
- •Foreword
- •Contents
- •Contributor Current and Past Positions: Association for Academic Surgery
- •Contributors
- •Academic Surgeons as Bridge-Tenders
- •Types of Surgical Research
- •Going Forward
- •Selected Readings
- •Introduction
- •Preparation Phase
- •Assistant Professor
- •Job Search
- •The First Three Years
- •Career Development Awards (CDAs)
- •Contemplating a Mid-Career Move?
- •Approaching Promotion
- •Associate Professor and Transition to Full Professor
- •Conclusion
- •Selected Readings
- •Introduction
- •Reviewing the Literature
- •Developing a Hypothesis
- •Study Design
- •Selected Readings
- •Introduction
- •The Dual Loyalties of the Surgeon-Scientist
- •Human Subjects Research
- •Informed Consent
- •Surgical Innovation and Surgical Research
- •Conflict of Interest
- •Publication and Authorship
- •Conclusion
- •References
- •Sources of Error in Medical Research
- •Study Design
- •Inferential Statistics
- •Types of Variables
- •Measures of Central Tendency and Spread
- •Measures of Spread
- •Comparison of Numeric Variables
- •Comparison of Categorical Values
- •Outcomes/Health Services Research
- •Steps in Outcomes Research
- •The Basics of Advanced Statistical Analysis
- •Multivariate Analysis
- •Time-to-Event Analysis
- •Advanced Methods for Controlling for Selection Bias
- •Propensity Score Analysis
- •Instrumental Variable (IV) Analysis
- •Summary
- •Selected Readings
- •Transgenic Models
- •Xenograft Models
- •Noncancer Models
- •Alternative Vertebrate Models
- •Selected Readings
- •Overview
- •Intellectual Disciplines and Research Tools
- •Comparative Effectiveness Research
- •Patient-Centered Outcomes Research
- •Data Synthesis
- •Overview
- •Intellectual Disciplines and Research Tools
- •Disparities
- •Quality Measurement
- •Implementation Science
- •Patient Safety
- •Optimizing the Health Care Delivery System
- •Overview
- •Intellectual Disciplines and Research Tools
- •Policy Evaluation
- •Surgical Workforce
- •Conclusion
- •References
- •Introduction
- •What Is Evidence-Based Medicine?
- •Evidence-Based Educational Research
- •Forums for Surgical Education Research
- •Conducting Surgical Education Research
- •Developing Good Research Questions
- •Beginning the Study Design Process
- •Developing a Research Team
- •Pilot Testing
- •Demonstrating Reliability and Validity
- •Developing a Study Design
- •Data Collection and Analysis
- •Surveys
- •Ethics
- •Funding
- •Conclusions
- •Selected Readings
- •Genomics
- •Gene-Expression Profiling
- •Proteomics
- •Metabolomics
- •Conclusions
- •References
- •Selected Readings
- •Introduction
- •Why Write
- •Getting Started
- •Where and When to Write
- •Choosing the Journal
- •Instructions to Authors
- •Writing
- •Manuscript Writing Order
- •Figures and Tables
- •Methods
- •Results
- •Figure Legends
- •Introduction
- •Discussion
- •Acknowledgments
- •Abstract
- •Title
- •Authorship
- •Revising Before Submission
- •Responding to Reviewer Comments
- •References
- •Selected Readings
- •Introduction
- •Origins of the Term
- •Modern Definition and Primer
- •Transition from Mentee to Colleague
- •Mentoring Risks
- •Conclusion
- •References
- •Selected Readings
- •The Career Development Plan
- •Choosing the Mentor
- •Writing the Career Development Plan
- •The Candidate
- •Research Plan
- •Final Finishing Points About the Research Plan
- •Summary
- •References
- •Introduction
- •Decisions, Decisions!
- •Mission Impossible: Defining a Laboratory Mission or Vision
- •Project Planning
- •Saving Money
- •Seek Help
- •People
- •Who Should I Hire?
- •Advertising
- •References
- •Interviews
- •Conduct a Structured Interview
- •Probation Period
- •Trainees
- •Trainee Funding
- •Time Is on Your Mind
- •Research Techniques
- •Program Leadership
- •Summary
- •Selected Readings
- •Introduction
- •Direct Evidence
- •Indirect Evidence
- •Burnout
- •Prevention of and Recovery from Work–Life Imbalance
- •Action Plan for Finding Balance: Personal Level
- •Action Plan for Finding Balance: Professional Level
- •Conclusion
- •References
- •Introduction
- •Time Management Strategies
- •Planning and Prioritizing
- •Delegating and Saying “No”
- •Action Plans
- •Activity Logs
- •Scheduling Protected Time
- •Eliminating Distractions
- •Buffer Time
- •Goal Setting
- •Completing Large Tasks
- •Maximizing Efficiency
- •Get Organized
- •Multitasking
- •Think Positive
- •Summary
- •References
- •Selected Readings
- •Index

246 C.M. Pugh
USEFUL TIPS FOR GOAL SETTING
Completing large tasks - Let the action be the reward. Once you have outlined a path, allow the doing or the process to be the reward and where the pleasure resides, not just the end result.
Break the mold - The key force that either drives you towards your goals or holds you back is your subconscious mind. Goal setting is necessary for your subconscious mind to accept your goals and start working for you. Otherwise it will work hard to keep you in the comfort zone of present conditions and old habits.
FIGURE 15.8 Useful tips for goal setting
the reason for the overwhelming feelings that persist during these times, the best approach is to divide the task into man- ageable parts. There are three useful steps in dividing large tasks:
1.Identify the activities associated with the final completion of the task. Brainstorm what needs to be done to complete the task. Sit down and write out the steps neces- sary to complete the task. Identification of key subtasks will help build a clear picture of the steps you need to take.
2.Allocate time for subtasks. Take your list of actions or sub- tasks and begin allocating time and dates to complete them. Try not to overburden yourself or you’ll resort to where you started and risk loss of motivation.
3.Execution of subtasks. At this point you should have a fairly clear picture of what needs to be done and how long it’s going to take. Once you get started keep in mind that each subtask you complete should give you a sense of accomplishment.This helps to keep you motivated and on target toward achieving the larger goal.
Maximizing Efficiency
The key to maximizing efficiency is being organized; multi- tasking when possible; and keeping a clear, positive drive toward meeting your goals (Fig. 15.9).
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Chapter 15. Time Management |
247 |
TABLE 15.5 SMART goals |
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Specific |
Establishing a specific goal enables you to clarify |
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what you want to achieve, and to set standards |
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for that achievement. In making your goals |
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specific, it is important that you write them down. |
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This is crucial in all goal-setting guidelines |
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Measurable |
For a goal to be measurable you need a way to |
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evaluate progress and document specific criteria |
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that will tell you when you can stop and the goal is |
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achieved. Being able to document progress is very |
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important in staying motivated and is the key to |
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enjoying the process of achieving the goal |
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Attainable |
An attainable goal is a goal for which you see a |
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realistic path to achievement, and know there are |
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reasonable odds that you will get there. It is well |
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known that the best goals provide a personal |
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challenge. Succeeding at a challenging goal will give |
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you more motivation and sense of achievement |
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Rewarding |
You should have clear reasons why you want to |
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reach a certain goal. It is important that the goal is |
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really yours and that you can clearly identify why |
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achieving it will be rewarding for you.This will help |
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you stay motivated through difficult moments and |
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not quit |
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Timely |
Your goal should have a specific time limit. Time |
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is the price you pay for the reward of achieving |
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a goal. Setting the deadline will protect you from |
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paying a higher price than the goal is worth.This |
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can help protect you from procrastination and |
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perfectionism |
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Adapted from Time-Management Guide.com5
Get Organized
You can waste a lot of time during your day due to disorgan ization. Looking for documents, important emails, or previ- ously used journal articles can easily steal hours of your time. Many people struggle with disorganization. While some think they can succeed amidst the chaos, disorganization has a high price. Lack of organization can hold you back from achieving your goals, block creativity, add stress to your life, and prevent you from being productive and effective.

248 C.M. Pugh
USEFUL TIPS FOR MAXIMIZING EFFICIENCY
We can all afford to step back and ask if we are managing our time properly and efficiently.
Take a team approach – ask for help, pay for help, invest time in training others to help.
Personal health - “Some of it is part of who we are… we are naturally driven… but sometimes you have to get off the adrenaline train and reconnoiter…” Anonymous Professor
Go to bed! – If you are tired, you are less likely to be productive.
FIGURE 15.9 Useful tips for maximizing efficiency
Multitasking
There are two camps when it comes to advice on multitasking – the true believers and the naysayers.Examples from the believer camp include deleting mass and spam emails that do not apply to you while riding an exercise bike in the gym or having multiple journal articles at various stages of completion. The naysayers believe multitasking makes you lose your focus and risks not getting any work done. Having multiple unfinished tasks cre- ates stress for some people, but prevents boredom for others.
Think Positive
Worrying about your goals and tasks steals energy and wastes time. Whether you are questioning your ability to meet your goals or worrying about the acceptance of a paper or abstract, negative thoughts steal time away from other tasks. None of the time management strategies will work if you are dis- tracted by negative thoughts. A useful strategy is to talk to someone. Spouses, colleagues, and friends can help you address your concerns efficiently and help you get back on track. Dr. Donald Wetmore, a time management expert states: