careers in academic emergency medicine. society for academic emergency medicine overview u why...
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Careers in Academic Emergency Medicine
Society for Academic Emergency Medicine
Overview
Why academics? Various settings How to prepare Fellowship training Marketplace issues Resources
Society for Academic Emergency Medicine
Academics
Pursuit of “scholarship” Expanding knowledge Passing on knowledge
Society for Academic Emergency Medicine
Why Choose Academics?
Career diversity Pursuit of knowledge / research Expertise development Love of teaching Advance specialty Colleagues
Society for Academic Emergency Medicine
Why Choose Academics?
“Cutting edge” practice Teaching hospital resources Interesting cases Longevity / pace / intensity Schedule control Sabbatical
Society for Academic Emergency Medicine
Downside of Academics
More total hours Generally less money Less “hands on” practice Pressure to produce
Society for Academic Emergency Medicine
Academic Career Building Blocks
Research Teaching
Administration
Patient Care
Society for Academic Emergency Medicine
“Traditional” Academics
Multiple academic tracks Institutional variation Research track -- various subgroups Clinical track Clinician educator track
Society for Academic Emergency Medicine
Research Roles
ResearcherResearch DirectorClinical Trials DirectorResident Research AdvisorResearch 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
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
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
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
Society for Academic Emergency Medicine
Preparing for Academics
Mentors Relationships / networking Join SAEM Residency research project Teaching opportunities Chief resident year Fellowship
Society for Academic Emergency Medicine
Fellowship Benefits
Area of expertise National contacts More competitive candidate Career success Career satisfaction
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
Society for Academic Emergency Medicine
Medical Toxicology
ED clinical time Poison Control Centers Consultation services Inpatient services Teaching / research
Society for Academic Emergency Medicine
Pediatric EM
Children’s hospitals Pediatric and adult patients Teaching / research
Society for Academic Emergency Medicine
Sports Medicine
Sports medicine clinic Team physician
*High school *College *Professional *Olympic
ED clinical shifts Teaching / research
Society for Academic Emergency Medicine
Undersea & Hyperbaric Medicine
Decompression chambers Worldwide locations ED clinical shifts 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
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?
Society for Academic Emergency Medicine
Marketplace Forces
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.
Society for Academic Emergency Medicine
Evaluating Academic Positions
Know what’s expected of you Clinical commitment Administrative duties Resources
*research *administrative
Mentorship availability Chair
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
Society for Academic Emergency Medicine
Author Credit-Careers in Academic EMPeter 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