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You can hack every minute, but if those minutes don’t serve what truly matters, what’s the point? 

In this focused episode of Succeeded In Medicine Podcast, Dr. Ari Tuckman challenges the blind chase of “more done.” Drawing from his fifth book, The ADHD Productivity Manual, he explains why physicians must first ask: To what end am I being productive?

The discussion unpacks the gap between being busy and being productive—especially in high-stakes medicine where reactivity rules. Dr. Tuckman introduces temporal discounting, the bias that makes immediate rewards (another patient, one more episode) feel far stronger than future costs (burnout, unfinished charts, missed family moments). He shares how to make future outcomes visceral: close your eyes and feel the drag of a sleep-deprived day versus the clarity of a rested one.

Time is treated like money—finite, non-renewable, and requiring deliberate allocation. Priorities, Dr. Tuckman stresses, are revealed in actions, not words: if “health” or “family” never make the calendar, they aren’t priorities. He advocates sacred time blocks, realistic scheduling that buffers emergencies, and ruthless to-do list decluttering (hesitate to justify? delete).

On work-life balance, the financial tension of private practice surfaces: every hour off is lost revenue. Yet true wealth is the margin to take that time when it counts. Dr. Tuckman adds the hard truth: “Part of the cost of a good life is sometimes doing things you hate.” Minimize suffering—finish unpleasant tasks fast, without mental gnawing.

From charting between patients to setting boundaries on complex cases, this episode equips physicians to stop surprise-ending their days and start designing them.

Three Actionable Takeaways:

• Ask the “To What End?” Question Before Any Productivity Hack: Reactivity breeds burnout. Pause and define: What do I want my life to look like? List 3–5 core values (e.g., patient impact, family presence, personal health). For each time or financial decision, ask: Does this align or erode my priorities? Review weekly in 5 minutes to stay intentional.
• Combat Temporal Discounting with Vivid Future-Feelings: Procrastination wins because future pain feels abstract. Before the immediate reward (skipping notes, doom-scrolling), close your eyes for 30 seconds and feel tomorrow-you: dragging, behind, irritable—versus rested, caught-up, present. Make the future visceral to choose action.
• Declutter Your To-Do List Ruthlessly and Fast: Overloaded lists paralyze. Set a 10-minute timer weekly. For each item, decide in <10 seconds: Keep or delete? If you pause to justify, it’s not important—delete. Free mental space for what moves the needle.

About the Show:

Succeed In Medicine  covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!

About the Guest:

Dr. Ari Tuckman, PsyD, is a licensed psychologist and sex therapist in private practice in West Chester, PA, renowned as an ADHD thought leader. Specializing in ADHD diagnosis and treatment, he also focuses on couples and sex therapy. A frequent media guest on CNN, NPR, and XM Radio, and quoted in The New York Times, USA Today, and more, he co-chairs CHADD's conference committee. Author of five books, including The ADHD Productivity Manual—his latest on universal productivity strategies—and More Attention, Less Deficit, he hosts the popular More Attention podcast with over 100 episodes of practical ADHD advice. 

Website: https://adultadhdbook.com

About the Host:

Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physicians

Want to be a guest?

Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more!

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This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!

Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let’s grow! 

Disclaimer:

This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

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