Presentation is loading. Please wait.

Presentation is loading. Please wait.

From Fellowship to Faculty William J. Bremner, M.D., Ph.D. Professor and Chairman Department of Medicine July 9, 2008.

Similar presentations


Presentation on theme: "From Fellowship to Faculty William J. Bremner, M.D., Ph.D. Professor and Chairman Department of Medicine July 9, 2008."— Presentation transcript:

1 From Fellowship to Faculty William J. Bremner, M.D., Ph.D. Professor and Chairman Department of Medicine July 9, 2008

2  Why do a fellowship/What to get out of it?  Our fellowship programs  Numbers, degrees, divisions  Balance of activities/sources of funding  Duration  Criteria for faculty appointments  Establishing positions  Searches  Pathways/tracks  Promotions  Questions/discussion

3 Why do a fellowship/what to get out of it?  Area is interesting  Patients  Research questions  Teaching opportunities  Practice opportunities  Life style  Hours  Geography  $

4 Patients  Types  Numbers  Level of responsibility  Learning to do research and teaching  Mentors

5 Research  Mentorship—primary, secondary  “Lab” facilities/environment  Space, equip, staff  Other trainees  Rarely if ever—a specific research questions first

6 Teaching  Mentorship  Seek out excellent clinicians/teachers  Not so well supported financially  Very gratifying

7 Practice opportunities  Developing local/regional/national contacts  Active demand for our graduates  Shortages in most specialties throughout the region  Excellent reputation for quality of UW training

8 Biotech opportunities  Both Ph.D.s & M.D.s  Increasing locally  Tech Transfer/Intellectual Property (IP) issues

9 Academics  Clinical/Research/Teaching/Leadership  Can determine individual balance  Can vary over one’s career  Varied life/challenges/opportunities  Travel  Generally lower incomes than practice or biotech/pharma

10 Department of Medicine—Fellowship Programs ACGME Fellows123 M.D. Fellows not in ACGME 68 Ph.D. Fellows 58 Other 1 Total250

11 Department of Medicine—Fellowship Programs  ACGME Fellowship Programs in:  Allergy and Infectious Diseases16  Cardiology21  Dermatology 1  Endocrinology 8  Gastroenterology13  Gerontology 0  General Internal Medicine 0  Hematology/Oncology25  Medical Genetics 1  Nephrology 8  Pulmonary and Critical Care25  Rheumatology 5 Total 123

12 Fellowship Salaries: Sources  ACGME Fellows:  Medical Center Stipends  Training Grants  Division Funds  Non ACGME Fellows:  Research

13 Institutional Research Training Grants  T 32 Institutional National Research Service Award

14 Individual Fellowships  F 32 Postdoctoral Individual National Research Service Award  F 33 National Research Service Awards for Senior Fellows

15 Department of Medicine—Fellowship Programs MD151 MD, MPH 8 MD, PhD 32 PhD 58 Other 1 Total number of fellows250

16 Agencies fund DOM Fellowships, Career Development & Training Awards (I)  American Heart Association  American Diabetes Association  American Society of Hematology  Arthritis Foundation  American College of Cardiology  American Federation of Aging Research  American Lung Association  American Assoc for the Study of Liver Diseases  Association of Teachers of Preventive Medicine

17 Agencies funds DOM Fellowships, Career Development & Training Award (II)  American Association for Cancer Research  Cystic Fibrosis Foundation  Doris Duke Charitable Foundation  European Association for the Study of Diabetes  The Firlands Foundation  Juvenile Diabetes Foundation (and several of its branches)  National Kidney Foundation  Novartis Pharmaceuticals  Pfizer, Inc.  The Pfizer/AGS Foundation for Health in Aging

18 08-09 R-Level RANKANNUAL R-4$52,994 R-5$55,032 R-6$57,012 R-7$59.676 R-8$62,268

19 How to support fellow to Academic Position  Apply for  K awards  Foundations  Request support on mentors’ grants  Collaboration with other faculty

20 K Awards  K 08—Clinical Investigator Award  K 12—Physician Scientist Award (Program)  K 23—Mentored Patient-oriented Research Career Development Award  K 30—Clinical Research Curriculum Award

21 Years between Fellowship & Academic Titles Avg Count YearsMinMax Fellow to Acting Instructor1183.108.5 Fellow to Acting Asst Prof.414.60.97.7 Fellows to Asst Prof.805.42.29.0

22 Acting Faculty (I)  Annually renewable appointment  No more that 4 yrs as Acting Instructor  No more that 4 yrs as Acting Assistant Prof  Combined Acting cannot exceed 6 yrs  No independent lab space  PI on grant proposals by permission  Whose space?  Tenure clock has not started

23 Acting Faculty (II)  Need same accomplishments as “non-acting” at same level, except  Often lack solid salary support  Do not require a full search process

24 Acting Instructor  Board eligible/certified in specialty  Can bill in the specialty  Usually have at one least one first-author paper in a refereed journal

25 Acting Faculty Appointment Process  DH requests title to Chair  Defines:  Salary  Grants  Scholarship to date  Whose lab space  No other search process  Begin appointment process  faculty appointment (no committees/votes)  medical staff appointment (6-10 wks)  2-3 months

26 Assistant Professor appointment (I)  Requires a search  Requires three years minimum of solid salary support  “Several” first-authored original research papers in strong peer-reviewed journals

27 Assistant Professor (II)  DH goes to Chair to request a faculty position  Job description  Salary—3 Years Minimum  Space  Candidates for position  Search committee  Convenes (1-2 months)  Advertises (2-3 months)  Interviews candidates (2-10 months)  Recommends the appointment

28 Assistant Professor (III)  Offer letter – negotiation  Begin appointment process  faculty appointment  A&P committees, faculty vote, etc.  medical staff appointment (6-10 wks)  6 to 18 months, sometimes more

29 Tracks/Pathways  Physician Scientist  Clinician Teacher  Full-Time Clinical

30 Physician Scientist  Research accomplishments  Value of contributions  First and last authored publications in strong, peer-reviewed journals  Independent grant support  Eventual independence from mentor  Eventual national reputation  Teaching, Clinical, Leadership, Mentorship

31 Clinician Teacher  “Predominance” of time in clinical and teaching activities  Clinical – judged by peers  Teaching – as rated by peers, student, trainees  Scholarship – some publications, teaching materials  Mentorship –  Research – original research not required but valued if present

32 Full-time Clinical  Clinical excellence, both in quality and quantity  Clinical administration  Teaching

33 Should I “go or stay”?  Switching institutions  Positive: established independence–acquired new perspectives and methodologies  Negative: dead time for move, start-up, and establishing new collaborators

34 Total Department of Medicine Expenses Annual AAMC Financial Summary-FY07

35 Total Department of Medicine Expenses FY2007

36 UW ADMINISTERED—TOTAL DIRECT EXPENDITURES FROM GRANTS AND CONTRACTS

37

38 Conclusions:  Research Fellowships are a gateway to great career opportunities  Especially academics  But also practice, biotech, and others  Pick successful mentors and pick important questions  Enjoy the time  Be challenged and be challenging K award Kiosk…. http://grants.nih.gov/training/careerdevelopmentawards.htm


Download ppt "From Fellowship to Faculty William J. Bremner, M.D., Ph.D. Professor and Chairman Department of Medicine July 9, 2008."

Similar presentations


Ads by Google