1 00:00:00,000 --> 00:00:02,680 Welcome to the Clinician Researcher podcast. 2 00:00:02,680 --> 00:00:04,040 I'm your host, Toyosi Onwuemene 3 00:00:04,040 --> 00:00:07,280 and it is an absolute pleasure to be talking with you today. 4 00:00:07,280 --> 00:00:08,960 Thank you so much for tuning in. 5 00:00:08,960 --> 00:00:13,540 Today's episode is about not pursuing the productivity bonus. 6 00:00:13,540 --> 00:00:16,640 Yes, do not pursue a productivity bonus. 7 00:00:16,640 --> 00:00:20,320 Do not pursue the clinical productivity bonus. 8 00:00:20,320 --> 00:00:22,560 Ha ha ha ha. 9 00:00:22,560 --> 00:00:24,820 I can already see this is going to be a controversial topic. 10 00:00:24,820 --> 00:00:27,240 But I want to say, if you're listening to me, 11 00:00:27,240 --> 00:00:28,920 you're a clinician researcher trying 12 00:00:28,920 --> 00:00:30,760 to advance your research program. 13 00:00:30,760 --> 00:00:33,920 And I want to tell you already, spoiler alert, 14 00:00:33,920 --> 00:00:36,200 that the clinical productivity bonus is taking you 15 00:00:36,200 --> 00:00:37,400 away from your goal. 16 00:00:37,400 --> 00:00:38,800 I know it's bringing you money. 17 00:00:38,800 --> 00:00:41,460 I know it's probably going to help you pay for that nice 18 00:00:41,460 --> 00:00:43,480 vacation, but it's taking you away from your goal. 19 00:00:43,480 --> 00:00:45,220 And I want to just talk to you about how 20 00:00:45,220 --> 00:00:47,700 to think about the clinical productivity bonus. 21 00:00:47,700 --> 00:00:50,000 Now, this particular episode came to me 22 00:00:50,000 --> 00:00:51,840 from a couple of weeks ago where we were talking 23 00:00:51,840 --> 00:00:53,320 about our productivity bonus. 24 00:00:53,320 --> 00:00:55,320 And I have to tell you, it used to be really simple 25 00:00:55,320 --> 00:00:56,280 and straightforward. 26 00:00:56,280 --> 00:00:57,760 You exceed the number of RVUs. 27 00:00:57,760 --> 00:00:58,600 You get it. 28 00:00:58,600 --> 00:01:00,400 And now it's a little bit more complicated. 29 00:01:00,400 --> 00:01:03,280 It's like if you are in research, this is what you get. 30 00:01:03,280 --> 00:01:05,040 You get less in the clinical space. 31 00:01:05,040 --> 00:01:06,620 And then if you do this, and then there's 32 00:01:06,620 --> 00:01:08,480 the reward for good citizenship. 33 00:01:08,480 --> 00:01:11,960 And it's 30% for the, it was so complicated. 34 00:01:11,960 --> 00:01:14,800 I remember thinking, like, if I spent time trying 35 00:01:14,800 --> 00:01:17,960 to figure out the math to maximize my productivity bonus 36 00:01:17,960 --> 00:01:21,960 100%, that's time not well spent as far as contributing 37 00:01:21,960 --> 00:01:23,240 to my research program. 38 00:01:23,240 --> 00:01:25,320 So I want to share some of my thoughts with you. 39 00:01:25,320 --> 00:01:28,480 And I would be excited to learn about your thoughts as well. 40 00:01:28,480 --> 00:01:29,920 Please share them with me. 41 00:01:29,920 --> 00:01:30,760 I'm on LinkedIn. 42 00:01:30,760 --> 00:01:32,160 Send me a direct message. 43 00:01:32,160 --> 00:01:33,320 OK. 44 00:01:33,320 --> 00:01:35,640 Number one is that physicians are 45 00:01:35,640 --> 00:01:39,960 susceptible, extraordinarily susceptible, 46 00:01:39,960 --> 00:01:41,800 to working hard at hard things. 47 00:01:41,800 --> 00:01:43,880 Ha ha ha. 48 00:01:43,880 --> 00:01:46,840 Now I'm preaching to the choir here, but you know what I mean. 49 00:01:46,840 --> 00:01:49,500 If someone says, oh, no, you may not be able to make it, 50 00:01:49,500 --> 00:01:51,020 you're like, oh, yeah? 51 00:01:51,020 --> 00:01:52,600 You think I can't make it? 52 00:01:52,600 --> 00:01:54,200 OK, we'll see about that. 53 00:01:54,200 --> 00:01:55,400 Then you hustle. 54 00:01:55,400 --> 00:01:56,800 You do all this hard work. 55 00:01:56,800 --> 00:01:57,640 You make it. 56 00:01:57,640 --> 00:02:00,800 And you're like, yes, I did it. 57 00:02:00,800 --> 00:02:03,000 But was it worth it? 58 00:02:03,000 --> 00:02:06,560 Should you have spent any time doing it? 59 00:02:06,560 --> 00:02:09,800 That is a thing that's a pitfall for physicians. 60 00:02:09,800 --> 00:02:11,920 And many physicians fall into the trap 61 00:02:11,920 --> 00:02:14,560 of working hard for the sake of working hard. 62 00:02:14,560 --> 00:02:17,480 This patient's blood pressure is not where it needs to be. 63 00:02:17,480 --> 00:02:19,040 I'm going to do everything I can. 64 00:02:19,040 --> 00:02:19,520 And you know what? 65 00:02:19,520 --> 00:02:21,600 They're not even taking their blood pressure medication. 66 00:02:21,600 --> 00:02:23,360 They don't even care about blood pressure. 67 00:02:23,360 --> 00:02:25,400 And you're working so hard. 68 00:02:25,400 --> 00:02:27,600 So here's the thing. 69 00:02:27,600 --> 00:02:30,040 You are susceptible, if you're a physician, 70 00:02:30,040 --> 00:02:32,240 to working hard at things that are hard. 71 00:02:32,240 --> 00:02:34,280 And if someone tells you that this 72 00:02:34,280 --> 00:02:36,160 is what you need to do to jump through the hoops 73 00:02:36,160 --> 00:02:39,680 to get this productivity bonus, guess your susceptibility. 74 00:02:39,680 --> 00:02:42,920 Yeah, you're going to be working really hard. 75 00:02:42,920 --> 00:02:44,920 You're going to be working really hard 76 00:02:44,920 --> 00:02:46,680 to make the productivity bonus. 77 00:02:46,680 --> 00:02:49,760 And that is a problem. 78 00:02:49,760 --> 00:02:50,600 That is a problem. 79 00:02:50,600 --> 00:02:54,040 Because when you're working on all the metrics 80 00:02:54,040 --> 00:02:55,800 to be able to get the productivity bonus, 81 00:02:55,800 --> 00:02:57,560 guess what you're not doing? 82 00:02:57,560 --> 00:02:59,840 You're not moving your research project forward. 83 00:02:59,840 --> 00:03:00,960 Why does that matter? 84 00:03:00,960 --> 00:03:03,360 It matters because as clinicians, 85 00:03:03,360 --> 00:03:06,000 research training is not part of your clinical training. 86 00:03:06,000 --> 00:03:08,400 Yeah, you may have gotten a little bit of research training 87 00:03:08,400 --> 00:03:09,440 here or there. 88 00:03:09,440 --> 00:03:11,560 But when you think about people who are doing research 89 00:03:11,560 --> 00:03:14,480 full time, PhD scientists, you barely 90 00:03:14,480 --> 00:03:15,960 have enough research training. 91 00:03:15,960 --> 00:03:18,160 And so you have a lot of skills to build. 92 00:03:18,160 --> 00:03:20,920 There are skills you don't even know you don't have yet. 93 00:03:20,920 --> 00:03:24,520 And so do you have time to chase clinical productivity 94 00:03:24,520 --> 00:03:27,480 when you really need to be building your research skills? 95 00:03:27,480 --> 00:03:29,720 I think the answer might be no. 96 00:03:29,720 --> 00:03:34,480 But you might be saying to me, but Toyosi, I need the money. 97 00:03:34,480 --> 00:03:37,040 And I'm not laughing because I'm mocking you. 98 00:03:37,040 --> 00:03:38,720 I'm laughing because, yes, that's 99 00:03:38,720 --> 00:03:40,880 a challenge with academic medical centers, 100 00:03:40,880 --> 00:03:42,480 is that you know what? 101 00:03:42,480 --> 00:03:45,520 They don't really give you money to remunerate 102 00:03:45,520 --> 00:03:47,720 your clinical productivity, even when you're not 103 00:03:47,720 --> 00:03:50,080 trying to meet the targets. 104 00:03:50,080 --> 00:03:52,000 But being in an academic research environment 105 00:03:52,000 --> 00:03:54,920 is not necessarily the place you came to get rich. 106 00:03:54,920 --> 00:03:57,720 And you have to be clear about what you came for, 107 00:03:57,720 --> 00:03:58,840 what you're going to get. 108 00:03:58,840 --> 00:04:00,840 Now, am I saying that you shouldn't make money? 109 00:04:00,840 --> 00:04:01,840 Please do. 110 00:04:01,840 --> 00:04:04,640 But think about, does your academic job 111 00:04:04,640 --> 00:04:07,800 have to be the source of all of your income? 112 00:04:07,800 --> 00:04:10,000 And how else can you think strategically 113 00:04:10,000 --> 00:04:12,400 about making money such that you're not 114 00:04:12,400 --> 00:04:15,440 investing all this time doing all this clinical work that 115 00:04:15,440 --> 00:04:19,200 ultimately may not really pay you for the investment 116 00:04:19,200 --> 00:04:20,760 that you put in it? 117 00:04:20,760 --> 00:04:23,320 All the while, your research may be suffering. 118 00:04:23,320 --> 00:04:26,680 So clinicians are good at working hard at hard things. 119 00:04:26,680 --> 00:04:29,280 If someone gives you a couple of hoops to jump, 120 00:04:29,280 --> 00:04:31,280 your tendency is to jump the hoops. 121 00:04:31,280 --> 00:04:34,600 But I want you to ask yourself, what is my goal here? 122 00:04:34,600 --> 00:04:35,640 Why am I here? 123 00:04:35,640 --> 00:04:38,560 And are these hoops I should be jumping at all? 124 00:04:38,560 --> 00:04:43,680 So number one is, please, recognize your susceptibility 125 00:04:43,680 --> 00:04:46,160 to working hard at things just because they're hard. 126 00:04:46,160 --> 00:04:48,240 All right, and avoid that. 127 00:04:48,240 --> 00:04:51,280 Recognize your weaknesses so you can protect your weaknesses. 128 00:04:51,280 --> 00:04:52,680 All right, that's number one. 129 00:04:52,680 --> 00:04:57,000 Number two is that productivity bonuses are there 130 00:04:57,000 --> 00:04:58,280 for a reason. 131 00:04:58,280 --> 00:05:00,880 They are there to incentivize you. 132 00:05:00,880 --> 00:05:02,160 This is the thing. 133 00:05:02,160 --> 00:05:04,960 If you think about tax law or tax code, 134 00:05:04,960 --> 00:05:07,240 it's all about incentivization. 135 00:05:07,240 --> 00:05:09,640 It's not to reward you for your good work. 136 00:05:09,640 --> 00:05:12,360 It's to make you do more of that work. 137 00:05:12,360 --> 00:05:14,960 I will tell you that one of the things that was so eye-opening 138 00:05:14,960 --> 00:05:18,280 to me was when I finally sat down with my business manager. 139 00:05:18,280 --> 00:05:20,560 This was as a result of some project I was doing. 140 00:05:20,560 --> 00:05:23,200 And I said, tell me about the productivity bonus. 141 00:05:23,200 --> 00:05:26,560 How do you account for that if people exceed their productivity 142 00:05:26,560 --> 00:05:27,440 bonuses? 143 00:05:27,440 --> 00:05:28,440 You know what I learned? 144 00:05:28,440 --> 00:05:29,880 I learned that it's budgeted. 145 00:05:29,880 --> 00:05:32,120 And so there's a ceiling to the productivity bonus. 146 00:05:32,120 --> 00:05:35,240 You can work your heart out, exceed all the targets, 147 00:05:35,240 --> 00:05:37,720 and there's a limit to how much you can earn. 148 00:05:37,720 --> 00:05:39,360 Ooh. 149 00:05:39,360 --> 00:05:42,320 So productivity bonuses are not really there to reward you 150 00:05:42,320 --> 00:05:45,640 as much as they are to incentivize you to more work. 151 00:05:45,640 --> 00:05:48,040 And I think you need incentive to work. 152 00:05:48,040 --> 00:05:50,840 I don't know if clinical incentives are what you need. 153 00:05:50,840 --> 00:05:52,400 I think you need incentives to be 154 00:05:52,400 --> 00:05:54,840 able to advance your research, incentives 155 00:05:54,840 --> 00:05:57,280 to be able to move your publications forward, 156 00:05:57,280 --> 00:06:00,120 incentives to submit those manuscripts. 157 00:06:00,120 --> 00:06:02,520 And guess what clinical productivity bonuses are not 158 00:06:02,520 --> 00:06:05,120 incentivizing you to do? 159 00:06:05,120 --> 00:06:07,720 They are not incentivizing you to your research. 160 00:06:07,720 --> 00:06:11,680 And if your early career, even if you're a mid-career, 161 00:06:11,680 --> 00:06:14,640 you've got a lot of work to do to move your research 162 00:06:14,640 --> 00:06:16,440 to where it needs to be. 163 00:06:16,440 --> 00:06:19,520 And so do you have time to pursue the incentives 164 00:06:19,520 --> 00:06:21,360 or the productivity bonus? 165 00:06:21,360 --> 00:06:21,960 I don't know. 166 00:06:21,960 --> 00:06:24,000 Only you can answer that question. 167 00:06:24,000 --> 00:06:26,040 But I don't want you to pursue an incentive that 168 00:06:26,040 --> 00:06:28,680 doesn't incentivize the outcome that you want. 169 00:06:28,680 --> 00:06:31,200 Yes, we all want financial goodness. 170 00:06:31,200 --> 00:06:33,880 And there's a bigger, bigger thing 171 00:06:33,880 --> 00:06:36,320 beyond just the finances. 172 00:06:36,320 --> 00:06:39,560 And are you incentivizing to get those outcomes? 173 00:06:39,560 --> 00:06:42,960 Are you incentivizing yourself to get the outcomes 174 00:06:42,960 --> 00:06:44,280 that you actually want? 175 00:06:44,280 --> 00:06:45,440 OK. 176 00:06:45,440 --> 00:06:49,760 Number three, instead of pursuing the clinical productivity 177 00:06:49,760 --> 00:06:52,680 bonus, what if you prioritize your research? 178 00:06:52,680 --> 00:06:56,080 And this is important because when I talk to faculty, 179 00:06:56,080 --> 00:06:57,720 and to be honest, in my own experience, 180 00:06:57,720 --> 00:07:00,960 too, we're struggling to keep the time for our research. 181 00:07:00,960 --> 00:07:03,480 We're struggling to protect that time for our research. 182 00:07:03,480 --> 00:07:05,400 Even when we have protected time, 183 00:07:05,400 --> 00:07:07,840 we're working hard to continue to protect that time 184 00:07:07,840 --> 00:07:10,040 in a way that's meaningful. 185 00:07:10,040 --> 00:07:13,560 And so instead of focusing on the productivity bonus, 186 00:07:13,560 --> 00:07:16,760 what if you really focused on building your research? 187 00:07:16,760 --> 00:07:19,880 What if you really focused on advancing your research? 188 00:07:19,880 --> 00:07:21,640 Now, I may hear some of you say, well, 189 00:07:21,640 --> 00:07:24,720 but the productivity bonus also includes research. 190 00:07:24,720 --> 00:07:27,360 Yeah, but if you're doing what you're supposed to be doing, 191 00:07:27,360 --> 00:07:29,560 you don't have to pursue the productivity bonus. 192 00:07:29,560 --> 00:07:31,680 You're already going to make it by virtue of just doing 193 00:07:31,680 --> 00:07:33,320 what you're supposed to do. 194 00:07:33,320 --> 00:07:35,800 The incentive is to incentivize you to do the thing you're 195 00:07:35,800 --> 00:07:37,000 supposed to be doing. 196 00:07:37,000 --> 00:07:39,560 And so if the incentive says, if you write two manuscripts, 197 00:07:39,560 --> 00:07:43,160 you get a bonus, is two manuscripts your only goal 198 00:07:43,160 --> 00:07:44,160 for the entire year? 199 00:07:44,160 --> 00:07:46,840 I hope not. 200 00:07:46,840 --> 00:07:49,000 I hope you have a goal of submitting more than just two 201 00:07:49,000 --> 00:07:50,320 manuscripts. 202 00:07:50,320 --> 00:07:53,200 Do you see why the bonus, the productivity bonus, 203 00:07:53,200 --> 00:07:54,560 may not actually serve you? 204 00:07:54,560 --> 00:07:57,640 Because it may actually set a lower target for you 205 00:07:57,640 --> 00:07:59,480 than you need to have. 206 00:07:59,480 --> 00:08:01,720 So don't pursue the bonus. 207 00:08:01,720 --> 00:08:05,560 Focus instead on your own goals, the goals 208 00:08:05,560 --> 00:08:08,000 you set for yourself from the beginning. 209 00:08:08,000 --> 00:08:09,720 So what should you do? 210 00:08:09,720 --> 00:08:11,320 Create a strategic plan. 211 00:08:11,320 --> 00:08:13,120 OK, here's the thing. 212 00:08:13,120 --> 00:08:16,000 All the things that are not accounted for in a plan, 213 00:08:16,000 --> 00:08:17,680 they're not going to get done. 214 00:08:17,680 --> 00:08:20,000 However, the things that people are going to bug you about, 215 00:08:20,000 --> 00:08:21,240 did you write that note? 216 00:08:21,240 --> 00:08:22,720 Did you close that chart? 217 00:08:22,720 --> 00:08:24,560 Did you call the prior authorization? 218 00:08:24,560 --> 00:08:28,120 Those will all get done at the expense of your research. 219 00:08:28,120 --> 00:08:30,520 And so if you want your research to succeed, 220 00:08:30,520 --> 00:08:33,280 you set the stage for what's going to be done 221 00:08:33,280 --> 00:08:35,080 by creating a strategic plan. 222 00:08:35,080 --> 00:08:37,160 Look ahead to the next couple of months 223 00:08:37,160 --> 00:08:39,880 and decide, this is what I want to accomplish. 224 00:08:39,880 --> 00:08:42,040 This is what no one's going to come and knock on my door 225 00:08:42,040 --> 00:08:43,040 and say, are you doing this? 226 00:08:43,040 --> 00:08:45,000 Yeah, they're going to come and knock on your door 227 00:08:45,000 --> 00:08:46,880 and say, wait, you're late to clinic. 228 00:08:46,880 --> 00:08:48,320 But they're not going to knock on your door and say, 229 00:08:48,320 --> 00:08:50,280 did you submit the manuscript? 230 00:08:50,280 --> 00:08:53,520 So that's what you want to have on your strategic plan, 231 00:08:53,520 --> 00:08:56,320 all the things that help you advance. 232 00:08:56,320 --> 00:08:59,720 Number five, and I'm back from the beginning, 233 00:08:59,720 --> 00:09:01,800 because these are the things I want you to focus on. 234 00:09:01,800 --> 00:09:05,440 But number five is you should do a weekly planning meeting. 235 00:09:05,440 --> 00:09:08,560 On Friday or on Sunday, don't wait till Monday. 236 00:09:08,560 --> 00:09:10,000 Look ahead to the week. 237 00:09:10,000 --> 00:09:12,600 Map out the schedule of meetings and all the things 238 00:09:12,600 --> 00:09:14,440 that you're supposed to be at, 239 00:09:14,440 --> 00:09:17,080 but definitely create space for your research 240 00:09:17,080 --> 00:09:18,240 and your writing. 241 00:09:18,240 --> 00:09:20,240 Make sure you're moving work forward. 242 00:09:20,240 --> 00:09:22,240 Make sure you're moving manuscripts forward. 243 00:09:22,240 --> 00:09:24,880 Make sure you're writing those grants. 244 00:09:24,880 --> 00:09:28,600 Make a weekly plan so that you can budget 245 00:09:28,600 --> 00:09:31,560 in the time you need to advance your goals. 246 00:09:31,560 --> 00:09:32,960 That's number five. 247 00:09:32,960 --> 00:09:35,800 Number six is write consistently every day. 248 00:09:35,800 --> 00:09:38,360 And by every day, I don't mean like seven days a week. 249 00:09:38,360 --> 00:09:39,840 I tend to write four days a week. 250 00:09:39,840 --> 00:09:41,720 Sometimes I'll do five days. 251 00:09:41,720 --> 00:09:43,240 But make sure you're writing. 252 00:09:43,240 --> 00:09:45,080 And that's what's the thing about writing. 253 00:09:45,080 --> 00:09:46,840 Writing is a keystone habit. 254 00:09:46,840 --> 00:09:50,240 Writing is a habit that helps you accomplish other habits. 255 00:09:50,240 --> 00:09:53,400 So the more you write, the more you work on manuscripts 256 00:09:53,400 --> 00:09:54,720 that get you to publication, 257 00:09:54,720 --> 00:09:56,000 the more you're looking for things 258 00:09:56,000 --> 00:09:57,440 to put into those manuscripts 259 00:09:57,440 --> 00:09:59,640 so that you can submit them for publication. 260 00:09:59,640 --> 00:10:01,120 The more you're doing the research 261 00:10:01,120 --> 00:10:02,440 that gets you to the writing, 262 00:10:02,440 --> 00:10:03,760 that gets you to the manuscript 263 00:10:03,760 --> 00:10:05,840 that allows you to submit for publications. 264 00:10:05,840 --> 00:10:10,440 So writing, daily consistent writing is a keystone habit 265 00:10:10,440 --> 00:10:13,440 that gets you to the research results that you want. 266 00:10:13,440 --> 00:10:17,480 Make sure that you're prioritizing your daily writing. 267 00:10:17,480 --> 00:10:21,400 And finally, you wanna minimize the creep of clinical work. 268 00:10:21,400 --> 00:10:24,840 This is why the productivity bonus is not for you. 269 00:10:24,840 --> 00:10:27,600 Because if you're already struggling 270 00:10:27,600 --> 00:10:30,440 to find the time you need to do the research, 271 00:10:30,440 --> 00:10:32,600 why are you pursuing the productivity bonus 272 00:10:32,600 --> 00:10:34,600 that takes you further away from research 273 00:10:34,600 --> 00:10:36,320 to do more clinical care? 274 00:10:36,320 --> 00:10:37,400 Don't do that. 275 00:10:37,400 --> 00:10:40,400 Instead, minimize the creep of clinical work 276 00:10:40,400 --> 00:10:44,320 to let other people incentivize you to a minimum standard. 277 00:10:44,320 --> 00:10:47,560 You incentivize yourself and do the work you need 278 00:10:47,560 --> 00:10:49,400 to build the kind of research program 279 00:10:49,400 --> 00:10:53,200 that you absolutely want to see that you can be proud of. 280 00:10:53,200 --> 00:10:55,360 So I'm gonna summarize those seven things that I said. 281 00:10:55,360 --> 00:10:57,560 Number one, remember that you're a physician 282 00:10:57,560 --> 00:10:59,040 and by virtue of your makeup, 283 00:10:59,040 --> 00:11:01,720 you are susceptible to working hard at hard things. 284 00:11:01,720 --> 00:11:04,480 If someone creates a convoluted bonus structure, 285 00:11:04,480 --> 00:11:05,800 you're gonna be working hard at it 286 00:11:05,800 --> 00:11:07,400 just because it's what you do. 287 00:11:07,400 --> 00:11:08,600 Be careful of that 288 00:11:08,600 --> 00:11:10,760 and protect yourself from that weakness, 289 00:11:10,760 --> 00:11:12,800 which we all have, by the way. 290 00:11:12,800 --> 00:11:14,960 Please don't fall for it. 291 00:11:14,960 --> 00:11:18,520 Number two, productivity bonuses are meant to incentivize you. 292 00:11:18,520 --> 00:11:21,680 They are not there as a neutral reward 293 00:11:21,680 --> 00:11:22,800 for your good efforts. 294 00:11:22,800 --> 00:11:24,680 They're there to make you work harder 295 00:11:24,680 --> 00:11:26,240 and you don't wanna work hard at things 296 00:11:26,240 --> 00:11:29,160 that you don't want to produce results in, 297 00:11:29,160 --> 00:11:30,520 especially relative to things 298 00:11:30,520 --> 00:11:32,840 you actually wanna produce results in. 299 00:11:32,840 --> 00:11:35,920 Number three, instead of pursuing a bonus, 300 00:11:35,920 --> 00:11:38,880 prioritize your research and writing goals. 301 00:11:38,880 --> 00:11:41,280 Number four, create a strategic plan. 302 00:11:41,280 --> 00:11:43,760 Number five, do a weekly planning meeting. 303 00:11:43,760 --> 00:11:47,800 Number six, write consistently, at least five days a week 304 00:11:47,800 --> 00:11:49,600 or if you're gonna do what I do, 305 00:11:49,600 --> 00:11:51,480 though sometimes I'll write five days. 306 00:11:51,480 --> 00:11:55,440 And number seven, minimize the creep of clinical work. 307 00:11:55,440 --> 00:11:57,600 I hope this episode has been helpful to you. 308 00:11:57,600 --> 00:11:59,320 If you know of a colleague 309 00:11:59,320 --> 00:12:00,920 who just got a productivity bonus 310 00:12:00,920 --> 00:12:02,560 who really should have been doing more work 311 00:12:02,560 --> 00:12:04,720 in their research, send this to them, 312 00:12:04,720 --> 00:12:06,200 but not as a means of judgment, 313 00:12:06,200 --> 00:12:09,800 just to remind them that they are easily distractible 314 00:12:09,800 --> 00:12:13,280 by things like incentive plans and help them out 315 00:12:13,280 --> 00:12:14,880 so that they can focus on the things 316 00:12:14,880 --> 00:12:17,280 that they really want to move forward. 317 00:12:17,280 --> 00:12:19,720 All right, it's been a pleasure talking with you today. 318 00:12:19,720 --> 00:12:21,760 I thank you so much for this opportunity 319 00:12:21,760 --> 00:12:23,800 to be in your ears and I look forward 320 00:12:23,800 --> 00:12:26,160 to talking with you again next time 321 00:12:26,160 --> 00:12:28,000 on the Clinician Researcher Podcast. 322 00:12:28,000 --> 00:12:35,000 Have a great day.