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You've been looking at the lives of the  incredibly successful and want to know how   you can replicate their success. Want to know the  secret? It's not their superhuman discipline or   overpowering ambition. It's a matter of devising  the optimal systems to keep you consistently   running at peak performance, helping you  slowly inch your way closer to your goals,   day after day. This is how to  optimize your daily routine. Dr. Jubbal, MedSchoolInsiders.com. There is no single perfect daily routine  that works for two different people.   We each have our own needs and priorities, and  our schedules should reflect that. However,   there are a set of principles shared amongst  top performers. Once you've set your daily   routine foundational pillars, we'll then  fill in the details based on your needs. We must first lay the foundations, or  fixed elements, of our daily schedule.   Consider these the pillars that hold up the rest  of the daily practice. They are of the utmost   importance and are non-negotiable. These include  your wake up time, exercise regimen, meals,   and wind down time. By doing the work upfront  and determining when each element will occur,   you reduce the mental energy needed  to carry these out in the future.   Rather than the mental exercise of asking  yourself and planning when you should exercise   or eat lunch, you already have it figured out  and know exactly when it's going to happen. Maybe you're rolling your eyes right now  and looking for a shortcut. If you're   interested in nootropics, meaning drugs or other  substances used to improve congnitive function,   understand this: there is no nootropic that  has ever even approached the cognitive boost   you'll receive from optimizing your sleep  and regular exercise. In other words,   nootropics have a much lower return compared  to dialing in your sleep and exercise. Start with your calendar or planner of choice,  and fill in the fixed elements that you must   attend and cannot change – think classes, small  group sessions, club meetings, and the like. Next, determine your sleep and wake times.  You should allow yourself adequate sleep,   as skimping on sleep results in multiple  downstream effects that will compound toward   diminished effectiveness. If you're putting  in the effort to build a daily routine to be   more productive and effective, it will all be for  nothing if you sacrifice sleep. It's best practice   to set aside between 7 to 9 hours per night. I  actually err on the side of planning for too much   sleep - that way, if my body is feeling well  rested I'll wake up before my scheduled time,   and if I need additional  recovery, I have the opportunity. How you start the day sets the tone  for the remainder of your waking hours,   and how you wind down at the end of the day  dictates how restful your sleep will be. Your sleep and wake times will be largely  a function of your other fixed commitments,   like school or work. Since I'm no longer doing  plastic surgery, I have...