Category Archives: Residency Productivity ‘Hacks’

Radiology residents have so much to learn in so little time. These blog posts document how I try to keep on top of it all.

3 Ways To Build Better To-Do Lists

This prolific (and also very nice) guy wrote extensively about the importance of checklists in medicine, and how we need more of them. If you work in healthcare and are now accustomed to doing “timeouts” you have this man to thank.  Some people say checklists make medicine sound like a cookbook, making doctors work like computer software following instructions.   Continue reading

Getting past that gotta-get-this-done-but-too-busy-right-now feeling

In the state of Pennsylvania you need a special permit to practice medicine outside of the supervision of an attending physician, called the unrestricted license.  For most residents, this is not a requirement – your training license allows you to train, and your unrestricted license allows you to practice, well, without restriction (really, it’s not that complicated).  Usually this means moonlighting.

Moonlighting is actually a glorious thing for a resident.  You get hands-on experience for problem solving, and the extra income goes a long way to supplement rent, food, and student loans for an in-training doctor. Continue reading

Write it down if it’s important.

Increasingly, I hear professors giving a lecture saying something like “don’t worry about taking notes because the PowerPoint slides will be posted.”  Having a copy of the lecture slides is obviously incredibly helpful when reviewing.  However, given that some of most solidified knowledge I remember came from painstakingly recorded class notes (or a very, very funny professor), the “do X because Y” correlation with note-taking strikes me as strangely dissonant.

A lecturer who recommends against taking notes makes the following assumptions.  (1) The delivered lecture/speech can be fully captured using a set of PowerPoint slides.  (2) Reviewing his/her PowerPoint slides provides near-identical experience as reviewing one’s own paraphrase of those relevant learning points. Assumption #1 is one the lecturer makes of the educational content itself and is outside of the learner’s control.  However, assumption #2 is one made about the learner, and I’m not so sure that it’s true.

In the digital age, the world has moved away from manual production of information and into data automatism.  Book used to require manual copying which was labor-intensive and expensive.  It gave the actual reproduction of writing value.  The advent of printing made the reproduction of information dramatically cheaper, but creating information de novo was still labor-intensive and considered valuable.  Then came the arrival of the computer file system and electronic books (quick age test: when you think “file” do you think a computer folder with word documents or an actual vanilla folder with paper files?).

On the other hand, the cost of creating good information improved more slowly.  The labor of recording creative thoughts has decreased: we no longer carve words onto tree barks; some of us even stopped writing on paper altogether.  However, creating information ultimately relies on an innate ability to convert thoughts into something the five senses can digest – words, images, sounds, gestures, dances.

So the underlying question is this: is “taking notes” a creative or replicative learning process for you?

Breaking up routine

Continuously practicing is how we become better at something – at school, at work, at sports, at a hobby.  The converging destination at the end of countless hours of practice is usually routine.  The task becomes routine.  This is what we want.  Finding the toughest questions on the problem set routine and banal is how you realize you are ready for the calculus final.  Having managed myriad complications and knows what to do for each combination of things-gone-wrong is how you would want to pick a surgeon.  Routine is good.  Routine means no surprises.  Routine is how you know you’ve gotten there, surpassing the threshold of difficulty and now looking down at the remains of the world.

Surprises can sometimes be bad, but so can routines.  As we learn to become experts we take on the thought patterns of other experts.  Experts make the mistakes of experts, and, surrounded by other experts, become blind to these cognitive errors.  Sometimes it takes a fresh pair of eyes to see just how far off center we have gone.

Slow down and take a breather.  Then look around and see if things look a little different.   Of course things are not actually different.   Your tasks remain the same, the calculus problem is still there, and the surgery will not perform itself.  No, what was different in those 10 seconds was you.  Deliberately doing something a little differently, even something immaterial,  breaks up the routine and monotony, bringing back new perspective to the old problem.

Making a Deal with Your Future Self

Last July when I started my job, I was told that success will involve completing a set of 30-35 online physics modules over one year.  Each module takes only 1 hour, and I have a whole year to do it.  35 hours over one year, or six minutes a day. Continue reading