Presentation on theme: "Making It As a Clinical Researcher or Educator"— Presentation transcript:
1 Making It As a Clinical Researcher or Educator Andrea E. Reid, MD, MPHMassachusetts General HospitalHarvard Medical SchoolBoston, MA
2 How do you define success? PublicationsPromotionPrestigePaymentParityPeace
3 Franklin Covey The Seven Habits of Highly Effective People Be ProactiveBegin with the End in MindPut First Things FirstThink Win-WinSeek First to Understand, Then to be UnderstoodSynergizeSharpen the Saw
4 Definition of Clinical Research Patient-oriented research. Research conducted with human subjects or on material of human origin for which an investigator directly interacts with human subjects. This area of research includes:Mechanisms of human diseaseTherapeutic interventionsClinical trialsDevelopment of new technologiesEpidemiologic and behavioral studiesOutcomes research and health services research.
5 Translational Blocks in the Clinical Research Continuum JAMA 2003: 289;
6 Funding Roadblocks on the Way Toward Improved Public Health JAMA 2004: 291;
7 NIH Director’s Panel on Clinical Research (CRP) Three questions:Who is going to do clinical research and how are these individuals to be properly trained?Where will clinical research be conducted?How will clinical research be funded?
8 The problems in clinical research Numbers downAttrition upInsufficiently nurturing environment in AMC to sustain CIInsufficient infrastructureInsufficient mentoringIncreased pressure for more clinical activityShrinking revenues
9 Solutions to the crisis FundingNew investigatorsMid-level investigatorsEquitable grant reviewFormalized trainingLoan Repayment Programs
10 How to succeed as a clinical researcher Define your interestsExploreDiscussCommitSupportive environment is crucialFind a good research mentorExperiencedWell-knownFundedInterested in your successObtain formal training in methology
12 The Current State of Affairs NIH funds 212,000 researchers~ 30% extramural support devoted to clinical researchNIDDK programs directed to clinical research:K01:Mentored Research Scientist Development AwardK08: Mentored Clinical Scientist Development AwardK23: Mentored Patient-Oriented Research Career Development AwardK24: Midcareer Investigator Award in Patient-Oriented Research
13 Get someone else to pay your loans National Institutes of Health Extramural ProgramsLoan Repayment Program for Minority Health Disparities ResearchExtramural Clinical Research Loan Repayment Program for Individuals from Disadvantaged BackgroundsLoan Repayment Program Regarding Clinical ResearchersPediatric Research Loan Repayment Program
14 LRP Eligibility Student debt > 20% of university compensation >50% time to research effort for > 2 yrsApplicant's support may be a grant from theNIH or any nonprofit organization
15 Success as a clinical researcher depends on your network Clinical research is collaborativeBe creative about your collaborationsUse your mentor’s networkBe open to forming new, unexpected connections with people and projectsPublish or perish
16 How are you evaluated as a clinician-educator? Objective criteriaScholarly outputBook chapters, reviews, clinical guidelines, curriculaGrant supportRecognition as an education leader by peersTeaching awardsNational committeesAdministrative skillsRevenue generated from clinical care
17 How are you evaluated as a clinician-educator? Subjective criteria: what are the measures of good teaching?How well others learnHow much student grows as a learner because of inputPractice methods“Impact factor”
18 Components of evaluation Teaching skillsClinical skillsMentoringAcademic administrationDeveloping educational programsNon-research scholarshipClinical researchService coordinationEducation research
19 Methods of evaluation Peer evaluation Awards Trainee evaluation Teaching portfolioClinical service timeLeadership qualitiesGrant supportPublicationsThe weight placed on each component varies by institution
20 Importance of specific aspects of a clinician-educator's performance when the promotion committee makes decisions about promotion to associate professorJAMA 1997: 278; 723-8
21 Know what your institution values Hospital: revenue, efficiency, quality, community involvementThe medical school: publications, notorietyKnow the promotions processKnow your worth on the academic market
22 Make the most of every opportunity Teaching opportunitiesLocal: Medical students and residentsRegional: Medical societiesNational: curriculum boards, national meetings, educational symposiaService opportunitiesHospital and medical school committeesDon’t overdoEvaluate benefit to youHealth organizationsGI Societies
23 Begin with the end in mind Document everythingWhen, where, why, how, to how manyTime keepingResume buildingMentor and be mentoredSeek feedback from educators you respectTrainingChallenge yourself
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