1. Planning for your future How to pick a career and negotiate a job Skip Brass Francisco Gonzalez-Scarano Roger Greenberg Aimee Payne December 11, 2009

2. University of Pennsylvania School of Medicine residency? postdoc? Other stuff The bridge years get a job Residency Postdoc Job search Med school Grad school graduation The bridge: 6 + years

3. The bridge years: Step #1 Decide on your career goals Physician? Scientist? Educator? Administrator? How much time to each? Academic center? Research institute? Industry? Full time research? Full time clinical practice? Professional time Vs. everything else?

4. Source: http://www.aamc.org/data/facultyroster/reports.htmhttp://www.aamc.org/data/facultyroster/reports.htm MD-PhD clinical dept MD-PhD basic science dept MD’s in clinical dept PhD basic science dept

5. The bridge years: Step #2 Decide if your goals require more training* Residency (then postdoc) Vs. postdoc (no residency) Will you continue to practice medicine? Is your goal to be in a clinical department? (then you will probably need a license and a board certificate) Clinical research? (then you will likely need specific training) *they probably will

6. The bridge years: Step #3 If you are a physician, decide which clinical field fits your goals & talents Choose something you will enjoy and find challenging, but also ask: –Does the field value research or does it place a higher priority on clinical service? –Will the field of your choice protect the time needed for meaningful research? –Have you explored your choice from a faculty perspective and not just from the med student perspective (they are very different points of view)?

7. The bridge years: Step #4 Choose your residency/postdoc carefully If postdoc, then go where the best science is. Ditto for fellowship after residency. If residency, go where they value your goals. –Do you want high quality, intensive clinical training? Many places will offer that. There are other factors to consider as well. –Get back to research ASAP. –Different clinical fields and different programs value research differently.

8. The bridge years: Step #5 Prepare for the job search Hiring new tenure track faculty is expensive and it will be awhile before you can cover your costs. The person who hires you will want to be as certain as possible that you will succeed. –Success in the post-residency/postdoc years is used to predict subsequent success –Demonstrate your skills along the way, by completing projects, publishing manuscripts and obtaining grant funding (e.g. K awards) Find mentors. Make contacts with people who can attest to your qualities and/or collaborate with you in the future. Most physician-scientists are in clinical departments.

9. http://grants1.nih.gov/training/F_files_nrsa.htm Look for opportunities to compete for grants during grad school

10. http://grants1.nih.gov/training/careerdevelopmentawards.htm Definitely compete for grants as a postdoc/fellow Obtaining individual funding as a postdoc/fellow should be a high priority. Not only is it good practice for the future, it shows those who will hire you that you have an important skill.

11. K08 K12 K99/R00

12. Look for non-NIH opportunities as well American Association of University Women American Cancer Society American Chemical Society American Diabetes Association American Federation for Aging Research Scholarship American Heart Association American Physiological Society American Society for Microbiology American Society for Pharmacology and Experimental Therapeutics Ford Foundation Dissertation Diversity Fellowships Josephine de Karman Predoctoral Fellowship L’Oreal Foundation Women in Science NASA Individual Predoctoral Fellowship Paul and Daisy Soros Fellowship for New Americans Sarnoff Cardiovascular Research Foundation Fellowship UNCFMerck

13. NIH Extramural Data Book – last update May 2008Data provided by the Division of Information Services, Reporting Branch TF 13 SUCCESS RATE OF KIRSCHSTEIN-NRSA POST-DOCTORAL FELLOWSHIP (F32) APPLICATIONS Fiscal Year Number of Applications/ Awards Success Rate ReviewedAwardedSuccess Rate F32 Postdoc Fellowships 25%

14. The bridge years 5 steps to success #1 - Decide on your long term career goals #2 - Decide if your goals require more training #3 - Decide which field fits your goals & talents #4 - Pick your residency/fellowship/postdoc carefully #5 - Prepare yourself for the job search

15. Planning for your future How to pick a career and negotiate a job Skip Brass Francisco Gonzalez-Scarano Roger Greenberg Aimee Payne December 11, 2009