The Benefits of the Annual Review Conference

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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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Thank you so much for tuning in.

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Today I'm talking about the annual review conference.

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And I want to say that if you are not having an annual review with your division director,

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chair, department chair, you absolutely should be, and even if they don't require it of you,

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you should do it anyway.

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And the reason I'm saying that is because there are benefits to you of the annual review.

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It's not a day of judgment, though it feels that way.

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It's like, oh, judgment is coming.

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I hate this.

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But it really is a benefit to you.

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And I am here to talk about ways in which you benefit from doing the annual review meeting.

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And the reason this is a topic on my mind is because I just did mine.

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I did mine yesterday.

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And to be honest, it's always one of those things where preparing for it is the big deal.

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And it's like, oh, my goodness, what's going to happen?

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And then you have the meeting and it feels like it's anticlimactic.

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But it's really important.

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And really all the benefits accrue to you, the faculty member who is preparing for the

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annual review meeting.

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So I want to talk about what those benefits are.

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I will tell you that when I sat at my review meeting yesterday, one of the questions my

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division director asked me was, well, what would you like to highlight?

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And I have to say I paused and I thought, hmm, you know, I don't know.

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I don't recommend that answer.

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And to be honest, in the past, I feel as if I would be so exuberant and say, well, I want

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to highlight the fact that I got this grant and then I got that grant and then I submitted

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this paper.

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But to be honest, in that moment, I thought, you know, I've done a lot of good things.

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And I think they're all obvious.

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And you know, to be honest, they're not obvious and you should explain what they are.

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But it really was the frame of mind that I was in.

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I think I was just past the need for validation in that regard.

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But I do, you know, don't do what I say.

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Do what I say, don't do what I do.

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Yes, if somebody asks you, what would you like to highlight?

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Just bring out all the energy and the exuberance and just talk yourself up.

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Anyway, but the reason I am talking about this is because the AdNL review conference

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is really for you.

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It's not for your division director.

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It really is for you.

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And I want to talk about some of those benefits.

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So number one is that the AdNL review meeting is a chance for you to stop and reflect.

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It is a chance for you to stop and reflect.

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I want to say that one more time.

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It is an opportunity for you to stop and reflect.

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And the reason that's so important is because if we don't give ourselves opportunities to

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stop and reflect, we keep going, going and going.

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And we don't take stock of what has happened.

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And it is so good and so important to be forced to stop and say, wait, what happened this

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year?

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What happened last year?

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Because to be honest, the way we work as humans is that we completely forget every good thing

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that's happened.

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And we tend to remember the things that we haven't done or the things we haven't measured

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up in.

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And we forget all the things that we've actually done.

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And it's the same for when you take an exam.

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You only remember the questions you probably missed, right?

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You don't remember all the questions you got right.

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And that's why it always, always is a bad idea to stop after the exam and talk about

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it because you'll invariably remember everything you didn't remember.

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Anyway, so it's one of those things where we're people who are wired to forget the good

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things we've done.

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And actually, most of us are, some of us actually are good at always remembering good things

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we've done even when we haven't done them.

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But that's not the audience I'm talking to today.

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We are good at forgetting the good things we've done and focusing on the things that

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we have not yet accomplished.

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And that's why it's good to stop and reflect.

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Whether you're forced to, or you just make up your mind to do it, it's really important

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because you're able to really say, hey, what happened this year?

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What did I do?

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What did I do?

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And so the one, the first, and probably the most important benefit of the annual review

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meeting is the opportunity to say, wow, look at what I did.

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The second benefit is that it is your chance to celebrate.

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Yes, I said celebrate.

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It is your chance to celebrate.

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And we are notoriously bad at celebrating ourselves and we wait for others to celebrate

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us and oftentimes they don't.

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And that's one of the things about the annual review meeting.

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You're like on the edge of your seat and you're waiting for someone to say, well done, you've

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done so well.

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And they don't.

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Sometimes they do, but they rarely do because in medicine in general, we tend to be more

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critical, more judgmental than we are celebratory.

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And that's why, that is why the most important person to celebrate you is you.

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The most important person to celebrate you is you.

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And if for whatever reason, no one else has caught a clue, it doesn't matter as long as

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you celebrate you.

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And so the annual review conference is an opportunity for you to say, wow, look at what

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I did.

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I did publish that paper.

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That was a good paper.

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Wow, I did submit these grants, even though only two got funded or zero got funded.

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I worked hard and I made it to the finish line.

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And it's a great opportunity to celebrate.

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And here's the thing, you really want to be celebrating all along the way.

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You want to celebrate every grant submission, every manuscript submitted.

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You want to just celebrate every milestone.

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You don't want to wait until the good news happens, right?

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The good news in air quotes, the good news of the grant being funded or the good news

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of the manuscript being accepted.

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Because that's not really, I mean, it's worth celebrating.

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It's the easy thing to celebrate, but that's not where the hard work happened, right?

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The hard work happened when you met the deadline, your deadline and you submitted, right?

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That hard work happened when you made it to the finish line.

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Whatever happens after the finish line, it's great.

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But really the celebration happens when you get to the finish line.

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And whether or not the grant is funded, you are worthy of celebration for having gotten

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to the finish line.

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Whether or not the manuscript is accepted, you are worthy of celebration for having taken

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it all the way.

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And so if you haven't been celebrating all year, the annual career conference is an opportunity

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for you to stop and celebrate.

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Now one thing I will say is that I know that our focus is on the things that didn't happen.

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And that's why number three is that the annual review conference is an opportunity to acknowledge

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challenges.

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And so yes, there are challenges and yes, there are some goals we had that we didn't

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get to or maybe we didn't even make goals.

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Maybe we just were floating.

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And now we realize that there are all these metrics that we didn't meet and we're like,

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oh, this is not going to be a good conversation.

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And I just want to say, hey, here's where we are.

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And there's no judgment.

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Where you are is where you are.

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And it's information.

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That's all it is.

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It's information.

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Not to be used to judge you, not to be used to beat yourself up, but just information.

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And if you're feeling weird about the details before you, if you're like, wow, I only published

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one manuscript and I really plan to publish four, it's information.

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And if you're feeling icky about it, if you're feeling like, oh, this should have been different,

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that's information too.

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It tells you that you desire a different outcome from the outcome that you had.

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And so it's an opportunity for you to say, wow, these are the challenges before me and

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what is the plan that I want to set forth to be able to have a different outcome next

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year.

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And that's why number four is that it gives you a chance to plan for the future.

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So best case scenario, you met all your milestones, the ones that I hope you set for yourself

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and not others set for you.

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But even if it was others that helped you set it or maybe set it for you, you hit your

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milestones, best case scenario, great.

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Doesn't mean you stop and stop planning, right?

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It says these, you have the opportunity to look back and say, well, these are the things

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that worked for me.

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Hmm, I should try these again.

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Or you might say, well, these are the things that didn't work.

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Perhaps you didn't make the best case scenario.

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Perhaps you were in the worst case scenario and you met no milestones or you met no goals.

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It's an opportunity to sit back and say, well, how can things be different next time and

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to plan the future differently and to say, well, if I didn't make it and I tried so hard

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and I still didn't make it, what resources do I want to bring to bear to help me make

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a different story or tell a different story or have a different outcome this coming year?

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Tip number four is that it gives you a chance to make a plan for the future, whether you

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succeeded and you recognize the things that you're going to do again, or you didn't succeed

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in the way you wanted to and you recognize the places where change is needed.

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Okay, number five is now where we're looking externally and we're saying this annual review

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opportunity allows you to communicate your results in an objective manner.

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Now it's really great because when people ask you how you're doing, you're like, oh,

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I'm doing great or I'm not doing great, but it's not very concrete.

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It's like, what do you mean you're not doing great?

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Or what do you mean you're doing great?

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Like in what way are you doing great or not doing great?

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It's a great opportunity to communicate your accomplishments.

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So now you can say, here are the seven manuscripts that I submitted and the two that were ultimately

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published, right?

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It's very concrete.

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You can say, hey, you may not see the results in the published manuscripts, but these are

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the number of ones that I submitted.

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And it shows that you're making progress similar to your grants.

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So you can say, okay, well, I didn't get any grant this year, but I did submit these three

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applications.

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And that's important because it's very objective, communicating that I made this happen.

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It may not have given me the results I ultimately hoped for, but here is the effort I put in

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it.

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Similarly, you can say, hey, I taught these number of lectures to the fellows, or I participated

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in these committees for the School of Medicine.

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Whatever it is, you're able to put it in tabular format or even just in a list and just outline,

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I gave this lecture on set date.

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I gave it to this many students.

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You're able to just communicate that concretely.

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And that's why it's such a powerful exercise to do just for yourself, to see the sheer

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volume of the things you have done.

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Now what's not necessarily on there is how many patients you saw, which as long as you're

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a clinician, you're seeing patients usually, and that takes up a bulk of your time.

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As long as you're a clinician, you're seeing patients, and that takes up a bulk of your

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time, but it doesn't always count in the scholarly activity that you're recording.

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But did you give a talk at a patient organization, at a support group?

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All of those are things that you can put there.

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Let somebody reach out to you or make certain referrals to you.

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You're able to outline those as well.

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So it's really an objective way of communicating your efforts.

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Instead of looking and saying, well, zero grants means zero progress, being able to

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say, no, I submitted this, I submitted that, I started this new collaboration, I started

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this new project, and being able to just list that.

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And it allows you to communicate how hard you're working or what progress you're making

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or what steps you're taking to your division director or your department chair, or whatever

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it is you sit down to have these conversations with.

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Number six is it's a beautiful chance to level set expectations.

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And so you go into these meetings with your division director, and perhaps all is good,

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and they say, wow, you did so awesome.

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Wow, it's a great opportunity to say, well, thank you.

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In what ways did I do well?

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So that they can be very explicit about the things that they actually appreciated that

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you did.

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What are the things that they're focused on, given your promotion track or given the metrics

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by which you are evaluated?

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And perhaps for you, it's really along the lines of grant submissions, or maybe it's

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more along the lines of publications.

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For most of us who are pursuing the clinician scientist path, it really is about grants

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and publications.

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And so if you have perhaps your division director gushing over one area, you want to know, like,

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okay, this is important to you, got it.

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Or if they're disappointed that one area is not as robust, it's good.

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It's say, oh, okay, so I submitted seven grants and you think I didn't do a great job.

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What is your expectation for me for the upcoming year?

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Right?

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So it's a great chance to ask questions because you are there.

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And I mean, it may be a virtual meeting, maybe in person, but you're able to see your division

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director or your department chairs expressions or see how they respond to the data that you've

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presented before them.

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And it gives you an opportunity to then level set those expectations.

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Okay, I see that submitting four manuscripts doesn't seem to you like enough.

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How many manuscripts are you hoping that I would submit next year to allow you to have

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a conversation about what's realistic, what's not realistic?

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You might say, oh, oh, your hope is that I would submit 10.

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Okay, well, what do we do about the fact that my Wednesday clinic is an all day affair that

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also spills into Saturday and Sunday?

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How can we get me help so that I can focus on the productivity I need to focus on?

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And this is me now actually coming into number seven, a chance to ask for what you need.

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Because the moment you sit down with the objective metrics of what you've accomplished and you

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are able to get a sense from your division director or your dean or your chairs voice,

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right, from their minds, what you're able to get the expectations from your division

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director or other leader, then you know what's expected and you know, okay, this is where

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I need to go.

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Well, this is what's debarring me from getting there.

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Or maybe you've been successful.

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And it's an opportunity to say, do you see that I've been successful in this area?

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Great.

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Now, in order to continue to be successful, this is what I need.

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And it's just a great opportunity to ask for exactly what you need.

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So number seven is that this annual review gives you an opportunity to ask for what you

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need.

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All right, I said seven things.

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Number one, it's a chance to reflect to stop and reflect on the prior year.

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Number two, it's a chance to celebrate every accomplishment.

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Number three, it's a chance to acknowledge the challenges.

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And then number four, plan for the future.

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Number five, it allows you to communicate your accomplishments in an objective manner.

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Number six, it allows you to level set expectations.

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And number seven, it gives you the opportunity to ask for what you need.

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Look, this annual career conference is about you.

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It's about supporting your career development.

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It's about allowing you to win.

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It's about allowing you to seek the support that you need.

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It is not a time of judgment.

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It is not a time of beating yourself up.

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It's a time to just acknowledge what's happening.

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And honestly, you being the person that you are, you've done a lot of good things.

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And so it's important for you to take stock and celebrate the great things that you've

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done.

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So I hope that you do that.

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I hope that you recognize that the annual career conference is for you.

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Even if your institution does not require it, I ask you to please, please, please, please,

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please require it for yourself because it does you so much good.

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And it allows you to communicate in a way that other people are able to understand.

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All right.

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That was a great opportunity to talk to you.

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Thank you so much for listening to me.

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And I look forward to talking with you again next time on the Clinician Researcher Podcast.

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Thank you for listening.

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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.