Title: How to Find Your Niche in Emergency Medicine
1How to Find Your Niche in Emergency Medicine
- Glenn C. Hamilton, MD
- Professor and Chair
- Wright State University
- CORD Academic Assembly
- Las Vegas, NV 2009
2Full Credit for Use of slides to
- Frank LoVecchio, DO, MPH, FACEP
- Medical Director Banner Samaritan Regional Poison
Control Center - Research Director, Maricopa Medical Center, Dept.
of Emergency Medicine - Associate Prof., AZ College of Osteopathic
Medicine - Making yourself Invaluable CORD Academic
Assembly, 2007
3- The 3 levels of faculty/
- attending performance
- Baseline level of activity competency/attitude
- What you uniquely give to the organization that
you also enjoy - Whatever pertinent or tangential topics you want
to pursue.
4- What happens if you dont
- cover these three tiers in the Department?
5- Lets redefine Niche
- Its not the Bun or the
- Toppings
- Its the MEAT of your career!
6- Finding the Niche is when
- youve identified specific personal
- characteristics, strengths, and
- interests that DEFINE your
- position in the Department
- (academic or clinical)But
- that alone may be insufficient.
7Linkage Between the Layers
- Importantly, you will have several niches over
the course of your career - Individually and collectively, these niche
performances PLUS a steady fulfillment of the
Baseline Level of Activity will secure your
position and likely advancement in the group - THIS IS HOW YOU BECOME INVALUABLE!
8Even in the toughest times, employees can be in
charge of their own destiny by seeking ways to
make themselves more valuable to those they work
for
9Making Yourself InvaluableAlternative Titles
- Giving Back to Our Field
- How to be a Team Player
- Follow the Golden Rule
- Infamous vs. Famous?
10Baseline Level of Activity Competency/Attitude
- Be Positive
- Be Competent
- Embrace Common Sense
- Be Human
- Dont Be Afraid
- PLAN HOW TO MAKE
- YOURSELF INVALUABLE!
11Studies on Attitude
- Death Clock
- Longevity
- Happiness
12I will die at age 96
1343 less years!
I will die at age 53
1458 years difference
I will die at age 37
15Invaluable Available
- Among the most effective becoming invaluable
strategies is to volunteer to take on additional
daily responsibilities or to chair task forces
assigned to tackle cost-cutting or
customer-service improvements. - That alone won't be enough to emblazon your name
on management's "must-keep" list. Workers
sometimes must go out of their way to remind
supervisors of their accomplishments, i.e.
reports - Don't be a braggart, but be assertive in
outlining what you have done for your colleagues.
16Available Time Management
- Time can be saved by eliminating unnecessary
meetings, grouping tasks, minimizing downtime,
and making use of electronic tools - Time is more valuable than money, and cannot be
replaced
17- Keep the following summary BASICS OF TIME
MANAGEMENT - List goals and priorities.
- Keep first things first.
- Make and use a daily to-do list, and weekly
summary. - Start with the A tasks and not with C tasks.
- Ask yourself, "What is the best use of my time
right now?" - Handle each piece of paper only once.
- Treat time as the valuable resource it is.
- Do it now! Complete one task per day minimum!
18Academics vs Clinical Pathway
- Baseline of both defined as above.
- is differentiator actual/philosophical
- Both begin with the End in Mind, but
ClinicalAcademic - Lets examine 3 Niches in each broad area
- High
- Medium
- Low
-
Upward mobility in group
19Academics Research Emphasis (High)
- High impact, Highly sought, High risk
- Mobility potential, but only if successful, and
desired - In EM, almost everything counts
- Find an area and stay with it
20Preparation for Research
- Heritage
- EMBRS in Residency
- Fellowship 2 year minimum, with
added degree - Coat-tailing, mentorship
- Seek supportive environment
21Emergency medicine research directors and
research programs characteristics and factors
associated with productivity.
- METHODS A survey of EM RDs Three measures of
research productivity were empirically defined
research publications, grant awards, and grant
revenue. - RESULTS Responses were received from 86 of 123
EM programs. Productivity was associated with the
presence of nonclinical faculty, dedicated
research coordinators, and reduced clinical hours
for research faculty. Programs with an RD did not
have greater research productivity, using any
measure, than those without an RD. The majority
of RDs cited pursuing their own studies,
obtaining funding, research mentoring, and
research administration to be major
responsibilities. The majority characterized
internal research funding, grant development
support, and support from other faculty as
inadequate. - CONCLUSIONS Research productivity of EM
residency programs is associated with the
presence of dedicated research faculty and staff
and with reduced clinical demands for research
faculty. Most RDs are professionally satisfied.
Karras DJ Kruus LK Baumann BM et al, Acad
Emerg Med. 2006 Aug13(8)911
22Academics Educator Emphasis (Medium)
- Basic bedside teaching , if none or poor ?
negative - Two main tracks Medical Student, Education
Director in Residency - New opportunity Simulation Master
- Bonus Education Research
23Preparation for Education Emphasis
- Teaching Fellowship ACEP, early alignment with
CORD, elements of SAEM, AAMC - Pursue Faculty Development 1 year Fellowship
- Scholarly writing reviews
- Experience Technology Simulation, US
24Be it Research or Education-Parlay!
- Never do anything once!
- If asked to do a Q/A project
- Make it a study
- Write up the experience
- If giving a talk
- Submit a review article
- If you think a certain method of teaching
works - Test it
25Roles in Academics With Less Direct Career Path
- Unless research/education involved
- Clinical Services Chief
- Specialty Services linkage Peds, Crit Care,
Geriatrics, Trauma - Ultrasound
- Clinical practice roles (QA/RM, Billing) in
academic dept.
26- Toxicology / Sports Med / Hyperbarics
- EMS / Disaster Preparedness
- Professional outsider
- IT guru
27Academic career development for emergency
medicine residents a road map.
- Enhance his or her "academic marketability"
- 1) involvement in research
- 2) establishment of a track record of
productivity via scholarly writing - 3) awareness of the literature in the specialty
- 4) involvement in specialty organizations and
hospital committees - 5) competition for national awards
- 6) gaining education skills
- 7) developing an academic niche
- 8) fellowship training.
Stead LG Sadosty AT Decker WW- Acad Emerg Med -
01-MAY-2005 12(5) 412-6
28Clinical Group Environment
- More important to have the end in mind ?
Medical Director - Opportunity at one site is dead end at another
- More serendipity Luck of the Draw
- Few bad tracks still some higher yield
29High Yield Tracks
- Chief of Staff track representative to hospital
- Reimbursement
- Complaint management, incorporates QA, patient
satisfaction, risk management
30Medium Yield, But Important
- EMS/Disaster varies with setting, competition
- CME support
- Longevity support social and wellness
- IT moving up scale if geek quotient low
31Bottom Line Triple Threats Still Win!
- Old Teaching/Research/Service
- New Admin/Leadership/Attitude
327 habits
- Habit 1 - Be Proactive
- Habit 2 - Begin with the End in Mind
- Habit 3 - First Things First
- Habit 4 - Think Win Win
- Habit 5 - Seek First to Understand
- Habit 6 Synergize
- Habit 7 - Sharpen the Saw
Bottom Line Its all About You! But only to
the degree youre all about everyone else!
33Habit 7 - Sharpen the Saw
- In this habit, you are the saw and to Sharpen
the Saw is to become better, keener and more
effective.
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