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
- Each morning before work, read one short passage (Marcus, Epictetus, or Osler).
- Write one sentence: "Today I will practice ___" (temperance, courage, justice, humility, or presence).
- File it — daily log or a note under
learning-records/.
- 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."
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.