Formation · Reference Card 01

Inner command — cheat sheet

The texts

MeditationsMarcus Aurelius — one passage/morning
EnchiridionEpictetus — dichotomy of control
AequanimitasOsler — calmness as clinical skill

Key questions

  • Marcus: where am I narrating an event as an insult rather than material?
  • Epictetus: what did I actually control vs. punish myself for?
  • Osler: where does one compartment leak into the next?

The daily protocol (runs every day, all 12 months)

Morning · 5 min

Read one paragraph. Write: "Today I will practice ___."

Pre-op · 2 min

What matters most? What can go wrong? First rescue plan? Needed emotional state? What must ego not decide?

Post-op · 3 min

What went well? What did I learn? Do differently? Must accept? Who needs communication?

Evening · 5 min

More/less the man I want to be? Present at home? Ambition serve love? Gratitude? Tomorrow's essential thing?

The practices engine (installed this month)

  • A. Premeditatio malorum — 2 min pre-case: imagine difficulties, ask what wisdom/courage/justice/temperance look like if they happen.
  • B. Dichotomy-of-control checklist — controllable: indication, imaging, strategy, briefing, communication, humility. Not controllable: biology, adhesions, healing, social reaction.
  • C. Post-case Stoic review — controlled well? lost temperance? showed courage? judgment incomplete? change next time? must accept?
  • D. Memento mori — before clinic/surgery: this patient's life is finite, mine is too, this encounter matters.
  • E. Amor fati after setbacks — "this is now part of the material of my life — what can I build from it?"

The month practice — morning Stoic note

  1. Each morning before work, read one short passage (Marcus, Epictetus, or Osler).
  2. Write one sentence: "Today I will practice ___" (temperance, courage, justice, humility, or presence).
  3. File it — daily log or a note under learning-records/.
  4. After finishing each text: five-heading formation note (central idea · what it reveals about me · changes at work · changes at home · one maxim).
Done = the note exists and is honest, not "read the book."

Sob medida — the two patterns this month owns

  • Pattern: fast escalation, fast recovery, expensive language — a hair-trigger on wasted attention that outsizes the event, then fades by morning.
  • Counter-move: the 24-hour rule (Seneca on anger) — write it tonight, execute (if at all) tomorrow. Never decide hot.
  • Tell: it clusters with fatigue — treat escalation language as a fatigue signal about you, not information about the target.
  • Pattern: anxiety metabolized as construction — an uncontrollable outcome (PMF, income, family timing) quietly swapped for a controllable build. Avoidance that photographs like virtue.
  • Counter-move: the dichotomy of control, aimed inward — name the uncontrollable thing before building; ask if the build is real work or a decoy.
This month's maxims

I do not control the outcome; I control preparation, conduct, honesty, and the next right action.

Write it tonight; act on it tomorrow, if it still holds.