Women’s Health Fellowship:Clinical and Research Training Women’s Health Congress March 15, 2012 Timothy R. B. Johnson, MD Professor and Chair Department of Obstetrics & Gynecology
POSTGRADUATE EDUCATION AND TRAINING- Residency (4 years x 5, approved for 6 residents beginning 2008)(ACGME)- All four ABOG fellowships (ONC, MFM, REI, FPMRS)(FPMRS is actually ACGME accredited starting 2012)- Minimally Invasive Surg Training Program (2 yr)(AAGL)- Women’s Health (OBG, Fam Med, Peds, Psych, Int Med )- Family Planning/Reproductive health (2 yr) (National Office, UCSF based)- Pediatric/adolescent gynecology (1-2 years)(NASPAG)- BIRCWH K-12 Training Program (Interdisciplinary)- WRHR K-12 Training Program (OBGYN’S)- Breast Training Program ( 1-2 yr)- RWJ Clinical Scholars Training Program
Disciplinary primer• Multidisciplinary: Playing in the same sandbox• Transdisciplinary: Playing with each other’s toys• Interdisciplinary: Playing and building together to make new toys
Why interdisciplinary research training?• Collaborations benefit all involved. Publish enough so that each investigator can take the lead• New career development mechanisms have been funded (this K12 is one of them)• NIH has instituted Study Section Boundaries Teams to promote interdisciplinary research
First Tuesday Women’s Health• Mandatory monthly meeting begins with lunch (sponsored by IRWG), followed by a didactic lecture on a career development topic by an established mentor, then informal presentations of ongoing research by scholars in order to stimulate discussion and provide scholars feedback from other mentors and peers.
First Tuesday Women’s Health• These meetings have taken on a central importance and now attract regular attendance by other women’s health junior faculty members in other career development and fellowship programs including Robert Wood Johnson scholars and several post- doctoral programs.
Other Best Practices• Idea development – Opportunities to interact with others to lead to projects that are interdisciplinary IDEA GENERATION AS KEY TO SCIENCE• Manuscript Writing skills – “Work shopping” manuscripts in preparation, revision of manuscripts, grants in preparation, and grants resubmission has proven extremely valuable
Importance of project Low(1) Med(2) High(3) Don’t Most Far bother projectsCloseness (1) tofinishing Most 2nd Med projects priority (2) Most 2nd TOP Almost projects priority PRIORITY! (3) John DeLancey
• Presentation skills – Scholars present work in progress in front of other fellows and faculty members and the PI. Once accepted at meetings, plan for presentations national meetings• Evaluation and feedback – Regular planned evaluation of both research and career development• Reasonable goals – While R01 funding after only 2-3 years is a challenging goal, individual K awards and smaller R grants are attainable
• Only minimal teaching responsibilities as appropriate to optimize academic career development• Bring together all scholars monthly for a sense of community• Teach ethics by example• Be vigilant in detecting and correcting misalignment between the institutional culture and scholar to prevent research burnout
Mentorship Best Practices• Quality mentorship – Provided by PI, Advisory Committee, research mentor, but also peers• Strong research training – How to turn novel research ideas into hypothesis-driven aims• Provide a Career Development mentor who knows your departmental culture for promotion
Mentor “Quilt”• A single mentor cannot be all things at all times. Some mentors work best with the big picture, while others can help with protocol details• Seek appropriate connections to expand your research• Include a work-life balance mentor who you admire for personal support
You have many roles partner scholarperson clinician You, Inc administrator Parent volunteer Susan Johnson
Finding balance Life Work Loved ones Self Renewal Giving Communityhttp://www.centerforworkandfamily.comhttp://hr.umich.edu/worklife/
Ways to prevent burnout• Make peace with the bureaucracy (Division, Department, IRB, University, NIH)• Do not compromise your values (find a way to work in what you believe in)• Keep your skills updated• Invest in your personal life
Start with the basics• Recruit scholars (fellows, post-docs) who’ve demonstrated interest in research careers• Keep mentors who have experience in teaching how to turn novel research ideas into hypothesis-driven fundable research programs• Guaranteed research time (minimum 75%) and follow-up on expectations
We specifically drew upon the other successfulprograms at the U of M like the MichiganInitiative for Women’s Health, Center forExcellence, IRWG, RSP, departmental fellowships
The birth center in the new Von Voigtlander Womens Hospital features 50 private patientrooms, including six which offer birthing tubs. Each room also features a sofa which pulls outinto a sleep space and a comfortable chair which reclines fully for sleeping.
References• Rogers J; Johnson TRB; Warner P; Thorson J; Punch M. “Building a Sustainable Comprehensive Women’s Health Program: The Michigan Model.” J Women’s Health, V 16, No 6, 2007.• Domino S; Smith Y; Johnson TRB. “Opportunities and Challenges of Interdisciplinary Research Career Development: Implementation of a Women’s Health Research Training Program.” J Women’s Health, V16, No 2, 2007.• Domino S; Bodurtha J; Nagel J. “Interdisciplinary Research Career Development: Building Interdisciplinary Research Careers in Women’s Health Program Best Practices.” J Women’s Health, V20, No 11, 2011.• Keeton K, Fenner DE, Johnson TRBJ, Hayward RA: Predictors of physician career satisfaction, work-life balance and burnout. Obstet Gynecol 109(4):949-955, 2007.