Your inbox is somebody else's to-do list.
Speaker:Now, LinkedIn, productivity books, and podcasts are awashed with
Speaker:sentiments like this, trying to give us more autonomy over our inboxes.
Speaker:But it doesn't always help, especially if you are working in a high stress, high
Speaker:sex job and juggling urgent information about patients with rota changes,
Speaker:purchase notifications, and newsletters.
Speaker:You need more than a glib one liner.
Speaker:You need a system that works.
Speaker:That's why this week I'm joined by Dr. Stephen Ginn, a psychiatrist who got in
Speaker:touch with the show and shared a great article he'd written about how to approach
Speaker:managing your email in healthcare.
Speaker:I liked it so much that I invited him on the podcast as a guest
Speaker:so he can share it with you.
Speaker:In this episode, we go deep into why so many of us are wrestling with
Speaker:our inboxes, how we can get some control over what comes in, and start
Speaker:advising our own system for keeping things organized rather than following
Speaker:the latest advice on Instagram.
Speaker:If you're in a high stress, high stakes, still blank medicine, and you're feeling
Speaker:stressed or overwhelmed, burning out or getting out are not your only options.
Speaker:I'm Dr. Rachel Morris, and welcome to You Are Not a Frog.
Speaker:My name's Stephen Ginn, and I'm a consultant psychiatrist
Speaker:working in Westminster.
Speaker:Great to have you on the podcast, Stephen.
Speaker:I wanna just cut straight to the chase.
Speaker:Do we have a particular problem with email as senior healthcare
Speaker:professionals in the NHS?
Speaker:I think, I think the answer to that is yes.
Speaker:We receiving an avalanche of messages every day, and what we are faced at
Speaker:is having jobs where we are trying to do the job and also just trying
Speaker:to be in a constant chatter about the jobs we're trying to do all the time.
Speaker:And I think it's, it's, it could be close to impossible for some people.
Speaker:So I've, I've, I've written an article which was published last year in Advances
Speaker:in Psychiatric Treatment, all about email.
Speaker:My motivation for writing that is the way people used to talk about email in
Speaker:my, one of my previous jobs was like this thing that they were subjected
Speaker:to, that they had no control over.
Speaker:It's interesting, isn't it?
Speaker:Because yeah.
Speaker:In our training sessions that we do, we say, what's stopping you,
Speaker:giving your best at work right now?
Speaker:And often we get the, uh, answer of workload, and then when you delve
Speaker:deeper into that, it's often emails.
Speaker:And so when we try and classify what their workload is and if it's
Speaker:urgent and important or urgent, not important, et cetera, et cetera, people
Speaker:just put emails in every single box.
Speaker:And what I noticed was that people are talking about emails as work,
Speaker:but emails are actually just the way that work comes to us, presumably.
Speaker:Or do you see emails as, as the work themselves?
Speaker:It's everything, isn't it?
Speaker:It's, it's emails, like the glue that holds, holds what we're doing together.
Speaker:So, um, there's a very interesting book written about
Speaker:this called World Without Email
Speaker:Love that book.
Speaker:It's brilliant.
Speaker:Isn't
Speaker:Yeah.
Speaker:Cal Newport is it?
Speaker:Cal Newport.
Speaker:Yeah, so Cal Newport has written a really interesting book about
Speaker:email called A World Without Email.
Speaker:Email has completely changed the way we work.
Speaker:And he describes us as having this sort of hive mind where we are both trying
Speaker:to do the work and also commenting about the work at the same time with this sort
Speaker:of avalanche of messages coming to it.
Speaker:And of course, it's, it's, it's developed organically and so it's become, it's,
Speaker:it's, no one I don't think would design email the way it is at the moment.
Speaker:So it's become this, this, um, sort of message inbox where
Speaker:everything comes in the same place.
Speaker:So the decision architecture of the thing, the way it's sort of all pointing,
Speaker:it doesn't work towards a particularly sort of sustainable or useful day often.
Speaker:That said, I mean, I think we just need to keep in mind, um, email is amazing.
Speaker:I'm not here to say that email is, you know, the devil incarnate.
Speaker:Actually email's amazing.
Speaker:I I mean, I actually, you know, one of the things I suppose I was trying to do
Speaker:with, with email is to rehabilitate it.
Speaker:'Cause the idea that we can send a message to someone on the other side of
Speaker:the world and they can read it whenever they like and get back to us immediately,
Speaker:I mean, that's extraordinary, isn't it?
Speaker:So it is great, but it's sort of taking over our lives and I think, like you
Speaker:say, for some people it's, it's slightly killing them or very much killing them.
Speaker:In fact.
Speaker:I think it's that disempowered feeling that we get with email.
Speaker:And like you said at the beginning, control is a huge issue and we know that
Speaker:control is one of the, the workplace causes for stress and for burnout.
Speaker:And people, like you said, say, I have no control over my
Speaker:email, which in a way is right.
Speaker:We don't necessarily have that much control over things that land
Speaker:in our inbox unless we put rules on or, or filters or we've got a
Speaker:particularly vicious spam filter.
Speaker:But in a way, then, then we lose control over what does get through
Speaker:and what doesn't get through.
Speaker:And I've lost messages because they've just gone into spam and I've not
Speaker:seen some really important messages.
Speaker:Well, I'm gonna, I'm gonna challenge you a bit one if I can.
Speaker:Uh, Rachel.
Speaker:Um, I think we do have a bit of control.
Speaker:I mean, sure we don't, we don't have control of what comes in, but we, we do,
Speaker:we can train people about how to email us.
Speaker:And we can be the change we wanna see in the world so we can, we
Speaker:can sort of use email sensibly.
Speaker:There are rules and filters that you can put in which bring things down.
Speaker:You can, I mean, this is what I talk about in the article.
Speaker:You can, you can reduce a lot of the emails you're getting.
Speaker:You know, every time you sign up to something, people will try and send, you
Speaker:an enormous amount of emails about it.
Speaker:And all these things can be reduced.
Speaker:Yeah, because we do have choice, don't we?
Speaker:A lot about the amount of notifica notifications via email that we
Speaker:get, and there are some emails that we shouldn't even be looking at.
Speaker:We just delete if we know we don't want them.
Speaker:Absolutely.
Speaker:I wonder whether though, uh, I wonder whether the way we are with
Speaker:our emails just sort of mirrors the way we are with our jobs in general.
Speaker:So is it, is it that if you, if you struggle with your emails, are you
Speaker:struggling in general to say no?
Speaker:And does it to do the two things work together?
Speaker:It seems unlikely to me that someone is, is finding the rest of their job quite
Speaker:straightforward and able to say no, and knowing all about boundaries and listen
Speaker:to your, um, episodes on it versus, you know, and then email is the only problem.
Speaker:I think probably the two things go together.
Speaker:In a way, email could be a sort of a fairly low stakes way of trying to explore
Speaker:how to put boundaries in with stuff.
Speaker:So I, um, all your email, I get, I get your emails, I'm on your list, but
Speaker:they all go into a Rachel Morris box, so, and I read them every so often.
Speaker:So how do you set, how do you set that up, Stephen?
Speaker:Because lots of us don't even know how to set that, that rule up that
Speaker:you can put emails into a box.
Speaker:Okay, well, I mean, I suppose it depends what software package you're using,
Speaker:but most of us are using, um, I mean, to get very much into the detail here,
Speaker:most people are probably on an nhs.net email and you, um, I think the easiest
Speaker:way to do that is to, if you log in on the online, on the browser, then
Speaker:whenever you receive an email, there'll be a little three dots at the, I think
Speaker:the top hand corner of the email.
Speaker:If you click on that, it'll say Add rule from this message, and
Speaker:it allows you to add a rule.
Speaker:And if you set up a folder called, in my case Rachel Morris, set up a folder
Speaker:and say every time this message comes, put it in this folder and you can
Speaker:decide whether the market is red or not.
Speaker:And then you can just look at that folder whenever you fancy it or not.
Speaker:Does that work on Outlook as well?
Speaker:Is that an
Speaker:That is, Yeah.
Speaker:again, it's a little bit complicated 'cause essentially you can use the
Speaker:desktop app or you can use the online one.
Speaker:The online one I think is a little bit easier.
Speaker:Okay.
Speaker:great.
Speaker:So that, that, that's what we mean by an email rule.
Speaker:It's when you get an email from a particular person, it can go into a folder
Speaker:or it could, you could say just delete it straight away or put it into junk?
Speaker:Yeah, absolutely.
Speaker:So, I mean, you have, at the bottom of almost all emails,
Speaker:you'll have an unsubscribed link.
Speaker:So at the bottom of your emails is an unsubscribed link.
Speaker:So you can just simply, and you can, and I would suggest that people
Speaker:are fairly vicious about how many emails they actually let themselves
Speaker:into getting and think about whether it's actually something that's worth
Speaker:their time, because yes, it is hard not to read the ones that you get.
Speaker:But if you do want to read them, but you don't wanna read them straight away, then
Speaker:you can set, you can set up a folder.
Speaker:So you could just do in, in, in Outlook, if you just do, if you just go to the
Speaker:inbox and do a right click, it'll give you an option to set up a new folder,
Speaker:and then you can from, give an email there, there's an option, set up a rule
Speaker:from the email and you can just send it to that inbox, to that, to that folder.
Speaker:I've got one called Bacon, which is good spam.
Speaker:Um, and that was from, um, productivity ninja Graham Allcott.
Speaker:He, he suggested doing that.
Speaker:So stuff you think, oh, I'd really like to read that, but
Speaker:I'm not, can't read it today.
Speaker:I'm not sure I ever will.
Speaker:You just put it into that Bacon box.
Speaker:And Interesting.
Speaker:I don't think I've ever really gone back into that.
Speaker:Um, it is all these things that, oh, I'd like to keep, I don't
Speaker:really wanna delete that, but I, I don't want it in my Action box.
Speaker:Um, but that is, that is quite useful.
Speaker:So I, I think there's something that we feel, if we delete stuff, it makes us feel
Speaker:anxious, just in case we need it again.
Speaker:I, I, I mean, I should come clean and say I sometimes I'm really good at my
Speaker:emails and sometimes much, that's good.
Speaker:This is not, you know, there's no shits about this.
Speaker:I think you just need to, as a person, you just need to try out.
Speaker:So try deleting the stuff, see how it feels.
Speaker:Try not deleting it.
Speaker:See how it feels.
Speaker:And then, you know, take a little bit of time to reflect on how those,
Speaker:how those two processes have gone.
Speaker:it's Oliver Burkhmann I think he talks a lot about, you know, is information just
Speaker:being a river that you, you just sort of, you know, you just dip your cup in.
Speaker:It's a bit like that with emails.
Speaker:Most, most things, um, people get back to you again, if it's email.
Speaker:Opportunities tend to come again, it's unlikely.
Speaker:It's like, it's like never to be repeated discounts, isn't it?
Speaker:You know?
Speaker:Lo and behold,
Speaker:It's repeated.
Speaker:Yeah.
Speaker:Lo and behold, it's still available the next week.
Speaker:I think there's very few, there's very few opportunities that
Speaker:don't come around in some way.
Speaker:Again, and if I think about my life things, I thought, you know,
Speaker:a never to be repeated opportunity.
Speaker:Actually, I was pretty glad I didn't getting something else good came along.
Speaker:And it's more, it's easy to say than it's to do, but I think people can afford
Speaker:to be a bit more relaxed than they are about the emails they're receiving and
Speaker:whether the opportunities will come again.
Speaker:It it generally, generally they do, and you know, most people are, you
Speaker:know, if you, if you miss an email, most people are quite nice about it.
Speaker:And what about this feeling that we are rude if we are ghosting somebody?
Speaker:Because problem with email is anybody, if they have your email
Speaker:address, could send you a message.
Speaker:And there's something about someone sending you a message, it's sitting in
Speaker:inbox, particularly if it's a personal message saying could we have a chat or
Speaker:a coffee or, or something like that?
Speaker:They could have, you know, it might be someone you have never seen
Speaker:before, you've never heard of.
Speaker:There's no particular reason for it.
Speaker:It, it's their agenda, they, they want to.
Speaker:But you feel really guilty for saying no.
Speaker:And then you can feel really, um, resentful that that person has made
Speaker:you feel guilty, that you've got to say no to them because you don't want
Speaker:to ghost them, 'cause that feels rude.
Speaker:So then almost the problem becomes your problem.
Speaker:Oh gosh, there's wheels within wheels there, isn't there, Rachel?
Speaker:The, um, the psychiatrist to me is, the psychiatrist to me is, is, uh, fascinated.
Speaker:Whatcha gonna?
Speaker:fascinated, fascinated.
Speaker:I don't think we're respons.
Speaker:Okay.
Speaker:So, so I don't think we're responsible for what other people feel.
Speaker:That would be my, my one line response to that.
Speaker:And I dunno how that sit with people, but I think that we have, um, we
Speaker:have a responsibility to, to be our best selves and to, you know, conduct
Speaker:ourselves, you know, in a, in a professional way, in a way that sort
Speaker:of, um, is in line with our values.
Speaker:And hopefully those, I mean, I do think, you know, it's important that
Speaker:those values respect other people.
Speaker:However, I think once we have conduct.
Speaker:To ourselves in that way, then we can sit back and say, you know, I've done my best.
Speaker:And it's, you are not responsible for how other people feel about
Speaker:what you've, what you've done.
Speaker:And I think unfortunately, you just, it's, it's, it would, wouldn't it be lovely
Speaker:if we had time to, to reply to a email?
Speaker:We can't.
Speaker:I suppose one thing you could do is, um, I, I dunno what you say on your emails,
Speaker:but certainly I'm, I, I, I'm on very few email things, but Oliver Burkhmann I am
Speaker:on, and he says, I love getting emails.
Speaker:I do read them all, but I don't have time to reply to them all.
Speaker:So yeah, I think, I think unfortunately that, I mean, I, I, I guess that's,
Speaker:that's just with the convenience of email come to sound sites and that's
Speaker:something we just, people need to get alongside and somehow be comfortable with.
Speaker:Why is it though, that with email we feel more beholden to reply and to answer
Speaker:and to do it than if, you know, say if a patient just came up to you on the
Speaker:street and, and asked you for some advice, you'd be like, well, this is really
Speaker:inappropriate, I'm not gonna give it.
Speaker:Whereas that same patient, if they got your email address, could email
Speaker:you in and suddenly were like, I have a responsibility now because, because
Speaker:I have this message in my inbox.
Speaker:Do you think we do have a responsibility or not?
Speaker:Well, it's, I, I suppose it's, it's, I mean, it's case by case, isn't it?
Speaker:But I think probably I would, um, it is easier if you can have an email, which
Speaker:is, which is more difficult to guess.
Speaker:Um, and so people do need to think carefully about putting their emails out
Speaker:in the public domain if they don't, don't think they're going to have time to reply.
Speaker:So I suppose it's, again, it's about, it's about personality factors and,
Speaker:and, and thinking ahead about how the best use to use your time is.
Speaker:Because ultimately if you, the time you spent replying to that
Speaker:particular person is time that you can't give to somebody else.
Speaker:So it's very much sort of opportunity cost.
Speaker:Do you know, I'm not really sure why email people feel so behold.
Speaker:It, it, it, it sits in front of 'em every day, doesn't it?
Speaker:Um, you can't really sort of put it aside.
Speaker:There is this sort of sense, um, again, Cal Newport comes up with things,
Speaker:email makes things just easy enough.
Speaker:It is just about possible to reply to all your emails, isn't it?
Speaker:If all your patients emailed you, it's just about possible to do it.
Speaker:Because I could, I should,
Speaker:because I could.
Speaker:Yeah, exactly.
Speaker:'cause I could, I should Cal Newport talks about how, why productivity is actually,
Speaker:you know, computers are amazing, again.
Speaker:All these things we can do with computers now, but productivity in
Speaker:the UK is still, has really struggled.
Speaker:And you know, and as a doctor, my productivity is really not what it
Speaker:should be, and there's a problem with NHS productivity in general
Speaker:because it is just about possible for me to see all my patients and
Speaker:write up all my letters myself.
Speaker:And that's what I'm asked to do.
Speaker:And so that's what I do do.
Speaker:So all the, all this sort of expensive condition time expertise
Speaker:is spent writing letters.
Speaker:So I see a patient takes me about 4 30, 5, 40 minutes and then it
Speaker:probably takes me about the same amount of time to write the letter.
Speaker:And the barrier to, of course the barrier to entry on email is
Speaker:very, very low as well, isn't it?
Speaker:Anyone can send an email from anywhere in the world, takes 'em a second.
Speaker:And also, I guess, because some really important things come to you
Speaker:via email, from, you know, people that you do need to reply to.
Speaker:And some of it is mission critical and, and job critical.
Speaker:But in exactly the same list is sitting that, you know, random requests for,
Speaker:you know, if you to send a hundred thousand pounds off to some, some
Speaker:country or what, you know, the, the spam stuff you're, you're trying to avoid.
Speaker:And then people get anxious and worried about, about things as as well.
Speaker:So I think it's that everything lands in exactly the same
Speaker:place and it looks the same.
Speaker:Yeah, I mean, I think there's a few things to tease out there.
Speaker:If you're getting a lot of spam.
Speaker:Spam is one of those things that the tech companies have
Speaker:got quite good at preventing.
Speaker:So if you're getting a lot of spam, I would revisit your spam filter.
Speaker:Again, I mean, I suppose one of my messages from today is, is, is if email's
Speaker:not working for you, it is a difficult thing to manage really, really well,
Speaker:and I'm not holding myself preparing virtue sometimes better than others.
Speaker:But it is possible to manage it.
Speaker:And I think that, you know, small wins.
Speaker:Can you make your email, can you think about the things that
Speaker:are bothering you about email?
Speaker:Can you make 'em a little bit better?
Speaker:And, you know, and, and compound wins if you make it, I dunno, it'd be difficult
Speaker:to put a number on it, but let's imagine you've got your email 5% better, gosh,
Speaker:over the cost of a year, five percent's an awful lot, an awful lot of time that
Speaker:you are not, you know, that you can do something else or indeed nothing.
Speaker:You could use that time to do nothing.
Speaker:And it's about really small, small gains, isn't it?
Speaker:I was in your article that you wrote, I was very struck by, what was it you said?
Speaker:If somebody in the trust of 10,000 people send out an email that takes everybody
Speaker:one minute to sort of read and process, even if it's just to delete it, that
Speaker:takes up how much, how much time was it?
Speaker:Something like four and a half working weeks or something like that?
Speaker:I know it's extraordinary.
Speaker:I mean, on an individual level, I think this is right.
Speaker:If you waste, if you were to waste nine minutes a day, that's 54 hours a year.
Speaker:So it all really adds up.
Speaker:So I think, um, I like to think I'm easy to work with, but one of the
Speaker:things I think it makes it slightly, slightly difficult to work with me
Speaker:occasionally is that I, I'm always saying to people, with every task you
Speaker:do in me, in, in, in your job, can you think, can we do this quicker?
Speaker:And by quicker it could mean, can we do it like two minutes quicker?
Speaker:'Cause all these things add up.
Speaker:So starting that meeting on time, finish that meeting on time.
Speaker:And you know, if you're having a meeting about patients, can, can
Speaker:we agree that we're gonna talk to each, about each patient for
Speaker:five minutes rather than seven?
Speaker:It sounds, it sounds difficult, sounds petty in a way, and it somehow sounds
Speaker:like not cricket, I always feel, but actually, if you can save that time, then
Speaker:these are the things that really make a difference to our jobs going smoothly.
Speaker:I have read some evidence that actually if you have a time limited thing,
Speaker:you are actually more efficient, you get more done, and you are, you
Speaker:actually have a better conversation.
Speaker:So I, I think actually saying, right, we've got five minute conversation
Speaker:about this patient is gonna really focus someone's mind than thinking,
Speaker:well, we've got, you know, 20 minutes to ramble on about it.
Speaker:So the, if we go back to email, it strikes me that actually the, the issue we have
Speaker:around email is, is one of mindset.
Speaker:And if you can get the mindset right behind the whole thing, then it
Speaker:becomes much easier to, to deal with.
Speaker:And the, the blockers that I see in myself is a, a fomo, you know, fear of
Speaker:missing, what if I miss out on something really interesting or a good deal or,
Speaker:or literally just a task that was, that was mission critical, you've got fomo.
Speaker:You got the fear of being rude or upsetting someone or, or ghosting someone
Speaker:or not pleasing someone by not doing that task that they wanted me to do, even if I
Speaker:didn't agree to do it in the first place.
Speaker:That's one thing I think doctors in particular are very bad at that
Speaker:if the task lands in their inbox or even as a patient note,, or something
Speaker:like that, because you've been asked to do it, we suddenly take it on.
Speaker:Like we, it is our task because someone's asked us rather than
Speaker:thinking, well, is this my task or not?
Speaker:We find it very difficult to go, well, this actually isn't mine mine to take.
Speaker:So that's, that says fomo.
Speaker:There's, is this task mine to take on?
Speaker:They're saying, they're saying no.
Speaker:Um, there's a bit of a fear as well.
Speaker:I hear, you know, when people are on annual leave, their biggest
Speaker:thing about coming back to work is opening up their inbox.
Speaker:This fear of what might be in there,
Speaker:Yeah, I went to a, a talk by a psychoanalyst once who
Speaker:described her having her job and how far hard she found it.
Speaker:And she said that she found, she thought email was like a crying baby in the corner
Speaker:of the room, which I, I I, beautiful, but also, you know, distressing.
Speaker:And I don't doubt that was the case.
Speaker:I mean, it can feel like that.
Speaker:And I think that was what my colleagues were like when they talked about email.
Speaker:I used to, well, it's not even a joke.
Speaker:I used to say in our meetings, you, someone used to say, um,
Speaker:I've sent an email about it.
Speaker:And I'd be like, well, that means you haven't done anything, doesn't it?
Speaker:You are right.
Speaker:I've sent an email, which means that I have taken the responsibility off me.
Speaker:I've taken the naughty monkey off me, and I've stuck it in an
Speaker:email and I've sent it to you.
Speaker:Which can be the right thing to do, but also it is, it is, it, it, it can be
Speaker:quite stressful for the other person.
Speaker:Yes, because you haven't accepted that naughty monkey.
Speaker:So there's all these naughty monkeys that you don't know about that sat in your e
Speaker:email inbox that someone else has given to you or think they've given to you.
Speaker:And I think the, the main problem for me, Stephen, is that to give
Speaker:that naughty monkey back feels a little bit like a conflict situation.
Speaker:To say, actually this isn't mine to take, can I just give you back this task?
Speaker:It's, I'm not going to do it, yeah, that, that takes a lot of emotional work.
Speaker:Yeah.
Speaker:Look, and I, and again, I'm not here to say these things are easy.
Speaker:Can you, but can you try it out?
Speaker:See, you know, so when you get, can you try these things out?
Speaker:You know, you're not, you're not committing yourself to a
Speaker:life of being nasty to people.
Speaker:If you send one email back and say like, I'm really sorry, but
Speaker:I don't think this is my job.
Speaker:Also, you could try not replying to an email for a bit and see what happens.
Speaker:I'm gonna give a trick of the trade away here, and I do say this to
Speaker:everyone, right, okay, schedule, send emails, it'll change your life.
Speaker:Uh, most email packages allow you to reply to an email, but
Speaker:have it sent the next day, okay?
Speaker:So you can write the email and you can send, I dunno if you, I've
Speaker:sent you one or two emails, Rachel, I, you probably didn't notice it
Speaker:all come at eight in the morning.
Speaker:You send it a schedule send the next day.
Speaker:So the advance to that, right, is that you often, I think,
Speaker:oh no, I left that bit out.
Speaker:So you can return to the email so you have an opportunity to edit it, but
Speaker:also it pushes the work to the next day.
Speaker:And by that stage it might not even matter anymore.
Speaker:You can delete, you can delete the email or someone else may have picked it up.
Speaker:And also you are not giving people the idea that you are there just sitting
Speaker:on the end of the email just replying and they, they can email you and
Speaker:they can get the answer immediately.
Speaker:They're getting a sense that actually it's gonna wait.
Speaker:So what it allows you to do is to, it's very hard when you get an email,
Speaker:especially if you sit in front of, it's very hard not to reply to it.
Speaker:That's, I think that's a universal problem, right?
Speaker:But it, the problem is you're trying to finish today's work.
Speaker:You reply to it, you get the message, you reply to it, they reply back.
Speaker:The day's work's not done.
Speaker:If you reply to the email, but have it sent the next day, the day's work is
Speaker:done and you've moved it to the next day.
Speaker:I love that.
Speaker:I'd never thought of it like that.
Speaker:I, I, I have a delay sends on, on my email just yes, so I can go back
Speaker:and edit when I think, oh no, I should have put that in or whatever.
Speaker:But I've not thought about that.
Speaker:'cause that's, that's what people wanna do.
Speaker:They wanna sort of get to the bottom of their to-do list.
Speaker:Although side note, I don't think we ever do get to the bottom of
Speaker:our to-do list, but we like to feel that we've, we've done our work.
Speaker:But you are right.
Speaker:It just, I heard a statistic that every email generates an extra 1.7 emails.
Speaker:So it's, it's sort of ever expanding this email thing.
Speaker:So yeah, as soon as you reply, you are, you are creating more work for yourself,
Speaker:even if it feels like the task is done.
Speaker:So delaying it till the next day is genius.
Speaker:mean, I suppose as well, you're trying to be the be, be the change, aren't you?
Speaker:So can you, you are not going to be able to sit down with a team as a
Speaker:doctor and say, look guys, you've gotta change the way you're doing your email.
Speaker:I have seen the light.
Speaker:That's not gonna happen.
Speaker:But can you demonstrate by your own behavior how best to use emails?
Speaker:So, for instance, I often send emails to people, uh, and
Speaker:I say, please do this task.
Speaker:and then I say, there is no need to cc me into further emails about this.
Speaker:And then people don't, because, uh, there's a lot of people feel, I think, a
Speaker:bit anxious about the tasks they're asked to do and, and they want, they want you
Speaker:to know about it as a, as a senior doctor, I mean I get that, but also you need to
Speaker:be able to say, I'm delegating this task to you, I trust you to do this task.
Speaker:You do not need to keep me constantly informed about it.
Speaker:It's about, you know, because email, it's, there is no barrier.
Speaker:Again, let's imagine email didn't exist and you ask someone to do
Speaker:something, they're not gonna knock on your door every five minutes.
Speaker:You know, I've sharpened the pencil now.
Speaker:I put the bit of paper in the pa in the past, they're not gonna do that.
Speaker:But an email, it actually literally allows you to do that.
Speaker:And so you've, you've got to sort of teach people that actually it's not,
Speaker:you know, I'm delegating this to you and you don't need to tell me about it.
Speaker:And also if you can think about how you, you think about how you are composing your
Speaker:email, can you, the tasks come to you, can you, with that email, send the task back
Speaker:to someone saying, please do these steps?
Speaker:And can you be as, as prescriptive as possible and say, if
Speaker:this doesn't work, do this.
Speaker:If this doesn't work, do this.
Speaker:I'm now handing this over to you.
Speaker:Come back.
Speaker:Feel free to come back to me.
Speaker:But, you know, I don't need to be kept abreast of this in, in fine detail.
Speaker:So again, it's, it's, it's about sort of thinking about, I think ahead, how can I
Speaker:use this to my best advantage rather than being sort of stuck in this cycle of, of
Speaker:constantly being updated by email and, and stuck in, stuck in the, the minutia
Speaker:when you wanna be thinking about tasks.
Speaker:Yeah, so I think people cc people, don't they, just to show that they're doing it
Speaker:and then they forget to take them off cc.
Speaker:How do you know, though, that somebody has accepted the tasks that you've sent them?
Speaker:If you've been taken off the cc?
Speaker:Well, I think it's about having trust in your team, isn't it?
Speaker:Well, I suppose it's about having a good workflow, which is then outside the email.
Speaker:One of the other points in the article is don't try to use email for everything.
Speaker:So it's not, it's a message.
Speaker:It's a, it's a, what is it?
Speaker:Indiscriminate message system, asynchronous, indiscriminate
Speaker:message system where everything comes into the same inbox.
Speaker:It's not a to-do list.
Speaker:a calendar, a later list, it's just messages coming in.
Speaker:And if you are using it for those other things, you need to, I would, you
Speaker:know, then you need to think about your digital fluency and whether you can
Speaker:be using other apps that do it better.
Speaker:Yeah, I totally agree.
Speaker:Don't use email as your to-do list.
Speaker:And I was, I'm just thinking what you were saying about, you know,
Speaker:giving a task to, to a colleague.
Speaker:If you're really worried about making sure they've actually received it
Speaker:or whatever, then you could have a conversation with a team saying,
Speaker:when I send you that task, just send me know about going got it, thanks.
Speaker:And then once you know they've got it, then you don't need to be cc'd on, on
Speaker:anything else and, and, and take you off and be very explicit about that.
Speaker:I, I do, when I'm putting people in contact with each other, I say, please
Speaker:take me off, you know, no need to cc me into any of the, to any of your emails.
Speaker:You know, you guys, you guys go through it.
Speaker:I don't need to be copied into your, any future correspondence between
Speaker:you and, and things like that.
Speaker:And that just gives people permission, doesn't it, not to, not to do that.
Speaker:But I think sometimes people just unclear and they don't know what
Speaker:you want and what you don't want.
Speaker:So again, it's being
Speaker:Yeah.
Speaker:So, so yeah, they, they don't need to feel, don't feel, need to feel polite.
Speaker:I think, you know, I think as, as, um, you often say to your podcast, I
Speaker:mean, clarity is kindness, isn't it?
Speaker:So if you just literally clear is kind.
Speaker:Yeah.
Speaker:So if you can, if you can, um, just say to people, you don't need to, I've,
Speaker:I've done my bit here, i'm gonna, you know, I don't think you can, I think
Speaker:you can be honest and say, I haven't got time to be, continue to be in this.
Speaker:I hope that sounds okay.
Speaker:And people are normally fine with these things.
Speaker:People are so wrapped up.
Speaker:I mean, you know, people are so wrapped up in their own lives that they don't care.
Speaker:I think one of the problems that I've certainly had is, is you want to be
Speaker:polite on email, and then so when someone sends you something, you don't
Speaker:need to, you don't need to reply, but you feel it's rude not to reply.
Speaker:So you end up going, oh, thanks so much, that's great.
Speaker:Brilliant.
Speaker:And then have a nice day, then they reply going, you too.
Speaker:And it's just like, oh.
Speaker:So me and my colleagues, we started to put NNTR at the end of a message.
Speaker:No need to reply.
Speaker:It's just like, here's information, no need to reply.
Speaker:And that, that's been quite helpful.
Speaker:So we know that no one is gonna think you are, um, rude if you
Speaker:are, if you're not replying.
Speaker:But emails are bad for tone of voice, aren't they?
Speaker:Communicating anything, anything more emotional?
Speaker:What, what advice would you have for people that are, are in this sort of a
Speaker:conversation via email that they need to convey something a little more, more
Speaker:complex and just sort of information?
Speaker:Would you still keep on email or would you do something different?
Speaker:Well, I suppose you could always call them, couldn't you?
Speaker:Um, I, I think people got a little bit better.
Speaker:I mean, the emoji, the gring face emoji to show, I mean, I like, I like,
Speaker:you know, liberal use of exclamation marks and the gring face emoji.
Speaker:And again, schedule send.
Speaker:If you, if you get, uh, if you start to worry that your tone is wrong, then
Speaker:you can, you can always return to it if you do a schedule send, whereas
Speaker:if you send off heat in the moment.
Speaker:I have got in trouble in my life being cross and tired at the end of the day and
Speaker:sending a cross and tired email and then it's taken me some days in case it's some
Speaker:days and a bit of groveling to unwind.
Speaker:And, um, so you've just got to be, I mean, it's about managing yourself
Speaker:and understanding what you like, is you a person And part of that is about
Speaker:under, you know, being able to, to access your own mental states, which,
Speaker:you know, so, you know, it, it, it's, it's, it sounds like it's easy, but
Speaker:noticing that you are tired and emotional and getting send across email is not
Speaker:something that comes, easily to us.
Speaker:It's not something you teach at medical school, for instance.
Speaker:and you have to kind of have to learn it the hard way.
Speaker:Um, but emojis which are available on all computers are
Speaker:quite, are quite good for that.
Speaker:And like I say, you can always, and you can always say something like, do you
Speaker:know what I'm really worried about how this is coming across in the email, you
Speaker:can say that I'm really worried about how that's coming across, and if this
Speaker:is sitting right with you, let's, let's arrange to talk about it and we just, just
Speaker:acknowledge the difficulty of the email.
Speaker:Just very quickly, how do you do schedule send?
Speaker:if we're talking about Microsoft packages, there's the desktop app, and
Speaker:then there's the browser based version.
Speaker:So most people with NHS Mail will have the option between the two.
Speaker:And it's diff it's different between doing the two, but essentially, um,
Speaker:normally near the send button, there's little, little dropdown box and it
Speaker:allows you to set, to schedule, send it.
Speaker:I'm more than happy to do a little video to show how that's done.
Speaker:well, we'll tell you what.
Speaker:If people want little videos on these things, let us know.
Speaker:Email you, uh, send more email, but this is totally fine.
Speaker:Email hello@youarenotafrog.com to ask for a video.
Speaker:And by the way, just side note, We, I do absolutely love hearing
Speaker:from listeners because when you're doing something like a podcast,
Speaker:you don't see people face to face.
Speaker:And the only way I've got from hearing from people is to email.
Speaker:So please don't think you shouldn't be emailing us in.
Speaker:But Stephen, I just wanna go on to talk about this.
Speaker:To-do list email is a to-do list.
Speaker:'cause I think most of us are, are guilty of, of doing that,
Speaker:even if we have other to-do lists.
Speaker:And, we've worked very hard in our organization to get tasks off email.
Speaker:And so now we, we use a project management system so we can communicate via that.
Speaker:And it has honestly been a game changer.
Speaker:So very few tasks from my team come to me via email.
Speaker:They all come through, we, we use Asana.
Speaker:How does that work in healthcare?
Speaker:Because lots of people say, oh, we can't use other project management systems.
Speaker:We can't use other things.
Speaker:People are very worried about, obviously data protection.
Speaker:And when it comes to patients, obviously tasks need to be kept
Speaker:in a very secure environment.
Speaker:But what would your advice be about how to marry emails up with a,
Speaker:with a to-do list, so your to-do list isn't sitting in your inbox?
Speaker:Well, look, we, we are not in, I mean, you know, we, the packages we are using
Speaker:for email are not in our zone of power.
Speaker:So we just have, I mean, to a degree, we, you run a, a relatively, you know,
Speaker:compared to the NHSA modest organization um, so you have the ability to, to
Speaker:say, actually email's not working.
Speaker:So I suppose what you're doing with Asana is you are having a number of
Speaker:projects and then the messages are connected to those projects rather
Speaker:than all coming into the same place.
Speaker:You can come to work in the morning and you can say, you can go to Asana
Speaker:and you can say, these are the jobs and I'm gonna work on that one.
Speaker:So you are dictating your day, your day schedule.
Speaker:From that point of view, you're not coming to your inbox and think
Speaker:you are inbox and think, and that's dictating your day's schedule.
Speaker:In healthcare.
Speaker:This, I no doubt there are some enlightened places out there,
Speaker:but it's everywhere I've worked.
Speaker:The note system doesn't support that sort of thing.
Speaker:'Cause I mean, in a way, each patient is a separate project and the emails, we could
Speaker:have messages attached to each patient.
Speaker:So every every clinical episode is a project.
Speaker:Our note systems don't really allow us to do that.
Speaker:They're essentially based on paper notes and everything is
Speaker:being sort of piled on top.
Speaker:They don't, they're not really, they don't really support productivity.
Speaker:And then email, of course, sits on top of that as well.
Speaker:None of the two of them sits together.
Speaker:We have to take, it's not like, in my case, I don't, I, I doubt it's anywhere.
Speaker:It's not like if you send an email about a patient that automatically
Speaker:attaches itself to their notes.
Speaker:You have to do it separately.
Speaker:We, we've got to know the situation.
Speaker:I mean, I'm old enough to to remember paper notes, which were a pain.
Speaker:And again, let's not forget how great electronic notes are.
Speaker:Isn't it amazing that you just go into a computer and there the notes are, rather
Speaker:than having to call it up from a, and someone rushes over with a, with a, with
Speaker:a falling apart packet of notes that you have to sort of try and put together.
Speaker:But it did mean that you could go straight to the doctor's bits, and
Speaker:that's the bit I'm interested in.
Speaker:Whereas now I often have to wade through multiple notes about how many
Speaker:sandwiches a person had that day to get to the bit that's really important.
Speaker:Anyway, if's sort of about trying to be intentional about your work.
Speaker:if you, if you decide that, you know, this is something, something needs
Speaker:to be done about it, can you as it, what can you change as an individual?
Speaker:And you can probably, you can probably start, so rather than checking your
Speaker:emails, you can start to process your emails and then, which is what my article
Speaker:talks about, you, you, you get an email.
Speaker:What is the task in this email?
Speaker:And then from that point on, you then move the email into a
Speaker:separate folder and make a note.
Speaker:So let's imagine it was something like, Stephen, can you fill in this,
Speaker:can you fill in this prescription?
Speaker:I read the email, I either do it on the spot, so this is very sort of Dave Allen
Speaker:stuff, can I do it on the spot or do I put it as a, do I put it as a do this?
Speaker:So what I might do, someone gets an email, can you, you know,
Speaker:let's call the patient Dave Smith.
Speaker:Can you write an FP 10 for Dave Smith?
Speaker:Okay, can I do it now?
Speaker:No.
Speaker:Put it in the, I'll put it, I'll put the, the job on my to-do list and then I'll
Speaker:put it in the Dave Smith folder, and then, then it's not sitting on my inbox anymore.
Speaker:But I think the key thing is noticing what the email is.
Speaker:Is it just for your information only or does it have a task in it?
Speaker:If it's got a task in it, you process that task either, yeah, like
Speaker:you said, by doing it or putting it on your to-do list somewhere.
Speaker:if people are interested in this, uh, we had a really good, uh, interview
Speaker:with, uh, Graham Allcott, the productivity .Ninja who talks very
Speaker:nicely about having a, a second brain.
Speaker:So just your, your to-do list is basically your second brain.
Speaker:And I think he thinks that basically it doesn't matter how you do
Speaker:it, as long as it's consistent.
Speaker:I think that that's the thing, because it's really, really stress
Speaker:inducing when you've got multiple tasks, but in different places.
Speaker:You've got some in an email, some to do with, some on some paper, some over here.
Speaker:Whereas if you just know that there's one place where you have,
Speaker:have, keep kept the bulk of it.
Speaker:Now actually, I, I have a, a paper thing and I also have have Asana, and between
Speaker:those two, that seems to work pretty well, but that's when I get really
Speaker:stressed is when I don't quite know where my tasks are and what I need to do.
Speaker:So he talks about having, trying to reduce the number of channels
Speaker:of information coming into you.
Speaker:So, and again, it's about, this is about, I suppose, making a decision yourself,
Speaker:what works for you, being okay with occasionally other people feeling or being
Speaker:a bit awkward and then sticking to it.
Speaker:So if you've got a place where you are getting, you know, if you are, as it were,
Speaker:your bigger inbox, your job's in inboxes, WhatsApp messages, emails, letters, phone
Speaker:calls, you know, then you are, then that's just gonna make your life more difficult.
Speaker:So probably, do you need people to contact you on WhatsApp as well as email?
Speaker:So I actually like email so I, I discourage people from
Speaker:WhatsApp and me about stuff.
Speaker:'cause then you've got two things to keep on top of.
Speaker:So can you, can you have one channel where these jobs come in?
Speaker:And can you then sort of like be quite focused on how you, on how you manage
Speaker:the tasks that are coming in that way.
Speaker:how many times do you check your email every day?
Speaker:I mean, load loads, loads, loads.
Speaker:if I've got something really important to do.
Speaker:So there is, I forget where I read it, but you know, if you come in and
Speaker:you check your email, you are coming into work and it's like you're doing
Speaker:someone else's to-do list, not your own.
Speaker:So I would probably, I mean, look, think about my day.
Speaker:I, I, I would probably come in and just briefly check the email during the day.
Speaker:I mean, unfortunately I don't get as many emails as I used to, and I think
Speaker:that is because I have trained people not to, I don't get that many, you
Speaker:know, I'm not, I'm not on any, it's, um, I'm not on any marketing lists.
Speaker:I've got various rules set up to, to move away the emails, which, um, I don't
Speaker:consider to be particularly important.
Speaker:Um, and people don't cc email that much.
Speaker:I don't find that I'm absolutely overwhelmed with emails.
Speaker:So I do check it very briefly, first thing in the morning, and then I would try to
Speaker:avoid and sort of check it a little bit around lunchtime process it, I should say,
Speaker:process it, process it a little bit around lunchtime, and then in the afternoon.
Speaker:I have found that with, with the process I got set up with email that it, it, it
Speaker:no longer overwhelms you like it used to, but I think if people, I mean the article
Speaker:sort of sets out a way of thinking about this, you know, sort of the, the, the,
Speaker:as it were, the email hygiene initially, and then a way to continue about with it,
Speaker:which is, um, which is more sustainable.
Speaker:Um, so I think if, if I was an absolute sort of guru and just, and sort of lying
Speaker:about what I do, I would say, well, Rachel, I get up in the morning and
Speaker:after I finished my, you know, yoga and
Speaker:deep work time
Speaker:Yeah, after I finished yoga and journaling, you know, um, I would, I, you
Speaker:know, then I don't check my email for the first, you know, sort of, I start work
Speaker:at nine, you know, after putting my, my, my face in a bowl of cold water for 10
Speaker:seconds, i, I then don't check my email for two hours because I've already decided
Speaker:the day before what tasks I'm going to do.
Speaker:Um, then I check my emails for four, you know, I process my emails
Speaker:for, for 30 minutes at 11 o'clock.
Speaker:And then I would, I would process 'em again at sort of three in the afternoon
Speaker:for 45 minutes and then I'm done.
Speaker:So I think that's what the guru would say.
Speaker:None of us have really like that.
Speaker:So I think you just, it's, it's, it's, it's a constant work in progress.
Speaker:But if you have things that you need to do, don't check your email first.
Speaker:Especially, and it's like, know thyself.
Speaker:if you've read the articles, you've read the books, you listened to the podcast,
Speaker:but you still find it difficult, just know what you're like and just, and
Speaker:just think, well, do you know what?
Speaker:Email's always gonna be difficult for me, but can I make it a bit better?
Speaker:I know that if I check my email first thing in the morning, then I, that's it.
Speaker:Down a rabbit hole for the next two hours.
Speaker:Graham, I think one of Graham Allcott's great insights is, is
Speaker:about your managing attention.
Speaker:So if you really need to get something done, your, probably your best time to
Speaker:do it is between, um, you know, hub state and, and 11 in the morning, isn't it?
Speaker:Don't spend that time, you know, spending, you know, on the phone to
Speaker:IT or, or the emails about, or emails about your printer or something.
Speaker:Spend it doing the work time.
Speaker:Okay.
Speaker:And, and you do need to find time.
Speaker:Bill Gates and Warren Buffett like to say, busy is the new stupid, which
Speaker:is my current phrase that I like.
Speaker:I wheel a house in it to annoy people, but they're right.
Speaker:If you're really, really busy all the time, you will not find the time to think
Speaker:about stuff that you need to change.
Speaker:And if you spend your time always doing the urgent stuff, you know,
Speaker:you never get the time to plan.
Speaker:And if you spend your time doing this stuff, it is, it's important or
Speaker:not urgent, then actually the urgent stuff will reduce because eventually
Speaker:because you have taken, because, because you've already sorted it out.
Speaker:And so what you are talking about Stephen is Deep Work and Cal Newport
Speaker:who wrote the book, uh, well that email wrote this amazing book, deep Work.
Speaker:And I think in, in medicine we hardly get any time for deep work or we hardly
Speaker:give ourselves any time for deep work.
Speaker:And that has been the biggest game changer for me.
Speaker:It's not taking my email is working on the important projects,
Speaker:doing the deep work first thing in the morning when, when I can.
Speaker:And obviously the caveat that we know people have clinics and they're
Speaker:in surgery and they've got ward rounds and stuff, but when, when
Speaker:you can do your deep work first.
Speaker:And that was absolute gem what you said, you know, you might have
Speaker:planned the night before you sit down, you look, what have I got?
Speaker:What have I got tomorrow?
Speaker:How am I gonna schedule my day?
Speaker:What are the three things I need to get done and when am I gonna do those?
Speaker:And if possible, you can just sit down and start off on those, that deep
Speaker:project that you wanted to do that is in your not urgent but important box.
Speaker:But if you check your email, you just get sucked into it, like
Speaker:you said, everybody else's tasks.
Speaker:The other mistake I see people making is, and I do this all the time, you check
Speaker:your email in between other things or I used to check it in between patients
Speaker:when, why on earth did I do that?
Speaker:Because I was already running late.
Speaker:So, you know, if you check your emails and something really important's there that
Speaker:you get distracted by, but you haven't got time to deal with it or answer it
Speaker:'cause you're in the middle of a surgery.
Speaker:So we're constantly checking our emails and getting the, the stress of some of
Speaker:the tasks that are coming in the emails, but we can't process it at that point.
Speaker:So we're adding to the task and we're adding basically to
Speaker:the cognitive load all day.
Speaker:So I think only checking emails when you actually have a chance to process
Speaker:them, to be able to put them on a to-do list or actually action some
Speaker:of the things makes sense to me.
Speaker:I think so.
Speaker:You've, I mean, again, to mildly challenge you, Rachel, I think you've talked a lot
Speaker:about urgent stuff coming through emails.
Speaker:And certainly that's possible, my experience is it's, it's 99%
Speaker:not urgent emails, if not more.
Speaker:And if someone sends you something really urgent life or death on an email, I think
Speaker:there's probably, that probably needs, the organization did it probably needs,
Speaker:they probably need to think about where that's what, what that's all about.
Speaker:Because there should be well, potentially, I mean, I, I, you know, obviously
Speaker:there's lots of different ways of doing things, but potentially there should
Speaker:be a duty person sending in front of that email inbox and looking at
Speaker:it rather than sending it to someone who may or may not read it that day.
Speaker:So I think, you know, that's, that's, you know, that's about, that's
Speaker:about managing the workflow there.
Speaker:That's a, like you say, a system issue.
Speaker:So if that is a problem, bring it up at the next, the next business meeting
Speaker:and say, I'm getting these emails that seem to be really important,
Speaker:but I'm just, I can't undertake, I can't undertake to answer them.
Speaker:I mean I think that's a really concrete action step that our listeners could
Speaker:take, that if you are checking your emails all the time because you are
Speaker:really worried that something urgents gonna be in there, then what is the
Speaker:step that you need to take to make sure your team and everyone else know
Speaker:that that is absolutely the wrong way to contact you in an, in an emergency?
Speaker:You know, phone, phone, text message.
Speaker:My family know they need to text me if there's a, there's a problem.
Speaker:'cause that's the one thing that pings on my phone, nothing else does.
Speaker:absolutely.
Speaker:So, and, and it's good, the problem with email, which is that you are getting
Speaker:in stuff about, you know, milks on a, milks on a discount at Tesco this
Speaker:week, plus the fact that, you know, so and so, this, this really, really
Speaker:this urgent thing is going to happen.
Speaker:It's, it's about you, you, you do have the ability to, I guess through
Speaker:your, through an example or through your concrete actions to train
Speaker:people not to do that or to think can there be a better way of doing this?
Speaker:We are, we are working with colleagues who really feel, and I've, if people to email
Speaker:'em say that you just don't get it and you know, I, I, I, maybe I don't, maybe
Speaker:I don't get people's workplace, but it is general normally to, you can change things
Speaker:a little bit and from little changes can come quite big changes in culture.
Speaker:So, and we gotta start somewhere.
Speaker:And Stephen, can I just ask you, because people can get very obsessed
Speaker:with getting inbox to zero and um, and end up spending more time managing
Speaker:their emails and filing emails than they do actually doing the work.
Speaker:And I've sort of got over that by just having one archive folder that anything
Speaker:that I've read that I wanna keep just goes into archives so then I can search it.
Speaker:And that works really, really well for me.
Speaker:But when I've spoken to, to doctors, they are concerned about what to do with the.
Speaker:Patient related emails versus the general job related emails.
Speaker:So you, as a practicing clinician, how, how do you deal with that,
Speaker:the patient stuff coming into the same inbox as as everything else?
Speaker:Do you have a specific system for the patient?
Speaker:Yeah, so just, just to talk about in inbox zero for a bit.
Speaker:The, the guy who originally came up with Inbox Zero has sort of
Speaker:since sort of withdrawn, you know, sort of made a retreat from it.
Speaker:I think it is difficult to do that, but just so your listeners know, the
Speaker:idea is that you don't have anything, you, an email comes into inbox,
Speaker:you deal with it in various ways.
Speaker:Um, and if you look at my article as a flow chart about what to do.
Speaker:You do it various ways, so you have nothing in your inbox.
Speaker:And that can become a, the criticism of that just becomes
Speaker:another thing to beat yourself up about, oh no, I'm not inbox zero.
Speaker:Again, you, you need to be compassionate to yourself, and these are all
Speaker:sort of, you know, they're ideals.
Speaker:It's not a bad idea.
Speaker:But if you don't manage it, like, don't worry about it too much.
Speaker:In terms of what I do as a clinician, so I, there is no right way to
Speaker:organize your folders with your emails.
Speaker:You need to be able, really, the the right way to do it is to allow
Speaker:you to find the emails that you need to find reasonably quickly.
Speaker:So I personally don't find that the search function works well enough
Speaker:to allow me to find what I need.
Speaker:Because it might, you know, some people don't put patient names on
Speaker:emails and they just put numbers.
Speaker:Other people, I sometimes I have to remember who sent me the
Speaker:email, all that sort of thing.
Speaker:Um, so actually every single patient gets their own folder,
Speaker:which is a little bit unwieldy.
Speaker:I mean, I've got about 150 folders to the left hand side of my screen.
Speaker:But it does mean whenever I, you know, I need to find out about a patient,
Speaker:especially if it's someone that I haven't thought about for quite some time, then
Speaker:all the relevant emails are in the folder to the left hand side of my screen.
Speaker:So that's what I do.
Speaker:So it sounds like you, you separate anything that's sort of
Speaker:clinical about patients goes into a very specific separate folder.
Speaker:It doesn't just sit with a mele of, of everything
Speaker:Yeah.
Speaker:So everyone gets their own, every single patient gets their own folder.
Speaker:I wouldn't, I mean, I don't think that would work for a GP
Speaker:Yeah.
Speaker:Possibly not for a gp, but they could have a, a clinical folder that they put
Speaker:everything about patient that's easier to search that clinical folder, then
Speaker:it is to search an entire archive of every single inbox you've got, email,
Speaker:you've got from, you know, yeah, like you said, Tesco's and us and ev, everything
Speaker:and I've got about 200 patients assigned to me.
Speaker:So it's again, just about possible to do, to do that, that that works for me.
Speaker:It doesn't necessarily work for everybody.
Speaker:But you'll find your own folders.
Speaker:And that's exactly what I've done.
Speaker:I found the folders that I need.
Speaker:Most stuff goes into archive.
Speaker:I've got a folder for finance I can find quickly.
Speaker:There's a people, a Confirmation Safe place thing so if there's a ticket or a
Speaker:something I need to know, or a Zoom link I need quickly, I can go into that one.
Speaker:Um, and I've got a, I've actually got two action folders.
Speaker:I've got urgent action for today, so that's the one I know
Speaker:needs to be totally cleared.
Speaker:And there's an action action folder as well.
Speaker:Most of those actions have gone on to Asana, but that's just for stuff that
Speaker:I know I need to just keep an eye on
Speaker:so I have, I mean, so in terms of the more mundane stuff, I've got
Speaker:a, uh, the inbox, an action folder, and a and awaiting reply folder.
Speaker:And then I have a sort of general archive folder as well.
Speaker:So that would be my sort of home stuff.
Speaker:I think you could, I mean, I think you could argue that my action
Speaker:folder is a bit like a do list, and I think Guilty is charged.
Speaker:I mean, you can't, you know, it's, it's really, it's really hard to keep
Speaker:the two separate, but there is, 'cause some jobs are sufficiently small that
Speaker:they don't quite fit in a to-do list.
Speaker:But, you know, it's a work in progress, isn't it?
Speaker:And also if the action is on an email, and it's a, it's, the action
Speaker:is a reply that needs doing it.
Speaker:It feels like duplicating work to go right.
Speaker:I need to put on Asana.
Speaker:I need to email back that person when it could just go into my
Speaker:email, them back folder type
Speaker:Well, exactly, exactly.
Speaker:So I mean, I went through a stage of, of, um, thinking I wouldn't sort of, uh,
Speaker:read my emails at all in the morning.
Speaker:And then I actually realized that actually a lot of my work was replying to emails.
Speaker:So that didn't really work.
Speaker:The message I'm getting from you, Stephen, is sort of good enough and
Speaker:done is better than trying to go for a perfect system and failing.
Speaker:Yeah.
Speaker:So I, I, um, around the, so the time that I started listening to your podcast,
Speaker:actually, Rachel, I, I, I started listening to sort of productivity gurus on
Speaker:YouTube, and I thought, this is amazing.
Speaker:You know, these guys, you know, they, they, they, they're learning
Speaker:piano, they're learning Spanish, and that's just before 11 in the morning.
Speaker:And then I tried to do it, and I, I just thought, yes, this is just,
Speaker:actually, this is just not possible.
Speaker:And then I realized actually that I think they're sort of selling
Speaker:a dream rather than something they can actually do themselves.
Speaker:And then I just came to the idea that actually it's more about just, Can
Speaker:you get your life a bit organized?
Speaker:But can you also forgive yourself if you can't quite manage to be perfect.
Speaker:That's the stuff that's just productivity porn, isn't it?
Speaker:You know, the fact that I've got nothing left on my to-do list, it's
Speaker:never, it's never gonna happen.
Speaker:For me, it's all about how do I feel?
Speaker:Do I feel that I know what's on my to-do list?
Speaker:Do I feel that all my tasks are in places that I know that they are?
Speaker:Do I know what's on my plate?
Speaker:Because if you know what's on your plate, you can deal with it.
Speaker:That when, when I talk to people, um, in healthcare who are really overwhelmed and
Speaker:I know when I felt overwhelmed myself, it's when I haven't really known exactly
Speaker:what, I've known there's a lot on my plate, but I haven't just detailed it out.
Speaker:And sometimes just getting it down is enough to stop the overwhelm,
Speaker:'cause then you can have a plan about, well, what am I gonna do?
Speaker:What I'm gonna delegate, what I'm gonna drop?
Speaker:But listen, Stephen, we ask this to everybody is, you know, what would be
Speaker:your top three tips for someone who's just feeling like they're, they're
Speaker:drowning an email and it just feels like one of their main issues at work?
Speaker:Um, when it, when it comes to email, I think, um, well, my overall message
Speaker:is, um, organization sets you free.
Speaker:I don't know this, I still sort of get this sort of, I, maybe it's just me, but
Speaker:I just have this sense of somehow, you know, it's not, it's not, it's not quite,
Speaker:you know, it's, it's not quite playing the game if you're really organized.
Speaker:But actually, if you are organized and you, and you try to align yourself
Speaker:with that, you will make time and it will make your lives easier.
Speaker:And so, and that then that will allow you to do other things
Speaker:or indeed, nothing at all.
Speaker:With email, I think, my tip is that you more are more in control of it
Speaker:than you think, and that if you, if you spend a little bit of time
Speaker:thinking about, can I do this better, you'll be able to make small gains.
Speaker:My third tip, well, I think it's just, I think it's just be kind to yourself.
Speaker:Be kind to yourself.
Speaker:Others, it's like in Bill and Ted's Excellent Adventure, be,
Speaker:be excellent to each other.
Speaker:But what I'm trying to say is, you, this is really difficult.
Speaker:I think we are not taught about, you know, we, we, we don't
Speaker:get training about it often.
Speaker:Our colleagues don't support us in it, and I don't, not nastily, but they're
Speaker:try, they're struggling as well.
Speaker:You need to, um, you need to be kind to yourself and, and again, to concentrate
Speaker:small wins rather than the sense that you need to completely, the only thing
Speaker:that counts as a completely organization,
Speaker:Thank you.
Speaker:Those are, those are truly excellent tips.
Speaker:Um, as you were saying that the, the organization sets you free, my
Speaker:mind immediately went to Oh, yeah.
Speaker:But some of us find it very difficult to get organized, Stephen.
Speaker:Yeah.
Speaker:Particularly those of us who have ADHD.
Speaker:But then I thought, actually I totally agree with you.
Speaker:'Cause actually, if, if you have difficulty with executive functioning
Speaker:like ADHD, like I have, like many, many doctors have and other
Speaker:people in healthcare, organization is even more important for you.
Speaker:And there are lots of really good project managers who have ADHD and the reason
Speaker:they got, they're good project managers is 'cause they know the organization
Speaker:doesn't come naturally to them.
Speaker:So they have to have a system.
Speaker:So I think when you, you do have something like ADHD, having a system like this
Speaker:becomes much, much more important and, and then lets you operate well in the world.
Speaker:And that's what I found.
Speaker:I used to think I was a very organized person until my admin team said,
Speaker:no, Rachel, you're really not.
Speaker:But it was because I had so many lists and systems because
Speaker:it didn't come easily to you.
Speaker:And honestly, putting these things in, in place for myself is,
Speaker:has really, really set me free.
Speaker:So don't say, don't think just because you're neurodivergent, it
Speaker:doesn't mean you can't do this.
Speaker:Actually, you need to do this even more.
Speaker:I think I let things get on top of me because I hadn't found the
Speaker:systems that worked, and actually I've seen getting the systems that
Speaker:work as part, as part of the work.
Speaker:You know, getting yourself organized, working out how you manage information
Speaker:is actually part of your role.
Speaker:Yeah.
Speaker:So you can, you can, there's no shame in going up to someone and saying, Hey, um,
Speaker:you seem to be, you seem to be organized, and you always seem to go home on time.
Speaker:What's that about?
Speaker:How are you managing that?
Speaker:And then, you know, then you can, then you can, you can listen and you think,
Speaker:oh, that's rubbish and I'll do it.
Speaker:Or you think, oh, do you know what, um, or, you know, listen to this podcast.
Speaker:You know that, that's Stephen Ginn bloke.
Speaker:It wasn't all, it wasn't all gold, but I like that idea.
Speaker:that's, that's that's that's what it is.
Speaker:It's about a constant.
Speaker:Of notes here that I'm gonna be
Speaker:doing.
Speaker:constant, process.
Speaker:Constant process of, of iterative improvements.
Speaker:The other thing I've take away from my chat is just because it's in
Speaker:your inbox doesn't mean it's yours.
Speaker:You know, you, you have a choice and you have the control.
Speaker:And I think, I think that's a, a mindset shift we all need to have about anything.
Speaker:Just 'cause someone's asked you to do it doesn't mean you
Speaker:have to do, you have to do it.
Speaker:But also thing about actually communicating with your team about the
Speaker:rules around how you do emails as a team.
Speaker:You know, what are the expectations?
Speaker:Because if you know that there's not an expectation to reply immediately
Speaker:and, and, and you won't be replying immediately, you'll be replying next day.
Speaker:I'm definitely gonna try that sending at 8:00 AM the next day, then, then
Speaker:everyone feels permission to do that.
Speaker:And it, it helps everybody.
Speaker:So
Speaker:an electric shock connected to anyone who does reply all as well.
Speaker:That should be.
Speaker:I'd certainly be motivating, wouldn't
Speaker:Yeah.
Speaker:And, um, the other thing is, my dream would be, and I'm nowhere near
Speaker:doing this, is that, that, 'cause what happens is people certainly
Speaker:in senior positions tend to get a lot of emails they need to pass on.
Speaker:Now, ideally, they would click them all and send them one email
Speaker:a week, but they just, they just, you know, send them out every time.
Speaker:So you can, as a team, if it's ever possible, as a team, think, well,
Speaker:you know, what's this working for us?
Speaker:I have to say that we, you know, in my workplace, we, we, we don't sit around
Speaker:and, and dutifully talk about our email culture, but I think it's 'cause
Speaker:it's, it's not too bad where I am.
Speaker:But I think, you know, again, it's about taking power.
Speaker:Can you think about how it might be done better?
Speaker:And you can just ask, can't you, you can say, I've got this problem.
Speaker:Can anyone help?
Speaker:And what's the worst thing that's gonna happen?
Speaker:You know, no one's gonna take notice of you.
Speaker:Is that bad?
Speaker:but the only, why don't we just stick it in as an AOB at
Speaker:the end of the meeting, right?
Speaker:Anyone got any good tips for how we're doing our emails right
Speaker:now, or how we're communicating?
Speaker:Um, one thing I did want to mention, um, is that I have about 40 or 50 different
Speaker:signatures to just save me saying the same thing over and over again.
Speaker:And those signatures are quite good to be able to put some, say no stuff to as well.
Speaker:So you don't have to reinvent the wheel every time you wanna give that
Speaker:task back or, or not take it on.
Speaker:I don't do that.
Speaker:That sounds like a brilliant idea, but I don't do that for, for no, for no reason.
Speaker:Other, I, other than I haven't quite got round to it.
Speaker:Um, no, I, I do have sort of form emails.
Speaker:I use Notion a lot, which is a note taking app,
Speaker:So do you Cut, and paste from notion into, into your emails a
Speaker:cut and paste from Notion.
Speaker:I mean obviously I do it differently.
Speaker:You, so I don't have a lot of unsolicited emails and I guess
Speaker:you probably get quite a few.
Speaker:Well, I guess it's about standard replies.
Speaker:I think a lot of people are just writing the same reply over and over again.
Speaker:How can you get a system where you are just giving, you know, if it's the
Speaker:same reply you're giving to people, just even, even to my team, actually.
Speaker:'Cause I, I, I love getting emails, you know, from, from people outside my team.
Speaker:I like, like Amy emails from my team, but I do have standard replies I
Speaker:even used to my team, which is great.
Speaker:Please schedule or great, please do this.
Speaker:Some people are using AI to reply to emails these days?
Speaker:I haven't quite got that far.
Speaker:That's a whole different discussion, but I haven't quite got that far.
Speaker:So it's about, I mean, it's what the, what you're talking about is what the
Speaker:productivity guru is called, isn't it?
Speaker:Reducing variation.
Speaker:Well, Stephen, thank you so much.
Speaker:It's been so good having you on really loads and loads of gold in
Speaker:there, lots of little tips and things.
Speaker:Um, what we'll do is we will post a link to your article,
Speaker:uh, have a look at the article.
Speaker:I really, really recommend it.
Speaker:It's a quick read, but there's so much in that article as well, and
Speaker:I It's something that we moan about a lot, but we don't take control
Speaker:of and actually do anything about.
Speaker:And we spend so much time looking at emails and processing emails.
Speaker:And I think I, for me, I'm gonna take, take that away rather than checking
Speaker:emails, i'm gonna think of myself as, I'm just gonna process some emails
Speaker:that, that's a bit of a mindset shift as
Speaker:Yeah.
Speaker:So it's a task.
Speaker:It's a task like any other, which you need to give.
Speaker:We haven't talked about it now, but um, we, uh, you need to put time.
Speaker:The idea that you, you are just gonna do it amongst other things is, you
Speaker:know, you've got to give it time.
Speaker:So thank you for coming on.
Speaker:We'll put the link in there and there, there's, um, contact details
Speaker:for you in, in that article as well.
Speaker:and will, you know, once you've worked out more tips on how to do this, will
Speaker:you come back and share them with us?
Speaker:be, great.
Speaker:Pleasure Rachel.
Speaker:Well thank you for having me on this time.
Speaker:Thanks for listening.
Speaker:Don't forget, you can get extra bonus episodes and audio courses along with
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