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 a pleasure to be talking with you today.
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I want to thank you for tuning in.
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Thank you for listening.
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Thank you for your kind words as you are continuing to support me on this podcast.
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I'm excited to be talking today about how to transform your work environment.
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And I laugh because this podcast episode comes out of many conversations that I've had in
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the last few days alone about people who want to just transform the world, right?
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And they want to change their institution, and they see all these gaps.
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There are not enough, there's just not enough resources to support young faculty.
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Therefore I'm going to do this.
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And there is just not enough to support women in the academy, therefore I'm going to do
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this.
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And I do applaud it.
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I think it's pretty awesome.
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And to be honest, this podcast for me is part of the transformation that I want to affect
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in my work environment or in my academic environment.
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I want many people to have the resources they want to succeed.
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And if you're going to transform your work environment, if you're going to transform
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the world, you've got to be strategic, you've got to be strategic about it.
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So I'm going to talk about it today.
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I'm going to talk about how to transform your work environment.
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And before I share a couple of steps that I recommend in what to do to transform your
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work environment, I want to share first that I have always kind of had this superhero mindset.
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I've always wanted to save the world because I could see so much that was wrong.
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My critical eye could identify all these problems.
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I was like, well, if we do this differently, then it would work this way.
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And I always had a lot of solutions for the people who were responsible.
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So when I started my faculty career really early on and I was fully clinical, seeing
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patients five days a week, and I remember thinking, this clinic is so inefficient.
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And I wrote a proposal.
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I wrote a proposal for how to enhance the efficiency of the clinic.
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And I saw that patients were having a hard time getting in.
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And I wrote a proposal for how to improve access.
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I was the one who was constantly writing proposals and submitting them to my division chief for
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evaluation.
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Like I would literally stay up in the middle of the night thinking about the problem, write
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a one page proposal by the morning and say, I have a proposal that's going to solve this
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problem.
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And I laughed because I think it was very cute that I was writing all these proposals.
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But what I wasn't doing was submitting a proposal and saying, this is the proposal I'm going
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to execute.
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It's like, this is the proposal I have for you to execute because it's your job and I'm
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just telling you what you need to do.
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And I don't know what my division chief did with all those proposals, but I certainly
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wrote a few.
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I definitely did.
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Anyway, so I think differently about transforming a work environment today.
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And so I want to share a little bit of that with you.
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The first thing I want to remind you of is who you are.
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I want to remind you of who you are.
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The first thing is remember who you are.
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And when I say remember who you are, I want you to remember that you're the person who
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as a teenager or even earlier for some of you made a decision that you were going to
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become a clinician.
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And maybe you didn't make the decision until later, but at some point in your life, you
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decided that you're going to do it.
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And if you didn't do it when you were a teenager, then you did it later in life, then you made
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a decision as a conscious person, as a conscious person who's already been working saying,
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I'm going to drop this thing and go back to medical school.
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You chose that.
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And you didn't just make the decision you were towards executing on your decision and
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you made it.
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You got into medical school like the impossible happened.
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And then you didn't just make it into medical school.
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You actually graduated.
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And then you went and you pursued residency and you pursued fellowship.
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And here you are now in an academic job.
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You did that.
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No, you were not lucky.
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You took advantage of opportunity.
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I'll give you that.
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But you worked hard.
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You were strategic.
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You planned.
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You made it happen.
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Remember who you are.
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You have shown in life that you can do hard things.
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In fact, to be honest, I would just say you can do impossible things.
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I can see that.
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I know that because the experience of clinicians is that we're able to make impossible things
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possible.
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So I want to ask you to remember who you are.
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Remember the superpowers you've already demonstrated from the very beginning up until this moment
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and the same superpowers that you have been exhibiting since you started.
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They still lie in you and they still have capacity to do amazing and incredible things.
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And that's why number two is that you should recognize just how much power you have.
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So you imagined that you were going to become a physician.
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You imagined it.
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And then you went to work and you made it happen.
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You imagined that you were going to graduate residency.
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You went to work.
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You made it happen.
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You imagined if you did fellowship that you were going to finish fellowship.
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And you went and you made it happen.
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And now you imagined your faculty job.
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And you went and made it happen.
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Oh my goodness.
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You're really incredible.
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Oh my gosh, you're amazing.
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What?
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Like some people, they didn't make it all the way through.
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You know it's not necessarily because you were smarter than them.
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It's not like you were like, you know, the 1% of the 1%.
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You know.
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You know how hard you worked.
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You know how strategic you were.
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You know that this didn't just happen by chance.
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And so that person who made all that happen, you, you've got a lot of power.
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Oh my goodness.
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It's incredible power.
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You've got power to bring things to pass that other people are just dreaming of.
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You go and you make dreams happen.
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You've got a lot of power.
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And I want you to recognize how much power you have.
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The third thing I want you to recognize is the limitations of your power.
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So when I talked about this whole thing that you did where you went from college student
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to medical school or maybe post-grad or whatever to medical school.
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And then you turn around and you went to residency and you turn around again and you made it.
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You went to fellowship.
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The power you were exhibiting in all of that was really on yourself.
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You were pulling the power inwards.
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And so they said you needed to study for the MCAT.
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You went and studied.
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You didn't ask anybody else to study for you.
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You did it.
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And then you got up.
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You went and took the exam.
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And then you're the one who studied for all the pre-med classes and passed them.
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Nobody did that for you.
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And so I want you to recognize that over the course of the great power you exhibited in
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transitioning from college student to amazingly confident physician, you are using power on
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yourself, your power on yourself.
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You willed yourself to go to work.
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You willed yourself to study.
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You willed yourself.
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You were using your power on yourself and you accomplished so much.
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That's amazing power, but it's limited power because that power is limited to just you.
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Yeah, try to apply that same power to somebody else.
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Yeah, make them study.
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Make them study so that they can go take the MCAT like you did.
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Okay.
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Make them go put in applications.
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Make them do it.
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Yeah, it's very hard.
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You can't make people do what they don't want to do.
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You can't.
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Even when they want to do it, you can't make them do what they're not ready to do.
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And so I want you to recognize that the limitations of your power are such that it only works
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on you.
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It doesn't easily work on other people.
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And so when you're thinking of recognizing that your power is limited to you and to your
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actionable steps, then it's helpful.
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It's helpful because you recognize where to aim your power on yourself.
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Yeah, your power is amazing and powerful when used on yourself.
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And it's pretty weak and piddly when you try to use it on other people.
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Okay.
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So then the fourth thing you do, and I am still talking about how to transform your
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work environment because you've got power to transform it, but maybe not in the way
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you're thinking, not in the way I was thinking where I was writing all these proposals.
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And so that's why number four is grow your power.
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What does that mean?
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Hmm.
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So in order for you to go to medical school, you needed to find out about what it took
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to get into medical school.
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You did a lot of investigating.
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You asked questions.
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You went on websites.
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You read things.
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You went and got informed.
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And then you went and you executed.
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And then when it was time to get into residency, you kind of asked the same questions.
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What does it take to get into residency?
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What kind of residency do I want to get into?
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What are the scores of people who get into residency?
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What rotations have they done?
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What letters do they have?
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What research projects did they do?
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You did all of that.
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You got information.
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And then you went and executed.
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And so each time you got information about a thing you were planning towards, it gave
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you courage and opportunity to go looking for how to satisfy whatever that requirement
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was.
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And so you grew your power really by getting information and then executing on the information
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you got.
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And so that's what I mean.
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When I say grow your power, go get information about the next phase.
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Okay?
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This work environment is toxic.
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Go get information about what it takes to transform a toxic environment.
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Go get information.
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Attend career development workshops.
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Attend professional development workshops.
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Attend conflict management workshops.
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Get information.
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Get information.
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So as you get information and then execute on the information you have, you're growing
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your power.
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You're growing your power.
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And what you're going to find as you do all these things is you're growing in patience.
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You're growing in acceptance of what is.
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You are growing in recognition of the things you can change and the things you cannot change.
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You're growing in immense tolerance of things around you.
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You're growing in negotiation savvy because you're getting that information.
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Then you're executing on it.
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So you're growing your power by being very clear on what information is needed to affect
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the change you want.
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And once you grow your power, you use it on yourself.
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You use it on yourself because it is very hard to convince other people to do what they
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don't want to do.
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But what you can do is influence them.
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And one of the ways you influence them is by you changing first.
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You change.
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You grow.
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You expand.
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You become larger than life.
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And then people look at you and they're like, excuse me, is there something different about
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you?
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I can't tell.
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Like, are you more patient?
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Are you more productive?
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Like, what's happening?
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How come I see all these things happening in you and through you?
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Yeah.
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So what you find is that the more you grow, the more you expand, the more you become more
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than you used to be, the more you cause people to pause and say, huh, what's going on there?
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And this is not to say you don't have conversations.
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It doesn't mean you don't have meetings.
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But the bulk of the conversations and the meetings you have are not about telling people
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what to do, but it's showing them and influencing them to think differently.
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And so one of the best ways to do that is to grow and expand and think differently yourself
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because then it challenges the people around you.
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So grow your power, use it on yourself, and then watch your environment transform.
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Watch your environment transform.
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Because I think sometimes what we're doing is we're working very hard to get other people
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to do things that they don't want to do.
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And then we're neglecting the things that we can do.
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So there I was, not the division chief, writing proposals to the division chief for how he
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should do his job.
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Meanwhile, my job as a young faculty member was kind of left undone.
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Not OK, not cool.
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But the moment I left pursuing him to do the things that he, well, maybe or maybe didn't
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want to do, I could focus on the things I could do.
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For example, here I am on this podcast because this is where I have power to share my words
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with you as you listen.
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And I am able to sit and watch my environment transform as time after time you all tell
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me that these episodes are beneficial to you.
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And that's really, really awesome.
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Your environment transforms as you transform.
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Now number seven is recognize your weaknesses.
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And in this particular situation, what I'm talking about is like Superman kind of weaknesses.
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You know, Superman was made weak by kryptonite.
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Kryptonite was the one element that would just weaken him.
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Be careful of your kryptonite.
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Be careful.
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You care so much.
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You want to help everybody solve their problems.
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And you're like, yeah, I know I haven't written that grant that's due in three weeks.
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I know I haven't submitted that paper that I should have submitted.
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I know, but I really just want to help.
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It's kryptonite.
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It's kryptonite.
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It will sink you.
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It will sink you.
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But when you recognize your weakness, when you recognize the kryptonite pieces of your
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life, it allows you to create and build your life in such a way that you are protected
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from kryptonite.
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What you're doing is building boundaries against kryptonite so that you can succeed.
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And I don't know what that weakness looks like for you.
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For me, it was people pleasing.
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Yes, that's a weakness that I have struggled with throughout my time as a faculty member.
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And to be honest, still struggle with actually.
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It's getting better, but I still have it.
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I still recognize its tendencies.
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And so because I know that I have this weakness, I protect myself.
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You know?
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I protect myself.
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Instead of having five meetings a week with people who have different questions, I have
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five podcast episodes that I record in one sitting because I know that my tendency is
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to just go all out and meet with as many people as possible and fill the schedule and not
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meet the goals that I've set for myself academically because I'm doing all these meetings.
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And I want to support you.
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I want to support as many people as possible.
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And I have limitations in terms of how many people I can support.
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And so as I do the work of growing and expanding myself and I recognize my weaknesses and I
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protect against my weaknesses, I'm really able to transform my environment because I'm
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moving forward the things that are relevant, the things that are resonant.
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Yeah, so those are seven things about how to transform your work environment.
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And I know you were looking for something different.
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Maybe you're looking for a start a grassroots movement and then pick it in front of the
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dean's office.
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I know you weren't expecting that, but it is different.
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And my job, I feel on this podcast is to help you think differently about your career, is
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to help you think differently about you.
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In reality, I love for all of you to lead vibrant research programs.
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It's my life mission.
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And I also recognize that you're a whole person and there's so much more to you than just
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the work you do.
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And you want to expand and grow in so many ways.
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You've grown and expanded in so many ways.
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Don't stop now.
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And so yes, I want to share with you things that are kind of a little bit off the beaten
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path to help you just think differently about your career, your experience.
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So how to transform your work environment.
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I talked about seven things.
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Number one, remember who you are and all the power you wielded over these years.
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Number two, recognize how much power you have.
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Number three, recognize the limitations of your power.
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We can mostly apply it to you and not to the other person.
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Number four, growing your power, making sure that you have access to information that helps
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you transform and making sure you're using your power on yourself, not trying to do it
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on other people or use it on other people and then getting frustrated because they won't
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do what you want them to do.
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And then as you do all that, you watch your environment transform.
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That's number six.
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And then number seven is to recognize your weaknesses.
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Kryptonite will sink you.
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Maybe it's a lack of boundaries.
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Kryptonite will sink you.
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And so you're going to want to protect against your weaknesses so that Kryptonite doesn't
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speak up on you and sink you.
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All right.
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It's been a pleasure talking with you today.
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Thank you for listening.
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As always, I am available if you're looking for a coach and you do not have one, please
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reach out to me.
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You can send me a DM on Instagram or on Facebook or on LinkedIn and I'd be happy to talk to
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you.
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We'll see if this will be a great fit for you.
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All right.
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It's been a pleasure talking with you today.
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Please share the episode with at least one person, just one person.
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And well, actually you can share it with more if you want, but definitely share with one
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person.
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And I look forward to talking with you again the next time.
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Thanks for listening to this episode of the Clinician Researcher Podcast, where academic
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clinicians learn the skills to build their own research program, whether or not they
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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.