Tag Archives: time management

Growing Your Writing Practice

by Sarina Schrager, MD, MS, Family Medicine Editor-in-Chief, and Jose Rodriguez, MD, FAAFP

“It’s none of their business that you have to learn how to write. Let them think you were born that way.”

—Ernest Hemingway

Writing is hard; there are no two ways about it. Starting a paper or narrative can be daunting. How should I start? What if it is not good? Will anyone want to read it? These questions arise even for accomplished writers. The best writers still work very hard at writing. In this blog, I share lessons I have learned during more than 30 years of writing in academic family medicine, along with resources I have found helpful. I encourage you to read these suggestions and share what works for you.

Find Time to Write and Block Your Schedule

It may seem like an oversimplification to say, “Just find the time to write.” We all know it can be difficult to fit writing into busy schedules filled with clinical, teaching, and administrative responsibilities. However, if you do not block time on your calendar to write, writing will continually be pushed to the bottom of your to-do list. You have to make the time to write.

In his 2009 article, “Tuesdays to Write,” Lowenstein describes restructuring his schedule so that his academic work occurred on Tuesdays, allowing him to carve out dedicated writing time each week.1 Some people write best early in the morning, whereas others are most productive late at night. For example, I write best early in the morning, whereas a colleague does their best writing at night. After 4 PM, my writing brain simply does not work.

Similarly, some people can write productively during a spontaneous 30-minute opening in their schedule, whereas others need at least a 2-hour block. Consider scheduling dedicated “writing time” on your calendar so other meetings are less likely to replace it.

Plan to Revise

“Almost all good writing begins with terrible first efforts. You need to start somewhere.”

—Anne Lamott, Bird by Bird

Becoming a good writer—or producing good writing—takes time, effort, and multiple revisions. In Draft No. 4, John McPhee describes routinely writing at least 4 drafts of every manuscript.2 By the fourth draft, the manuscript has usually become coherent enough to share with others. His process can be summarized as follows:

  • Draft 1: Get something on the page.
  • Draft 2: Develop your argument.
  • Draft 3: Refine word choice and improve the flow of your argument.
  • Draft 4: Polish the writing, use a thesaurus if needed, and read the manuscript aloud.

Ask for Feedback

Once you reach Draft 4, you are ready to seek feedback. Many authors submit manuscripts without asking colleagues or friends to review them first. Although the peer-review process provides valuable suggestions, colleagues often identify many of the same opportunities for improvement before submission.

There are several low-stress ways to receive feedback. An accountability partner or writing partner (eg, Prolific Partners) can be helpful. Writing groups are another excellent option because everyone shares their work, reducing the self-consciousness that often accompanies sharing your writing.

Reflect on Your Writing Process

Everyone writes differently, so there is no single perfect list of writing tips. Think about the times when you are most productive. Where were you? What time of day was it? What aspects of the setting contributed to your productivity?

Before I begin writing, I spend time thinking about how I want to structure the piece and how I want to begin. I create an outline, although it often resembles a stream of consciousness. Draft 1 is the hardest part for me because getting started is difficult. Once I have something on the page, revision becomes much easier.

Others find drafting easy but struggle with editing, searching endlessly for the “perfect” word. Still others never reach Draft 4 because they continually discover new ways to improve a sentence. Every writer is different.

Other strategies may also improve writing productivity. Consider working on 2 projects simultaneously. Pairing a small project with a larger one—or a challenging project with one you enjoy—allows you to switch between them and maintain momentum. Joining a writing challenge can also provide encouragement and accountability. Writing challenges vary in length, lasting anywhere from 1 week to 1 month, but they all encourage participants to write consistently each day.

The STFM community is filled with prolific, talented writers. What strategies have helped you develop your writing practice?


References

  1. McPhee J. Draft No. 4. Farrar, Straus and Giroux; 2017.
  2. Lowenstein SR. Tuesdays to Write: A Guide to Time Management in Academic Emergency Medicine. Acad Emerg Med. 2009.

Time Management Tips for the Busiest Time of Year

As we swing into the holiday season amidst an ongoing global pandemic, Cathy MacLean, MD, CCFP, FCFP, MBA shares tips and tricks for time management during the busiest part of the year.

One of my most embarrassing moments in a workshop about time management was to confess I owned the worthwhile book First Things First by Stephen Covey, even though I never had the time to read it. Here are some lessons learned throughout my career as a family physician:

1. Clinically, do today’s work today. Finish your tasks, consults, and notes as you go, avoiding a big pile-up later.

2. “Book it, or it won’t get done”. Avoid missed meetings and deadlines by booking everything in the calendar platform of your choice, including reading, writing, research, meetings, calls, travel, walking breaks, and even phone calls to mom.

3. Work when it calls to you. If it brings you joy, enjoy your work, and don’t beat yourself up for working when you want to work.

4. Create action-oriented meetings. By the end of every meeting, know who is going to do what and by when, and then schedule the time to get things done – see lesson #2.

5. Acknowledge that saying “yes” to something means “no” to something else. Move your life, job, and project in the direction you want it to go, by saying yes to the things that are important to you while managing your time effectively.

6. Take inventory of your responsibilities. Talk with others to ensure you have dedicated time to accomplish your responsibilities if your plate is becoming unmanageable.

7. Delegate, delegate, delegate. Do work geared toward your training and expertise, and let others work to the top of their scope. Whether it’s looping in a clinical pharmacist, allowing your administrative team to do the scheduling, or allowing your team of residents to take ownership of their work, share the load with your team.

8. Schedule “you” time. Whether catching up on sleep, working from home, taking a walk, collecting deliverables, or working on larger projects, “you time” is yours to do with what you wish.

9. Enroll in project management classes. Learn all kinds of efficient and effective ways to accomplish projects, allowing you to learn new ways to best utilize your time.

10. Lists are your friend. Create a visual reminder using lists until a project is complete. When finished remove the task from your list with a well-deserved sense of accomplishment.

11. Utilize the time you have efficiently. Work on your laptop or accomplish other tasks during a time you otherwise might not use to your benefit, such as when traveling.

12. Take full advantage of computer technology. Use your computer software to its fullest functionality. Outlook, Google Drive, and other cloud-based software help you manage emails, share documents, and work more efficiently.

13. Early mornings can be valuable. Start your day early to ensure the day runs smoothly, taking the time to have everything ready to go for patients in advance of their visit, allows you to focus on patient care.

14. Create clinical kits. Be prepared for clinic visits, contraceptive counselling, asthma care, COPD management and more with custom supply boxes filled with your favorite tools and tricks.

15. Hire contractors. Free up time otherwise spent with house-related chores by hiring students, residents, and other part-time workers for errands and house-related tasks.

16. Set realistic deadlines. Avoid disappointing yourself and others by measuring and managing your time proactively, so you can meet deadlines easily.

Feel free to share your own time management tools and tricks in the comments section below.

Writing Accountability Among Faculty: Finding Your Tribe

Yuet, Wei headshot (1)

Cheng Yuet, PharmD

In navigating the chaos of clinical practice, teaching, and committee service, it can be difficult for family medicine faculty to prioritize scholarship amongst other weekly—or even monthly—responsibilities. Possible barriers to scholarly activity include the increased need for didactic or experiential teaching, lack of awareness of different forms of scholarship, and few role models or mentors for scholarship.1

Formation of a writing group or writers’ circle is one method to garner peer support or augment faculty mentorship programs with regards to scholarship.2-5 Here, participants have a forum to discuss potential projects, get suggestions for research dissemination, and receive feedback on current projects. More importantly, writing groups encourage faculty to schedule and protect time for scholarly activity. Faculty participation in writing groups has resulted in an increased number of publications and improved confidence among junior faculty.5

How do you set up a writing group? Here are five steps for success:

  1. Identify colleagues who will hold you accountable—this is your tribe.

A tribe is defined as a group of people with common characteristics, occupations, or interests. Your writing group should consist of individuals who have a variety of expertise, are open to discussing scholarship, and share an availability to meet at least once a week. Most writing groups described in health professions literature have approximately four to ten participants.2-5 They do not necessarily need to be collaborators on existing projects. However, writing group participation could most certainly lead to new collaborations!

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