You've been looking at the lives of the incredibly successful and want to know how
you can replicate their success. Want to know the secret? It's not their superhuman discipline or
overpowering ambition. It's a matter of devising the optimal systems to keep you consistently
running at peak performance, helping you slowly inch your way closer to your goals,
day after day. This is how to optimize your daily routine.
Dr. Jubbal, MedSchoolInsiders.com.
There is no single perfect daily routine that works for two different people.
We each have our own needs and priorities, and our schedules should reflect that. However,
there are a set of principles shared amongst top performers. Once you've set your daily
routine foundational pillars, we'll then fill in the details based on your needs.
We must first lay the foundations, or fixed elements, of our daily schedule.
Consider these the pillars that hold up the rest of the daily practice. They are of the utmost
importance and are non-negotiable. These include your wake up time, exercise regimen, meals,
and wind down time. By doing the work upfront and determining when each element will occur,
you reduce the mental energy needed to carry these out in the future.
Rather than the mental exercise of asking yourself and planning when you should exercise
or eat lunch, you already have it figured out and know exactly when it's going to happen.
Maybe you're rolling your eyes right now and looking for a shortcut. If you're
interested in nootropics, meaning drugs or other substances used to improve congnitive function,
understand this: there is no nootropic that has ever even approached the cognitive boost
you'll receive from optimizing your sleep and regular exercise. In other words,
nootropics have a much lower return compared to dialing in your sleep and exercise.
Start with your calendar or planner of choice, and fill in the fixed elements that you must
attend and cannot change – think classes, small group sessions, club meetings, and the like.
Next, determine your sleep and wake times. You should allow yourself adequate sleep,
as skimping on sleep results in multiple downstream effects that will compound toward
diminished effectiveness. If you're putting in the effort to build a daily routine to be
more productive and effective, it will all be for nothing if you sacrifice sleep. It's best practice
to set aside between 7 to 9 hours per night. I actually err on the side of planning for too much
sleep - that way, if my body is feeling well rested I'll wake up before my scheduled time,
and if I need additional recovery, I have the opportunity.
How you start the day sets the tone for the remainder of your waking hours,
and how you wind down at the end of the day dictates how restful your sleep will be.
Your sleep and wake times will be largely a function of your other fixed commitments,
like school or work. Since I'm no longer doing plastic surgery, I have complete freedom in
setting the start and end points to my day. Currently, my day ends at 10:30PM and begins at
7:00AM. For my recent client, who we'll call Lawrence, he was subject to a more
typical medical student schedule. He decided to start at 6:00AM and finish his day by 11:00PM.
Most people can get behind the idea of having a wakeup time and bedtime each day. Many can still
agree with set times for meals. But few people treat exercise with the same level of regularity
and rigidity. To get those sweet cognitive benefits of brain derived neutorophic factor,
or BDNF, you'll need to prioritize regular exercise into your schedule. Remember,
those who treat exercise with a high degree of importance have an edge over those who don't.
The type of exercise you do is less important than the question of whether or not you exercise
with regularity. I opt for cycling and weight training, but maybe you prefer running or pilates.
Lawrence is one of those people who, as a busy medical student, knew he wasn't going to exercise
unless he did so first thing in the morning, otherwise there was always something else that
he felt was more urgent. For that reason, he starts his days early and squeezes his workout
in before class starts at 8:00AM. Whether that will be sustainable during his clinical years is
yet to be determined, and that's ok. Your schedule will adapt based your demands over time.
To ensure something like exercise actually sticks, it's best to anchor it to a clear marker in the
day. For some, it's the first thing they do upon waking up. When I was in medical school,
it was the first thing I did after class each day – after all, the last thing I wanted to do after
several hours of class was hit the books, so going to the gym instead was a productive mental break.
Last, fill in your meal times. Again, this will primarily depend on the fixed elements
in your schedule, in addition to your personal preferences. I practice time restricted feeding
and don't eat until noon on most days, and have dinner before 7PM. Lawrence follows
the more traditional 3 meals per day and eats a light breakfast between his workout and class.
Whatever you decide, it's best practice to not eat too late at night, close to your bedtime, as data
suggests this is detrimental to your nighttime restfulness, blood sugar, and various hormones.
After setting the foundations, it's time to adjust the details of your
schedule. Your foundations from step 1 will largely be fixed, but
it's ok to move things around as needed to dial in your perfect daily routine.
The main element we want to optimize for is your focused work and study time.
This is the most mentally taxing time of the day, and should be when you get the bulk of
your work done. Top performers have dedicated blocks of deep work, as coined by Cal Newport,
whereby they study or work with high intensity and zero distraction. In contrast,
most frustrated students practice extended periods of low to medium intensity studying. This is an
insidious feedback loop - it's less efficient and disheartening because they always feel behind,
causing them to spend more time on suboptimal studying, and ultimately leads to subpar results.
In designing your daily schedule, look at your fixed elements and consider at what
points would you be most readily able to tap into a focused state? If you're not a morning person,
then expecting yourself to get your best work done at 7AM
is not setting yourself up for success. Similarly,
waiting until 9PM when you're exhausted at the end of the day is also less likely to be fruitful.
Again, everyone is different, and this should primarily be a function of your mental states
over the course of the day. I begin my deep work block at 8:00AM, but for Lawrence,
we decided on his first focused study block at 1:00PM. In my case, I am fresh and thinking
clearly in the mornings, able to do my best focused work at this time. In the afternoons,
I find myself less motivated or willing to put up with difficult work. On the other hand,
Lawrence isn't drained from his morning lectures, and after a lunch break,
is ready to hit the books hard first thing in the afternoon.
Your focused study block should be at least a couple hours in duration - my recommendation
is between 2 and 4. Anything less, and you're leaving high quality study time on the table,
and anything longer, you're devolving into lower intensity and less fruitful efforts.
Don't get ahead of yourself in this process - remember this daily schedule needs to be
sustainable over the long term, not just for a few days. If you feel that
you're pushing yourself 10/10ths every day, you'll burn out fast.
That means breaks are essential. When taking breaks, I like to focus on productive breaks,
meaning breaks that ultimately serve a purpose, even if it isn't directly related to traditional
productivity or studying. For example, after a high intensity block of focused studying,
take a break and run errands, like picking up groceries, doing laundry, or even taking
a shower. You're taking care of items that must be done, and optimizing their timing by inserting
them at a point where you wouldn't be able to study anyway. As they are not mentally taxing,
you're able to get an essential task out of the way while still giving yourself
space for mental recovery. Alternatively, go outside for a walk to more quickly rejuvenate.
Incorporating forms of stress relief and release from work is key. Exercise serves
this function in a large capacity, but most of us need something additional to maintain our sanity.
Some people have a favorite show they want to watch, others enjoy reading, or maybe you enjoy
playing board games with your housemates. It's best practice to save this for later in the day,
as it's generally more difficult to get into work mode at 9PM after hanging out with friends.
There are a few other details that most top performers share - namely mindfulness or some
form of reflection. I've covered this in the anatomy of a perfect morning routine,
but you can perform these habits any time of the day. Lawrence opts for either a run
or walking meditation at 5PM after his study block.
The fun part was planning your daily routine. The hard part is
putting into action and actually sticking to it for the long term.
Rather than relying on brute force and self-discipline, ask yourself how
you can make it easier on future you to follow the plan. For me, that includes using my calendar
and saving a screenshot of my schedule on my computer desktop and phone for quick reference.
You may decide to lay out your gym clothes and bag by the door to reduce the friction
of starting your morning with a workout. And to really make it stick, set your morning
alarm across the room so you're forced to get out of bed rather than go on a snooze-a-thon.
For others, that includes having an accountability buddy, or in the case
with Lawrence, finding a mentor or coach to help craft the routine and hold him to it.
Allocate time in your calendar to also review the results of your new routine.
Otherwise, you're likely to get derailed and just give up on it.
Rather, preemptively set a time in 1 or 2 weeks to review what went well about the routine, what
was perhaps too ambitious and not realistic to sustain long term, and make adjustments as needed.
If you enjoy this type of content, balancing productivity and lifestyle optimization on one
hand with study strategies and succeeding as a future physician on the other,
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If you haven't already, be sure to check out anatomy of a morning routine
and anatomy of a night time routine. Much love, and I'll see you guys there.