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Mastering Time Management with the Triage System

Ali Abdaal
Ali Abdaal
09 Jun 2025
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Reading time: 6 minutes

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Introduction0:00
Triage System0:23
The Daily Reset2:09
The Box Method6:26
Real-Time Triage8:55
The Ward Round Protocol13:15
Intentional Incompletion17:39
The 2-for-1 Hour Rule20:29

Mastering Time Management with the Triage System

Have you ever felt overwhelmed by your never-ending to-do list? The truth is, mastering time management isn't about doing more—it's about doing what matters most.

The Triage System

Imagine walking into an emergency room. Patients don’t get treated on a first-come, first-served basis; instead, medical professionals use a triage system to prioritize care based on urgency. This principle can transform how we manage our time in everyday life. After eight years in medicine, I learned that the order in which we tackle tasks is often more crucial than the sheer number of tasks we complete.

In our fast-paced world, the reality is that our to-do lists are infinitely long. There’s always another email to send, another project to start, or another skill to learn. The problem isn’t that we have too much to do; it’s that we’re trying to do everything. The key to effective time management lies in recognizing that we can’t do it all. Instead, we must prioritize and accept that some tasks may never get done.

The Daily Reset

One of the most powerful concepts I adopted from my medical training is the idea of a daily reset. Each day, I start with a fresh piece of paper, asking myself, "What are the most important tasks for today?" This practice helps me avoid the overwhelm of an endless to-do list and instead focus on what truly matters.

I call this my Morning Manifesto, a quick 3 to 5-minute journaling exercise that consists of three components: Prime, Remind, and Plan.

  • Prime: Connect with gratitude to set a positive tone for the day.
  • Remind: Reflect on my key priorities and weekly outcomes.
  • Plan: Identify the single most important task for the day.

By limiting myself to just three tasks, I ensure that I’m focusing on what’s most important, allowing for flexibility if tasks carry over from the previous day.

The Box Method

In medical school, I noticed that doctors often used a simple yet effective method for managing their to-do lists: the handwritten box method. Each task was written in a box, and instead of just ticking it off when completed, doctors would indicate the status of the task with different markings.

For example:

  • A diagonal line for tasks that had been started.
  • Half-shaded boxes for tasks that were partially completed.
  • Fully shaded boxes for completed tasks.

This method not only provides a visual representation of progress but also offers a satisfying way to manage tasks, allowing for incremental achievements rather than waiting for full completion.

Real-Time Triage

In medicine, the ability to triage in real-time is essential. As a doctor, you learn to prioritize tasks based on urgency and importance. This skill is equally applicable outside of medicine. Every day, we face a barrage of incoming tasks and messages that require us to reassess our priorities.

The Eisenhower Matrix is a helpful tool here, distinguishing between urgent and important tasks. However, the real challenge lies in recognizing when to focus on important but not urgent tasks over those that are urgent but not important. This requires a level of comfort with letting some tasks go unfinished, which can be a significant mindset shift.

The Ward Round Protocol

Every day in the hospital begins with a ward round, where doctors assess each patient and determine the next steps in their care. This concept can be applied to our projects as well. Keeping track of the status of various projects and ensuring that each has a clear next action step can dramatically improve productivity.

For instance, I use a task manager to categorize my projects and assign statuses such as "on track," "off track with a plan," or "on ice." This system allows me to focus on what’s most important and ensures that I have a clear action plan for each project.

Intentional Incompletion

One of the most valuable lessons I learned in my early days as a doctor was the importance of taking breaks. A senior doctor once told me, “No one is going to die because you've taken a lunch break.” This mindset is crucial for avoiding burnout. It’s essential to recognize that there will always be tasks left undone, and that’s okay.

Many entrepreneurs struggle with this concept, feeling the pressure to complete every item on their to-do lists. However, embracing intentional incompletion allows us to recharge and maintain our effectiveness in the long run.

The 2-for-1 Hour Rule

A piece of advice from a medical school professor has stuck with me: “An hour before 9 is worth two after 5.” This principle highlights the value of early morning productivity. If you have important tasks that require focus and creativity, tackling them in the morning can yield better results than waiting until after a long day at work.

I often filmed YouTube videos or worked on side projects early in the morning, knowing that I would have more energy and focus before the day’s demands set in.

Conclusion

Takeaway: Prioritize your tasks using the triage system to focus on what truly matters.

In a world where our to-do lists seem never-ending, how do you decide what to prioritize? Share your thoughts in the comments!