Careers in Academic Emergency Medicine

Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship training u Marketplace issues u Resources

Society for Academic Emergency Medicine Academics u Pursuit of scholarship u Expanding knowledge u Passing on knowledge

Society for Academic Emergency Medicine Why Choose Academics? u Career diversity u Pursuit of knowledge / research u Expertise development u Love of teaching u Advance specialty u Colleagues

Society for Academic Emergency Medicine Why Choose Academics? u Cutting edge practice u Teaching hospital resources u Interesting cases u Longevity / pace / intensity u Schedule control u Sabbatical

Society for Academic Emergency Medicine Downside of Academics u More total hours u Generally less money u Less hands on practice u Pressure to produce

Society for Academic Emergency Medicine Academic Career Building Blocks Research Teaching AdministrationPatient Care

Society for Academic Emergency Medicine Traditional Academics u Multiple academic tracks u Institutional variation u Research track -- various subgroups u Clinical track u Clinician educator track

Society for Academic Emergency Medicine Research Roles Researcher Research Director Clinical Trials Director Resident Research Advisor Research Assistants Program Director

Society for Academic Emergency Medicine Educational Roles Residency Director Associate Residency Director Medical Student Director Medical School -- IOR, Assistant Dean Rotating Residents Director Fellowship Director CME Director

Society for Academic Emergency Medicine Specialty Roles Chest Pain ER Director Toxicology / PCC Director HBO Chamber Director Ultrasound Director

Society for Academic Emergency Medicine Administrative Roles Chair / Chief Vice-Chair / Associate Chief EMS Director Clinical Operations Director Pediatric ED Director CQI / Risk Management Director Billing Director

Society for Academic Emergency Medicine

Promotion and Tenure u Progressive ranks u Timelines u Criteria track-dependent *Publications *Grant funding *Regional/National recognition *Teaching evaluations *Clinical productivity u Area of focus u Tenure

Society for Academic Emergency Medicine Clinical Teaching Spectrum u EMR primary site u EMR secondary site u EMR rotation site u Non-EM residency site u Medical students u FNP, PA, RN, EMT

Society for Academic Emergency Medicine Community Based Positions u EMR secondary / tertiary training site u Clinical faculty appointment u Lifestyle and reimbursement u Bedside teaching predominates *Limited time *Conferences, CME u Research more difficult *Grants, time, support, collaboration *Can participate in clinical trials

Society for Academic Emergency Medicine Preparing for Academics u Mentors u Relationships / networking u Join SAEM u Residency research project u Teaching opportunities u Chief resident year u Fellowship

Society for Academic Emergency Medicine Fellowship Benefits u Area of expertise u National contacts u More competitive candidate u Career success u Career satisfaction

Society for Academic Emergency Medicine EM Fellowships Administration Injury Control Cardiovascular Emergencies Medical and Occupational Toxicology Clinical Forensic Medicine Medical Education Clinical Pharmacology Medical Informatics Disaster Medicine Neurology/Neurovascular Disaster and Mass Gathering Pediatric Emergency Medicine Medicine Research Policy EMS Research Environmental Health Sports Medicine Faculty Development Toxicology Geriatric EM Trauma/Critical Care Hyperbaric Medicine Ultrasound International EM Wilderness Medicine & EMS

Society for Academic Emergency Medicine Medical Toxicology u ED clinical time u Poison Control Centers u Consultation services u Inpatient services u Teaching / research

Society for Academic Emergency Medicine Pediatric EM u Childrens hospitals u Pediatric and adult patients u Teaching / research

Society for Academic Emergency Medicine Sports Medicine u Sports medicine clinic u Team physician *High school *College *Professional *Olympic u ED clinical shifts u Teaching / research

Society for Academic Emergency Medicine Undersea & Hyperbaric Medicine u Decompression chambers u Worldwide locations u ED clinical shifts u Teaching / research

Society for Academic Emergency Medicine Job Search Where? *AEM, Annals of EM *SAEM, EMRA newsletters / websites *EM meetings When? *Begin fall / winter How? *Networking / personal contacts *Send CV and letter

Society for Academic Emergency Medicine Job Search -- FAQ u Does 3 vs. 4 year program matter? u Is fellowship needed? u Need post-residency clinical experience? u Will residency geography limit me? u What if Im not yet sure what I want?

Society for Academic Emergency Medicine Marketplace Forces

Society for Academic Emergency Medicine Marketplace Forces EM Faculty Salary Survey u Mean salary $190K u Mean 1st year $154K u Geographic variation *Midwest $192K *Northeast $193K *South $183K *West $196K Kristal SL, et al., Acad Emerg Med 2006.

Society for Academic Emergency Medicine Evaluating Academic Positions u Know whats expected of you u Clinical commitment u Administrative duties u Resources *research *administrative u Mentorship availability u Chair

Society for Academic Emergency Medicine Final Thoughts u Ocean of opportunities u Do what you love u Mentorship key to success u Doors arent closed u Teach and lead

Society for Academic Emergency Medicine Author Credit-Careers in Academic EM Peter Sokolove, MD QUESTIONS?

Society for Academic Emergency Medicine Postresidency Tools of the Trade CD 1) Career Planning – Garmel 2) Careers in Academic EM – Sokolove 3) Private Practice Career Options - Holliman 4) Fellowship/EM Organizations – Coates/Cheng 5) CV – Garmel 6) Interviewing – Garmel 7) Contracts for Emergency Physicians – Franks 8) Salary & Benefits – Hevia 9) Malpractice – Derse/Cheng 10) Clinical Teaching in the ED – Wald 11) Teaching Tips – Ankel 12) Mentoring - Ramundo 13) Negotiation – Ramundo 14) ABEM Certifications – Cheng 15) Patient Satisfaction – Cheng 16) Billing, Coding & Documenting – Cheng/Hall 17) Financial Planning – Hevia 18) Time Management – Promes 19) Balancing Work & Family – Promes & Datner 20) Physician Wellness & Burnout – Conrad /Wadman 21) Professionalism – Fredrick 22) Cases for professionalism & ethics – SAEM 23) Medical Directorship – Proctor 24) Academic Career Guide Chapter 1-8 – Nottingham 25) Academic career Guide Chapter 9-16 – Noeller