Transcript
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Welcome to the Clinician Researcher podcast, where academic clinicians learn the skills
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to build their own research program, whether or not they have a mentor.
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As clinicians, we spend a decade or more as trainees learning to take care of patients.
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When we finally start our careers, we want to build research programs, but then we find
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that our years of clinical training did not adequately prepare us to lead our research
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program.
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Through no fault of our own, we struggle to find mentors, and when we can't, we quit.
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However, clinicians hold the keys to the greatest research breakthroughs.
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For this reason, the Clinician Researcher podcast exists to give academic clinicians
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the tools to build their own research program, whether or not they have a mentor.
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Now introducing your host, Toyosi Onwuemene.
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Welcome to the Clinician Researcher podcast.
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I'm your host, Toyosi Onwuemene, and it is such a pleasure to be talking with you today.
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I want to thank you for tuning in, and I am talking today about publications.
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Are they even necessary?
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Do you really need publications in this academic career?
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What is this thing about publications?
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I want to talk about them because, you know, have you ever heard the phrase publish or
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perish?
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I don't know where that came from.
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I'm sure there's a great origin story, but already I hear it and I'm like, really, publish
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or perish?
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What does that even really mean?
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Are you really going to perish if you don't publish?
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Yes, it does allude to the fact that in academic environments, publications are so valued,
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and if you don't publish, then there's just the sense that you don't belong, and maybe
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you may not be promoted like you'd want to.
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So yeah, there are some consequences of not having publications, but do you die?
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No.
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Your life continues.
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Anyway, so I'm just telling you that publish or perish is not real, but, you know, in not
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in the sense of the word of like actual perishing.
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Anyway, I digress, but I think it's important to talk about publications because, wow, they're
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so much anxiety and dread and worry and fear that's around publications sometimes.
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And to be honest, there's so much anxiety and pressure over publications that people
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are making stuff up just to publish.
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And I want to talk about publications.
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I want to talk about it, not from the perspective of, oh my gosh, I'm going to advance my career
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and I'm going to be promoted or I'll be able to, you know, gain a higher salary because
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I have this new promotion.
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I'm not going to talk about it from that perspective.
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I think enough people talk about publications from the perspective of currency, of academia,
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why it's needed for promotion and tenure.
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And I think all of that is great.
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It's just not very motivating.
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Like yeah, publish because if you don't publish, you can't be promoted.
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That just to me is not very motivating.
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It's like, who says I want to be promoted?
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I mean, you do, but it's like the connection between publication and promotion is so far
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you know, it's like, okay, how do you make the connection today?
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I mean, it's far, right?
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You start your faculty career job now and in six years you need to have published enough
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to be able to be promoted.
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Maybe it's seven years for some of you, eight, nine.
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You got to have published enough to be promoted, but what's going to sustain you today other
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than this stick?
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I mean, I'm sorry, this carrot on a stick in the far future that, you know, eventually
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you'll get there and maybe you'll be promoted.
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It sustains you today.
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What are the benefits of publication right this moment?
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And the reason it's important is because in order to succeed at any goal, you really do
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have to break it down into its small steps and enjoy the journey.
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You got to enjoy the journey.
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And if you don't enjoy the journey, wow, it's going to be really hard to sustain it over
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the long term.
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You might be able to do it at a frenzied pace for a month, two months, three months.
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Maybe you could get to 12 months, but you're not going to sustain a 30 to 40 year career,
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God helping you live long, long, long, right?
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God helping you live a long life.
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You're not going to sustain that kind of frenzied energy over a long career.
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And you know, honestly, some people are able to sustain the frenzied energy over a six
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year career.
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And then they get tenure and they're like, I'm done, no more publications.
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And that kind of is a sad thing because, you know, it's not about just promotion and tenure.
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Please people hear me.
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Publications are not just about getting promoted.
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And if you just are working, working, working to churn out publications just so you can
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get promoted, I would like you to consider whether you are in the right career, whether
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this is what you really want to be doing.
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Because your academic journey, your faculty journey is not about, you know, brownie points
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or stars or gold stars or rewards.
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It really is about building a career that is satisfying to you, that you're able to
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look back on and say, wow, this was the career I had.
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Look at all the impact I made.
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And publications are part of that impact.
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But I do want to talk today about a couple of reasons why you should consider publishing.
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And I'm talking about reasons that benefit you today.
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And I hope that if you are not kind of already working to get some of your ideas out and
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getting them published, I encourage you to definitely do that.
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Or if you are and you're discouraged and you're like, oh, I don't want to do this anywhere.
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This is too hard.
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I just want to encourage you again that it is really worth doing.
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And I want to give you five reasons to think about when it comes to publishing.
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The first thing is growth of your personal knowledge.
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And I will say that as physicians, we are full of knowledge, right?
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We went through medical school and the whole process of medical school was to pump your
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head full of knowledge, at least the first two years were.
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And half of that time is spent pouring knowledge into your head.
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And the other half is spent mopping the knowledge off the floor and trying to get it back in
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your head because clearly it's not sticking.
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But when you're on the wards as a third and a fourth year, second year for some of you,
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you recognize that a lot of that information does stay because it's knowledge you need
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to advance patient care.
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But when you start to take care of patients, when you move in medical school from trying
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to memorize all these facts to actually caring for patients, the facts stick better in the
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context of actually taking care of the patient.
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It's like, oh, the pathophysiology of renal failure makes sense because I've cared for
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a patient with renal failure.
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I've kind of seen it unfold.
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It's not just the thing in the textbook I've memorized.
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It's the patient experience that I had.
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You remember how that knowledge struck better when you had the experiential knowledge?
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Yes.
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And when you're writing a publication, writing manuscripts for publication is the same thing.
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It's that you have this knowledge, but when you actually have to go dig up references
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and figure out how to put it together in a cogent way in a manuscript format and submit
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it for publication, you really do grow in your personal knowledge.
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You become someone who has knowledge on this topic because you've written about it.
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And it's just so powerful.
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It's the reason why when people are looking for speakers, they go looking for people who've
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published on things because it means these are people who are reading the literature
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and are well versed with what's going on with this topic.
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They have knowledge because they've had to write about the topic.
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And so writing about a topic does give you knowledge.
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It helps you advance.
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And it's really awesome.
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I don't know about you, but you know, the first year of medical school was the most
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frustrating year.
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We were learning so much and it's like, what is the point of all this knowledge?
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And can my brain take any more?
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And then when I finally got to the words, it was like, oh my gosh, this is so awesome.
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I'm so glad I'm learning all the things I'm learning because of all the people I'm able
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to help.
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It is so incredible.
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It's that same personal satisfaction with knowledge that's actionable, with knowledge
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that helps people move forward.
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Personal knowledge is one of the gifts of writing manuscripts for publication.
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And I want to invite you to do it because yeah, you know, you see all these patients,
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but when you have to put into words and when you have to like look in the literature and
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say, okay, where does this fit relative to what people are saying?
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How is this different from what the literature is saying?
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It really enhances your knowledge base.
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It is so awesome.
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It is so personally satisfying.
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And I invite you, if you have not kind of like just, you know, enjoyed the experience
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of kind of knowledge of writing.
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I mean, the experience of like growing in your knowledge as you write, it's absolutely
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worth it and I recommend it.
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Okay, so personal knowledge is one of the gifts of publishing.
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The second is conversation with the scientific community.
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And I'm keeping it positive here because conversation with the scientific community actually also
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refers to peer review, but I'm not really talking about peer review right now.
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I'm talking about what you have to do to be able to actually write a manuscript for publication.
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You need to know the literature.
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Okay, you don't have to know everything, but you need to know a broad swath of the literature
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related to your topic that you're publishing on.
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So you are having a conversation with other scientists indirectly through their work,
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right?
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You go and you say, well, we found this amazing thing.
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It's like great, good for you.
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How does it converse with what's already in the literature?
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Like how does it compare?
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Is this the same?
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Is it different?
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What's new about your work?
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What's novel?
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What's interesting?
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Tell us about your work in light of everything that's going on.
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And it's so important.
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It's the reason why when we write manuscripts for publication, we have all this list of
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citations, right?
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Because we've looked up other papers.
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I hope you're not just putting numbers on the page.
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I hope you've actually looked at these citations.
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But you really are in conversation with the scientific community, with other people through
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their work.
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That's a beautiful thing.
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It's a beautiful thing because science doesn't happen in a vacuum.
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And our data is totally impartial, but the way we interpret the data is not, right?
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I am a biased person interpreting my data in a biased way.
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The data is not biased.
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My interpretation of the data is biased.
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And the question is, is it biased toward the way it's reported in the literature?
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Was it biased against it?
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And so, being in conversation with the literature allows you to sort that out and talk about
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it.
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And maybe that at the end, you're sticking with your biases as opposed to what's like,
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where the literature is leading you.
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And that's fine, but you're going to be explicit and you're going to state it.
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You're going to be explicit about it.
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And then you're going to get past the reviewers, right?
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But this is not about the reviewers.
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So I'm not talking about that kind of science communication today.
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But it's a great conversation because the work you do, the patients you see, none of
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it is happening in a vacuum.
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And so the opportunity to converse with the scientific community is amazing.
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It's great because it enhances you.
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It's not just knowledge that you're growing in.
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It's also growing in the discourse and the ability to communicate your work scientifically.
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And that's really awesome.
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Number three is that you're growing in skills.
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So we've talked about the growth as far as like knowledge growth, the growth as far as
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knowing how to converse with the scientific community through the work of others who have
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come before you, but also growing in the skill of writing.
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Now I will tell you that there are many scientific manuscripts that I read and I'm like, okay,
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didn't understand exactly what they did, but it sounds really cool.
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But you know, the more you do it and the more seasoned journals, I'll call them seasoned
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journals that you go after, the higher the quality of your writing needs to be, the higher
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the quality of your synthesis, the higher the quality of the work that you pull together.
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And so it challenges you.
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It challenges you to grow in skill.
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It challenges you to grow in quality.
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It challenges you to do the case reports, but then move beyond the case reports to case
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series and then move beyond that to clinical studies or to actual clinical trials, to different
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things.
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So you're not really understanding what your area of research is, but it really helps you
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grow in skill because writing a manuscript is not just about the writing, which is amazing
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because you're growing your writing skills and your science communication.
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That's awesome.
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But it's also about all the skills you have to grow in to be able to have something to
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put down on the manuscript, right?
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You've got to first of all, do the work or make the observation or do the analysis before
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you now say, oh, I'm going to put it on paper and I'm going to submit it as a manuscript.
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And the fact that you are in the process of writing and publishing regularly allows you
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to keep looking for opportunities to continue to grow things that you can put on paper and
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share with the scientific community.
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So it's really great because it helps you grow in your research skills.
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It helps you grow in your writing as well.
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And I call it a keystone habit.
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And so a keystone habit comes from Charles Duhigg, the power of habit, where there's
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one habit you start doing that changes everything else around you.
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For example, you start exercising and all of a sudden you change the way you eat.
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So it's a keystone habit.
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When you start to write for publications, it's a keystone habit because the more you
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write and publish, the more you look for it to write and publish.
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So it's kind of like a self-fulfilling prophecy, so to speak, or feedback loop really of continuing
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to help you create what is needed for the next manuscript and then the next manuscript
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and then the next one after that.
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So it really does help you grow in your skills.
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The next one, which is number four, is expertise.
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Okay, you're the one writing about it.
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You are the expert.
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You know, recently I wrote a manuscript and I wrote the manuscript because I was part
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of the guidelines writing committee for the American Society for Atheresis.
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And as part of that, I created, you know, I developed one of their new fact sheets.
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And having put in all that energy, I remember thinking, I was like, there is no way this
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is not going to become a review paper.
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There's just no way.
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I mean, I mean, we were clearly writing the guidelines, so that was its own paper.
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But I felt like so much work had gone into this new fact sheet that it needed to become
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its own review paper.
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And so I pulled the work together and I wrote it and I submitted it and it was, you know,
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accepted and it was published.
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And then all of a sudden people start coming out of the woodworks asking me to review papers
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that are similar.
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And many times I had to say, but no, this is not my area of expertise.
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I mean, well, this is not my area of expertise.
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They're like, wait a minute, but you wrote about it.
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Yeah, but yeah, but how do you convince people that you're not the expert after you've just
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written one paper?
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Very hard to do.
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Because you know what?
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It is a rare topic and you are one of very few people who've written about it.
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And now everybody wants to hear your opinion.
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And to be honest, you kind of are the expert.
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The person who writes about it is the expert because they're the ones thinking about it
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in ways that nobody else is thinking about it.
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And so if you want to become an expert, if you want to become the expert, the go-to expert,
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you choose one area and you're right in it and you're right in it and you're right in
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this field until you are tired of writing in this field.
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You'll never get tired because you'll always find new things to write about.
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But you become the expert.
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That's how you become the expert, by writing about things.
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And so it's a great thing to grow in expertise.
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And it's a great thing to grow in expertise because the next time you go around to writing
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on the same topic, you're a different person coming to this second piece of writing than
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you were the first time you came to this space.
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And you now have some understanding under your belt of this field that you didn't have
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the first time.
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And then multiply that by 20, multiply that by 30.
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Now 30 papers later, you have nuances of understanding, nuanced understanding that nobody else has
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because you are the expert writing in this space.
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And so expertise is one of the gifts of writing for publication.
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The last one, number five, is raising the next generation.
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When you first start out, you want to be first author on everything.
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And when you can't be first author on everything, you're like, well, can I be co-first author?
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And it's important, it's necessary in our field because there are some fields where
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being first does not necessarily mean you did everything.
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Anyway, the different fields have different conventions.
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But in my field, as a clinician scientist, the first author is usually the one who's
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done the bulk of the work and then they're working together with the senior author.
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So there is a convention where the first author is kind of doing the most work.
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And so when you first get started, you are the one doing the most work and you're mostly
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doing it in collaboration with a mentor.
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But as you advance, then you start to move.
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And you have other people work with you and you start to move to the place of being the
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senior person, the last author on the list.
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And that's awesome because it means you are now mentoring another generation to write
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and publish.
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And it's so powerful, it's so beautiful because, you know, by yourself, you can only write
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so much, but the moment you start mentoring others to write manuscripts, that's so awesome
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because you can really, you know, triple your impact, quadruple your impact because now
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you have other people that you are writing through or you are mentoring to write with.
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And it's so beautiful, it's so awesome.
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Now, the thing about that is that you are going to have to put in work to help bring
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them up to the excellence with which you already write.
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You get good at writing when you've written a couple of times, right?
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You get good at synthesizing the literature and writing the discussion.
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And when a younger person, a trainee now comes to you and says, hey, I want to write a paper
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with you, you're good at that stuff because you've done it.
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But now you have to teach them and you've got to be patient and you've got to help them,
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you know, go through and do a great job.
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It's a commitment, it's a challenge, but it's also really rewarding.
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You're raising the next generation of scientists and that's really awesome.
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But you don't get to do that until you've put in the work of writing manuscripts for
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publication to yourself, until you've put in the work of going through reviewers and
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knowing how the reviewers will come at your manuscript and knowing how to respond to the
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reviewers.
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You don't get to lead others in doing this work until you've done it well.
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And so that's a beautiful thing that as you are, if you are still kind of at the place
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where you are writing as first author, most of the time, just recognize that you are building
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a skill set that you're going to pass on to another generation of scientists.
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And that's a really, really incredible thing.
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Okay, so I've given you five reasons, five reasons why you should enjoy writing manuscripts
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for publication today.
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Don't wait until promotion and tenure six years from now.
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Enjoy it today.
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And those five reasons are personal knowledge, conversation with the scientific community
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indirectly through their writing, growth in skills, not just the skills for writing, but
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also the skills for doing the research, expertise because hey, you're writing about it.
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Now you know more than everybody else than reason next generation, which I think may
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be the most beautiful thing about writing for me today.
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All right, if that has been helpful to you, I want to invite you to please leave a review
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on our website.
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If you've been listening and you've enjoyed any of these podcasts, episodes, and they've
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been helpful to you, I want to invite you to please leave a review because it helps
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people find us.
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It helps people, it helps validate the podcast as a source of good information.
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What do you do when you go and you want to buy something on say a merchant like Amazon,
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you look at the reviews, like is this worth buying?
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Is this worth listening to?
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And so I invite you if you are enjoying this episode or if you've enjoyed other episodes
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that we've done to leave us a five star review and I appreciate you in advance for doing
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that.
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All right, it's been a pleasure talking with you today and thank you for taking the time
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to listen and I look forward to talking with you again the next time.
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Thanks for listening to this episode of the Clinician Researcher Podcast where academic
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clinicians learn the skills to build their own research program whether or not they have
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a mentor.
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If you found the information in this episode to be helpful, don't keep it all to yourself.
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Someone else needs to hear it.
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So take a minute right now and share it.
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As you share this episode, you become part of our mission to help launch a new generation
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of clinician researchers who make transformative discoveries that change the way we do healthcare.