dramatically changed
56:18my life. Like, I was
56:19running in the ICU. I
56:20don't check my phone at
56:21all, because I I don't
56:23have the ability to check
56:24my email.
56:28But I but I share
56:28your so it's actually interesting.
56:31Because the phone's in my
56:32pocket, I still feel the
56:33need to even though I
56:34don't get notified of text
56:36messages,
56:36still need feel the need
56:37to check note notifications.
56:40And I think that that
56:41that's an interesting paper about
56:43the,
56:44just the presence of a
56:45smartphone,
56:46caused by that. So I'll
56:47link to that paper if
56:48you're interested in in reading
56:50it more. So Yeah. We'll
56:51just see it. So I
56:52think that's
56:53so for anyone listening,
56:55it's doable,
56:57and I just check my
56:58email when I'm at my
56:59desk.
57:01And then but what I
57:02feel has replaced it, and
57:03I wonder if this is
57:04possible with, like, IT help
57:06is,
57:07I'm all in favor of,
57:08like, the the zero inbox.
57:10But, like, Epic,
57:12like, Epic Inbasket has replaced
57:14my email.
57:15And, like, I can't get
57:16away from it.
57:17And it's like, now I
57:19feel like I'm checking that
57:20all the time.
57:21I appreciate that. And I
57:23I gosh. I'd love to
57:24say, oh, I I have
57:25a great fix for that,
57:27or there's a great article
57:28I found for that.
57:29When it comes to the,
57:31epic e the the epic
57:32inbox monster,
57:34I can,
57:35resonate, I can empathize,
57:38and I have, unfortunately,
57:40not many tools other than
57:41that.
57:43I have been told there
57:44is apparently,
57:46a, clinician educator at OHSU,
57:50who has put out a
57:52bunch of
57:53epic related YouTube videos
57:56in terms of efficiencies
57:58that I've heard a lot.
57:59I'm I'm at the national
58:00SGIM meeting right now that
58:02a lot of people have
58:02been talking about, so I
58:04can check into those a
58:05little bit. And and and
58:07if I find them useful,
58:08happy to forward them on
58:09to the group. But there
58:10are some
58:12potential,
58:14opportunities in that space. If
58:15I find out any good
58:16ones, I will absolutely pass
58:18it on to this group.
58:20Chris, I'm gonna be the
58:22monster, not the epic monster,
58:23but the checking the time
58:25monster.
58:25Okay. We could go on
58:26and on, which is a
58:27reflection of how great your
58:29your talk was.
58:30But, to give everybody their
58:32their time, we're gonna
58:34say goodbye. You were before
58:36we say goodbye, you were
58:36gonna share some goodies. Is
58:38it a QR code, or
58:38how are you sharing them?
58:41Okay. So And there there
58:43will be, you know, these
58:44will get
58:45emailed out. So, again, again,
58:46if you can't if you
58:47don't have a smartphone handy,
58:48if you've left it in
58:49another room like, like I've
58:51just professed, that's perfectly fine.
58:53You will have other ways
58:55to get there.
58:57And let me just also,
58:59forgive me. I didn't leave
59:00enough time for the,
59:02session evaluation. So I'm just
59:04gonna linger here a little
59:05bit,
59:06more about the,
59:09session evaluation. Please. We'd love
59:11feedback.
59:12And thank you for everybody's
59:13time.
59:14Thanks for
59:18being
59:22here.
59:26Chris, while folks are signing
59:27off, I just wanted to
59:28share one practice that I've
59:29not done in a number
59:30of years, but I've always
59:32appreciated when I've been able
59:33to, which,
59:35it's actually partly personal realignment
59:37too. It kind of ends
59:38up being both personal and
59:39work. But
59:40a couple times a year,
59:41if I can actually take
59:42twenty four hours away
59:44and just have a mini
59:47I mean, for me, there's
59:48there's spiritual components. There's personal
59:50component. I I go with
59:51my journal and my you
59:52know, whatever I feel like
59:53needs work on or that
59:53I feel is has gotten
59:55cluttered or gummed up.
59:57My personal life, more more
59:58work life.
60:00And it's a chance to
01:00:01sort of
01:00:02reprocess my priorities and realign.
01:00:06I've done
01:00:07it a little bit less
01:00:08so, but in in the
01:00:09work world, but it translates
01:00:11really into both, I think.
01:00:12And, and I I found
01:00:13I found that a very
01:00:14meaningful practice every time I
01:00:16have been able to do
01:00:17it.
01:00:18I love that. Thank you
01:00:19for sharing. It sounds like
01:00:20that
01:00:23that that speaks to kind
01:00:24of the this core desire
01:00:26to
01:00:27to be able to maintain
01:00:29an identity that is,
01:00:31not necessarily
01:00:32completely beholden to a lot
01:00:34of these,
01:00:36distractors and responsibilities.
01:00:37So,
01:00:39I,
01:00:40I love it. And it
01:00:41also makes my mind go.
01:00:42I know we've all had
01:00:44that kind of thought process
01:00:45about, like, we go away
01:00:46on vacation for a week.
01:00:47Like, do we check the
01:00:49email? Do we not check
01:00:50the email? If I don't,
01:00:51I'm happier during the time,
01:00:53and then I'm miserable on
01:00:54that next Monday where I
01:00:55have six hundred and seventy
01:00:57five unread
01:00:58emails. I I understand that's
01:01:00a kind of personal choice
01:01:02that we all struggle with.
01:01:06Thank you for this talk.
01:01:06I've as for the I'm
01:01:08so excited to read all
01:01:09the email tips because my
01:01:09inbox all of my inboxes
01:01:11are a mess, and I'm
01:01:12looking forward to trying new
01:01:13things. Thank you. I will
01:01:14happily send forward them to
01:01:15to everybody.
01:01:29Thank you again, everyone, for
01:01:30joining us.
01:01:35And
01:01:40I did put that QR
01:01:41code in the chat, also
01:01:42the one for the eval.
01:01:43So
01:01:44hopefully people
01:01:46Okay. Thank you.
01:01:48Thank you, Chris. That was
01:01:49fantastic.