Careers in Academic Emergency Medicine

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• Careers in Academic Emergency Medicine

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Overview

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

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Academics

• Pursuit of scholarship
• Expanding knowledge
• Passing on knowledge

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Why Choose Academics?

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

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Why Choose Academics?

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

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Downside of Academics

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

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Academic Career Building Blocks
Research
Teaching
Administration
Patient Care
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Traditional Academics

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

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Research Roles

• Researcher
• Research Director
• Clinical Trials Director
• Resident Research Advisor
• Research Assistants Program Director

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Educational Roles

• Residency Director
• Associate Residency Director
• Medical Student Director
• Medical School -- IOR, Assistant Dean
• Rotating Residents Director
• Fellowship Director
• CME Director

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Specialty Roles

• Chest Pain ER Director
• Toxicology / PCC Director
• HBO Chamber Director
• Ultrasound Director

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Administrative Roles

• Chair / Chief
• Vice-Chair / Associate Chief
• EMS Director
• Clinical Operations Director
• Pediatric ED Director
• CQI / Risk Management Director
• Billing Director

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Promotion and Tenure

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

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Clinical Teaching Spectrum

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

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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

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Preparing for Academics

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

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Fellowship Benefits

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

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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

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Medical Toxicology

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

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Pediatric EM

• Childrens hospitals
• Pediatric and adult patients
• Teaching / research

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Sports Medicine

• Sports medicine clinic
• Team physician
• High school
• College
• Professional
• Olympic
• ED clinical shifts
• Teaching / research

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Undersea Hyperbaric Medicine

• Decompression chambers
• Worldwide locations
• ED clinical shifts
• Teaching / research

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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

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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 Im not yet sure what I want?

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Marketplace Forces
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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.

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Evaluating Academic Positions

• Know whats expected of you
• Clinical commitment
• Administrative duties
• Resources
• research
• administrative
• Mentorship availability
• Chair

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Final Thoughts

• Ocean of opportunities
• Do what you love
• Mentorship key to success
• Doors arent closed
• Teach and lead

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Author Credit-Careers in Academic EMPeter
Sokolove, MD

• QUESTIONS?

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Postresidency Tools of the Trade CD

• 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

• 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