1. Define your priorities
   Good time management is about making choices that are meaningful for you as a trainee. To do this you need to work out what is most important for your work and for your life, and you have to spend your limited time realising those goals.
2. Don’t have to-do ‘lists’
   Have to-do ‘quadrants’ where you categorise anything you have to do as important or not and urgent or not. Everything that is both important and urgent needs to be done.  Everything that is unimportant but urgent needs to be delegated.  Everything that is important but not urgent should be deferred and anything that is neither important nor urgent shouldn’t be on the list and should be dumped.
3. Realise that everything has an opportunity cost
   Simply put you can only spend your resources once, whether that be your money or your time. Choosing to spend your time on one task means you can’t spend the same time on another.
4. Have one diary
   Your diary should not be plural. If it is, you are likely to run into problems – double booking, forgetting and missing appointments. Have one diary – paper or electronic – and use it for everything. 
5. Manage your email
   Don’t live at the mercy of your inbox – your inbox is not your to-do list – if it is, you’re letting others dictate your daily priorities.
6. Watch less TV
   Most people watch more TV than they care to admit even to themselves. The most obvious way you can make time is by turning off the TV and doing something else instead.
7. Learn to say ‘no’
   Although this can be difficult it is an essential skill to master. Depending on whom you have to say no to, your boss, your fellow trainees, your patients, you may have to be forceful, gracious and perhaps persuasive.
8. Never attend a meeting that doesn’t have an agenda
   We waste a lot of time at unstructured and sometimes unnecessary meetings. Always think about whether a meeting could simply be an email or a phone call instead.
9. You don’t find time, you make it
   Time management is not a spectator sport. You have to be proactive in making the most of the limited time you have. As a trainee there are many demands on your time – by having clear objectives you can prioritise more effectively.
10. The best way to get anything done is to start
    Avoid procrastination and realise there is never a right time to do anything From studying for the MRCGP, signing up for a travel medicine course, applying for a new job, getting married or having kids – if you wait for the ‘right’ time to do any of these things, you will reliably never do any of them.

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