Nicole Redmond, MD, PhD, MPH Chief Fellow Harvard Fellowships in General Medicine and Primary Care December 13, 2010

Academic Mission Fellowship Non-Academic Mission Courtesy of UCSF Faculty: Mary-Ann Shafer, MD; Bill Lindstaedt Nannette Nemenzo Medical Student/Resident Pvt Practice/ Small Group Public Health Non-clinical Master Consulting Physician Clinician Researcher Clinician Educator Bench Research Clinical Research HMO/Large Group Translational Research Pharma/Bio tech Business Non-profit Consulting Inv Bank VC Clin Devpt FunderAgency Gov’t NIH FDA/Reg Sci/Tech/Healt h Policy Med Sci Liaison Prod Devpt Insurance

Academic Mission Fellowship Non-Academic Mission Courtesy of UCSF Faculty: Mary-Ann Shafer, MD; Bill Lindstaedt Nannette Nemenzo Medical Student/Resident Pvt Practice/ Small Group Public Health Non-clinical Master Consulting Physician Clinician Researcher Clinician Educator Bench Research Clinical Research HMO/Large Group Translational Research Pharma/Bio tech Business Non-profit Consulting Inv Bank VC Clin Devpt FunderAgency Gov’t NIH FDA/Reg Sci/Tech/Healt h Policy Med Sci Liaison Prod Devpt Insurance Too many options!!

Today’s Session  Experiences and Expectations  Self Assessment (SKINventories)  Career Mapping  Mentor Shopping  Other stuff (if time permits)

 Self assessment  Self promotion  Identifying Opportunities  Interviewing  Negotiating Job Offers

 Self assessment  Self promotion  Identifying Opportunities  Interviewing  Negotiating Job Offers MENTOR

 Self assessment  Self promotion  Identifying Opportunities  Interviewing  Negotiating Job Offers

Self assessment Get comfortable in your own SKIN  Skills: What can I do? What do I want to do?  Knowledge: What do I know? What do I want to know?  Interests: What do I like?  Needs (Values): What is important to me?

 Skills: What can I do? What do I want to do?  Clinical Skills ▪ Procedures ▪ Diagnostic skill  Teaching Skills ▪ Precepting ▪ Small group facilitation ▪ Curriculum/course development ▪ Effective feedback/evaluation  Research Skills ▪ Identifying novel/feasible ?s ▪ Study design ▪ Analytic methods ▪ Grant writing  Leadership /Mgmt Skills ▪ Oral/Written presentation ▪ Project Management ▪ Financial Management ▪ Personnel Management ▪ Time management

 Knowledge : What do I know? What do I want to know?  Diseases (e.g., diabetes, infectious disease)  Populations (e.g., women, minorities)  Settings (e.g., ambulatory, hospital medicine, community)

 Interests: What do I like? Where is my passion?  Being creative  Solving problems  Communicating new ideas (writing, speaking)  Teaching and mentoring  Leading and managing

 Needs (Values): What is important to me?  Stability  Flexibility  Location  Lifestyle  Relationships  Professional  Personal  Autonomy  Money  Legacy  Service  Innovation  Reputation/statu s

Putting it Together  Are you developing SKILLS and/or KNOWLEDGE in the areas that INTEREST you?  Do your VALUES seem consistent with your SKILLS, KNOWLEDGE, and INTERESTS?  Where are the gaps and/or inconsistencies?

Getting to the next step: Plan your trip!!  Map  Milestones  Mentors

Getting to the next step: Plan your trip!!  Map ▪ Start  Destination ▪ Alternate routes? ▪ Potential hazards and detours?

Academic Mission Fellowship Non-Academic Mission Courtesy of UCSF Faculty: Mary-Ann Shafer, MD; Bill Lindstaedt Nannette Nemenzo Medical Student/Resident Pvt Practice/ Small Group Public Health Non-clinical Master Consulting Physician Clinician Researcher Clinician Educator Bench Research Clinical Research HMO/Large Group Translational Research Pharma/Bio tech Business Non-profit Consulting Inv Bank VC Clin Devpt FunderAgency Gov’t NIH FDA/Reg Sci/Tech/Healt h Policy Med Sci Liaison Prod Devpt Insurance

Check for Progress  Milestones ▪ Short-term: Coursework, training ▪ Intermediate/Long-term: Licensure, grant award ▪ SMART goals ( ) ▪ S - specific, significant, stretching ▪ M - measurable, meaningful, motivational ▪ A - agreed upon, attainable, achievable, acceptable, action- oriented ▪ R - realistic, relevant, reasonable, rewarding, results-oriented ▪ T - time-based, timely, tangible, trackable

Guides on the Journey: Mentors  Key features  Dynamic (i.e., subject to change)  collaborative, reciprocal relationship  focused on a mentee’s personal and professional development Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med Jan;84(1):140-4

Guides on the Journey: Mentors  Finding a mentor... or two  Meet with people you know  Get recommendations  Ask people you meet with who else they recommend  Be persistent  Find multiple mentors, both junior and senior people  Consider individuals outside your institution ▪ Professional Societies/Meetings Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med Jan;84(1):140-4

Guides on the Journey: Mentors  Things to look for in a mentor  Is available and accessible  Provides opportunities and encourages mentee to take risks  Helps mentee develop own agenda  Has prior mentoring experience Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med Jan;84(1):140-4

Guides on the Journey: Mentors  Cultivating the mentor–mentee relationship  Agree on structure and objectives of relationship  Plan and set the meeting agendas  Ask questions and Actively listen  Follow through on assigned tasks  Ask for feedback  Manage up: ▪ Set goals and expectations ▪ Be responsive and flexible ▪ Direct the flow of information ▪ Follow a regular meeting schedule with agenda Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med Jan;84(1):140-4

 Self assessment  Self promotion  Identifying Opportunities  Interviewing  Negotiating Job Offers

Self Promotion  Identify your niche/area(s) of expertise  Identify your “target market”  Develop Mission Statement for your career ▪ “The elevator pitch”  Prepare your supporting documents ▪ Curriculum Vitae ▪ Cover Letter ▪ Teaching Philosophy/Teaching portfolio ▪ Job Talk

Identifying Opportunities  Goals: ▪ Understanding current landscape ▪ Evaluate potential for growth ▪ Reality check for desired vs. available jobs  Tools: ▪ Networking ▪ Recruiters ▪ Job postings

Interviewing  Preparation ▪ Review and perfect self-promotion strategy/materials ▪ Use available resources (web, personal contacts) to learn about company/institution ▪ Determine what remains to be learned  The Visit  Follow-up

Negotiations  Revisit self-assessment ▪ Needs vs. wants/ short-term vs. long-term ▪ Negotiables vs. Non-negotiables ▪ BATNA (Best Alternative to No Agreement)  Understand the Market ▪ What does the “average” offer look like  Understand Legal/Financial details

References and Resources 1: Detsky AS, Baerlocher MO. Academic mentoring--how to give it and how to get it. JAMA May 16;297(19): : Saha S, Christakis DA, Saint S, Whooley MA, Simon SR. A survival guide for generalist physicians in academic fellowships part 1: getting started. J Gen Intern Med Dec;14(12): : Saha S, Saint S, Christakis DA, Simon SR, Fihn SD. A survival guide for generalist physicians in academic fellowships part 2: preparing for the transition to junior faculty. J Gen Intern Med Dec;14(12): : Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med Jan;84(1): HMS Format CV instructions: