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 taking the time to listen to me today.
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I'm excited to share with you some resources that got me started on my research journey.
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I will tell you that when I first started in my early career transitioning from fellow
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to faculty, I didn't realize how much growth in career development or professional development
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I would need to do.
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I had no idea.
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I mean, you know, you're going through the motions of your training and you're just,
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you know, hitting all the milestones, right?
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As a medical student, there are all these milestones you meet and then you graduate
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and then same for your residency and your fellowship.
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So you're always progressing.
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When you get to your faculty career, one thing that happens that I didn't immediately recognize
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is that I became responsible for my growth and development as a faculty member.
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And I don't think I really appreciated how much it was dependent on me to figure that
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out.
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And so a lot of the resources that helped me in my transition, that helped me get started
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on my research journey, really came to me to some extent serendipitously.
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I didn't really intentionally create these opportunities.
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At least I, in retrospect, I could have been more intentional about creating them.
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And so I want to share some of them with you because, you know, I think it's important
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for you to recognize how many opportunities there are.
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And look, I will tell them any of the opportunities I'm going to share with you today are actually
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specific to hematology.
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I'm a hematologist.
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I in general have looked for career development awards and career development programs that
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have enhanced my ability to be a great hematologist, my research areas in hematology.
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And so that's why I look for opportunities in hematology.
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So I'm going to share some examples of resources that I personally experienced that have helped
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me.
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But these are not necessarily focused, or at least my goal is not to tell you what hematology
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resources are available.
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My goal is to give you a sense of all the resources you should be looking out for that
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could possibly help you advance.
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And so these are, that's kind of my disclaimer as I get started sharing these episodes with
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you.
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So I will tell you that my very earliest career development or professional development workshops
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were doing residency.
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Actually, I take that back.
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They were doing fellowship because fellowship was the time at which I started thinking about,
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OK, moving on to the next phase.
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You know, when you go to fellowship, you're taking what's already a specialty and you're
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going deeper.
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You're doing a subspecialty.
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And you've kind of decided that you're going to do something a little bit, well, I shouldn't
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say unique because in all of medicine, what we do is unique, even when it's general.
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So even when you're a general internist, you can see a unique population.
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You don't have to be a subspecialty fellow, or you don't have to do a subspecialty fellowship
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to be able to do that.
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But when you do do a subspecialty fellowship, you're kind of, you know, you're narrowing
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down the focus quite a bit.
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And so you think a lot more about your career and you think a lot more about opportunities.
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And because of the way ACGME, and that's the Association of Colleges and Graduate Medical
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Education, I believe, if I'm wrong, please just show me grace, I will put the right abbreviation
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in the show notes.
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But the ACGME is, I mean, they've got specific requirements, right, in fellowship.
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And so we do, you know, a set number of months of clinical training, then a set number of
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months of research, if research is part of your fellowship.
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And so there is flexibility in that.
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It's to some extent a lot more elective time than you probably had in residency.
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And it's not really elective time like elective time as much as it's really research elective
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time.
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So it's opportunities to grow in research.
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So anyways, during my fellowship that I first did a very focused trainee workshop.
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It was the Hemostasis and Thrombosis Research Society trainee workshop, HTRS workshop.
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And this workshop was done at least twice a year at that time.
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One of them was before a major animal meeting.
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It wasn't even research focused.
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It was really just about thinking about clinical cases and hematology.
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And I'm not even sure why I applied, but there was an opportunity that came across my desk
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and I thought, oh, this would be great.
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I think at the time, they probably paid for you to go to the animal meeting.
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I don't recall all the benefits, but you know, there were benefits that I thought were interesting
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to me.
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I was not thinking, let me go here and advance my research career.
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That was definitely not my thought at the time.
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I was very focused on, you know, I get to go to a meeting and someone's going to pay
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for something and I'm going to, you know, connect with others.
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So it was just an opportunity.
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And I went.
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And at the time, I didn't recognize how helpful it was.
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But now in retrospect, I can say anything that brings you outside of your institution
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and connecting with people at other institutions is beneficial to your professional development
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and your career.
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Anything that brings you in contact with other faculty at other institutions who do things
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differently from the way you do them at your institution, it is always of great benefit
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to your career.
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And so even though I cannot trace my research growth to that experience, at least not that
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I recall, I do know that it was an important milestone in just practicing taking opportunities
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that expose you to other people.
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And this really is the theme of many of the many of the resources that I am sharing with
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you today.
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The first, the first was Hemostasis and Therambosis Research Society trainee workshop.
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And it was my first of many experiences around moving forward and just thinking about my
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career in light of not just one institution, but really in the bigger picture of academic
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medicine.
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The second one also is an hematology focused one, and that was the Hematology Fellows Consortium.
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And this was actually run by a wonderful physician named Craig Kessler.
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He may still be doing it right now.
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It's been a while since I've thought about it.
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But it was a really great opportunity for us as fellows to bring a research question
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and get guidance in expanding that research question.
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And you know, as clinicians, I feel like we understand research and we recognize that
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there are many questions to be answered.
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I think what we don't recognize, or at least for me what I didn't recognize, is how big
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the gap was in terms of the things that I should have known and the things I did know.
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I did not recognize how big that gap was.
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And so it seemed, you know, straightforward that I would go for this two to three day
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workshop and I would come back with a project that I could execute.
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And to some extent, maybe the program was ambitious, or maybe I was the one who was
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thinking that this two to three day program would change everything about research.
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The reality is it takes time to really get involved in research, to really grow research
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program, to really narrow down a question.
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And two to three days doesn't help you get there.
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But two to three days is a helpful start because when you start to accumulate two to three
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days of different workshops that help you continue thinking about your problem, it really,
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really, really does go a long way.
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And so the Hematology Fellows Consortium was really the first opportunity I had to bring
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a research problem that I wanted to address.
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One of the challenges with my attendance of that program at the time is that what I wanted
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to do was still evolving.
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And I think that's a challenge.
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But it's okay.
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It's okay because you learn tools that are applicable no matter what your research project
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is.
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But it would go so much further if you were very clear what population you wanted to contribute
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to and how you would contribute to them and what resources are available to you.
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So I would say that I wish I was in a more mature place at the time to take advantage
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of all the goodness that came from that program.
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But I was not.
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I learned from it still.
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I wish I had a project that I was going to continue longitudinally.
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But I definitely learned from it.
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So I would say that programs like that are helpful.
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They help you think about your research.
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They help you focus on your research.
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But it is important to recognize that these programs are limited in how far they can take
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you because of how short the period is.
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And so many times at these programs, they'll say, you've got to go back to your mentors.
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And to be honest, it's real.
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You get help and then you go back to the help that you should already have on ground.
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And if you don't have it on ground, then you think about how do I build it?
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And so definitely the Hematology Fellows Consortium run by Craig Kessler was a really great resource.
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It was a starting point for me really thinking about my project and thinking about bringing
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other people in to help me think deeply about my project.
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OK.
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So that, again, was another Hematology focused opportunity.
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The third Hematology focused opportunity I want to share is the ASH Clinical Research
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Training Institute.
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That's the American Society of Hematology Clinical Research Training Institute.
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And this was another one of those, which at this time was actually a year long program.
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We had a two week workshop.
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It was either one or two weeks in La Jolla, California.
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I think it was a week.
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And we would develop our projects alongside a cadre of outstanding faculty and biostatisticians
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helping you really think deeply about your project.
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And again, this was one of those, you know, a little bit longer than the Hematology Fellows
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Consortium.
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And it was one of those opportunities where you could just sit with your project that
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you're working on and really get help to, like, enhance it and ask the right questions
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and narrow down your research question and, you know, make the scope smaller.
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And again, for me, it was very helpful.
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I got to connect with mentors.
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I got to connect with classmates.
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In fact, one of my peer mentors and I wrote a paper as a result of that program.
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So it was really, really useful.
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And I also wish I understood what I really wanted to do, what the opportunities were
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for me, because I ended up not being able to take that project forward.
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And for that reason, it felt like that time was wasted.
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The time is never wasted.
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So it felt to me at the time that it was wasted, but it's never wasted because every time you
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take a project and think through how to make it better, how to narrow the question, how
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to narrow the focus so that you can more easily answer it, it's a skill that you will always
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apply to your research over and over again.
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And right now in retrospect, I can say I'm not sure how much I got out of that.
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But part of that is because there are many foundational steps to your growth as a clinician
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researcher or as a clinician scientist.
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And sometimes you forget what pieces came together to help you be who you needed to
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be, right?
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You forget.
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You forget that the alphabet used to be super hard at some point.
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You forget that some special songs that your parents sang with you allowed you to really
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learn it in a way that now you're like, what?
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You mean there was a time I never knew the alphabet?
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Huh?
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Wonder what that was like.
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It's kind of the same experience.
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It was like, I don't think that was helpful, but it was helpful.
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It's just hard for you to say that on the other side of your experience where now you
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have so much experience accumulated, you're not even sure which experience really contributed
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to really moving you forward in a big way.
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Okay.
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So up until this point, I've named three that are very specific to hematology.
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I am going to go ahead and I'll talk about others that are not specific to hematology,
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but I want to say also that whatever your subspecialty or your primary specialty, there's
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always an interest group available that wants to support clinicians who are making this
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transition to research.
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And so your societies have them.
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Actually, it's mostly societies because I think these are three that are specific to
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societies that I've been part of.
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Though the one by Craig Kessler, the Hematology Fellows Consortium was actually supported by
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industry, was not necessarily tied to a specific foundation, though it partnered with foundations
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as well.
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So you probably have a couple of these through your medical societies, whether your state
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medical societies, through industry funding as far as partners in industry, but you definitely
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have access to these and I recommend that if you don't know about them, you go looking
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because they definitely exist.
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And yes, you may be thinking, oh my gosh, they're so competitive.
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You are competitive.
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And that's why you should go out and pursue these opportunities so that you can get them
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and get started on your research journey.
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Okay, those were three specifically focused in Hematology.
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The fourth one was not.
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So the fourth one was an NIH diversity supplement.
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And this was my first major award as a faculty member.
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And it was a major award because it was the first award that actually bought me protected
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time.
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That's why it was a major award and that's why it was a really, really, really important
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award.
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So protected time is so critical to the emerging researcher, whether you are a PhD researcher,
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an MD-PhD researcher, or an MD-only researcher, protected time is critical because when you
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don't have protected time, it means that you are mostly focused doing clinical work if
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you're a clinician teaching, maybe if you're a PhD researcher, but you're focused doing
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other things other than your research.
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So protected time buys you time during your workday to be able to move your research forward
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and to do your research training.
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And so that's why some of the most important awards are really awards that give you, like
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cover part of your salary so that your daytime hours can be spent growing in the research
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that you want to do, moving the research forward and then growing as a researcher as well.
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And so the NIH diversity supplement, which I got as part of a mentor's R01 grant, was
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so critical because it was the first time I actually had time during the day to move
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research forward.
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It was such a pivotal grant and there are many opportunities for diversity supplements
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and what you really need to do is connect with a mentor who already has an other R01
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equivalent or higher grant and carve out a project within the larger grant and then it's
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usually at least at the time was an administrative review.
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So it's not the typical grant that goes in for like a major peer review where things
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can get triaged.
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It generally I think has a higher likelihood of funding as long as you have a reasonable
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project that fits within the landscape of the project of the parent grant.
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And so an NIH diversity supplement was one of the most important first steps for me as
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far as like a stepping stone towards really moving forward in research in a way that was
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substantial.
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Okay.
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The fourth, that was the fourth one.
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Okay, the fifth one, it was an NIH K-12 award.
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Now again it was an NIH award and this was an institutional award.
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And so a K-12 award typically is a career development award that's given to institutions,
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not to individuals.
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And institutions have their own processes for how to put individuals on it and usually
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they are reserved for faculty who want to get more training and research.
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And I don't think they're limited to PhD versus MD.
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I think as long as you are a faculty member who is moving forward in a research program,
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the NIH K-12 could be an opportunity for you.
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Now there are different K-12s.
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At the time I was on a hematology focused K-12.
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It's a hematology and transfusion medicine focused K-12.
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There are other K-12 programs at different institutions.
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And so think about your institution.
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Does your institution have a K-12 award?
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And inquire as to what it takes to apply to be a K-12 scholar.
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Now some institutions have a lot of scholars applying for the same awards and some institutions
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have few scholars.
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And so the competition is really mostly internal and it's important to talk with whoever is
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the director of the K-12 or the PI of the K-12 to think about how you potentially could
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submit a competitive application so that you can take advantage of the K-12 award.
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So that was an institutional award that usually is administered by PI within the institution
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and so candidates are selected through an internal process.
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And that was a major award for me because it further protected my time and now really
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allowed me to start to conceive and move my projects forward in a way that I had not until
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this point.
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Another Career Development Award that I want to highlight is the AAMC Minority Faculty
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Leadership Development Seminar.
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Now this is not necessarily a research focused seminar but it was really helpful for me to
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think about my career.
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It was in a sense it was stepping back from oh I'm trying to do research, I'm trying to
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get grant funding, I'm trying to do manuscripts to really thinking about and conceptualizing
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my career is a big thing which is important.
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It's really thinking about hey I know you're very focused on this aspect of your career
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whether that's clinical or whether that's just research but think about your career
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in the big picture.
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This was like a two to three day award but it was helpful because at that time I had
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been a faculty member for at least a couple of years and it was helpful to step into that
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space having now a framework of what it meant to move my own career forward and having people
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give me insight and advice on how to really take my career to the next level.
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So this was not necessarily a research focused career development opportunity but it really
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was a career development opportunity focused on my career as a whole and it really helped
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me think strategically about how I was building my career making sure that I was moving in
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the direction I wanted to move in.
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So in our faculty jobs we will always be moving in a direction whether it's direction you
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want to be moving in or not is what is up in the air.
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So the AAMC Minority Faculty Leadership Development Seminar was very helpful for me.
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Now I will say that the AAMC puts out a bunch of these leadership development seminars.
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Some of them are for mid-career faculty, some of them are for early career faculty.
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There are different ones and they will change over time but definitely look at AAMC opportunities
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to really advance your career development.
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One that I have done really recently is C-Change and that is I think C stands for culture so
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culture change and that comes out of Brandeis University and it's led by a wonderful woman
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named Linda Palloli and I came to the C-Change Institute, gosh I can't say serendipitously
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because many of these things I guess they could be serendipitous but usually you're
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either on a listserv where people are sending you information and if you're not you should
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get on one or you have colleagues who participated and they are sharing their insights or they
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said it was a great program and so you start to think about it.
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This was definitely one of those that was very, very helpful.
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It was a group of about 16, they take 16 faculty a year.
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I think our group was a little bit smaller than 16 but really it's just really thinking
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about your career, conceptualizing your career as a whole and I think it's especially relevant
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for mid-career faculty where there's almost like a mid-career slump, kind of like a mid-career
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crisis, right, where you start as an early career faculty and people know you need help
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and they're directing a lot of resources at you as opposed to, you know, when you get
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to the senior level where you just know what you're doing or you're very connected, you
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know about things before everybody else knows about them, the mid-career can be a place
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where you don't have as many resources targeted towards you.
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So it was really helpful because it gave us an opportunity to stop and say, well, you
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know what, we've accomplished some successes up until this point of mid-career but what's
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next?
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Where do we want to take this?
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How far do we want to go?
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Is this what we want to be doing?
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And so it was a really, really powerful experience of thinking about our careers in a really
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amazing way and I actually just finished that program this year and it's been really awesome
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and life-changing.
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Okay.
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So those are seven resources that really got me started on my research journey or have
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enhanced my research journey over time.
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I'll summarize the seven, the Hemostasis and Therbosis Research Society Training Workshop,
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Hematology Fellows Consortium, and ASH Clinical Research Training Institute.
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That's the American Society of Hematology Clinical Research Training Institute.
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Those are three examples of various subspecialty-specific opportunities which you probably have in your
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own subspecialty if you're not a hematologist.
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And then other ones that are not necessarily specific to hematology are the NIH Diversity
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Supplement which is available really to all faculty at eligible institutions, NIH K-12
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Award which sits within institutes, centers, or departments and are administered internally,
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and then the AAMC Minority Faculty Leadership Development Seminar as an example of many,
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many AAMC offerings that are available.
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And then C-Change, Culture Change coming out of Brandeis University with Linda Pololi.
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So those are really, really great resources.
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I will say that I've just listed a few.
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These are not an exhaustive list of the resources I've taken advantage of in my transition from
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clinician to research leadership, but these are just a smattering that I wanted to share
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with you.
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I imagine that especially if you're not in hematology, you've had access to a couple
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of other career development or leadership development workshops or opportunities that
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I have not mentioned.
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I would love to hear about them.
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Please send me a DM, leave me a voicemail on the podcast website, or even send me a
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message through the podcast website so that you can also be a part of it, or at least
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you can share with me experiences that you've had in your forward motion in your career.
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All right.
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It's been a pleasure talking with you today.
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I did want to announce, if I haven't already, that I have another webinar coming up when
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you don't have a research mentor, and that's happening December 20th, and it's happening
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at noon Eastern.
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I hope that you will sign up.
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Information about it is on our podcast website, ClinicianResearcherPodcast.com, or you can
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find it at CoagCoach.com slash events hyphen one.
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If you just look for events, you can find it.
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All right.
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It's been a pleasure to talk with you today.
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Thank you for listening.
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I look forward to hearing about your experiences as you take advantage of career development
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resources to move your career forward.
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Have a great, great day, and I'll see you again on the next episode.
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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.