The increasing load on CMC hospital services over the years and its consequences on service quality has been a matter of great concern to Dr Suranjan Bhattacharji, the Director of CMC Hospital, Vellore. The hospital resources were getting stretched beyond limits in order to cope with the demand for services. Of particular concern to him was the additional load on his doctors whose responsibilities included teaching and research in addition to patient care. Post Graduate teaching load would go up following a decision by the Medical Council of India to double the number of annual post graduate admissions from the academic year 2012-13. Under graduate teaching load would also increase as CMC has decided to increase its annual intake from 60 to 100 students for its MBBS program from 2012-13. Dr Bhattacharji therefore wanted to explore the possibility of generating a formal schedule of activities for his doctors, which would also provide some flexibility and autonomy in their work schedule, without any compromise on service quality.