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Oct. 20, 2023

Creating writing structures with Dr. Jia Ng

Creating writing structures with Dr. Jia Ng
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Clinician Researcher

Dr. Jia Ng is a Board-Certified Nephrologist and Clinical Epidemiologist whose research is focused on improving the outcomes of individuals who acute kidney injury in the hospital. Dr. Ng also conducts academic writing and research workshops for clinicians and provides coaching/consulting for clinicians who want to achieve their academic goals.In this episode, Dr. Ng discusses the importance of creating structure to support our writing. Specifically, she sheds light on the following insights.

  1. Mindset shift and commitment

  2. Success through investment

  3. Mindset's role in success

  4. Structured progress

  5. Empowerment through writing structure

  6. The importance of starting your research journey today

To hear more insights from clinician researchers like Dr. Ng, subscribe to the Clinician Researcher Podcast. Discover invaluable insights, success stories, and expert guidance that will empower you to make a significant impact in your field. If you want to work with a coach to help you negotiate your academic career more effectively, sign up for a discovery call today: https://www.coagcoach.com/book-online.

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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Hello everyone.

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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 here.

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I am super excited about today's episode because we have a very, very, very special guest who's

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going to talk to us about how to create writing structures to help you succeed as a clinician

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researcher.

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And so without further ado, I'm going to have her introduce herself.

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Gia, please introduce yourself to the audience.

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Hi, thank you so much for having me today.

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And yes, I am Jia.

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I am a physician researcher and a nephrologist in New York.

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And I also started a company called PublishMD where I help clinicians publish research papers

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and try to build their authority and also achieve the academic goals.

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So I'm here to help you achieve that.

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I love it, Gia.

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So you're a nephrologist, you're a clinician researcher, and you help other people in getting

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their research, moving their research forward as well.

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So awesome.

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I want to start from your journey because the clinician part of you and the part of

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you that's the nephrologist makes sense, right?

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It's the trip we all did to get to the specialty that we got to.

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But at what point did you make that transition from clinician as a nephrologist into a research

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researcher?

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How did that happen for you?

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So yeah, I was trained in Malaysia and in Ireland and where a lot of emphasis was on

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clinical work.

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And when I joined residency, then in the program, we had a lot of quality improvement projects

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assigned to us where each year, the second year will meet the first and third year, we'll

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do a group project.

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And because of that, that exposure, it made me feel interested about asking questions,

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asking questions to solve clinical problems, not just one-on-one basis, but for a bigger

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impact.

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But these projects, even though they were meaningful, they were never published because

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it was usually not good enough.

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And I decided that I needed more training.

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And when I did my fellowship, I took a research fellowship and did my master's in clinical

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epidemiology.

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And then I thought that was enough.

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Throughout the three years I did my master's, my fellowship, when I graduated with my master's,

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all the research done, I had zero publication.

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And when you look up trying to do a research position, they don't hire a researcher who

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can't publish their science.

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And so it was a lot of clinical job offer, but I got lucky actually that somebody, my

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current institution invested in me and they said, you know what, I'm going to give you

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three years, 50% protected time just to jumpstart, improve yourself.

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And because there was my second chance, I told myself, I'm not going to do the same

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thing as before.

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I'm going to do everything different to make sure I can prove myself that they invested

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the right person.

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And so within two years, that was a time where there was a mindset shift, that was a major

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change in myself, where a lot of things happened.

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Writing was actually the moment I could not finish a project, I can't publish a paper.

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So that was the first investment.

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Once I did that, then it snowballed and then I started writing grants and got NIH funding.

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So that's where the snowball happened and now I'm really into research.

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That's super awesome.

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I hear so many things in the things you're saying.

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So number one, you weren't satisfied with your role as a clinician.

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You saw that there were gaps that needed to be filled and you decided that you wanted

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to be one of those people to fill those gaps.

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And I think that you echo the sentiments of many clinicians who are like, this is not

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enough.

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We're not helping patients.

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There's more opportunity here.

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And so you took a step further and you did the training, but you didn't have enough training.

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And then when you got to the place where you're looking for jobs, you were finding out that

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you're not having published actually was working against you.

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And what's interesting is that you did have this opportunity to do a 50% protected time

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position, but you really took the initiative and you made a substantial investment in yourself

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to make this research and the research writing piece work out.

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And I want to ask, what did that investment look like if you don't mind sharing?

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Yeah.

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So investment, sometimes we only think about money, but it was time, money, energy, all

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three things together.

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And it means that I am not working 40 hours, 40 hour weeks.

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I'm working 80 hour weeks.

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The extra 40 outside of my clinical work is about improving my writing.

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So I took courses, any courses I could land my hand off, let my get access to, I will

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always join coaching calls.

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Every time they ask for, Oh, bring feedback.

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I will always bring.

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Additionally, I will also do practice.

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I will do deliberate practice on my own writing.

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People will say, Oh, how do you practice writing?

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I actually have like techniques.

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I found a book and I was practicing, I'm doing copywork just to download the style of writing.

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And these additional things I was doing at the site, because I felt that writing was

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a core research skill because you can have the data.

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But if you can't transform the data into a compelling story, all your research, three

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years worth of work is useless.

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So I felt that if I just need to put the energy into this piece, this big piece, you know,

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that was the first thing I could think of.

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There were other pieces, but I didn't want to be distracted.

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Let me get paper out.

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So that was what I started with.

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Absolutely.

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Thank you for sharing that.

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This idea of time, money, and energy.

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It's not just money.

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You always think, Oh, it's money.

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And sometimes we shy away from that, but it is the time, it is the energy.

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And what you're seeing is you work extra hard.

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You didn't say, well, my work week is a 40 hour work week.

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I'm done.

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But you said, this is the extra training that I need.

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And you made an investment to do it.

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And it sounds like your hard work paid off and you have all these publications now behind

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you and you're actually even teaching people how to publish.

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And so I want to just talk about that.

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How is it that you went from finishing these programs where you hadn't published anything

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to now where you are actually showing people how to succeed in publishing?

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How did that happen?

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So it is through these programs, I realized that technique is one thing.

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It's like how to write it.

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I realized the biggest problem is the mindset in how you structure the time.

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So that was actually the biggest piece.

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Coming from a clinician black background, it meant that you have a lot of free time.

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When you have free time, if you don't structure the time, you are going to end up checking

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epic inbox.

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You can check email.

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You spend too much time speaking on a phone with a patient for an hour, but with no real

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progress.

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And so there was a mindset shift, I would say, is embracing myself as a professional

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writer.

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A professional researcher is a professional writer.

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I'm being paid to publish my research work.

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So I need to take writing seriously.

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So I start writing during work hours.

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It has to be daily.

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I treat that as a clinic.

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Like if it's a clinic, I will always show up for my patient.

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I'm never late.

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I never cancel on them.

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So I treat my writing sessions as clinic appointment.

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So once I did that, I realized, oh, it's actually not just the writing.

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I need to move the needle every time.

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And as I talk to many people, as a coach people, that is actually the major thing.

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They always say they have no time.

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But when you break down what they do, oh, they haven't even put in the time to write.

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They're hoping to find a sliver of time.

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They hope to find inspiration.

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But when you're a professional, you don't wait for inspiration.

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You do the work.

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So I think that big mindset shift was key in my success.

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And when I talk to people, I realize that's the biggest thing.

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That's really great.

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I love what you're talking about.

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It's not just the writing because we're writers.

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We're all writing, right?

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We're at a writing clinic notes all the time.

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But it's the process of writing, the process of creating space for your writing and creating

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space to move your work forward.

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And without that space, the work doesn't move forward.

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And so I love the way you talk about creating structures around your writing and making

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sure that you're not waiting for inspiration, but you're actually creating space to be working

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so inspiration can hit you while you're in progress.

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I wonder if you can speak to what does that writing structure look like for you?

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And how does someone who's never had a writing structure move from no writing structure into

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writing structure?

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The two things first is there must be a commitment.

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First mindset is always must be there.

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You must have a commitment.

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You must not give excuses.

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We you know, before I went into 50 percent, I was operating.

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I was still working.

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I tried to squeeze my clinical work 50 percent.

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I tried to squeeze it into 25.

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So I am pretending I'm working as a 75 percent research.

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I put so much research work in that same amount of time.

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And in the commitment to putting research as the first thing, that is important commitment.

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Second you need to show up.

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Show up for the sessions that you have scheduled for.

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Number third thing is consistency.

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So I am I'm a believer in if you if it's something important enough, you should do it every day

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because it just builds the momentum.

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It just builds a habit.

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And when you do it every day, it just means you don't have to think you don't have to

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say, oh, should I write today?

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Should I not write today?

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He's like, OK, it's 10 a.m.

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It's my writing time.

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I don't have to make a decision.

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It's my time to do it.

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So at the beginning, put artificial structures if you need get accountability buddies if

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you need.

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But I would say commitment first, show up in consistency.

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These are the three things we need in place as a recipe.

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Then you can start building a habit.

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Thank you, Jia.

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Now, one of the things I hear is really and you talked about this with the mindset shift

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where clinicians at least primarily that was our is our training.

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And so the clinical things tend to pull us a lot.

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And so in order for us to move to the space of doing research fully, we have to take on

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a different identity as writers, as professional writers.

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And it has to be part of our daytime job.

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It's not the kind of thing we're doing in the background where where there's nobody

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and nobody's looking.

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It's really part of what we do actively.

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And so I wonder what's the biggest resistance that you encounter in your clients when you're

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trying to get them to set these structures into place and also have this mindset shift?

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I'm so glad you asked this question.

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I given this advice so many times and the number one objection, they will always say,

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but my patients need I need to fit the patient in, you know, a few bad my patient.

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I came in to become a doctor.

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I can't say no to my patient.

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And in telling the then I was say this.

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Yeah, exactly.

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Your patients come first.

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When you sit down and write a paper and publish your science, you are helping not just one

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patient.

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You're helping a thousand patients, your future patients.

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That's the impact.

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So don't think that you are saying no to one patient.

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You're actually saying no to a thousand patients when you are saying no to your brain.

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So I think not everybody buys that.

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But I think you need to buy that as a researcher.

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You go into research for impact, not just one.

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We do love the one on one.

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That's where we still keep on the clinical work.

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But we want to do more.

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Researchers want to do more impact and move science forward and having this mindset should

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sit down.

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I am helping my thousands of patients who are in the future.

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That is the biggest mindset.

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I love it.

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I love it.

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And also, I think one of the things you point to is that we're not here just to dabble a

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little bit in research.

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Like, I'll just do a project.

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Let's do a project there.

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We're really leading change because the reason we've gone into research is because we see

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gaps.

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If clinical care was perfect, then we wouldn't even need to be doing research.

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But we're doing research because we see gaps.

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And so in a sense, it's an obligation, having found answers to some of those gaps, to let

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other people know so that people can change clinical practice.

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So in a sense, it's an obligation not just to the patients before us, but really, yes,

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as you say, future patients.

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And it's a different way of thinking, but definitely an important mindset shift to have.

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I wonder for you, as you are now going from coaching clients and really helping people

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move their research forward, who are the clients who've had the biggest successes and why?

253
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So the biggest successes are those who show up.

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Those who show up are calls.

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Those who go through the program, like the digital course, some people will buy, but

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they never respond to emails anymore.

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And then you see them, they have never logged in.

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You buy it.

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But some people believe that just because they buy something, they get results.

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You actually need to go in and do the work.

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And research is not easy.

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And you actually need to put in the work.

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Some reality check there.

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People are hoping to join the program and get easily fixed, but the jump between a clinician

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to researcher, the skill set is so different that there are so many layers and so many

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pieces you need to build.

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And it's not like you just need one piece.

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You need the threshold of, I need these six skills together.

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Then I can publish a paper.

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And those who don't show up usually are because, oh, I only did one piece and I don't see a

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result.

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But the people who get success are, they fill in the writing piece.

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They also learn the research, they know how to ask the research question.

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They learn the process of doing everything.

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They complete the project.

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That's also important.

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So these are the few components that make somebody successful.

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Thank you for sharing that.

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One of the things that brings to mind is when you think about the people that we are competing

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against, so to speak, when we submit for funding, they're PhDs who've been doing research for

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years and years.

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And they've not just been doing research on the side, they've been fully doing research

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as part of their whole experience.

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And so as you talk about, it's a whole shift.

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There's a whole different skill set that's needed.

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And it really does take time and investment.

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And I wonder if the challenges people may experience has to do with, well, I haven't

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created the time and the structures to move this forward.

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But if I just pay for a program, it's going to fix everything.

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And as you said, it's like making the investment is one thing, but that's just an investment

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of money.

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Time is necessary as well.

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And that's the theory as well.

294
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So it's a whole package.

295
00:16:16,380 --> 00:16:18,620
Yeah, it's a whole package.

296
00:16:18,620 --> 00:16:19,620
Yeah.

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What about people who say, well, I have a great mentor.

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I don't need this.

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What would you say to them?

300
00:16:25,980 --> 00:16:29,460
I love this question because let me share a quick story.

301
00:16:29,460 --> 00:16:34,180
So when I was writing my grant, my research grant, I have excellent mentors.

302
00:16:34,180 --> 00:16:37,660
I have one who is in the right space and a different institution.

303
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I have one who's so...

304
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I have like a whole team of amazing mentors to guide me.

305
00:16:43,820 --> 00:16:50,700
And yet I paid for a $5,000 bootcamp that lasted only for eight weeks to write my research

306
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grant.

307
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And my reasoning, my reasoning was they are good, but I'm not good enough.

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So for them to help me, they need to tip...

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I want to go from good to great or great to extraordinary.

310
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I want my grant application to be excellent.

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But if I'm only like okay average, my mentor can only pull me up to good and that's good.

312
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So I felt that I needed to bring myself to great so that they can bring my application

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from great to extraordinary because I don't want to waste time.

314
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I want to submit the best grant I have in the very first try so that I can get it.

315
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You know, that's my goal.

316
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I hear people say, oh, you know, key grants, you get it in the second or third try.

317
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I don't want to waste time.

318
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I want to go for the big kill.

319
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I want to get it first time.

320
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And because of that mindset, I do things differently.

321
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I need to push everything.

322
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I need to optimize every part as I could.

323
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Mentor is one of them.

324
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My own skill is another one of them.

325
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And so because of that two-parry, I did get my grant the first time around.

326
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And so I felt that the $5,000 was worth the money because, you know, $5,000 to get a million

327
00:18:04,180 --> 00:18:07,900
dollars, that's a huge ROI if you think about it that way.

328
00:18:07,900 --> 00:18:09,900
No, that's super awesome, Jia.

329
00:18:09,900 --> 00:18:11,500
And it's so funny.

330
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It's like, wait a minute, you paid $5,000?

331
00:18:14,260 --> 00:18:15,260
What?

332
00:18:15,260 --> 00:18:18,980
What about people who are like, well, if my institution is not going to pay it, why should

333
00:18:18,980 --> 00:18:19,980
I pay it?

334
00:18:19,980 --> 00:18:22,940
What do you have to say about that?

335
00:18:22,940 --> 00:18:23,940
Great question.

336
00:18:23,940 --> 00:18:32,940
So when you pay for programs yourself, you keep the skill.

337
00:18:32,940 --> 00:18:36,780
It doesn't matter who pays for it, but at the end, who comes up with the skill?

338
00:18:36,780 --> 00:18:38,000
I take it back.

339
00:18:38,000 --> 00:18:43,260
When I pay for it myself, it means I believe in myself.

340
00:18:43,260 --> 00:18:48,260
When I believe in myself, the most important thing, we have to be sold on ourselves.

341
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If our programs are not sold on us and not willing to pay for us, we have to be sold

342
00:18:52,740 --> 00:18:58,020
on ourselves, on our goals, on our ambition that we are willing to pay for ourselves.

343
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If we can do it, then we can achieve it.

344
00:19:02,380 --> 00:19:05,780
But if we are not even sold, then if nobody's going to pay, that means you're not going

345
00:19:05,780 --> 00:19:06,780
to invest in yourself.

346
00:19:06,780 --> 00:19:10,140
No, I'm going to do whatever I need to get there.

347
00:19:10,140 --> 00:19:14,900
So yeah, so to me, and at the end, you hold the skill.

348
00:19:14,900 --> 00:19:16,700
It doesn't matter who paid for it.

349
00:19:16,700 --> 00:19:20,300
At the end, you learn through this and you keep the skill and you can bring your skill

350
00:19:20,300 --> 00:19:23,900
wherever at the institution, wherever you go.

351
00:19:23,900 --> 00:19:26,260
Thank you for speaking to that, Gia.

352
00:19:26,260 --> 00:19:31,140
I think one of the things that's so important and I think can be challenging for us because

353
00:19:31,140 --> 00:19:34,260
as clinicians, we've gone through this training where people tell us, this is what you're

354
00:19:34,260 --> 00:19:36,500
supposed to do and this is what you end up with.

355
00:19:36,500 --> 00:19:37,540
This is what you're supposed to do.

356
00:19:37,540 --> 00:19:38,940
This is what you end up with.

357
00:19:38,940 --> 00:19:43,000
When we start our faculty careers, we are leading our own careers.

358
00:19:43,000 --> 00:19:46,940
But sometimes that transition doesn't happen for people and they're still very much like,

359
00:19:46,940 --> 00:19:48,620
well, what do you want me to do?

360
00:19:48,620 --> 00:19:50,140
How do you want me to be?

361
00:19:50,140 --> 00:19:53,940
But really what happens when you decide, wait a minute, I'm doing this for me.

362
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This is what I want to succeed in for myself.

363
00:19:56,300 --> 00:20:00,780
Then you don't wait for someone to say, oh, I might be able to give you a couple of thousand

364
00:20:00,780 --> 00:20:04,420
dollars or I don't really think that program is for you.

365
00:20:04,420 --> 00:20:07,340
You're making decisions because you're the one who's going to benefit.

366
00:20:07,340 --> 00:20:08,940
I love the way you put that.

367
00:20:08,940 --> 00:20:10,460
It's like, this is for me.

368
00:20:10,460 --> 00:20:14,740
And at the end, I get to keep the skills and these skills matter to me because I'm going

369
00:20:14,740 --> 00:20:18,060
to do this again and again, and I'm going to coach other people to do it.

370
00:20:18,060 --> 00:20:20,580
And so of course, make the investment.

371
00:20:20,580 --> 00:20:25,980
And so I really appreciate that you shared that because even for me, when I first started,

372
00:20:25,980 --> 00:20:29,380
there was this sense of like, well, okay, if they don't feel like I need it, maybe I

373
00:20:29,380 --> 00:20:32,140
don't need it, but it's not for them.

374
00:20:32,140 --> 00:20:33,140
It's for me.

375
00:20:33,140 --> 00:20:36,220
I wonder if there's anything else you want to add to that.

376
00:20:36,220 --> 00:20:38,220
No, no, absolutely.

377
00:20:38,220 --> 00:20:39,220
It's not for them.

378
00:20:39,220 --> 00:20:40,220
It's for me.

379
00:20:40,220 --> 00:20:45,020
They may want to invest in you, but you have to be the person who really needs to invest

380
00:20:45,020 --> 00:20:46,620
it is yourself.

381
00:20:46,620 --> 00:20:49,340
You need to be invested in yourself.

382
00:20:49,340 --> 00:20:50,340
Absolutely.

383
00:20:50,340 --> 00:20:51,340
Absolutely.

384
00:20:51,340 --> 00:20:53,940
So Gia, you know, it's funny.

385
00:20:53,940 --> 00:20:57,540
I feel like with all of your, all you've been saying, it's almost like, well, that's so

386
00:20:57,540 --> 00:20:59,060
easy for Gia.

387
00:20:59,060 --> 00:21:01,380
She's clearly sailed through life.

388
00:21:01,380 --> 00:21:06,900
I want you to speak to the challenges you've experienced along the way first for yourself

389
00:21:06,900 --> 00:21:11,620
in making that transition and also as someone who's now coaching other people and making

390
00:21:11,620 --> 00:21:13,620
that transition.

391
00:21:13,620 --> 00:21:20,740
Yeah, I think my biggest one, the biggest obstacle was when I finished my fellowship

392
00:21:20,740 --> 00:21:25,580
and couldn't find a proper job, a research job, right?

393
00:21:25,580 --> 00:21:31,700
I was hoping my institution would keep me as faculty, but I could sense that they were

394
00:21:31,700 --> 00:21:37,020
not willing to keep me because I don't have anything to show for.

395
00:21:37,020 --> 00:21:38,540
So that was one.

396
00:21:38,540 --> 00:21:45,060
Even with when I first joined the faculty, I was worried, what if I can't, you know,

397
00:21:45,060 --> 00:21:47,180
three years, what if I can't get any publication?

398
00:21:47,180 --> 00:21:49,140
What if I can't get grants?

399
00:21:49,140 --> 00:21:54,500
So these were also obstacles I had.

400
00:21:54,500 --> 00:22:02,540
I think finally for the coaching clients, the other obstacles I see are the misaligned

401
00:22:02,540 --> 00:22:09,500
incentives that we do see in the system, not just personal, where you were told that you

402
00:22:09,500 --> 00:22:19,380
need to help with papers, but you're not given the time or the space to do scholarly activity.

403
00:22:19,380 --> 00:22:27,140
And then, you know, anything, they keep putting patients, more service time on the surface.

404
00:22:27,140 --> 00:22:32,460
They say, oh yeah, we promote people to become associate professor, but there's no time.

405
00:22:32,460 --> 00:22:37,300
Having said that, we have to accept what we have in that situation.

406
00:22:37,300 --> 00:22:40,020
You either get out of it or you take charge.

407
00:22:40,020 --> 00:22:44,500
You know, if you can't change it, if you can't change your surrounding, you change yourself.

408
00:22:44,500 --> 00:22:48,260
So see what you can do to get out of the situation.

409
00:22:48,260 --> 00:22:52,900
And one final thing I would say as well is clinicians sometimes forget what the true

410
00:22:52,900 --> 00:22:55,100
metric is to be a researcher.

411
00:22:55,100 --> 00:22:58,980
The real metric is publication in grant funding.

412
00:22:58,980 --> 00:23:03,460
If you don't get that, it doesn't matter how good your teaching is, it doesn't matter

413
00:23:03,460 --> 00:23:06,420
how good your evaluations are.

414
00:23:06,420 --> 00:23:13,020
If your institution's metric for academia or promotion is publication, you need to know

415
00:23:13,020 --> 00:23:14,260
the rules of the game.

416
00:23:14,260 --> 00:23:16,540
And sometimes people don't want to look at that.

417
00:23:16,540 --> 00:23:17,540
They ignore it.

418
00:23:17,540 --> 00:23:20,820
And then five years later, they realize that, oh, I did not reach my metric.

419
00:23:20,820 --> 00:23:22,900
And so what you have nothing to show for.

420
00:23:22,900 --> 00:23:27,820
So that is kind of also another barrier, not knowing the rules of the game.

421
00:23:27,820 --> 00:23:32,300
You know, when you're joining any game, you need to know how do you score, what the rules

422
00:23:32,300 --> 00:23:33,300
are.

423
00:23:33,300 --> 00:23:34,300
Yeah.

424
00:23:34,300 --> 00:23:35,300
I love that.

425
00:23:35,300 --> 00:23:36,300
I love that.

426
00:23:36,300 --> 00:23:38,180
I have to, you know, it reminds me of something I hear often.

427
00:23:38,180 --> 00:23:40,660
People say, well, we want you to be a team player.

428
00:23:40,660 --> 00:23:44,820
And you know, usually I have to say, I feel like that's often said of women who are sometimes

429
00:23:44,820 --> 00:23:48,420
not given enough resources and they're like, just be a team player, just accept what you're

430
00:23:48,420 --> 00:23:49,420
given.

431
00:23:49,420 --> 00:23:53,160
And I love it because it's like, what is the game we're playing?

432
00:23:53,160 --> 00:23:54,900
And how do we know when we win?

433
00:23:54,900 --> 00:23:58,020
It's so important to ask that question, what is the game?

434
00:23:58,020 --> 00:24:02,500
Because sometimes being a team player means, well, you let the other people who we've selected

435
00:24:02,500 --> 00:24:06,240
out to be successful win, and then you support them.

436
00:24:06,240 --> 00:24:08,580
And if it's fine, that's what you want to do.

437
00:24:08,580 --> 00:24:12,100
But if really what you're doing is leading your own research and leading your research

438
00:24:12,100 --> 00:24:16,900
program, then you want to make sure that you're playing a game that makes sense for you.

439
00:24:16,900 --> 00:24:19,740
And then at the end you win and you know when you win.

440
00:24:19,740 --> 00:24:23,220
And so I love where you started, where you were like, when you were first looking for

441
00:24:23,220 --> 00:24:25,380
a job, it wasn't the job you wanted.

442
00:24:25,380 --> 00:24:30,500
At least you didn't find the job that really supported you as a clinician researcher.

443
00:24:30,500 --> 00:24:34,980
And you went looking for what that job would be.

444
00:24:34,980 --> 00:24:38,340
And I appreciate the advice you give where it's like, well, you have a choice.

445
00:24:38,340 --> 00:24:42,340
You may not, you can't control your institution and whether they choose to support you or

446
00:24:42,340 --> 00:24:45,140
not, but you can choose how you respond to it.

447
00:24:45,140 --> 00:24:49,420
Whether you're going to stay at the institution and find other ways to support yourself, or

448
00:24:49,420 --> 00:24:54,180
you're going to choose a different institution that actually provides you the support that

449
00:24:54,180 --> 00:24:55,220
you need.

450
00:24:55,220 --> 00:25:00,700
And so what I hear you saying is that we have agency, we are in charge of our careers, we

451
00:25:00,700 --> 00:25:02,340
are leading our careers.

452
00:25:02,340 --> 00:25:07,180
And just because other people say no to us doesn't mean we should say no to ourselves.

453
00:25:07,180 --> 00:25:08,180
Absolutely.

454
00:25:08,180 --> 00:25:14,360
I want to riff on your saying about team player too, because that's such a great point.

455
00:25:14,360 --> 00:25:16,300
How our division works.

456
00:25:16,300 --> 00:25:24,340
When I do research, I'm being a team player, because how we view our division is one person

457
00:25:24,340 --> 00:25:30,820
does oncology, one person does stone, and we all have our own roles to bring the whole

458
00:25:30,820 --> 00:25:31,820
division up.

459
00:25:31,820 --> 00:25:36,420
So my role was actually to be a researcher so that we can bring up the prestige.

460
00:25:36,420 --> 00:25:37,420
We can bring up.

461
00:25:37,420 --> 00:25:41,200
So when I say no to clinic patients, when I say, I know I can't do so much service time

462
00:25:41,200 --> 00:25:43,140
because I need to get grants.

463
00:25:43,140 --> 00:25:49,460
I need to get, it builds up the prestige and builds up the publication of the numbers of

464
00:25:49,460 --> 00:25:50,460
the division.

465
00:25:50,460 --> 00:25:52,340
I am being a team player.

466
00:25:52,340 --> 00:25:57,300
So we can't always think about team player being just do the things equally, but what

467
00:25:57,300 --> 00:25:59,700
are we doing as our role?

468
00:25:59,700 --> 00:26:03,580
What is our intended role as a true team player?

469
00:26:03,580 --> 00:26:04,580
I love it.

470
00:26:04,580 --> 00:26:05,580
I love it.

471
00:26:05,580 --> 00:26:08,700
I want to speak more to that because it's like, if we think about, let's say a game

472
00:26:08,700 --> 00:26:11,020
of basketball and I don't even really play basketball.

473
00:26:11,020 --> 00:26:16,100
So it's not me, but there are people whose job it is to defend and their job is a little

474
00:26:16,100 --> 00:26:19,540
bit different from those whose job it is to score.

475
00:26:19,540 --> 00:26:22,700
So that for the people who are defending to say, well, we're going to leave our defending

476
00:26:22,700 --> 00:26:24,220
and go do this work.

477
00:26:24,220 --> 00:26:26,020
They're not going to do it as well.

478
00:26:26,020 --> 00:26:30,820
And so for us too, it's that, well, if this is the work we've been brought on to do, if

479
00:26:30,820 --> 00:26:34,260
this is the work we want to do, we've really got to succeed well.

480
00:26:34,260 --> 00:26:38,380
And so when somebody says, I didn't see as many patients as I did, you have to take a

481
00:26:38,380 --> 00:26:42,860
step back and say, what is it that I'm uniquely qualified to do?

482
00:26:42,860 --> 00:26:44,420
And am I doing that?

483
00:26:44,420 --> 00:26:47,660
Or am I doing something that somebody else actually could do for me?

484
00:26:47,660 --> 00:26:49,900
Somebody else could easily do and take my place.

485
00:26:49,900 --> 00:26:54,340
And I think that's really important because in your field, there are not many researchers

486
00:26:54,340 --> 00:26:57,580
that are moving the work that you're moving forward.

487
00:26:57,580 --> 00:27:01,660
And I bet at your institution, if you stopped your program of research, there are not many

488
00:27:01,660 --> 00:27:04,220
people who could step in and just take over.

489
00:27:04,220 --> 00:27:10,900
And so it's important for us to recognize the value we bring and to protect that value.

490
00:27:10,900 --> 00:27:11,900
Yes.

491
00:27:11,900 --> 00:27:12,900
Yes.

492
00:27:12,900 --> 00:27:13,900
Yes.

493
00:27:13,900 --> 00:27:14,900
And I love the basketball analogy.

494
00:27:14,900 --> 00:27:15,900
I never even thought of it.

495
00:27:15,900 --> 00:27:22,700
Like, yeah, the person who shoots, the person who defends, they all have to feel the weight.

496
00:27:22,700 --> 00:27:23,700
Absolutely.

497
00:27:23,700 --> 00:27:28,420
I feel like you've just shared so many wonderful nuggets of wisdom.

498
00:27:28,420 --> 00:27:32,500
And I wonder if there's a clinician right now who's sitting there saying, well, no one's

499
00:27:32,500 --> 00:27:35,260
supporting me, no one's providing resources for me.

500
00:27:35,260 --> 00:27:40,420
I really want to succeed as a clinician researcher or as a physician scientist.

501
00:27:40,420 --> 00:27:44,100
What advice would you have for them?

502
00:27:44,100 --> 00:27:49,100
My first advice would be think about the why.

503
00:27:49,100 --> 00:27:52,100
Like why you want to go into research in the first place?

504
00:27:52,100 --> 00:27:54,940
Is it just you want a pre-publication here and there?

505
00:27:54,940 --> 00:27:59,380
Really, I think if you want to really do research, you have to think about impact.

506
00:27:59,380 --> 00:28:02,020
Who am I going to change?

507
00:28:02,020 --> 00:28:03,020
What is it?

508
00:28:03,020 --> 00:28:04,020
It doesn't matter how.

509
00:28:04,020 --> 00:28:06,540
In fact, you should be thinking big.

510
00:28:06,540 --> 00:28:12,660
The bigger you think, the easier it is for you to overcome the obstacles.

511
00:28:12,660 --> 00:28:17,740
Because if your goal is so small, every small obstacle will get in the way.

512
00:28:17,740 --> 00:28:22,340
But if your goal is so huge, it needs to be able to bulldoze the obstacles.

513
00:28:22,340 --> 00:28:23,340
Right?

514
00:28:23,340 --> 00:28:25,140
Oh, people got rejected.

515
00:28:25,140 --> 00:28:28,140
But my goal is so big, I can work through this.

516
00:28:28,140 --> 00:28:32,180
So your goal is just, I just want to maybe get one or two publications.

517
00:28:32,180 --> 00:28:33,180
All right.

518
00:28:33,180 --> 00:28:34,180
Oh, well.

519
00:28:34,180 --> 00:28:35,180
So you need to have this huge goal.

520
00:28:35,180 --> 00:28:36,860
And it has to be so deep.

521
00:28:36,860 --> 00:28:38,900
You truly believe in yourself.

522
00:28:38,900 --> 00:28:42,540
Once you do that, then you can work through all the obstacles.

523
00:28:42,540 --> 00:28:45,060
Because research is not to your career.

524
00:28:45,060 --> 00:28:46,540
We're talking about 30-year career.

525
00:28:46,540 --> 00:28:48,700
We are trying to move to science.

526
00:28:48,700 --> 00:28:53,340
You're trying to help patients in thousands.

527
00:28:53,340 --> 00:28:54,340
Thank you, Jia.

528
00:28:54,340 --> 00:28:55,380
I love the way you put it.

529
00:28:55,380 --> 00:28:57,700
It's about what impact do you want to have?

530
00:28:57,700 --> 00:29:03,380
I think as clinicians, we're very big on just helping patients be better, helping patients

531
00:29:03,380 --> 00:29:07,100
manage their disease, or if possible, get a cure from their disease.

532
00:29:07,100 --> 00:29:11,180
And so when we go into research, we have a big picture of the kind of change we want

533
00:29:11,180 --> 00:29:12,180
to move forward.

534
00:29:12,180 --> 00:29:15,380
And in a sense, there's an obligation to that future goal.

535
00:29:15,380 --> 00:29:19,820
If you can get there, think about how many patients, how many lives you'll transform

536
00:29:19,820 --> 00:29:22,660
when we're here and beyond the grave.

537
00:29:22,660 --> 00:29:25,540
Our impact continues whether we're here or not.

538
00:29:25,540 --> 00:29:30,780
And if it's so big, and it is big for so many of us, then that's the goal we keep in front

539
00:29:30,780 --> 00:29:31,780
of us.

540
00:29:31,780 --> 00:29:33,860
And we don't say, oh, there's a little bit of an obstacle here.

541
00:29:33,860 --> 00:29:38,900
We say, no, if I accomplish this thing that I want to do, it's going to be so impactful.

542
00:29:38,900 --> 00:29:40,900
It's going to be so awesome.

543
00:29:40,900 --> 00:29:44,940
I'm going to look back on my career, and I'm going to be so excited that I made the investment,

544
00:29:44,940 --> 00:29:46,700
that I made the sacrifice.

545
00:29:46,700 --> 00:29:49,100
And so absolutely, I love that you put it that way.

546
00:29:49,100 --> 00:29:51,340
It's like, think about your impact.

547
00:29:51,340 --> 00:29:52,340
And it does matter.

548
00:29:52,340 --> 00:29:59,180
It matters that we are aligned with maximizing our value in achieving the impact that we

549
00:29:59,180 --> 00:30:01,180
came to achieve.

550
00:30:01,180 --> 00:30:04,820
No, thank you.

551
00:30:04,820 --> 00:30:09,900
I really appreciate your coming on the show and talking to our audience.

552
00:30:09,900 --> 00:30:12,420
And I just feel like you just shared so many great insights.

553
00:30:12,420 --> 00:30:16,020
And I want to really thank you for being on the show.

554
00:30:16,020 --> 00:30:18,300
Oh, my pleasure.

555
00:30:18,300 --> 00:30:23,700
It is so good talking to you, because I feel like nobody's listening to me, nobody understands.

556
00:30:23,700 --> 00:30:29,500
And you get it, because you and I have transitioned from recognition to research site and have

557
00:30:29,500 --> 00:30:33,420
seen the struggles and the obstacles.

558
00:30:33,420 --> 00:30:38,220
But we did not forget that the whole point of doing this is for impact.

559
00:30:38,220 --> 00:30:42,580
So I really feel like this is a message we all need to be talking about.

560
00:30:42,580 --> 00:30:43,580
Absolutely.

561
00:30:43,580 --> 00:30:44,580
Absolutely.

562
00:30:44,580 --> 00:30:45,580
Thank you, Jia.

563
00:30:45,580 --> 00:30:51,100
And hey, for those of you who are listening, if you've heard this podcast episode and you're

564
00:30:51,100 --> 00:30:55,460
like, somebody else needs to hear this, I want to ask you, I want to invite you to share

565
00:30:55,460 --> 00:31:00,460
this episode with as many people as possible who need this inspiration that comes from

566
00:31:00,460 --> 00:31:01,740
Jia today.

567
00:31:01,740 --> 00:31:06,460
And if you're a mentor and you're like, well, one mentee or two may benefit from hearing

568
00:31:06,460 --> 00:31:10,620
this, please definitely share with them, because there are so many clinicians who have a desire

569
00:31:10,620 --> 00:31:14,420
to make great impact, and they don't know the first place to start.

570
00:31:14,420 --> 00:31:18,780
Or they settled into a clinical career that's not really fulfilling them because they're

571
00:31:18,780 --> 00:31:20,580
not doing the research piece.

572
00:31:20,580 --> 00:31:24,760
So please share this podcast episode with someone else today so that their lives can

573
00:31:24,760 --> 00:31:26,100
be transformed as well.

574
00:31:26,100 --> 00:31:27,100
All right.

575
00:31:27,100 --> 00:31:29,260
It's been such a pleasure talking to you all today.

576
00:31:29,260 --> 00:31:34,220
I want to thank you for listening, and I look forward to talking with you again next time.

577
00:31:34,220 --> 00:31:43,620
Take care.

578
00:31:43,620 --> 00:31:48,940
Thanks for listening to this episode of the Clinician Researcher Podcast, where academic

579
00:31:48,940 --> 00:31:54,420
clinicians learn the skills to build their own research program, whether or not they

580
00:31:54,420 --> 00:31:55,740
have a mentor.

581
00:31:55,740 --> 00:32:01,860
If you found the information in this episode to be helpful, don't keep it all to yourself.

582
00:32:01,860 --> 00:32:03,580
Someone else needs to hear it.

583
00:32:03,580 --> 00:32:07,660
So take a minute right now and share it.

584
00:32:07,660 --> 00:32:13,100
As you share this episode, you become part of our mission to help launch a new generation

585
00:32:13,100 --> 00:32:19,060
of clinician researchers who make transformative discoveries that change the way we do healthcare.