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I hired a new assistant recently, and one of her organizational tips is to assign a due date for everything. For me it works in the opposite way it works for Curt; that due date is immutable and is my cue to do or destroy the task. If my assistant asks me about moving the due date twice, I know it's time to put that on my someday-maybe list, or negotiate it (usually right into the circular file).

This might not work without an assistant to continuously bust your balls about what you have to get done though.