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 an absolute pleasure to be talking with you
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today.
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I want to share this episode with you about not playing it safe.
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So I think I'm calling the episode, Don't Play It Safe.
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The reason I want to bring it up is because I think that most of the time we get the encouragement
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to play it safe.
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Do the thing that's tried and true.
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Do what someone else has already tested and completely optimized, and there's no real
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time for you to try to do something new.
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And I'm here to say that I'm sharing with you the contrary advice.
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I am saying, don't play it safe.
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I am saying, take risks.
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And yes, I am speaking with regard to your career.
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I'm speaking with regard to your research career.
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And one of the things that's challenging about that is that if you are not playing it safe
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and everybody else is, you stand the possibility of losing big time.
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And that's true.
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You absolutely could fall flat on your face and be totally embarrassed.
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But here's the other piece of it.
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You could win big time.
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And so the possibility of real failure is high and the possibility of super, super success
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is high as well.
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And what I would say is that it's not a gamble, but it definitely is important in terms of
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stretching and really discovering all you can be.
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Because until you set a goal that feels unusual and unreachable, you don't know how much you
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can stretch into that goal.
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The example I have to share does not come from academia, but comes from raising children.
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For those of you who have children or are friends or family members with those who do,
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what you recognize and something that I think parents say quite a bit is that you get to
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this point where you're like, we figured this thing out.
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We can now coast.
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Everything changes.
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Everything transforms.
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And you're having to relearn new skills and learn new things.
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And it's always just amazing experience of personal development because they're changing
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and that means you have to adapt as well.
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And so why is that relevant to our careers?
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Well, the reality of our careers is that they're always changing.
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And to be honest, the landscape is not staying still.
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For example, for many of us who have mentors who are 20, 30 years before us, there was
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a certain pattern or certain path that they went through and they did fine.
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When mentors, when I was starting out, my mentor would say, yeah, you want to make sure
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you have 75% protected time.
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And I laughed because everywhere I went, that's how people laughed at me.
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They were like, 75% protected time?
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In whose earth?
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In what reality do you want that?
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And the reality is that some people get it, but not everybody.
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And to be honest, when I look around at early career faculty, the overwhelming majority
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do not have the 75% protected time.
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The overwhelming faculty do not have the 75% protected time.
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I didn't have it.
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And so the career that our mentors experienced or started 20, 30 years ago is different from
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the ones that we are experiencing right now.
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And the advice they have for us is still valid, but we must adapt it to the changing times.
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For many of us, we exist within academic medical centers that are really evolving as corporate
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structures.
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And so things are changing and it's important for us to think about how do we adapt to a
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changing environment while also stretching and growing and expanding.
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And that's what I want to talk about today.
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I want to say, first of all, that you really want to stretch to take hold of new experiences
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and the reality is for many of us who are making that transition from clinician to clinician
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scientist, it's like you're just trying to figure out so many things at once, publications
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and grant funding and submitting proposals and negotiating resources and giving talks
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and building your national reputation.
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There's so many moving pieces that you're trying to figure out all in a short period
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of time.
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And so whenever you get to a point in one part of your career where you're like, okay,
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I figured this thing out, I'm now able to give talks on a great level.
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I know how to be seen and heard.
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People are inviting me to talk.
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You're like, oh, I got this.
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You don't want change because you're like, no, no, no, it took me a long time to get
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to this place of equilibrium.
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Thank you.
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I'd like to stay here, please.
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But the challenge of staying where you are is that you get bored.
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I get bored.
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And all of a sudden it just starts to feel like more of the same.
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And yes, it's safe.
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And yes, it's tried and trusted.
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And yes, it produces predictable results.
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But wow, how boring is that?
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And what really, really helps us is to grow and expand and stretch for what is different
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and new, stretch for what helps us discover new aspects of ourselves that we've never
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discovered before.
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Because I have to say that this career, academic medicine, it's a long career for many of us
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who stay in academic medicine.
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For me, I've been here 20 years.
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And I'm counting from when I started med school.
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I've been here 20 years.
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And you might say, well, med school is different from residency, it was different from fellowship.
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But in reality, it's all being part of one long, big career.
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And staying 20 years in one career is a long time, except you continue to reinvent the
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career, right?
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When we went from med school to residency, that was a reinvention.
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Yeah, it was more of the same, but there was a transformation.
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It was not the same.
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And when we went from residency to fellowship, there was another big transformation.
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And when we went from fellowship to faculty, wow, huge transformation.
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But when we get to faculty, there can be a sense of stagnation.
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It's like more of the same doing clinical care, more of the same, okay, I wrote the
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grant and then I wrote it again and then I submit it again.
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There's a feeling of you're doing the same things over and over.
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And sometimes to be honest, this is why our clinical spaces are so attractive, because
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there's variety in patient care.
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In reality, every case that you see, or every person with any disease entity you see, there's
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a variation on a theme.
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It's interesting.
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There's a conundrum.
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So that's one of the reasons why we love patient care, because patient care is so dynamic.
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It's always transitioning.
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It's always changing.
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We're always challenged.
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We're always looking for new answers.
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It's really cool.
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And how about we apply that to our academic careers?
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We think about how do we continue to create novelty or to create situations that allow
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us to grow and stretch within our academic careers.
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And I will say that it doesn't happen unless you're prepared for it, or unless you're prepared
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to seek and take the opportunity when it comes before you.
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You know how people say opportunity knocks but once?
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Such a lot, right?
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Opportunity is always knocking.
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But for people who don't recognize opportunity, there's the sense that opportunity is scarce
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and only shows up once every blue moon.
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And so if we are open to stretching, if we're open to expanding, we see opportunities that
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move us in a new direction.
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We're not afraid to take hold of them.
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So I want to invite you to stretch, to take hold of a new experience that presents itself
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before you and to not be afraid to take hold of it and experience it for yourself.
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And it may be that you're like, you know what?
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I don't like this.
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Or you might be like, wow, I am stretching in this experience, but I actually really
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enjoy it.
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And so I'm encouraging you first of all to stretch, to take hold of new experiences.
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The next thing I want to invite you to do is to challenge yourself to the next level.
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Have you been successful in getting foundation grants?
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Great.
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How about the next level of like it's small foundation grants?
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How about the next level of bigger foundation grants?
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Maybe you've been successful in say your NIHK award.
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Great.
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You know that the next stretch is your R01.
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And maybe you've been successful in the R01s.
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Great.
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Your next stretch is the bigger grants.
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And for some of you are like, no, no, I don't want to stretch in that way.
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And I don't want to challenge myself to that next level.
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In fact, I'm tired and that's okay.
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Right.
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I want to be the next big grant, but you may say to yourself, you know what?
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I'm at a point in my life where I want to think about doing something different.
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Maybe I want to move into a leadership and it's okay.
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Like whatever part of your career that you're in, whatever new challenge you seek, whatever
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new way you seek to differentiate yourself, it's okay.
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But it is important that you are challenging yourself though.
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I will say that there are places, there are parts of our career where we're like, you
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know what?
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I want to be challenged in this space and that space.
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I just want things to remain the same.
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I want to be able to do this work with my eyes closed in this space.
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I want to do that.
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And you can choose that, but I would say that if you are stretching and growing, if you,
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if you want to stretch and grow, and I hope you do, you want to do it in at least one
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area.
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So yeah, keep all things constant while you stretch and grow in this one area, but don't
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allow your whole academic career to just kind of be status quo.
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Right.
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Yes.
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I know it's not the same theme, but really the gift you bring to yourself at the end
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of your academic career is you, is a transformed, wise, experienced you that is able to face
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challenges and be cool and calm about it, be able to think under fire and be able to
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be creative under pressure.
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That's the real gift of your academic career is a transformed you.
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It's not someone who's mastered everything and is perfect at everything.
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You know, we always want to be perfect, but that's not the gift.
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The gift is someone who's dynamic and changing and not afraid of taking a leap or doing something
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new or doing something different.
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The way you get there is by challenging yourself to the next level.
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Okay.
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The next thing I want you to think about is ask yourself, how can I do this faster, better,
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more efficiently?
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Okay.
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You've been doing this thing for a long time.
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Let's say it's proposal development.
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You've gotten really good.
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Okay.
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So how can you do it faster, better, more efficiently, or even better still, how can
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you teach someone else to do it as well as you do?
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I really do feel like legacy is an important part of what we're building here.
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And in reality, for many of us, as we're building research programs, there's mentorship embedded
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into that, right?
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There's the med student who wants to work with you, or maybe it's the resident or the
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fellow.
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There's somebody who wants to work within your program and you bringing them in can
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help you build the legacy of really pouring yourself into them.
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And that is what mentorship is all about.
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Now you have to be intentional about it.
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And to be honest, you do need to be educated.
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Mentoring is not something that comes naturally.
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It's not a skill that comes naturally.
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For those who say it comes naturally, there are many mentees burned in the process of
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that natural happening.
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And in reality, if we're going to be good mentors, we've got to really study to be good
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mentors.
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We've got to develop ourselves, expand ourselves, stretch so that we can be beneficial or a
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benefit to a future generation that we're mentoring.
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But it's important to think about, well, if I'm able to do it already faster, better,
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more efficiently, how do I teach others to do the same?
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And how do I teach others to do the same in a way that preserves their integrity, preserves
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their sense of self, and allows them to see that I respect them within my research program?
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Sometimes in academic medicine, there's just a sense that, look, I'm not here about you.
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Your job is just to get the grant.
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You get the grant, you're successful.
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Good.
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You'll thank me later.
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Right now, I'm just going to pull you through.
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And maybe that used to be the way it worked, but I don't think that's the way, that's the
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right strategy anymore.
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Because the real purpose of mentoring relationships is not the grant, it's not the proposal, it's
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not the published manuscript.
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It really is the development of the relationship in a way that is productive.
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I mean, it's not just about relationship because it's like, why are you here in academic medicine?
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Let's just be friends outside.
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It's about developing the relationship within the context of academic productivity.
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But academic productivity should not be the only thing we pursue and then sacrifice the
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health of the relationship on the platform of academic productivity.
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And many, I feel like that's kind of like the way many of us have come through, where
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it's like, you know what, I'm just going to tolerate this because the paper is coming
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out.
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And I'm saying that we can have both.
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I'm asking that as you're thinking about your mentoring, as you're thinking forward to the
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future, as you're stretching yourself as a mentor, is to say, well, how can we build
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relationship and also encourage academic productivity?
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How can both things coexist?
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And so ask yourself, how can you do what you've been doing before, but in a way that's better,
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faster, more efficient, and in a way that brings others along as well?
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The work thing I want to ask you to think about is to be ready for the pushback.
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Be ready.
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Every time you're like, I want to do things differently here.
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Everyone's like, oh, no, no, no, no.
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We love the status quo.
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It's the way things have always been.
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We don't want anything to be different.
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Please keep everything the same, right?
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You always will get people who push against what's new.
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And unfortunately, for better or for worse, many of the times, it's our more senior people.
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Sometimes it's our mentors who are like, nope, I don't want you doing anything.
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No, please stay with what's tried and true.
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You know?
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And it's helpful to be conservative.
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In reality, innovation is what allows us to transform and move forward and keep up with
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the changing times.
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And if you're going to do something different, if you're going to challenge the status quo
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in any way, you've got to be ready for the pushback that's coming, not just from those
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who are above you who may be more senior and more used to the way things are supposed to
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be or the way things were, but even the support staff around you who might be like, no, no,
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no, no, no, Dr. Superstar, person with RO1s doesn't do it this way.
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Whoa, slow down, right?
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There's going to be some of that pushback.
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And you're going to be able, you're going to need to pause and ask yourself, so what
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do I do with this?
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Pushback is not a sign that you should quit, pushback is not a sign that you should just
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go back to the old way of doing things.
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Pushback is a sign that you need to be creative with the path forward.
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And what does the path forward look like?
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a path forward is to reassess how you push the innovation or how you push the change
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that is coming, right? What do you wrap it up in so that it's palatable to everybody
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who is around you, right? Sometimes you do that. It takes a little bit of energy to do
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that. Or maybe you say, hmm, who is on board with this changing innovation and how do I
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partner with them to move forward while leaving behind, or at least not involving those who
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are not as excited about this innovative strategy, right? It's been intentional. It's been strategic.
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It's innovating beyond the challenge, right? It's not the impetus to say, well, I tried.
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Opposition game, I'm done. Just because they oppose you does not mean you should not move
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forward. Just because they oppose you does not mean you should fold up and throw in the
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towel, right? Just because they oppose you does not mean just wanting that you should
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not move forward. And so I just want to encourage you to expect pushback. Just know it's coming.
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Know it's coming. You're trying to do something new. You're trying to reach for the stars.
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Know that it is coming. The opposition is coming. And so when it comes, you'll say,
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oh, Teyosi told me it was coming. I'm ready now. Or maybe you're not ready, but at least
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it won't take you by surprise. It won't hit you to the point where you're like, oh, I've
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got to just, I've got to, I've got to get my breath back. Oh my gosh. That game and just,
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that just came and took me by surprise, right? It won't be that shock. You'll know it's coming.
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And so you'll be prepared for it. The fifth thing I want to tell you is that you're going
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to be uncomfortable a lot and it's going to be okay. Every time you reach for something
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that's new, every time you reach for something that you've never reached for before, every
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time you do something that's kind of changing the status quo, whether for yourself or your
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environment or for others, there's got to be some times of discomfort and people are
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going to look at you cross-eyed and some people are going to downright stare you down. They're
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going to be like, I don't know what you're doing, but I'm going to stare you down until
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you change. And there may be moments of discomfort, maybe moments where your mentor is like, what's
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happening? What's going on here? You're going to be uncomfortable as you say, yeah, this
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is the way I want to move forward. I have thought about it and this is the way I want
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to move forward. And I just want to say those moments will come, but the price or the reward
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for the discomfort is forward motion, is advancement, it's transformation. It's having more, being
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more. Yes, it's being more than you've ever been before. The gift we walk away with at
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the end of our careers is us. I am the gift at the end of my career. I've been stretched.
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I've been expanded. I'm able to do things that I didn't think I could do before. I'm
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transformed in an amazing way. Yeah, I can write grants and submit proposals. I can make
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arguments for things. I can handle conflict in the literature. I can do all that stuff
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and that's great. But the beauty of those skills, the power of those skills is who I
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become in the process of mastering those skills. It's who I become. The gift is who I become.
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And that's why it's important not to play it safe. I mean, maybe in some areas you're
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like, okay, I'll play it safe here, but definitely push the envelope. Don't settle because that's
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where many of us are. We're just settling. We're settling and we're like, it's okay.
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No one's yelling at me. People are, they can't see me. I'm invisible. And the reality is
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you're miserable. Yeah, everybody's happy with you because somehow you've managed to
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not push the envelope and not try to do anything differently, but inside you're dying because
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you, you, the kind of person you are is a person who's used to transformation, who's
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used to thinking about things differently, who's used to pushing for more. And I want
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to invite you not to stop doing that. I want to invite you to continue to push for more.
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Okay. That was five things I talked about, about not playing it safe. Number one, stretch
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to take hold of new experiences. Number two, challenge yourself to the next level. Number
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three, ask yourself, how can I do this faster, better, more efficiently? And how can I bring
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people on in a relationship to do the same? And then number four, be ready for the pushback.
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And number five, she can be uncomfortable and it's okay to be uncomfortable. That's
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all I have for you today on the Clinician Researcher Podcast. It's always a pleasure
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to talk with you. Thank you so much for joining me today. This episode needs to be shared
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with someone else. I'm inviting you to share with just one person, just one person today
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and do your good podcast deed for the day. All right. It's been a pleasure. I'll talk
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to you again the next time on the Clinician Researcher Podcast.
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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. If you found the information in this episode to be helpful, don't keep
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it all to yourself. Someone else needs to hear it. So take a minute right now and share
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it. 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.