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 today's episode.
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I'm your host, Toyosi Onwuemene.
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I'm excited to talk to you today about how to negotiate protected time.
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We talked last week about actually why it was important to protect your time, and today
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we're going to talk about how to negotiate that protected time.
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And I can talk to you about it because I've negotiated protected time for myself.
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I shared with you that when I started, I was a full-time clinician.
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I was seeing patients five days a week, and I was working hard to make the transition
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from clinician to clinician scientist, and it was very hard because I started off without
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protected time.
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And then I was able over time to negotiate more and more protected time until now I have
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70% of my time protected for my research and scholarly activity.
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And I'm on my way to getting more of that time protected.
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And so what it takes is negotiation.
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And that's why I want to invite you to sign up for our Negotiation Masterclass coming
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up August 21st.
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Yes, I'm going to be talking about how to negotiate your first, next, or current academic
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job.
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And it's really important because for academic positions, we do need to negotiate that big
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first job, but we also need to negotiate in our current jobs.
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We need to negotiate more time for the things that we want to do.
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And if we don't have the skills to do it, guess what?
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We can get the skills to do it.
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So join us on August 21st at 6 p.m. so that you can learn to negotiate your first job.
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And if you want more information on the Masterclass, it will be on our website, clinicianresearcherpodcast.com.
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Okay.
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Today, I'm going to be talking about why we negotiate our protected time and how to negotiate
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our protected time.
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Now remember that I shared with you the story of when I first was looking for academic jobs
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and asking for protected time.
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People asked me, well, how many manuscripts do you have?
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And I was like, well, I don't have very many.
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And they were like, well, what funding do you have?
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And I didn't have any funding.
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And they said, well, we can't make the case for you.
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Right.
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So sometimes it's the sense of like, well, they didn't believe in me.
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But part of it, and actually probably the bigger picture from the perspective of the
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institutional negotiators, is that when they went back to make the case for this faculty
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member as a faculty member who's going the research route, who's going to be publishing
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manuscripts and writing for funding or submitting proposals for funding, what they couldn't
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do was make the case that I had already done it before and that they could guarantee that
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I would do it again.
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And so the challenge I had was that I had no proof.
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And because of that, they couldn't go back and make a case for me.
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And so what unfortunately happened or could happen to many people is that, well, setting
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up yourself to not succeed in research happens when you don't have the time created to do
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the research.
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And so if you don't actually have protected time to do research, it is very difficult
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to get protected time to do the research.
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Because you go to apply for funding and people say, well, how much of your time is currently
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protected for research?
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You can't make a case because it's not true.
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And so how do you negotiate that protected time?
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So when you go to apply for the funding, you actually can confidently say, my time is protected
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for the research.
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I'm going to share with you some strategies for how to do that.
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I will tell you first of all, that the only protected time you will have is a protected
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time you negotiate for yourself.
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Yeah, you can have mentors who negotiate for you.
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And if you do, good for you.
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Most faculty don't have that.
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But at some point in time, or right now, if you don't have the one person who's negotiating
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for you, you're going to need to negotiate for yourself.
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And I would argue that no matter how great a negotiation team you have around you in
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terms of the mentors that you have, you're going to want to know how to negotiate to
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advance your own career.
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And one of the best ways to do that is to start by negotiating your own protected time.
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Remember, no one can negotiate your protected time like you can.
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And the only protected time you have is the one you negotiate for yourself.
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So what are seven things I can tell you about how to negotiate your protected time?
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The very first thing is a thing I say a lot and will always be true.
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Get clarity on what protected time will do for you.
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What do you want this protected time for?
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What will it get you?
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And many times, that is the biggest hurdle for faculty.
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They can't articulate what protected time will do for them, at least not with any specificity.
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What I often get when I talk to people about what do you want from your protected time,
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they say, well, I just want protected time to do research.
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Yes, but what will it do for you?
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What exactly will it specifically do for you?
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Well, I'll just have time.
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Time to do what?
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What exactly does it entail?
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Well, I'll be able to be in the lab more.
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What will you be doing?
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And so you want to be very clear about what protected time will do for you.
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What does specificity look like?
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I want to be an independently funded investigator.
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To do that, I need the training to be able to do this research methodology.
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I anticipate that I will need to be in a wet bench lab for at least three days a week doing
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the experiments.
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I'm also going to need time to write and submit research proposals.
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And I need to increase my publication record.
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For this reason, protected time will allow me to do the work that's needed in the lab
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while also allowing me the time and the space to do the work to produce the manuscripts
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and the proposals for submission for funding.
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Do you see how specific that is?
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How much more specificity there is to that rather than just like wanting to do research?
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Because research is kind of a big thing.
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There's a whole umbrella of things that fits under the definition of doing research.
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And it's not just being in the lab doing some experiments or crunching through data.
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It's also thinking about how do I communicate what I'm doing to funders so that they can
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fund my program?
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How do I communicate my results to the scientific community so that my work is known and so
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that I have a body of work that speaks for me?
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How do I communicate my writing through presentations?
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How do I continue to advance the research program that I have?
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You want to be very clear at the end of the day what you're going to get from your protected
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time.
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Because what clarity does is it helps you have a plan.
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It helps you know exactly what you're getting out of it.
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It helps you negotiate better.
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Because when you know the value you are negotiating for, you negotiate harder than when the value
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is not clear.
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You're like, well, I'm not sure I'm going to get me, but let's just try anyway.
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That doesn't get you very much.
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But with specificity, you understand exactly what you need.
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You can articulate what you need.
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When people go to make the case for you, when your division chief goes to your department
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chair, when your department chair goes to your dean, they can say, well, this is why
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this faculty member wants protected time.
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And boy, she has a clear, clear understanding of what this time will do for her.
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And so you want to get clarity on what protected time will do for you.
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And that is the basic starting point of any negotiation of protected time.
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Okay.
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That's number one.
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So that is the starting point of any negotiation for protected time.
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Okay, that's number one.
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Number two, develop a strategic plan for your protected time.
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Many times what I see, and this I see often with my fellows, and honestly too with junior
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faculty, with early career faculty, and that is that you get all this protected time and
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there's this sense of like, ah, I have all the time I need.
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I'm going to relax and figure things out and it's going to be okay.
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And I am not an advocate for being a crazy person.
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I'm not an advocate for stress.
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I'm not an advocate for anxiety, but I am an advocate for a clear plan for your productivity.
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You got to have a plan because guess what happens when you don't have a plan while other
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people have plans for you.
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Dr. Lemmoner, oh, you probably free on Friday.
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I have three patients who have no doctor to see them.
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Could you please, please, please see them?
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And you are such a lovely person, Dr. Lemmoner.
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The moment they ask you, you're like, well, let me look and see what I'm doing on my schedule.
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Oh, oh, I am free.
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Sure.
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I'll see the three patients.
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Oh, I know it won't take me more than 30 minutes.
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Seven hours later, you were still in the clinic.
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And that day just went away.
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And it happens more often than not, especially when you don't have a plan for your protected
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time.
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But what would it look like if somebody reached out to you and said, Dr. Lemmoner, you know,
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on Friday, I noticed that you're not in the clinic, but we really, really, really, really,
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really need help.
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And you'll say, hmm, let me look at my schedule.
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Let me look at my plan.
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And you're like, oh, wow, that's the day I will be writing the introduction to the manuscript
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that needs to go out in four weeks.
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I'm not available.
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Do you see what difference it makes to have a plan?
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And so don't ever go to negotiate protected time.
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You do not have a plan for what you're going to do with the protected time.
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So how do you figure out your plan?
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There are a number of options.
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Number one, you could work with somebody who's already figured out a way to plan for their
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protected time.
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Maybe this person is a research mentor.
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Perhaps this person is a peer or a near peer mentor.
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Perhaps there is a research productivity program that you could get into.
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Perhaps you come to one of our coaching programs and we show you how to have a plan for your
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protected time.
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But the information is out there.
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Don't go into any negotiation about protected time.
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You don't have a plan.
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So this is what a conversation with your division chief or your chair could look like.
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I'm requesting protected time for the next year because what I really need to do is increase
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my publication productivity and submit two proposals for funding.
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I will, over the next 12 months of this time that I get, I will produce two manuscripts
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for submission and I will produce two grants that will be submitted.
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The first grant will go to the National Foundation for Researchers Who Are Trying to Make It
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and the second grant will go to the NIH and it will be an R21.
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Okay, that's a plan.
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And the reason you need to have a plan is because somebody needs confidence to be able
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to vouch for you in the negotiation.
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You need a plan so you have something to work towards and you're not at the end of this
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one year trial period, whatever it is you negotiate, saying, oh, wow, that time went
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by quickly.
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What did I get out of it?
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So develop a strategic plan for your protected time.
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All right, step number three in negotiating your protected time, you got to create the
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structure to guarantee your productivity.
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Okay, so when you have all this seemingly free time at your disposal, it's hard to know
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what to do with it.
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And one place I see it the most is in my fellows who have just finished their first year of
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clinical training and they transition into their second year and it's like, oh, all this
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time I can catch up on my sleep.
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I can visit my friends.
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I can travel all over the country.
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And it's great.
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Please do that.
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I mean, it's really important that you take care of yourself, care.
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But what happens is that with all those wonderful things that you're doing, it's like, where's
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the structure to have the productivity that you have planned for?
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How do you guarantee that productivity?
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What does your Monday look like?
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What does Tuesday look like?
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Oh yeah, you're going to go to the beach.
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Great.
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But you're going to go to the beach at two o'clock.
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What are you doing between 10 a.m. and 2 p.m.?
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What is the structure for your writing?
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Not just, oh, I feel like writing today or I don't really feel like writing today.
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What is the structure that guarantees that your research continues to move forward within
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that protected time no matter what?
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So when you are going to negotiate protected time, don't negotiate protected time without
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a plan and do not negotiate protected time without a structure that allows you to execute
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that plan because it's great that you have specificity.
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It's great that you know what you want to do.
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But how are you going to guarantee your outcome?
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Now at the end of the day, there are no guarantees in life.
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I'm not naive about that.
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But what are you doing to create the structure that actually leads to the outcome you desire?
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And I will tell you that it's not easy.
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It's not straightforward.
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This is why I'm a coach.
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This is why I show people how to do it.
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This is why we have coaching programs.
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This is why we teach people about how to negotiate so that you can have the space and the structure
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to lead your own research program.
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This is not an easy thing, but you do need to do it because creating the structure allows
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you to deliver on the promise that you are going to make your protected time count.
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And by the time you're going in to negotiate, you haven't even negotiated this protected
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time.
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But being able to articulate what that structure looks like increases the confidence of the
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person who will help you make the case that you can have this protected time and do well
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with the protected time.
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Okay.
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Number four, investigate the options to shrink your clinical footprint.
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And so sometimes I hear from people and they'll tell me, oh, I really love seeing patients.
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I don't want to stop seeing patients.
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I'm not asking you to stop seeing patients.
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I'm asking you to make the investment that's necessary for your productivity as a clinician
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scientist.
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And for many of us, if you're in the clinic, you know that the half a day of clinic turns
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into a three-quarter day if you're lucky.
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And if you're not so lucky, it really literally could be the full day.
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And if we're counting, you're wrapping up the notes and following up with the patients,
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okay, the day is gone.
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The day is gone.
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So how do you take that half day of clinic and make it a true half day?
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How do you do that?
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So part of negotiating a protected time is maximizing the time you already have.
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And if you take, if there was a half day of clinic and you are spending the whole day
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in clinic, including wrapping up the notes and including talking with the patients and
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to be honest, and if you're honest, sometimes these things are spilling into the following
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day.
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How do you take a half day clinic and make it as half a day as possible?
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What are your options to optimize and maximize the help that you get in the clinic so that
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your half day doesn't become a day and a half?
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How do you do that?
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And it takes strategic thinking.
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What are some other equivalent clinical options that don't take as much time or have more
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support than the support you currently have?
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For example, perhaps you're in a solo clinic.
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You have no MA.
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You have no scheduler.
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You are literally the doctor, the vitals taker, the MA, the nurse, the triage specialist,
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and the person calling all the patients back.
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Well guess what?
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As you finish your half day of clinic as a physician, then you're going into your half
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day of clinic as the administrative person.
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And so if you don't have that support, how do you negotiate that support for yourself
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so that you do your half day of work as a clinician and somebody else does the half
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day of work of administrative tasks that need to support your clinical work?
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Okay, if you can't negotiate that, how about the spaces that give you the same RVUs, clinical
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RVUs, with less time invested?
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What about the fellows clinic at the VA?
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Can you be the preceptor for the fellows clinic?
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Oh yeah, you're there for the half day.
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But when the half day is done, you're not on the hook for any of the notes the fellows
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are.
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This is if you're a faculty member.
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And if you're a fellow, it's like what could it look like getting the notes ready before
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the clinic day so that at the end of the clinic day you literally are able to say my notes
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are done, I am done.
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What can you do to shrink the footprint so that your half a day of clinic is really a
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half day of clinic and that gives you the rest of the half a day to actually be able
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to have protected time to move your work forward?
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And all you really need to start with is 30 minutes a day to advance your research.
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But you do need it consistently.
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You need a minimum of 30 minutes a day.
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And I'll talk a little bit more about that in a future episode.
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But what you want to do as you're negotiating protected time is to start to create it for
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yourself.
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Take your weekly schedule and say, where can I fight tooth and nail to protect my time?
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If Friday is, say, your administrative day, how can you have a day where it's like nobody
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gets to call me and interrupt my research time no matter what?
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How do you make it a non-negotiable?
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I know it looks like I'm free, but I'm not available to do an extra clinic on Friday
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because I'm working on my research.
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And they're like, well, but you're a clinical faculty member.
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Whatever it is, you protect your own time because the protected time you have is a protected
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time you create.
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Nobody else will create it for you.
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And in fact, if you really think about it, people are kind of fighting against you to
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minimize your protected time.
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They're not doing it intentionally.
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It's just, you know, whenever we think there is a space, we try to fill it.
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And even people who are well-intentioned will do it.
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Your mentor will say, oh, my goodness, I'm going out of town.
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I really need your coverage.
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Please, please, please help me.
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And unless you have a plan to protect the time you already have, it'll be taken from
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you, not maliciously, but just because it's the way things go.
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OK.
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Investigate what options you have to shrink your clinical footprint.
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OK.
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Number five, write your wish list.
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Don't go into the negotiation without a plan for how you will create this time.
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So you go in, you have a list.
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Hey, I'm here to talk about really expanding the protected time I have to do research.
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What I really want is 75% protected time.
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But I do want to start with increasing my protected time from the 20% I have right now to 50%.
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Here's how I think it will work.
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I'd like to be able to transition into the Fellows Clinic so that I can supervise the
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Fellows and that buys me back the time that I usually take writing notes in the afternoon
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or running around doing the patient follow up.
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Now with this time, I will be able to do X, Y, Z. Right.
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You go into that negotiation with a list of things that you want and how you see those
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things playing out.
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Don't ever go into negotiation without the wish list.
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What does a wish list do for you?
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There's option one.
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This is what I want.
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I want to do 75%.
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And when they say, oh, oh, oh, they can't do 75%, you're like, okay, I'd like to go
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from 25% to 40%.
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Here is how I see that happening.
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And then they're like, oh, I don't think we can do 40%.
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I'm like, okay, let's do 30%.
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And let's change this feature.
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And let's give me a PA that allows me to maximize the time I already have.
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Let's stop me from taking this call that's actually biting into the time that I would
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otherwise have to be clear headed and able to do work in the morning.
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Have a plan.
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Have a wish list.
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So number one, it's like a note.
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Okay, number two.
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Note number three.
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What's number three?
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What's number four?
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Have a wish list.
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Okay.
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Now go in and negotiate with your administrator.
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You're going to have a conversation.
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Now, can I talk to you about negotiating with your administrator?
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You're not in a fight.
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You're not in a fight.
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You're not desperate.
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What you have is what you already have.
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You're not there to fight.
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You're not there to argue.
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You're just there to state your case.
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And more importantly, you're there to listen.
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They may start off and say, hey, Dr. Lumina, I know that you really want to move research
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forward and I can see that.
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Wow, you really come up with a plan, but we've just lost three faculty.
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We are not able to honor your request right now.
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Listen to that.
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And then ask great questions.
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So what would it take for us to be able to honor my request?
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And they might tell you, well, you know, when we are able to hire three faculty, don't take
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that because I don't know when those three faculty are coming.
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You're not in control of those three faculty coming in.
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But what you say is I see that this is a challenging thing and I can see why you may not want to
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have a faculty member out of the clinic at a time when you are in a crunch.
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But how can we still make this work even though we're three faculty members down?
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Okay, start to ask the kinds of questions that lead you to come around the table, to
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be on the same side of the administrator, to understand their concerns while also not
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conceding what you want.
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So what you're not doing is saying, I insist, it's my way or the highway.
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But what you're continuing to ask is how?
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How can we make this happen?
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00:24:28,640 --> 00:24:32,100
I have this plan, but you're saying it won't work.
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How can we make it work?
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00:24:33,680 --> 00:24:36,680
Okay, you're saying the resources are not available.
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What resources are available?
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Okay, you're not able to give me extra time, but how can you help me make the time that
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I have available?
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Who is available for resource support?
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00:24:49,320 --> 00:24:50,920
Can we hire an MA?
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00:24:50,920 --> 00:24:53,920
Who is a scribe that might be available to help me?
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00:24:53,920 --> 00:24:58,400
And so many of the questions you want to ask are the open-ended questions so that they
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are starting to do the work of thinking and expanding the pie.
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00:25:02,640 --> 00:25:08,040
The principle of negotiation that's always critical is you want to expand the pie because
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the bigger the pie, the bigger your slice gets.
409
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It may still only be 1%.
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The 1% of a small pie is different from 1% of a huge pie.
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So what you want to do is ask the kinds of open-ended questions that lead the administrative
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person you're negotiating with to start to help you expand the pie so that at the end
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of the day, your percentage is still the same.
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But whoa, is it a big percentage?
415
00:25:35,560 --> 00:25:37,960
Okay, so that's what you want to do.
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00:25:37,960 --> 00:25:38,960
You want to negotiate.
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00:25:38,960 --> 00:25:41,360
You want to negotiate well.
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00:25:41,360 --> 00:25:42,360
And then what's number seven?
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You're going to do it again.
420
00:25:43,680 --> 00:25:45,560
Oh, you're going to do it again.
421
00:25:45,560 --> 00:25:48,380
So yeah, best case scenario.
422
00:25:48,380 --> 00:25:52,200
You go into the negotiation one time and you come out with what you want.
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00:25:52,200 --> 00:25:53,480
Celebrate, celebrate, celebrate.
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00:25:53,480 --> 00:25:54,480
Good for you.
425
00:25:54,480 --> 00:25:59,360
The worst case scenario is you get a no, but you've started the conversation.
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00:25:59,360 --> 00:26:00,360
And guess what?
427
00:26:00,360 --> 00:26:02,200
You're coming back because you are not playing.
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00:26:02,200 --> 00:26:06,840
If you're going to negotiate protected time for yourself, you're here for the long game.
429
00:26:06,840 --> 00:26:08,400
You're not here for the short game.
430
00:26:08,400 --> 00:26:11,840
It may be no today, but we're going to do this conversation again.
431
00:26:11,840 --> 00:26:13,760
Okay, middle of the road scenario.
432
00:26:13,760 --> 00:26:14,760
You got some concessions.
433
00:26:14,760 --> 00:26:16,720
There are some concessions you didn't get.
434
00:26:16,720 --> 00:26:22,720
You're coming back again because you're not going to stop negotiating until your career
435
00:26:22,720 --> 00:26:24,720
is the career you want.
436
00:26:24,720 --> 00:26:26,120
Did you hear what I said?
437
00:26:26,120 --> 00:26:32,040
You're never going to stop negotiating until your career is the career you want.
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00:26:32,040 --> 00:26:33,040
And guess what?
439
00:26:33,040 --> 00:26:36,840
When you get the career you want, when you become the clinician scientist you want to
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00:26:36,840 --> 00:26:37,840
be, guess what?
441
00:26:37,840 --> 00:26:42,000
You're going to negotiate again because as you continue to advance towards your goals,
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00:26:42,000 --> 00:26:46,540
they get bigger, they get bigger, they get bolder, they get more confident.
443
00:26:46,540 --> 00:26:50,840
You have more that you're going to contribute, they get bigger.
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00:26:50,840 --> 00:26:56,880
And so you're always going to be negotiating for bigger and better because that's what
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allows you to have the most impact.
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00:26:59,720 --> 00:27:04,960
So I'm going to challenge you this week to think about one negotiation that's going to
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move your career forward in the area of protected time for your research.
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00:27:10,000 --> 00:27:13,040
It doesn't matter if you're 100% full-time clinician.
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If research is what you want to do, you absolutely should go for it.
450
00:27:16,960 --> 00:27:19,960
What is one thing that's going to make a difference for you?
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00:27:19,960 --> 00:27:24,840
I want you to make a plan and an appointment with your administrative leader to negotiate
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00:27:24,840 --> 00:27:27,040
for it this week.
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00:27:27,040 --> 00:27:33,760
And if I can help you, if you are able to do it successfully, send me a DM, go to our
454
00:27:33,760 --> 00:27:38,520
website, clinicianresearcherpodcast.com, and leave me a voicemail.
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00:27:38,520 --> 00:27:40,120
Tell me how it went for you.
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00:27:40,120 --> 00:27:42,400
I want to hear about it.
457
00:27:42,400 --> 00:27:44,680
Imagine what it would take.
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00:27:44,680 --> 00:27:49,960
Imagine the results that you could have if every year you negotiated something that moved
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00:27:49,960 --> 00:27:51,400
you closer to your goal.
460
00:27:51,400 --> 00:27:52,400
What?
461
00:27:52,400 --> 00:27:53,620
Don't even wait for the year.
462
00:27:53,620 --> 00:27:59,200
If every three months you negotiated for something that moved you closer to be the clinician
463
00:27:59,200 --> 00:28:03,920
scientist you want to be, what kind of career would you have after a year of negotiating?
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00:28:03,920 --> 00:28:07,040
The two years of negotiating would not be awesome.
465
00:28:07,040 --> 00:28:08,040
Okay.
466
00:28:08,040 --> 00:28:11,360
If you want to learn more about negotiation, you totally got to show up to our master class.
467
00:28:11,360 --> 00:28:12,640
It's August 21st.
468
00:28:12,640 --> 00:28:14,200
It's at 6 p.m.
469
00:28:14,200 --> 00:28:17,880
Sign up on our website, clinicianresearcherpodcast.com.
470
00:28:17,880 --> 00:28:18,880
Ask for more information.
471
00:28:18,880 --> 00:28:22,560
We'll send you the information to sign up, and it's going to be great.
472
00:28:22,560 --> 00:28:23,560
All right.
473
00:28:23,560 --> 00:28:25,320
It's been a pleasure talking with you today.
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00:28:25,320 --> 00:28:27,360
You got to share this episode with somebody.
475
00:28:27,360 --> 00:28:29,440
Somebody needs to negotiate for protected time.
476
00:28:29,440 --> 00:28:30,440
You got to share this with them.
477
00:28:30,440 --> 00:28:31,440
All right.
478
00:28:31,440 --> 00:28:32,440
I'll talk to you next time.
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Thanks for listening.
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I hope you enjoyed this episode.
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If you did, please like, share, and subscribe.
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And if you have any questions, please leave a comment below.
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I'll see you 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.