Pathways to Success in Academic Clinical Medicine Anil K. Agarwal MD FACP, FASN, FNKF Associate Director for Clinical Scholarship, Center for FAME Professor of Internal Medicine New Faculty Orientation September 16, 2014

Responsibilities of Academic Clinicians 2 Patient Care QualityOutcomes System Improvements Teaching Students Residents & Fellows Service Committees, local National Organizations Administrative Leadership Roles Scholarship* DiscoveryApplicationIntegrationTeaching *Boyer’s Classification of Scholarship, Scholarship Reconsidered, 1990

Domains of Clinical Scholarship  Discovery: Production of new knowledge under rigorous conditions (i.e. translational, clinical or laboratory research), resulting in papers, grants, presentations – tenure-track and clinician scholar pathway  Teaching: Scholarship and application of educational practices, resulting in papers, presentations, leadership roles – clinician educator pathway  Integration: Making connections across disciplines, resulting in clinical innovations, system-wide improvements, implementation of new technologies – clinical excellence pathway  Application: Applying clinical practice to solve population problems, resulting in QI initiatives, protocols, access solutions – clinical excellence 3

Leverage What You Do  Conduct all of your work in a scholarly way  Identify problems/issues/gaps/needs  Set clear goals  Identify and apply appropriate methods  Assess the results  Communicate results  Reflection and critique  Identify & obtain the skills needed to solve problem 4

Programs for Academic Clinicians  Developing a National Reputation  How Physicians Are Compensated  Enhancing Patient Satisfaction  Building Scholarship Through Clinical Practice  Promotion Models for Clinicians  Creating Practice Improvement Modules  The Business of Academic Medicine  How to Thrive in Academic Medicine  Your Annual Evaluation  Networking: The Best ROI of Your Time 5

More Than Meets the Eye  Developing yourself leads to returns: better patient care, working more effectively & efficiently, better relationships with colleagues, academic promotion  This leads to satisfaction with your work  Advantages of academic medicine: Limitless opportunity for all types of interests  Take time to figure out what gaps exist, what can be improved upon  Work with your mentor to ID opportunities, make connections, develop a plan 6