The document discusses strategies for maximizing time and money management based on personal values. It recommends physicians assess their values and time/money allocation annually. Old rules of steady linear progress and outside-in fulfillment are contrasted with new rules of endless change and finding purpose from within. Physicians are encouraged to focus on preventative and relationship-building activities, balance life priorities, and ensure financial plans align with goals and provide protection. The goal is to avoid living as if never going to die without fully experiencing the present or envisioning the future.

1. Maximizing
Your Vital Resources:
Values-Based
Time & Money Management
PETER S. MOSKOWITZ, M.D.
EXECUTIVE DIRECTOR
CENTER FOR PROFESSIONAL & PERSONAL RENEWAL
PALO ALTO, CA
Foundation for Medical Excellence
October 5, 2013

2. Disclosure Statement
• Peter S. Moskowitz, M.D. reports he
has no relevant financial relationship
with any commercial entity, other than
his own consulting business, that
provides products or services relevant
to this presentation.

3. Maximizing Your Vital Resources
Learning Objectives
At the conclusion of this presentation physicians will:
1. Address personal values surrounding time allocation.
2. Assess current personal time allocation.
3. Clarify personal values surrounding money allocation.
4. Evaluate current personal wealth management.

4. STRATEGIES FOR
PERSONAL RENEWAL
• Assess Values and Purpose Annually
• Institute Personal Wellness
- Healthy Diet
- Regular Aerobic Exercise
- Consistent Sleep
- Preventative Medicine
- Regular Fun
• Manage Your Stress Effectively (healthy coping)
• Balance Your Life
• Develop a Support Network
• Manage Your Time and Money Strategically
• Build Good Communication Skills
Copyright CPPR 2012

5. Why the Fuss about Time & Money?
•
•
•
•
Both can be sources of great stress
Good management required for renewal
Docs tend to have poor coping skills
Life & practice conditions, effecting time
and money, are changing rapidly
• The New Rules

6. PHYSICIAN COPING SKILLS
• Work Harder
• Work Harder
• Work Harder
• Bitch, Bitch, Bitch
• Hope Things Change
• Isolate
Copyright CPPR 2012

7. CHANGING
CAREER / LIFE EXPECTATIONS
• The Burden of Educational Debt
• The Cost of Home Ownership
• The Desire for a Balanced Life
• New Work Options
• Transitions to Non-Clinical Careers

8. The Old Rules
vs
The New Rules
• The Linear Rule
• The Circular Rule
• The Outside-In Rule
• The Inside-Out Rule
• Learning Is Just For
•
Kids Rule
Learning Isn’t Just For
Kids Rule
• The Steady State Rule • Endless Change Rule
Copyright CPPR 2012

9. The Linear Rule
PROGRESS
Be honest and
work hard and
HAPPINESS
you will
experience…
SECURITY
SUCCESS

10. The Circular Rule
A CHAPTER OF
YOUR LIFE
NEW
BEGINNING
External Change
• Dreams & Plans
• Accomplishments
• Decline & Discord
Internal Renewal
• Healing
• New Goals & Purpose
• Training
ENDING
A LIFE
TRANSITION
BETWEEN
CHAPTERS

11. The Outside-In Rule
Family
Voluntary
Community,
Church
YOU
Groups,
Professional
Associations,
National Roles
Work, Career

12. The Inside-Out Rule
Winning at Life
Works Best from the
INSIDE-OUT
Family
Voluntary
Community,
Church
YOU
Groups,
Professional
Associations,
National Roles
Work, Career
Global Roles
and Citizenship

13. The Steady-State Rule
Childhood
Adulthood
Work + Love creates progress,
reaching self-perpetuating
levels of happiness, success,
and security that get better and
better with time.

14. The Endless Change Rule
Young Adulthood
Midlife
Elderhood

15. The CYCLE OF RENEWAL
A Model of
Life and Career Change

16. THE CYCLE OF RENEWAL
A LIFE CHAPTER
The
Heroic
Self
PHASE 1
GO FOR IT
PHASE 2
THE DOLDRUMS
The
Disenchanted
Self
MINITRANSITION
RESTRUCTURE YOUR CHAPTER
The
Passionate
Self
PHASE 4
GETTING READY
PHASE 3
COCOONING
A LIFE TRANSITON
The
Inner
Self

17. PROLONGING “GO FOR IT”
• Engage in Continuous Learning
• Practice Effective Stress Management
Balance Your Life!
• Strategic Use of Time and Money
• Schedule Frequent Fun!

18. Reconnecting to
Your Personal Values

19. The Importance of Values
• values are our personal anchors as we
are tossed about in the stormy, uncertain
seas of life.
• values define our character and sense of
self
• values help to establish meaning in our
lives

20. Your Personal Values
Questions to Ponder:
1. What is your most important
personal value(s) regarding your
time?
2. What is your most important
personal value(s) about money?

21. It All Begins
with a Re-evaluation
of Your Purpose

22. Question to Ponder:
What is YOUR Purpose?

24. Maximizing Your
Limited Resources
Values-Based
Time Management

25. The Time Management Matrix
Not Important
Not Urgent
I
II
ACTIVITIES:
Crises
Pressing problems
Deadline-driven projects
ACTIVITIES:
Prevention, PC activities*
Relationship building
Recognizing new opportunities
Planning, recreation
III
Important
Urgent
IV
ACTIVITIES:
Interruptions, some calls
Some mail, some reports
Some meetings
Proximate, pressing matters
Popular activities
ACTIVITIES:
Trivia, busy work
Some mail
Some phone calls
Time wasters
Pleasant activities
[S. Covey: The Seven Habits of Highly Effective People]

26. FOCUSING ON QUADRANT I
I
RESULTS:
II
IV
•
•
•
•
III
Stress
Burnout
Crisis management
Always putting out fires

27. FOCUSING ON QUADRANT III
I
III RESULTS:
• Short-term focus
• Crisis management
• Reputation-chameleon
character
• See goals and plans as
worthless
• Feel victimized, out of control
• Shallow or broken
relationships
II
IV

28. FOCUSING ON QUADRANTS III AND IV
I
II
III
IV
RESULTS:
• Total irresponsibility
• Fired from jobs
• Dependent on others or
institutions for basics

29. FOCUSING ON QUADRANT II
I, III, IV
II
RESULTS:
• Vision, perspective
• Balance
• Discipline
• Control
• Few crises

30. Questions to Ponder about Time
• Do you know how all of your 168 hrs/wk are spent?
• Are you happy with your time allocation?
• Do you spend your time in alignment with your
values?
• If you could change one thing about your schedule,
what would it be?

31. Maximizing Your
Limited Resources
Values-Based
Money Management

32. Questions to Ponder:
• What are your basic values around money?
• Are your expenses less than your income? Are
you sure?
• What are your short/long term money goals?
• Are you on track to succeed with them?
• Is your family protected with a will, trust, and a
durable power of attorney for health care?

33. Designing Your
Time /Money Management Plan

35. The Dali Lama on Man
When asked what surprised him most about
humanity, the Dali Lama said,
“Man. Because he sacrifices his health in order to
make money. He sacrifices money to recuperate
his health. He is so anxious about the future that
he does not enjoy the present. The result being
that he does not live in the present or the future.
He lives as if he is never going to die, and then
dies having never fully lived.”

37. Maximizing
Your Vital Resources:
Values-Based
Time & Money Management
PETER S. MOSKOWITZ, M.D.
EXECUTIVE DIRECTOR
CENTER FOR PROFESSIONAL & PERSONAL RENEWAL
PALO ALTO, CA
FOUNDATION FOR MEDICAL EXCELLENCE
October 5, 2013