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 speaking with you today.
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Today I'm going to be talking about how to create structure to help you succeed in any
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academic goal that you set for yourself.
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And I will tell you that one thing I had throughout my training, and I'm going to bet you had
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to, is structure.
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And structure in medical school, I knew exactly which electors were being held when, where
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I had to be at any given time was very clearly laid out.
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It was helpful to have that structure.
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A lot of the things I accomplished in medical school, I accomplished because there was structure
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that supported my doing that.
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And similarly, when I went to residency, oh, there was a structure.
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Every month there's a new rotation.
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I know exactly what the rotation is.
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I know who my attendings are.
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I know who the residents I'm working with are.
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I knew everything I needed to know because there was structure.
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And then in fellowship, there was clearly structure.
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There was a 12-month rotation for my rotation schedule for my first year.
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And then in my second year, I knew exactly what clinics I was going to be in, and I knew
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what research I was going to do.
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And then I became a faculty member.
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Ooh, and all that structure goes away.
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The structure around your clinic doesn't go away because, wow, there it is.
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Every Tuesday and Thursday, I'm in the clinic, and these are the patients who are coming.
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So it's really nice.
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You have structure in the clinic.
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You have structure around consults, too.
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It's like, this is the number of patients you've been called about.
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These are the ones you need to see before the day is over.
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So in everything we've done in our clinical training, we've always had structure.
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And then all of a sudden, we come to faculty careers, and we're supposed to accomplish
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academic things, but then we find that there's no structure.
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If you're lucky, you have a mentor who meets with you every week to help you create the
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structure that you need.
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If you are like most people, you don't have a mentor who can give you that structure.
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Many of your mentors are hoping that you can figure it out because they are really busy
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and they don't necessarily have the bandwidth to help give you the structure that you need.
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They can give you targeted feedback about specific things, but they may not be able
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to help provide the structure.
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And maybe for some that do, sometimes trying to give you the structure means maybe badgering
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you or nagging you so that you can do the thing and move your goal forward.
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So today, I want to talk to you about creating the structure for yourself.
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And I want to invite you to think about structure as your friend.
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Think about the success you've had because of structure that you've had.
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So think about the structure you had in medical school, how it helped you win.
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Think about the structure you had through residency and if you did fellowship, fellowship.
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Think about how that structure was helpful to you.
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And recognize that even when we hate structure, even when we love to be free and spontaneous,
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there is value in structure.
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And if you're going to accomplish academic things within the academy that for you as
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a clinician is mostly focused on helping you do well as a clinician for the most part,
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if you're going to be successful doing the academic things that lack structure, you're
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going to have to create the structure for yourself.
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And if you don't create it for yourself, you're going to go find the structure and be a part
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of it.
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And so in this episode, I'm talking to you about how you create your own structure, how
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you stop waiting for somebody else to tell you what to do or tell you where the structures
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are and to create it for yourself.
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Because here's the thing, in academic medical centers, there's so much of the priority around
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patient care and so much accountability around patient care.
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That's the easiest thing for people to give you feedback about.
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It's the easiest thing for people to create accountability and structure about for you.
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But you don't need any more structure in clinical care.
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You're pretty good around that structure.
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And to be honest, the structure will always be there.
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The clinic schedules will always be the clinic schedules.
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The consult schedules will be the consult schedules.
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But what you really need help with and what most people don't have help with is a structure
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for their research and writing accountability.
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Okay, so that's what we're going to talk about.
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We're going to talk about seven ways to create structure to help you succeed in any goal.
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So yes, my focus is on your research and your writing goals.
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But I'm going to tell you that this is really around any goal that doesn't have its own
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inbuilt structure.
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So the very first thing you want to do is to clarify what direction you're going in.
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Now what I didn't say was to clarify your destination.
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Because for many of us, we don't know the destination.
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We have a general sense of where we're going.
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But we don't know exactly where we're going to end up.
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We look around us and we look at those who've gone before us and we're like, I really love
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that this person is successful in this way.
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But I hate the life that they live.
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I don't want that life.
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But we look at this other person and we say, wow, I love that this person is a Nobel laureate.
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And I hate that they've maybe suffered a lot of financial challenges along the way.
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Or maybe they've lost some of their important relationships along the way.
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I don't want to do that.
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Or like recently someone told me, she said, I looked around at all the women around me
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and many of them had lost their significant others in one way or the other because they
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were just so consumed by their work.
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And so many times, we have a general sense of where we want to go.
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But when we look around, we're like, I don't want that.
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And I don't want that.
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And I don't want that.
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And sometimes that might deter you.
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You're like, well, if everybody I see is heading in a direction that I feel like I don't want
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a destination, like if everyone I see is heading to a destination I feel like I don't want
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to go in, then maybe that's not the destination for me.
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So many times, we're not sure what the destination is.
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But we have a sense of the direction.
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And that's the most important thing.
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And the reason it's important that you have a sense of the direction rather than the destination
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is that who you're going to become has not yet been defined.
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You are creating it in the process of your career.
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You are literally every day adding one building block to the next building block to the next
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building block to create who you're going to be.
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The challenge for you is you look ahead to people who've gone on before you, and you're
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like, oh my gosh, they're so successful.
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When you ask them, they tell you the story as if they planned every step of the way.
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But if they're going to be honest with you, they will tell you that they took opportunities
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as opportunities came to them.
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And some opportunities they never imagined until the opportunity was literally staring
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them in the face.
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And so now they can look back on a 30, 40 year career and say, oh yes, and I did this
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and I did that.
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And this is what you should do too.
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And in reality, everyone's creating in motion.
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And if they're creating in motion, you're creating in motion too.
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What you're going to become has not yet been defined because you're creating it right now.
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You are literally defining it on the go.
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And so getting a sense of the direction you're going in is important because then you just
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start to head in that direction.
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You start to ask people, you're like, hey, I am going this way.
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How do I get there?
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And yeah, there are people who look at you and say, you mean you don't have a final destination?
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Like I don't have anything to do with you.
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You're confused.
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And it's okay.
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You move away from those people and you find the people who are excited for the adventure
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that you're on because you are on an adventure.
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Your academic career is an adventure.
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You don't know where you're going to end up.
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You have a general sense of it.
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It's an adventure.
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And so you find people and you say, hey, this is a general sense of direction that I'm going
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in.
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Can you tell me how to get there?
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And people who are going to support you on the journey will be excited for this adventure
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that you're on and they will support you.
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And people who are not going to support you, you're going to leave them behind no matter
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how accomplished they are because they're just not the supporters for you.
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It's very simple.
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It's not personal.
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It's just, oh, okay, you're not one of my supporters.
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Got it.
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So, yeah, you want to make sure that you clarify the direction you're going in because then
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that allows you to ask for directions.
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But it also gives you a little bit of freedom because you don't have to finalize the destination
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and you don't have to feel like you know exactly where you're going to end up.
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You know that this is an adventure and you just go with it.
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You enjoy it.
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So clarify the direction that you're going in.
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Okay.
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Number two is ask, how will I feel when I get there?
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Like how will I know?
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How will I know I'm there when I get there?
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And it's a beautiful thing.
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It's like what feeling will you have that helps you recognize that you're where you
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want to be?
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Now, remember, you haven't clarified your destination.
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So you're really, it's like what's the feeling that tells me I'm heading in the right direction?
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And this is important.
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How do I want to feel?
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Because for many of us, when we look around, are people who've gone ahead of us and we're
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like, wow, they're so successful.
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Oh, but their life sucks.
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They're so successful.
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Oh, but they're so sick.
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They're so successful.
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Oh, but they don't talk to the adult children.
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You know, there are a lot of things that you see and you're like, I love this, but I don't
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love that.
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And so you are clarifying for yourself what's important to you, how you want to feel when
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you get there.
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So perhaps what you're saying is I want to have this successful career.
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And at the end of it, I still want to be married and talk to my children.
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Or you say, I want the successful career.
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And at the end, I still want to know my mother.
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I still want to have conversations with her regularly.
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Or you say, I want to have the successful career and I want to have time for my hobby
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of spelunking on weekends.
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Whatever it is for you, how do I want to feel when I get there is important.
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The reason you want to focus on that and the reason you want to make sure you clarify for
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yourself what that feeling is, is because you can easily lose sight of what you want
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going after all the things that you're supposed to have.
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For example, there's a list, there's a number of manuscripts you're supposed to have at
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the end of your six to 10 years of assistant professorship and you go after it and you
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make it.
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And at the end of it, it's like, oh, congratulations, you made it, but you feel so empty.
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You're like, I don't know, I made it.
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Why do I feel so empty?
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And that's exactly it.
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The challenge is that in academia, the receipts, the things we're supposed to have at the
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end are so clear and sometimes people tell you to go out of your way to make it no matter
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what, no matter who you push out of the way, no matter what you do, go for it.
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And if you take this advice, you end up at the end of a very successful run and you feel
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empty because while it looks successful to other people, it does not feel successful
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to you.
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And that is why you do not ask other people, how should I feel when I get there, you decide
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for yourself so that as you're going on the journey, you get to say, I don't like the
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way this is feeling.
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I see that I'm succeeding, but I don't like the way this is feeling.
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I don't like the way I feel icky inside.
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And it allows you to pause and remember that you want to get to the space of success without
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feeling like you've lost your values, without feeling like you've transgressed your moral
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values.
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You want to feel a certain way.
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And so you want to clarify for yourself what that feeling is so that every time you start
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moving in a direction that transgresses your feelings, that makes you feel like not aligned
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with the way you want to show up in this space, it becomes very clear to you.
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You can take a step back and say, okay, how can I do things differently?
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So ask yourself, how will I feel when I get there?
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You want to know in advance, you want to prepare in advance so that you are not taken by surprise.
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Okay.
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Number three, who do I know who's already there?
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And this is a really important question.
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It's kind of a trick question because sometimes what we do is we look ahead and we look to
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our chairs, we look to the deans, we look to the presidents of the organization or the
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CEO of the hospital and we're like, yes, I want to be right there.
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But what you're saying is that I want the success they have, but I don't like the things
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about their life that's not working exactly.
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And so those are not the people you're looking for.
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The person who's already there, the person who's already CEO, if they don't have a full
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life that represents the kind of life that you want, then that's not who you want to
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be.
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Who you want to be is a person who has a success in the health at the same time, the one who
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has a success and relationships at the same time.
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Because you may be looking at them and saying, I don't want that.
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And they're like, I'm having a blast.
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This is exactly the life I want.
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You know, that's them, right?
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They've made decisions for themselves.
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But you want a certain outcome that helps you know you're successful and it's a holistic
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success.
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It's not just I have the requisite number of grants or the requisite number of publications
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or the requisite number of invited talks and therefore I am now chair of this department.
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Good for me.
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You want that and more.
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You want that in a full life.
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You want that in friends.
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You want that in your family intact.
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You want that in a rich full life outside of the academy.
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And so ask yourself, who do I know who's already there?
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Who's there not just in terms of the success on paper, but is there in terms of the success
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in life?
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It is not worth any journey to get to the end of it and to find that you accomplished
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all these things, but you don't even feel successful.
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And so you want to know exactly what success means to you.
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And then look around and say, who is there?
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Who is in that place right now where they have the thing that I want and then some.
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They have the papers and then some.
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They have the invited talks and then some.
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You want people who have wholeness and you want people who have peace in their lives.
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There is a thing that's attractive to you.
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I don't know what that is, but you want to identify who do I know who's already there?
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Who did it in a healthy way?
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Who did it where they're still enjoying their lives?
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Who did it and they're not miserable?
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Who did it and they're not crying at night?
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Who did it and they're not eating themselves for having embarked on a journey where there
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is no end?
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Because whenever you make it about the stuff, there will be no end to chasing stuff.
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And that's why you want to ask, who is it who's already there in the place of holistic
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experience of their career in the way that you want to get there?
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The number four is to ask, what did they do to get there?
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Now this is another trick question because you know there's the what did they do to get
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there?
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Okay, they submitted five grants a year and therefore they were able to get one big grant
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every year or they submitted manuscript after manuscript to journal after journal and therefore
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they were able to publish six manuscripts a year.
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It's not that.
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In reality, that's the easy stuff, right?
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That's the stuff that you can probably read in a handbook.
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You need X number of manuscripts to be associate professor.
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You need X number of grants to be able to be promoted with tenure.
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You can read that in the paper.
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And then you can read that where people tell you exactly how you go about trying to do
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that.
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And that's great.
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But the people you found that are whole, the people who you found who have both the career
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success and the life success, you want to ask how did they do that?
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How did they accomplish all the stuff?
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How did they check all the boxes and still have their joy?
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How did they check all the boxes and they're still going to activities with their kids?
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How did they check all the boxes and their siblings still talk to them?
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Those are the people you want to ask.
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What did you do to get there?
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How?
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How did you get there?
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And again, we're talking about succeeding in any goal, but I'm also talking about succeeding
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holistically.
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You can succeed in any goal, not holistically, but I hope that's not the journey that you're
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on.
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It's certainly not the journey I'm on.
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And so ask what have they done to get here where they're still sane and they still love
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life and they're still full of joy because that's where you want to be.
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Okay, so the moment you've asked what did they do to get there, then you're going to
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define your steps.
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You're going to define your steps.
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Now along the way, you're going to find people that you thought were so full of joy and zest
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for life and then you go talking to them and you're like, wow, this person is really crabby.
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Oh, they seem miserable and oh, I didn't know that that had happened to them.
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And you're going to say, maybe I crossed this one off.
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I mean, in terms of the directions that they're giving you, but you don't have to do that.
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What you can do is recognize that, okay, these are the steps they took to get there, but
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these are some of the pitfalls that I see that they made.
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And so you want to make sure you're not going to end up there.
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And so you're going to take the directions they give you and modify them for yourself.
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What are the steps you need to get to your goal?
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Because again, you've clarified the direction you're going in.
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You've asked how will I feel when I get there because you don't just want to get there and
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feel empty.
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You want to be sure that you're full.
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You want to ask, who do I know who's already there in the way I want to be there?
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You asked them, what have you done to get there?
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You've discovered some surprises along the way.
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Now you're going to sit down and plan your roadmap.
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You're going to say, this person did X, Y, Z. Therefore, I'm going to do X, Y, Z, and
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I'm going to subtract Z because Z doesn't get me to where I think I want to go because
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this person was in the office every day and every night and every weekend.
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And I don't want to do that.
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Right.
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So define the steps that you need to take to get there.
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And the number six, maybe the most important thing you do is to create the accountability
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that you need.
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Who's going to ask you when you forget to do the thing?
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Who's going to ask you when you have forgotten about the thing completely and you're just
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now doing your own thing without moving forward in the plan that you set for yourself?
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You're not moving forward in the steps you set for yourself.
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Who's going to have the courage to ask you, hey, what's going on with those goals that
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you set for yourself?
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You need accountability.
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It's interesting that as humans, we need accountability.
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We need someone to ask us.
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We don't need them to yell at us.
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We don't need them to whack us on the side of the head.
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We just need them to ask us because what they're going to ask us is they're going to
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say, you set this goal for yourself.
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Where are you with this goal?
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And then it's going to trigger your feeling of wanting to be the kind of person who says
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a thing and then does what they said they would do.
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And because of that, the moment you have someone who just asks you and they don't have to judge
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you, they don't have to yell at you, they don't have to say, I can't believe you didn't
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start.
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All they have to do is ask you and it helps you knowing that they're going to ask you
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again next week prepares you so that you take steps to do what you said you would do.
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And so just the mere act of creating the accountability, having somebody ask you, did you do what you
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said you want to do is so transformational.
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And in whatever goal you set for yourself, it changes your ability to succeed in that
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goal.
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Create the accountability that you need.
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And then number seven is to build the community that supports you.
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You have to be strategic in building the community.
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Many of us come into the communities that we're in and we just accept the defaults.
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And unfortunately, in academia, there's a lot of unhealthy success.
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There is a ton of unhealthy success.
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And if you're not careful, if you follow the default strategies, you will be one of those
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unhealthy successful people or successful people who are unhealthy.
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And so do not accept the default environments.
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Do not accept the default communities, no matter how attractive they may seem.
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Because if you're going to be realistic, you recognize that not everybody has the health
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and the wealth in their lives like you want.
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So don't accept any community where people are not healthy, because guess what?
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You're going to become like them.
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No you're not the one who's going to go in and change their way of thinking.
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You're going to be the one who's going to go in and become like them.
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You're going to adjust to their temperature.
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You're going to adjust to the climate of the room.
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And you're going to be miserable, miserably successful like them.
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So you want to build a community that supports you in the goals that you set for yourself.
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You're very clear about how you want to feel when you get where you're going.
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You want to build a community of like-minded people, because they will support you in the
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goal that you have chosen for yourself.
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And so I just encourage you, if you do not already have that community, I'm inviting
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you this week to think about who is in that, who is one person, one person who is like-minded
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like you are, who says, I want the manuscripts, I want the grants, but I don't want to be
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miserable.
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Who is that person?
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And connect with them and see if you can start building a community.
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It only takes two to start a community.
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It takes two.
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And the moment you find two like-minded individuals, guess what?
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You're going to find two more, because each of you finds one and then you become four
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and it begins to grow exponentially.
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Find a community that supports you so that you can create the structure to help you succeed
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in any goal.
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Okay, so I'm going to just recap, clarify the direction you're going in, ask how will
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I feel when I get there, ask who do I know who's already there, both in the numbers of
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things that they've done, but also in their life success.
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Number four, ask what they've done to get there.
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Number five, define your own steps to get there, one that's specially crafted and tailored
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for you.
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Number six, create the accountability you need.
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And number seven, build a community that supports you.
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Okay, so these are some of the things I'll be talking about in a webinar that I'm hosting
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on Monday, November 20th at 6 p.m., talking about five critical steps you've got to take
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if you're going to make the transition from clinician to research scientist.
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And actually, I said research leader.
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So if you're interested, please join us.
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Go to our website, goitecoach.com and go to events and you'll find a way to sign up or
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you can just go to the podcast website, clinicianresearcherpodcast.com and that will have information about our next webinar,
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if for whatever reason you've missed it.
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All right, it's been a pleasure to talk with you today.
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Thank you so much for being part of the show.
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Please share this with someone if you have not already subscribed or leave us a five-star
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review.
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We would appreciate it so that other people can find us and continue to advance in their
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careers even as you are doing as well.
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All right, it's been a pleasure to talk with you today.
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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
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have 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.