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Careers in Academic Emergency Medicine

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Page 1: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Careers in Academic Emergency Medicine

Page 2: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Overview

Why academics? Various settings How to prepare Fellowship training Marketplace issues Resources

Page 3: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Academics

Pursuit of “scholarship” Expanding knowledge Passing on knowledge

Page 4: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Why Choose Academics?

Career diversity Pursuit of knowledge / research Expertise development Love of teaching Advance specialty Colleagues

Page 5: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Why Choose Academics?

“Cutting edge” practice Teaching hospital resources Interesting cases Longevity / pace / intensity Schedule control Sabbatical

Page 6: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Downside of Academics

More total hours Generally less money Less “hands on” practice Pressure to produce

Page 7: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Academic Career Building Blocks

Research Teaching

Administration

Patient Care

Page 8: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

“Traditional” Academics

Multiple academic tracks Institutional variation Research track -- various subgroups Clinical track Clinician educator track

Page 9: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Research Roles

ResearcherResearch DirectorClinical Trials DirectorResident Research AdvisorResearch Assistants Program Director

Page 10: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

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

Page 11: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Specialty Roles

Chest Pain ER Director

Toxicology / PCC Director

HBO Chamber Director

Ultrasound Director

Page 12: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

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

Page 13: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Page 14: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Promotion and Tenure

Progressive ranks Timelines Criteria track-dependent

*Publications *Grant funding *Regional/National recognition *Teaching evaluations *Clinical productivity

Area of focus Tenure

Page 15: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Clinical Teaching Spectrum

EMR primary site EMR secondary site EMR rotation site Non-EM residency site Medical students FNP, PA, RN, EMT

Page 16: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Community Based Positions

EMR secondary / tertiary training site Clinical faculty appointment Lifestyle and reimbursement Bedside teaching predominates

*Limited time *Conferences, CME

Research more difficult *Grants, time, support, collaboration *Can participate in clinical trials

Page 17: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Preparing for Academics

Mentors Relationships / networking Join SAEM Residency research project Teaching opportunities Chief resident year Fellowship

Page 18: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Fellowship Benefits

Area of expertise National contacts More competitive candidate Career success Career satisfaction

Page 19: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

EM Fellowships

Administration Injury ControlCardiovascular Emergencies Medical and Occupational ToxicologyClinical Forensic Medicine Medical EducationClinical Pharmacology Medical InformaticsDisaster Medicine Neurology/NeurovascularDisaster and Mass Gathering Pediatric Emergency Medicine

Medicine Research PolicyEMS ResearchEnvironmental Health Sports MedicineFaculty Development ToxicologyGeriatric EM Trauma/Critical CareHyperbaric Medicine UltrasoundInternational EM Wilderness Medicine & EMS

Page 20: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Medical Toxicology

ED clinical time Poison Control Centers Consultation services Inpatient services Teaching / research

Page 21: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Pediatric EM

Children’s hospitals Pediatric and adult patients Teaching / research

Page 22: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Sports Medicine

Sports medicine clinic Team physician

*High school *College *Professional *Olympic

ED clinical shifts Teaching / research

Page 23: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Undersea & Hyperbaric Medicine

Decompression chambers Worldwide locations ED clinical shifts Teaching / research

Page 24: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

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

Page 25: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Job Search -- FAQ

Does 3 vs. 4 year program matter? Is fellowship needed? Need post-residency clinical experience? Will residency geography limit me? What if I’m not yet sure what I want?

Page 26: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Marketplace Forces

Page 27: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Marketplace Forces

2004-5 EM Faculty Salary Survey Mean salary $190K Mean 1st year $154K Geographic variation

*Midwest $192K *Northeast $193K *South $183K *West $196K

Kristal SL, et al., Acad Emerg Med 2006.

Page 28: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Evaluating Academic Positions

Know what’s expected of you Clinical commitment Administrative duties Resources

*research *administrative

Mentorship availability Chair

Page 29: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Final Thoughts

Ocean of opportunities Do what you love Mentorship key to success Doors aren’t closed Teach and lead

Page 30: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

Society for Academic Emergency Medicine

Author Credit-Careers in Academic EMPeter Sokolove, MD

QUESTIONS?

Page 31: Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship

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