What to Look for in a Job and How to Get It


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What to Look for in a Job and How to Get It

  1. 1. What to Look for in a Job and How to Get It<br />…Or How Not To Make The Mistakes I Did<br />Kathleen O’Neil, MD<br />
  2. 2. Plan for the Hour<br />General comments on jobs in academic/ subspecialty pediatrics and jobs in general<br />How to get the info you need about that “perfect” job<br />Interspersed tips on negotiating<br />
  3. 3. The BIG Issues<br />Mentors<br />Collaborators – the “supportive research environment”<br />Salaries/Benefits<br />Time allocation – clinic, teaching, research<br />“Protected” time<br />Start-up packages <br />Ways to supplement start-up funds<br />Funding your time & research costs<br />
  4. 4. Pediatric Job Lists<br />American Academy of Pediatrics sponsors PedJobs (www.pedjobs.org/) <br />Your subspecialty societies may have website listing positions available<br />Bulletin boards at meetings (PAS, SSPR, subspecialty societies, etc.)<br />Specialty journal advertisements<br />Advertisements in Peds, J. Peds, etc.<br />List serve listings<br />Word-of-mouth<br />
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  8. 8. Options You Might Face<br />Type of position<br />Pharmaceutical industry<br />Private practice or a blend<br />Academic position<br />Join an existing group or individual<br />Start a new service/practice<br />Join multi-specialty group<br />Internal medicine subspecialists in your discipline<br />Pediatric multi-specialty group (not yours)<br />General pediatrics<br />
  9. 9. Private Practice<br />Economically feasible in large cities?<br />This is sub-specialty dependent<br />Neonatology, diabetology, GI<br />Most must do some general pediatrics or other <br />Might combine private practice with: <br />Research<br />Teaching <br />Administration (peds training program director, chief of peds at local hospital)<br />
  10. 10. Academic Positions<br />Large volume clinical practice (F/T)<br />Research (basic or clinical)<br />Teaching<br />General Pediatrics teaching/clinic<br />Administration (asst. program director of residency, IRB chair, etc.)<br />Other specialty care<br />
  11. 11. Decisions, Decisions<br />Join existing person/group<br />Go where there is nobody in your subspecialty<br />Stay on where you did your fellowship<br />Join an “adult” subspecialty group<br />Become THE pediatric subspecialist in another division <br />
  12. 12. The biggest issue:Find A GOOD MENTOR<br />Take a job with a good mentor, or find one<br />S/he does not need to be in your division, your practice/group, or even your department<br />The mentorship process is an active one for the recipient, not just the mentor<br />Set up regular meetings with your mentor to set goals and monitor progress<br />A mentor should look out for your career, your success/promotion/time protection, and should help you find opportunities to advance<br />A great mentor will also look out for your health and happiness, and be sure you keep balance in your life<br />
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  14. 14. Collaborators Are Essential<br />Clinicians – I can’t imagine caring for sick SLE patients without pediatric nephrology, hematology, etc.<br />Even if you are a solo pediatric subspecialist, you need colleagues – email, listservers, phone<br />Researchers – biostatistics and epidemiology consultants, molecular biologists, basic scientists in related fields…<br />The “Supportive Research Environment” is essential to NIH funding success<br />
  15. 15. Issues: Salary & Benefits<br />How will your position be funded?<br />State “line” or other “hard money?”<br />Departmental guaranteed salary<br />Clinical revenues<br />Research dollars<br />Productivity incentives (work RVUs)<br />Benefits<br />Health, dental & vision insurance<br />Life insurance<br />Disability & long-term care insurance<br />Retirement – ON WHAT PORTION OF INCOME??<br />Stipend for travel, professional memberships, journals, books ~$1-3000/yr<br />
  16. 16. Salary – Where to get #s<br />American Association of Medical Colleges Report on Medical School Faculty Salaries (2009-2010)<br />By specialty, by rank & region (all peds, all regions)<br />Rank<br />Number<br />25th %ile<br />Median<br />75th %ile<br />Mean<br />
  17. 17. Median Salary in Midwest Region by Specialty - AAMC<br />
  18. 18. SOUTH<br />MIDWEST<br />
  19. 19. Interventional Radiology(read it and weep) 2010<br />Highest paid full professor: $579,500 in 2006<br />2009-2010 figures not published yet<br />
  20. 20. Benefits<br />These are generally pretty standard, but…<br />Make sure you know if retirement is calculated on “base salary” or “total compensation”<br />If it’s on your base, you might need to contribute to individual retirement acct.<br />Don’t forget to budget for disability and long-term care insurance<br />Some (rare) universities have tuition for family members. This can be a HUGE bonus <br />(i.e., Syracuse University plus Boston College fees exceed my take-home pay)<br />
  21. 21. Time Allocation<br />Clinical time<br />Research time<br />Clinical<br />Bench<br />Teaching responsibilities<br />Fellows?<br />Inpatient general peds attending?<br />Students of all sorts?<br />Administration<br />Committees for Univ. - Dept. - Hosp. - National groups – Service organizations<br />
  22. 22. Clinical Time Issues<br />Each ½ day of clinic is 10%, but <br />Dictations, Editing letters, Triaging urgent referrals, Prescription refills, Prior authorizations for insurance coverage, Home care orders, Lab result review, Phone questions, <br />ALL add to total clinical time<br />Inpatient service and consultations<br />Procedures<br />
  23. 23. Preserve Your Time<br />In academic settings, the university’s promotion policies are usually online<br />You must do some “citizenship” duties and provide some service<br />Choose your service commitments wisely. <br />IACUC, IRB can take LOTS of time<br />Be sure it pays a % of your time<br />Don’t take on responsibilities you are not prepared to handle, e.g., division chief in year 2 or 3<br />
  24. 24. Your Support Personnel and Your Time<br />Will you have a dedicated nurse (or even a ½-time nurse)<br />PA, PNP, fellows, etc.<br />Will you have a secretary who will do your work?<br />Is there a GCRC, research office, departmental research nurse or group of them for clinical studies?<br />Will you have a lab assistant if you are doing bench research?<br />
  25. 25. The Myth & Reality of PROTECTED TIME<br />Most offers speak of “protected time.”<br />How will your time be protected?<br />Who will cover service if your boss is out?<br />How often does s/he travel?<br />Blocks of time are essential for most lab-based research<br />Who answers the phone calls and triages them?<br />
  26. 26. Start-Up Packages<br />Your job offer should include the seeds you need to be successful – (not the whole tree)<br />Office space, computer, secretarial support, +/- nursing support<br />Laboratory space – Might be shared<br />Basic equipment to get started – available and accessible research cores, shared facilities<br />Basic supplies, typically for 2-3 years<br />Some technical help (salary, benefits) for the lab for 2-3 years – unless you have > 75% protected research time<br />
  27. 27. Letters of Offer<br />Hand-outs – examples of academic offer<br />Letters are pretty standard<br />Academic rank, or administrative title<br />Expectations / conditions of employment<br />Pay / benefits<br />Terms of renewal or promotion<br />Often referenced in the faculty handbook or online policies if academic<br />Conditions for partnership or advancement in practices<br />Not a contract – a basis for negotiation<br />
  28. 28. MedCenterToday Check List: The Must-Haves in Academic Med Center Contracts<br />Negotiating an employment contract for your self? Quickly consider these basic things as a framework for conversation and contract...<br />Strive for a clear description of job duties and the institution's short term and long term expectations of you as a faculty member.<br />Request a detailed description of and timetable for career-advancement opportunities.<br />Be sure that the contract contains fair and equitable contract term lengths and termination provisions.<br />If you seek an academic life of teaching and research, get comfortable with the specifics arrangements of how "protected time" will be afforded and guaranteed.<br />Have detailed conversations and include in your contract, well-defined terms regarding future ownership of intellectual property.<br />Things may not work out, avoid unrealistic non-competition provisions. - MedCenterToday.com staff. <br />
  29. 29. Supplementing Your Start-up Package<br />Are there institutional research grants?<br />How competitive and how much $$?<br />Are there foundation grants in the community?<br />Does your chairman have cash for shortfalls if your first grant is close, but doesn’t quite get funded?<br />Some universities have a transition program that funds young faculty while they begin independent research programs, often called fellowships <br />
  30. 30. When to Apply for Grants<br />Each grant mechanism has a lag time<br />Some can be awarded only once to any one investigator<br />Others must be relinquished if you get outside funds<br />Know this in advance, and use your start-up funds first, and wisely<br />
  31. 31. What Else Do You Need for Success?<br />Do you need an MPH, or other training to achieve your goals?<br />Can the university provide this as part of your start-up, or give you discounted tuition?<br />Do you need 3 more months in your current lab to be ready to move the project to your new position?<br />If you don’t ask, you won’t get it<br />
  32. 32. Grants for New Faculty<br />Seed grants from the university or department<br />Foundation grants (e.g., Arthritis Foundation, Lupus Foundation, etc.) are increasingly competitive at national level, but local chapters might offer money<br />COS (www.cos.com) Community of Science – you enroll, get periodic emails with grant opportunities from your keywords<br />https://proposalcentral.altum.com/ - online proposal management service, a number of current funding opportunities<br />
  33. 33. Other Grant Options: NIH<br />
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  35. 35. K (training) Awards<br />
  36. 36. Resources for New Investigators button<br />
  37. 37. K-Kiosk<br />
  38. 38. Other NIH Mechanisms<br />R03 – the small grant<br />$50,000/year for up to 3 years<br />Cannot have been PI on R01 or other major NIH grant<br />Good way to get preliminary data<br />R21 – the exploratory/developmental award<br />Up to $275,000 divided over 2 years<br />Requires less preliminary data than R01<br />Allows some element of risk to the project<br />R15 – AREA grant, the academic research enhancement award<br />For institutions with <$3M in research funding<br />See website for excluded institutions<br />
  39. 39. Funding Opportunities<br />
  40. 40. SEARCH Function<br />
  41. 41. New Announcements This Week<br />
  42. 42. Further Down Page<br />
  43. 43. Subscribing<br />To Subscribe to the NIH Guide LISTSERV, send an e-mail to listserv@list.nih.gov with the following text in the message body (not the "Subject" line): subscribe NIHTOC-L  your name(Example: subscribe NIHTOC-L  Joe Smith)Your e-mail address will be automatically obtained from the e-mail message and add you to the LISTSERV. <br />
  44. 44. As You Prepare for the New Job…<br />Apply for your license 6 or more months before your start date<br />Apply for hospital privileges<br />Apply for insurance plan provider status (often many, many forms)<br />Keep everything in a safe file<br />Keep your CV up-to-date<br />Seriously consider credentialing company – they maintain permanent files<br />
  45. 45. A Few Parting Thoughts<br />Remember your value during negotiations<br />Value = quality/cost. You bring quality - at some reasonable cost. The numerator drives the equation<br />The first offer is just that – negotiation is OK<br />Look at all your options<br />If you and a spouse are job-seeking, both of you must be happy with the outcome<br />The employer gets a bargain with 2-for-1 family deals – don’t assume you are lucky just to get an offer for both of you<br />It is common to move after a few yrs<br />
  46. 46. Wherever you go andwhatever you do<br />Do it with passion<br />Get involved<br />Remember what a privilege it is to be trusted to care for someone’s child<br />