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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 such a pleasure to be here talking with you

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today.

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Thank you for listening.

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Today, I'm going to talk about why the traditional mentoring system is broken and what you can

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do about it.

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And I really feel like it's important to talk about this topic because it's something I

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wish I had understood when I first started in my faculty career.

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I thought so much depended on my mentors.

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I needed them to help me.

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I didn't feel like they were really rising up to the challenge and just felt like they

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failed me.

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I was like the child who felt like their parents just didn't do enough for them.

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And it's kind of like, you know, when for those of you who have good relationships with

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your parents, you recognize that, you know, when you're younger, you don't really appreciate

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them, but as you get older and certainly as you start to have children yourself, you have

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the sense of like, wow, they did so much for me.

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And you begin to appreciate your parents in a way that you didn't before.

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And it's insight and perspective that you wish you had had as children, you know, in

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honoring them more.

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So anyway, so this is the perspective I'm coming with as someone who, when I was younger

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and a little bit petty, really blamed my mentors for a lot and really felt like they fell short

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of their responsibility.

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And now as someone who's a mentor myself, I recognize all the challenges and now I just

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want to share them.

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And I want to share them, not necessarily to give you a better attitude towards your

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mentors for those of you who've had challenging mentoring relationships, but just to help

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you understand the background of what is broken and how it helps you adjust your expectations.

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And it's helpful because when you recognize what the challenges are, it allows you to

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say, well, what can I expect from this person?

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And it allows you to just manage your expectations.

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So that's the picture.

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That's the perspective that I want to share.

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And so helping you understand why the traditional mentoring systems are broken and what you

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can do about it.

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Okay.

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So the first thing I want to share with you is that structurally clinicians do not get

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research training.

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Okay.

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If you're MD-PhD, you have a different trajectory.

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I'm going to talk about PhDs and so maybe your story aligns more with that path.

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What I find is that MD-PhDs are kind of in the middle of that.

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So MD-PhDs, there's nothing against you, but I really do want to focus on MD-only trained

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clinicians right now.

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And I want to just point out MD-only trained clinicians that research is not part of your

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training.

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It's not, and it's not supposed to be because you came to be an excellent clinician when

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you started out in medical school.

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Yes, you are out to save the world, to help people, but your medical school training is

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about clinical training.

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So most medical schools are certified and most residency programs are certified.

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Most fellowship programs are certified by the ACGME.

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And I think undergraduate medical programs are certified by the LCME and the graduate

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medical education programs, the residencies and fellowships are certified by the ACGME.

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So there are competencies that you need to meet for each to be certified, for each program

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to be certified.

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So the competencies are really around clinical care.

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Okay, this is really important.

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There's a really important foundation to lay is that your training was always about medical

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care in the first place.

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Research was not part of your training.

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Now as part of your training, you understand research, right?

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Because a lot of the basis for biomedical research is patients, is healthcare.

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Every advancement that we're making in biomedical research is about helping the patient, is

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about helping the patient be better, is about helping improve outcomes.

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And although sometimes it's challenging for us to trace back these efforts all the way

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to, all the way to like the Drosophila for those who are working on fruit fly experiments,

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it's hard for us to make those connections.

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But at the end of the day, the whole goal is to move us towards better care for, for

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patients, right?

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So biomedical research, I'm focused on biomedical research.

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Because there's other research that does not necessarily improve patient outcomes, but

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biomedical research, we understand as clinicians because, hey, we're at the forefront of patient

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care.

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And yes, we understand that a new drug that really enhances glycemic control in patients

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with diabetes is important.

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Okay, clinicians, I want you to understand that your clinician education was really about

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clinical care.

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Okay, you understand research because to some extent you understand the basis for research,

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but research training is a very, very defined skill set that usually is experienced by our

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colleagues, the PhD researchers.

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Okay, I'm going to pause now.

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I'm going to talk to you about PhD training.

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PhD training is really focused on research.

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And this is an important thing to understand.

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I know it's intuitive.

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It's like, oh yeah, PhDs go get research training.

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Got it.

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So I want you to understand that they come to research, they come to life with a totally

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different perspective.

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For example, when I was a fellow looking for a lab or a research mentor, I met a couple

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of PhD researchers and they would say, great, how much time do you have for research?

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How much time will we expect for you to come and be in the lab and do these experiments?

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And I would say, well, I have clinic on Mondays.

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That's a half day.

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And then on Tuesday, I have a half day in the afternoon.

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And then on Friday, by the time I was getting to Friday, they were like, I'm not sure I'm

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going to be available to mentor you.

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And the reason that they couldn't understand my three half days of clinic during fellowship

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was that it really is a full-time endeavor.

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And anybody who doesn't have a full-time commitment to a research endeavor is not really going

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to be able to move very much forward.

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But as clinicians, we're clinicians, we take care of patients.

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Research is not our full-time job.

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So anyway, so letting you know that researchers come to research from a different perspective.

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Okay.

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Let's talk about PhD training.

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You start out maybe getting a little bit of research training in your pre-doctoral years.

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You say, hey, I think I want to be a PhD researcher.

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And in your undergraduate education, perhaps if you had a good guidance counselor, they

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would say, are you sure you want to do research?

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Why don't you do a little bit of a pre-doctoral type experience, get a little bit of research

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under your belt and see if this is actually what you want to do.

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So in the course of that, similar to what medical students do, they do maybe a year,

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no more than two.

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And they're like, you know what, I really want to do this research program.

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And so they apply and they go into their PhD program.

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Okay.

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They go into their PhD program and then they start out, first of all, doing qualifiers.

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So they're doing the basic understanding of biochemical things, depending on what they're

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going into for their PhD.

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And then they take their qualifiers and their qualifying exams are to say, wow, you have

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attained a sufficient level of expertise or knowledge to actually do your research.

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And so the qualifiers, that whole experience probably can get them to one to two years

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with their research program potentially.

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But anyway, in the process though, they're not just like learning things.

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They're actually actively participating in research.

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And in this way, they're not really like leading anything yet, but they're going from lab to

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lab, you know, having an experience of like, oh, okay, this might be a lot, I want to participate

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in.

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Great.

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Okay.

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And so they're doing a little bit of research and then they choose their lab.

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They say, this is a lab in which I'm going to pursue research or their program of study

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for those of them who are not in the lab.

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This is the program of study in which I'm going to do research.

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They choose that lab.

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And then for about four to six years, they're focused on just research training.

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They start out on the project of maybe a senior graduate student in the lab.

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They help them finish their project.

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So in that way, they're not necessarily leading research.

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I mean, they're leading their own project, but what they're not doing is leading the

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big picture, right?

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They start off kind of like in a participatory role and then they start to get graduated

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responsibility and over time, over the four to six years in the research training program,

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they become more senior.

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They become directors of the research program, right?

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They become the senior graduate student and they have other graduate students in the lab

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helping them move their projects forward.

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Maybe they have summer students that they also supervise, but over the four to six years

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of their training in the lab, they are getting graduated responsibility in leading research.

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Okay.

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They get their PhD, whoop-de-doo.

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They get a certificate.

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Congratulations.

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Here's your diploma.

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You did great.

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You don't go get a job.

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You first of all do a postdoc.

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If you're going to stay in academia, you're going to stay in research, you're going to

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get a postdoc.

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So they go get a postdoc.

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Any reasonable postdoc experience is like a two to three year experience.

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Okay.

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You do two to three years.

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You get a postdoc.

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And as a postdoc, you're not coming to the lab to figure out your life.

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You're coming to a lab to learn a particular methodology so you can apply it to your research.

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So you come in as a postdoc.

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You come in as a leader.

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You come in as a leader of the senior graduate students, right?

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You drive your own program study.

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You're independent to some extent within the context of your mentor, your research mentors

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program.

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Okay.

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That's the first postdoc.

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Most people actually do a second postdoc.

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So your first postdoc two to three years, second postdoc, maybe two to three years.

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And at the end of all of this postdocing, you're like, I am now ready for an early career

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faculty appointment.

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Okay.

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Now, when we add up all those years, zero to two years in the predoctoral phase, four

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to six years in the research program for the PhD phase, two to three years in the first

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postdoc, two to three years in the second postdoc, we come to eight to 12 years of dedicated

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research training.

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I need to pause and say that number for you again.

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Eight to 12 years of dedicated research training as a PhD.

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You need to remember that number.

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And it's not just about, hey, I'm just helping out.

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It's about graduated research leadership.

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It's about graduated understanding of leading your own program of study, of understanding

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how to have a hypothesis, how to test a hypothesis, how to do the experiments, how to lead the

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experiments, how to plan what experiment is next.

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It's focused research training.

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Okay.

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Let's move to our MD colleagues, right?

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So as MDs, you're a medical student, but before you can get into med school, you do need to

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do a little bit of research.

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So maybe you do a summer program of study.

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You pack a couple of summers in there.

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Great.

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You might get a year of research in that regard.

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And you know, a summer here, a summer there, six weeks here, six, eight weeks there, maybe

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by the end of your undergraduate degree, you've done maybe a year, a year of research.

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And then for some people, not even quite a year, but maybe you were gung ho and you've

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been working in the lab of a research mentor part-time for like your whole four year period

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because you're like, oh, I know.

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I know research is necessary to get into med school.

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Maybe you did two years.

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Good for you.

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So in your pre-doctoral phase, you did about zero to two years.

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Okay.

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Then you went into medical school.

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Now, many of us are still seeking opportunities to lead research in medical school, but most

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of us don't have that.

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But if you do, maybe you go to a medical school where they actually will dedicate a whole

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year for doing research and you do that.

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Okay, great.

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You have a whole year.

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You've done research.

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Good for you.

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You go into your residency program.

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How many residency programs have elective time for research?

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Very few.

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But if they do have research electives, it's like four weeks, right?

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Each elective period is about four to six weeks.

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So maximum time you have in one year is four to six period.

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It's four to six weeks, right?

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It's a short period of time, but maybe you are in a special program where there's like

241
00:12:36,520 --> 00:12:40,280
an accelerated research experience.

242
00:12:40,280 --> 00:12:41,280
Maybe you get a year.

243
00:12:41,280 --> 00:12:42,920
Oh, maybe even two years.

244
00:12:42,920 --> 00:12:43,920
Okay.

245
00:12:43,920 --> 00:12:45,560
Then you go into your fellowship.

246
00:12:45,560 --> 00:12:51,320
An ACGME accredited fellowships for three years have 18 months worth of clinical time.

247
00:12:51,320 --> 00:12:55,000
If it's a 24 month program, it's 12 months of research time.

248
00:12:55,000 --> 00:12:59,160
So 18 months of research time or 12 months of research time.

249
00:12:59,160 --> 00:13:00,160
Okay.

250
00:13:00,160 --> 00:13:04,160
Then at the end of your fellowship, you're ready to apply for a faculty job.

251
00:13:04,160 --> 00:13:05,160
Great.

252
00:13:05,160 --> 00:13:09,400
Now, when we look at you, because you're applying for an academic faculty job in an academic

253
00:13:09,400 --> 00:13:14,040
medical center, when we compare you to the PhD researcher who's also looking for their

254
00:13:14,040 --> 00:13:19,160
entry level academic job at the academic medical center, they've racked up eight to 12 years

255
00:13:19,160 --> 00:13:24,800
of research training and you've racked up three to five years at the most.

256
00:13:24,800 --> 00:13:25,840
And I'm being really generous.

257
00:13:25,840 --> 00:13:27,360
It's really about three.

258
00:13:27,360 --> 00:13:29,480
It's three years of research training, right?

259
00:13:29,480 --> 00:13:34,000
The 18 months you had in your fellowship, maybe you had a year in medical school.

260
00:13:34,000 --> 00:13:36,100
You didn't get up to a year in your residency.

261
00:13:36,100 --> 00:13:39,640
Maybe you did a little bit before you started medical school.

262
00:13:39,640 --> 00:13:43,760
It's really three, no more than 3.5 years.

263
00:13:43,760 --> 00:13:46,920
And that whole time, it's not like you are leading anybody to do anything.

264
00:13:46,920 --> 00:13:50,160
You're just helping out or you're participating.

265
00:13:50,160 --> 00:13:54,240
You are rarely the person who's driving a program of study, who's planning what experiments

266
00:13:54,240 --> 00:13:57,500
happen next, who's leading another person in a research project.

267
00:13:57,500 --> 00:13:58,680
Very rarely.

268
00:13:58,680 --> 00:14:03,360
And so compared to a PhD who has eight to 12 years of training, and then they're like,

269
00:14:03,360 --> 00:14:05,640
oh, I need a career development award.

270
00:14:05,640 --> 00:14:07,960
You have three years at most.

271
00:14:07,960 --> 00:14:10,640
And you also are like, great, I need a career development award.

272
00:14:10,640 --> 00:14:11,640
Okay.

273
00:14:11,640 --> 00:14:17,040
So you now need to understand that you have a gap when you compare yourself to a PhD researcher

274
00:14:17,040 --> 00:14:22,640
of about 10 years in terms of how much training you have had relative to a PhD researcher.

275
00:14:22,640 --> 00:14:27,280
There's a 10 year gap of not having research training.

276
00:14:27,280 --> 00:14:28,280
Okay.

277
00:14:28,280 --> 00:14:29,520
And what does that research training entail?

278
00:14:29,520 --> 00:14:35,920
It entails you being able to write grants to know how to formulate a hypothesis, how

279
00:14:35,920 --> 00:14:41,440
to test a hypothesis, how to evaluate what experiments need to be done, how to plan the

280
00:14:41,440 --> 00:14:44,520
experiments, how to do the experiments, how to evaluate the results of the experiments,

281
00:14:44,520 --> 00:14:49,200
how to interpret data, how to put them into a manuscript for publication, how to choose

282
00:14:49,200 --> 00:14:51,000
a journal to submit for publication.

283
00:14:51,000 --> 00:14:52,000
Okay.

284
00:14:52,000 --> 00:14:56,840
I could go on and on, but there are so many skills that come with doing research.

285
00:14:56,840 --> 00:14:58,760
Here's the other piece of it.

286
00:14:58,760 --> 00:15:02,400
Researchers have multiple mentors throughout, right?

287
00:15:02,400 --> 00:15:05,440
PhD researchers have multiple mentors throughout.

288
00:15:05,440 --> 00:15:09,080
They're not just having the one mentor in their one lab.

289
00:15:09,080 --> 00:15:13,120
Most of them have a thesis committee, but even before the thesis committee, they've

290
00:15:13,120 --> 00:15:14,920
worked in a couple of other labs.

291
00:15:14,920 --> 00:15:19,720
They have a couple of other faculty that they work with.

292
00:15:19,720 --> 00:15:23,240
They probably go to career development training sessions.

293
00:15:23,240 --> 00:15:28,440
So they've had a lot of people pour into them on their journey to becoming an early career

294
00:15:28,440 --> 00:15:29,440
faculty member.

295
00:15:29,440 --> 00:15:34,680
And you, as a clinician, have had a lot of mentors pour into you too, but mostly in clinical

296
00:15:34,680 --> 00:15:35,680
things, right?

297
00:15:35,680 --> 00:15:39,200
And you've been so focused on clinical training, you haven't had that as well.

298
00:15:39,200 --> 00:15:40,200
Okay.

299
00:15:40,200 --> 00:15:44,720
So you have so many things that you need to make up in this 10-year gap between you and

300
00:15:44,720 --> 00:15:50,440
the PhD researcher who, by the way, you're applying for the same funding sources, right?

301
00:15:50,440 --> 00:15:54,040
How is it supposed to all fall on one person?

302
00:15:54,040 --> 00:15:55,040
Okay.

303
00:15:55,040 --> 00:15:58,800
So do you already see that there's a little bit of structural challenge?

304
00:15:58,800 --> 00:16:03,160
It's like, hmm, I'm missing about eight to 10 years of research training.

305
00:16:03,160 --> 00:16:08,280
And now we're going to ask one person, who by the way, has a full-time job in their own

306
00:16:08,280 --> 00:16:13,840
clinical program, in their own research program, we're going to ask this one person to transform

307
00:16:13,840 --> 00:16:15,280
your experience.

308
00:16:15,280 --> 00:16:16,280
Wow.

309
00:16:16,280 --> 00:16:21,600
That, number one, is the biggest structural challenge, that there is so much of a gap

310
00:16:21,600 --> 00:16:26,960
in a clinician's research training experience that it is overwhelming to ask one person

311
00:16:26,960 --> 00:16:33,760
to do it when for researchers, it took a whole educational system to get them that information,

312
00:16:33,760 --> 00:16:35,500
to get them that training.

313
00:16:35,500 --> 00:16:42,480
So already you can see that the challenging task before a mentor is very daunting.

314
00:16:42,480 --> 00:16:43,480
That's number one.

315
00:16:43,480 --> 00:16:47,440
It is an overwhelmingly impossible task.

316
00:16:47,440 --> 00:16:48,440
I'll tell you the truth.

317
00:16:48,440 --> 00:16:54,200
It's an impossible task for one mentor to undertake the work that a whole system of

318
00:16:54,200 --> 00:16:58,720
education undertakes to support research training.

319
00:16:58,720 --> 00:16:59,720
That's number one.

320
00:16:59,720 --> 00:17:00,720
Okay.

321
00:17:00,720 --> 00:17:01,720
That took a long time.

322
00:17:01,720 --> 00:17:04,080
The rest of it will be shorter, I promise.

323
00:17:04,080 --> 00:17:05,080
Okay.

324
00:17:05,080 --> 00:17:08,760
So what I want to leave you with at the end of that is that clinicians actually have a

325
00:17:08,760 --> 00:17:11,280
massive gap in their research training.

326
00:17:11,280 --> 00:17:12,280
It's huge.

327
00:17:12,280 --> 00:17:13,280
It's a chasm.

328
00:17:13,280 --> 00:17:14,280
It's huge.

329
00:17:14,280 --> 00:17:15,280
It's gargantuan.

330
00:17:15,280 --> 00:17:21,280
And to ask a mentor to bridge it is a fool's errand.

331
00:17:21,280 --> 00:17:22,280
Okay.

332
00:17:22,280 --> 00:17:25,760
Let's stop there.

333
00:17:25,760 --> 00:17:30,360
So you want to lead research because you're so awesome and you can, and you know that

334
00:17:30,360 --> 00:17:32,560
your work is going to change the lives of patients.

335
00:17:32,560 --> 00:17:33,880
Good news to you for the work you do.

336
00:17:33,880 --> 00:17:35,560
But you've got a lot of needs.

337
00:17:35,560 --> 00:17:37,400
You've got a lot of career development needs.

338
00:17:37,400 --> 00:17:39,740
Number one, you need to learn to do the research.

339
00:17:39,740 --> 00:17:42,120
You need the research methodology training.

340
00:17:42,120 --> 00:17:43,960
Number two, you need to learn to lead the research.

341
00:17:43,960 --> 00:17:46,600
So hey, Newsflash and I are going to be doing all this work yourself.

342
00:17:46,600 --> 00:17:50,720
You've got other things to do, but you're going to develop and train people to be able

343
00:17:50,720 --> 00:17:51,720
to lead research.

344
00:17:51,720 --> 00:17:54,320
So you do need to be able to learn to lead a team.

345
00:17:54,320 --> 00:17:58,760
You need to learn to do all the things associated with managing people.

346
00:17:58,760 --> 00:17:59,760
Okay.

347
00:17:59,760 --> 00:18:02,400
You also need to do all the stuff regarding grant writing.

348
00:18:02,400 --> 00:18:06,200
I know that gets a lot of press, but there's a lot beyond just grant writing.

349
00:18:06,200 --> 00:18:09,040
And now you're getting an understanding of all the things you need.

350
00:18:09,040 --> 00:18:10,040
And then you know what?

351
00:18:10,040 --> 00:18:12,920
You're a human being and maybe you have a significant other.

352
00:18:12,920 --> 00:18:18,320
And you're navigating the challenges of a dual career relationship.

353
00:18:18,320 --> 00:18:22,280
And especially if you're a two-physician household, wow, you're like, how do we do this and manage

354
00:18:22,280 --> 00:18:23,280
our children?

355
00:18:23,280 --> 00:18:27,460
Or maybe you're an early parent and you have young, young children at home.

356
00:18:27,460 --> 00:18:31,640
You need a little bit of mentoring as far as how do you navigate that?

357
00:18:31,640 --> 00:18:35,600
Or maybe you have an elderly parent that you're taking care of at home.

358
00:18:35,600 --> 00:18:39,080
Those are some things that you might not want to talk to just everybody about.

359
00:18:39,080 --> 00:18:41,840
And then sometimes you're starting to write publications and you're like, well, who's

360
00:18:41,840 --> 00:18:46,600
the first person who can see my first ugly, really ugly draft without judging me, without

361
00:18:46,600 --> 00:18:48,760
feeling as if it needs to be perfect?

362
00:18:48,760 --> 00:18:51,600
Who is the person who can read my very early drafts?

363
00:18:51,600 --> 00:18:54,360
Who's the person who needs to read my final draft?

364
00:18:54,360 --> 00:19:00,440
Who's the person who can help me brainstorm ideas for submitting for grant funding?

365
00:19:00,440 --> 00:19:05,280
So there's a whole lot of that going on and a whole lot of need that you have as a faculty

366
00:19:05,280 --> 00:19:06,280
member.

367
00:19:06,280 --> 00:19:07,280
Okay.

368
00:19:07,280 --> 00:19:13,000
So we take the one faculty member who's your mentor and we say, mentor me.

369
00:19:13,000 --> 00:19:21,760
So that one person is expected to help you in your career, help you navigate your institution,

370
00:19:21,760 --> 00:19:25,600
help you figure out what research grants to apply for, help you figure out what manuscripts

371
00:19:25,600 --> 00:19:28,720
you should be writing, help you figure out how to move those manuscripts forward.

372
00:19:28,720 --> 00:19:34,360
But journals, I mean, oh my goodness, the list of your needs is endless.

373
00:19:34,360 --> 00:19:40,040
Remember that mentor is probably a clinician scientist as well who has other challenges

374
00:19:40,040 --> 00:19:42,200
and other priorities.

375
00:19:42,200 --> 00:19:46,920
And so the challenge is you have a need for mentoring on many levels.

376
00:19:46,920 --> 00:19:48,440
You have a need for support on many levels.

377
00:19:48,440 --> 00:19:50,260
And then we talk about sponsorship.

378
00:19:50,260 --> 00:19:52,160
We talk about mentorship.

379
00:19:52,160 --> 00:19:56,920
You have a need for all of those and they cannot reside in one person.

380
00:19:56,920 --> 00:19:57,920
Okay.

381
00:19:57,920 --> 00:20:00,760
You cannot reside in one person.

382
00:20:00,760 --> 00:20:06,640
The third thing I need to tell you is that mentors are kind of like early, they're kind

383
00:20:06,640 --> 00:20:08,680
of parents of little children.

384
00:20:08,680 --> 00:20:09,680
Okay.

385
00:20:09,680 --> 00:20:13,960
When you are a newbie clinician without the eight to 10 years of research training that

386
00:20:13,960 --> 00:20:16,920
your PhD colleagues have, you need a lot.

387
00:20:16,920 --> 00:20:18,360
There's a lot you don't know.

388
00:20:18,360 --> 00:20:20,560
There's a lot you don't know that you don't know.

389
00:20:20,560 --> 00:20:24,600
And so it really is like a parent who is a newborn, a newborn who's like, help me mentor,

390
00:20:24,600 --> 00:20:25,600
help me.

391
00:20:25,600 --> 00:20:26,600
I want to meet with you every week.

392
00:20:26,600 --> 00:20:27,600
Help me mentor.

393
00:20:27,600 --> 00:20:28,920
I also want to talk to you by email every day.

394
00:20:28,920 --> 00:20:29,920
Help me mentor.

395
00:20:29,920 --> 00:20:30,920
I want to talk to you daily.

396
00:20:30,920 --> 00:20:33,880
I know you're not that needy.

397
00:20:33,880 --> 00:20:36,920
But some of us were.

398
00:20:36,920 --> 00:20:37,920
I was a needy mentee.

399
00:20:37,920 --> 00:20:39,680
I really was, but I needed so much.

400
00:20:39,680 --> 00:20:44,840
And the only person I knew was this amazing mentor who was so lovely and she would answer

401
00:20:44,840 --> 00:20:45,840
all my questions.

402
00:20:45,840 --> 00:20:49,800
And I would be in her office for hours just talking about how it was all not working.

403
00:20:49,800 --> 00:20:55,900
We didn't even talk about your need for clinical mentoring as you're leading a clinical program.

404
00:20:55,900 --> 00:20:56,900
You need a lot.

405
00:20:56,900 --> 00:20:59,760
And your mentors are overwhelmed.

406
00:20:59,760 --> 00:21:04,480
They're like the parent who doesn't sleep at night because their babies are always crying.

407
00:21:04,480 --> 00:21:07,520
And that's like, you're just one mentee with so many needs.

408
00:21:07,520 --> 00:21:08,520
And what if they have two?

409
00:21:08,520 --> 00:21:09,520
I have three.

410
00:21:09,520 --> 00:21:10,520
It's like having triplets.

411
00:21:10,520 --> 00:21:12,440
Oh my gosh, it feels so overwhelming.

412
00:21:12,440 --> 00:21:14,520
I don't even want to think about it.

413
00:21:14,520 --> 00:21:20,280
But it really is like, you know, if you think about the picture of a diapering parent, that's

414
00:21:20,280 --> 00:21:26,200
the picture of a mentor of an early career faculty who has huge deficits in their research

415
00:21:26,200 --> 00:21:27,200
training.

416
00:21:27,200 --> 00:21:28,200
Okay.

417
00:21:28,200 --> 00:21:29,200
I'm getting to the good news.

418
00:21:29,200 --> 00:21:33,400
I just need you to know that I start with the bad news because, you know, I need you

419
00:21:33,400 --> 00:21:35,160
to understand how dire it is.

420
00:21:35,160 --> 00:21:38,560
Then I also want you to understand that there is good news at the end.

421
00:21:38,560 --> 00:21:40,480
I'm going to save the good news for last.

422
00:21:40,480 --> 00:21:41,480
Okay.

423
00:21:41,480 --> 00:21:42,480
All right.

424
00:21:42,480 --> 00:21:46,800
One of the things I also want you to recognize is that faculty do not have the bandwidth.

425
00:21:46,800 --> 00:21:51,360
They I mean, they just and I don't really like the term bandwidth.

426
00:21:51,360 --> 00:21:52,920
It's a nice term that I hear people throw around.

427
00:21:52,920 --> 00:21:54,520
I don't have bandwidth to help you.

428
00:21:54,520 --> 00:21:55,520
You know, it's not really about bandwidth.

429
00:21:55,520 --> 00:21:57,120
It's about your choices.

430
00:21:57,120 --> 00:21:59,720
You choose what you do and everything else just kind of falls to the side.

431
00:21:59,720 --> 00:22:02,760
Of course, I don't have the bandwidth to help you shop for groceries.

432
00:22:02,760 --> 00:22:03,760
That's just not my priority.

433
00:22:03,760 --> 00:22:06,000
I will never have the bandwidth for that.

434
00:22:06,000 --> 00:22:10,600
But I might have the bandwidth to help you work on your on your grants because that's

435
00:22:10,600 --> 00:22:11,600
a priority for me.

436
00:22:11,600 --> 00:22:13,160
It's not really about bandwidth.

437
00:22:13,160 --> 00:22:14,160
It's about priority.

438
00:22:14,160 --> 00:22:18,960
And the reality is that mentors have a lot of other priorities besides you.

439
00:22:18,960 --> 00:22:22,160
I remember thinking I was like, oh, my mentor doesn't think about me.

440
00:22:22,160 --> 00:22:23,160
And that's correct.

441
00:22:23,160 --> 00:22:28,200
Your mentor is, first of all, thinking about their own lives way before they think about

442
00:22:28,200 --> 00:22:29,200
yours.

443
00:22:29,200 --> 00:22:30,200
And it's OK.

444
00:22:30,200 --> 00:22:31,680
It's just it's just the way it is.

445
00:22:31,680 --> 00:22:32,680
Don't judge them.

446
00:22:32,680 --> 00:22:33,680
Don't be upset with them.

447
00:22:33,680 --> 00:22:36,520
Just recognize that they're human, just like you.

448
00:22:36,520 --> 00:22:42,440
OK, now I want to share with you the good news.

449
00:22:42,440 --> 00:22:43,440
There is good news.

450
00:22:43,440 --> 00:22:48,000
But before I share the good news, I want to remind you of what I said earlier, that there's

451
00:22:48,000 --> 00:22:52,400
a structural problem with clinicians being asked to delete research who actually don't

452
00:22:52,400 --> 00:22:53,840
have research training.

453
00:22:53,840 --> 00:22:56,320
That is the primary structural challenge.

454
00:22:56,320 --> 00:23:01,840
OK, the second challenge is that mentors are being asked to close a gap that systems have

455
00:23:01,840 --> 00:23:04,000
been created to fill.

456
00:23:04,000 --> 00:23:07,960
Research training doesn't happen with depending on only one mentor.

457
00:23:07,960 --> 00:23:12,540
By the time you get to your senior mentor as a researcher, you've you've come along.

458
00:23:12,540 --> 00:23:14,100
Many mentors have helped you through.

459
00:23:14,100 --> 00:23:16,040
The system has helped you figure out what to do.

460
00:23:16,040 --> 00:23:18,220
You've been in community with other researchers.

461
00:23:18,220 --> 00:23:23,800
There's a whole system that goes into place to prepare a researcher, a PhD researcher

462
00:23:23,800 --> 00:23:27,960
for eventual research for their research, PhD.

463
00:23:27,960 --> 00:23:31,360
And there's a whole system that develops you as a clinician, too.

464
00:23:31,360 --> 00:23:34,280
But that system is gone in your research training.

465
00:23:34,280 --> 00:23:35,660
It's not there.

466
00:23:35,660 --> 00:23:39,000
And a mentor, one person is asked to fill that.

467
00:23:39,000 --> 00:23:40,920
Wow, it's overwhelming.

468
00:23:40,920 --> 00:23:41,920
Mentors are people.

469
00:23:41,920 --> 00:23:43,180
They've got a lot to do.

470
00:23:43,180 --> 00:23:47,680
And mentors have limited bandwidth or they have other priorities and they're not constantly

471
00:23:47,680 --> 00:23:50,240
thinking about your career development as much as they want to.

472
00:23:50,240 --> 00:23:54,880
They are like a sleep deprived parents of triplets if they have more than one mentee

473
00:23:54,880 --> 00:23:56,880
or maybe even a sleep deprived parent of one.

474
00:23:56,880 --> 00:23:58,160
Oh, he had one at a time.

475
00:23:58,160 --> 00:23:59,160
Oh my goodness.

476
00:23:59,160 --> 00:24:00,160
Oh, it's hard.

477
00:24:00,160 --> 00:24:02,980
Anyway, now on to the good news.

478
00:24:02,980 --> 00:24:04,160
What is the good news?

479
00:24:04,160 --> 00:24:10,480
The good news is to recognize that it takes a system or a system of things to transform

480
00:24:10,480 --> 00:24:14,880
a person from I don't know how to do research to I lead a research program.

481
00:24:14,880 --> 00:24:15,880
I know what to do.

482
00:24:15,880 --> 00:24:17,480
I help other people to do it.

483
00:24:17,480 --> 00:24:19,920
But there's a whole system.

484
00:24:19,920 --> 00:24:23,520
You can take advantage of that system for yourself as well.

485
00:24:23,520 --> 00:24:24,520
Okay.

486
00:24:24,520 --> 00:24:29,320
Number one, let go of this whole meant I need a one mentor that will help me model.

487
00:24:29,320 --> 00:24:30,320
Let it go.

488
00:24:30,320 --> 00:24:37,800
Okay, I want you to pause and just say after me, I let go every unrealistic expectation

489
00:24:37,800 --> 00:24:40,960
associated with my research mentoring.

490
00:24:40,960 --> 00:24:43,680
All right.

491
00:24:43,680 --> 00:24:51,080
I want you to say it one more time, I let go of every unrealistic expectation associated

492
00:24:51,080 --> 00:24:55,720
with my research mentoring.

493
00:24:55,720 --> 00:24:57,320
Thank you for saying that.

494
00:24:57,320 --> 00:24:59,880
Thank you for indulging me.

495
00:24:59,880 --> 00:25:03,480
I want you to say one more thing.

496
00:25:03,480 --> 00:25:07,600
One mentor is not enough for all I need.

497
00:25:07,600 --> 00:25:12,100
Okay, please say it one more time.

498
00:25:12,100 --> 00:25:17,000
One mentor is not enough for all I need.

499
00:25:17,000 --> 00:25:18,760
Thank you.

500
00:25:18,760 --> 00:25:22,480
Now, finally, there's one more thing I need you to say.

501
00:25:22,480 --> 00:25:28,320
I need a system, a community to help me thrive in research.

502
00:25:28,320 --> 00:25:30,960
Okay, one more time.

503
00:25:30,960 --> 00:25:33,080
I need a system.

504
00:25:33,080 --> 00:25:38,600
I need a community to help me thrive in my research.

505
00:25:38,600 --> 00:25:40,440
Thank you for indulging me.

506
00:25:40,440 --> 00:25:43,240
And now I'm giving you the tools to your success.

507
00:25:43,240 --> 00:25:50,160
Number one, it's time to set yourself up with systems that help you succeed.

508
00:25:50,160 --> 00:25:53,200
Systems, what are those systems?

509
00:25:53,200 --> 00:25:55,000
A network of mentors.

510
00:25:55,000 --> 00:25:58,040
And I'm not just talking about guru scientists that are doing it.

511
00:25:58,040 --> 00:25:59,040
They're awesome.

512
00:25:59,040 --> 00:26:00,540
Some of them not great mentors.

513
00:26:00,540 --> 00:26:03,200
They're awesome.

514
00:26:03,200 --> 00:26:07,840
But there's a whole system of scientists who move research forward.

515
00:26:07,840 --> 00:26:11,200
You're going to leverage as many of those mentors as possible.

516
00:26:11,200 --> 00:26:12,200
Okay?

517
00:26:12,200 --> 00:26:15,280
You're going to say, what do I need for X, Y, Z?

518
00:26:15,280 --> 00:26:18,920
And who is the person best equipped to give it to me?

519
00:26:18,920 --> 00:26:20,960
You're not asking one mentor to become your mother.

520
00:26:20,960 --> 00:26:23,840
You're not asking a mentor to become your soulmate.

521
00:26:23,840 --> 00:26:30,320
You're saying, who is the network or what are the different people in the network that

522
00:26:30,320 --> 00:26:33,040
can support me in very specific ways?

523
00:26:33,040 --> 00:26:34,840
I need to learn to write a grant.

524
00:26:34,840 --> 00:26:36,320
Who can help me do that well?

525
00:26:36,320 --> 00:26:38,000
Now, this is important.

526
00:26:38,000 --> 00:26:39,760
You start by defining your needs.

527
00:26:39,760 --> 00:26:44,040
The reason you define your needs is because then you can say, well, do I need a person?

528
00:26:44,040 --> 00:26:47,920
Or is there already a structure within my institution to support me to do that?

529
00:26:47,920 --> 00:26:52,280
For example, if you need to learn how to write better, your mentor doesn't have to teach

530
00:26:52,280 --> 00:26:53,280
you.

531
00:26:53,280 --> 00:26:57,480
There is likely a writing program within your institution that can help you do that.

532
00:26:57,480 --> 00:26:58,520
Do you see?

533
00:26:58,520 --> 00:27:02,880
Take the pressure of this one person who could teach you many things and they could teach

534
00:27:02,880 --> 00:27:06,040
you writing, but writing is not their one skill.

535
00:27:06,040 --> 00:27:10,160
There are people in the writing program at your institution and writing is the only thing

536
00:27:10,160 --> 00:27:11,640
they do.

537
00:27:11,640 --> 00:27:17,080
When you want to learn to enhance your research, you want to learn from the best of the best.

538
00:27:17,080 --> 00:27:18,920
And so you don't go to your mentor.

539
00:27:18,920 --> 00:27:19,920
They're really good.

540
00:27:19,920 --> 00:27:20,920
Their writing is awesome.

541
00:27:20,920 --> 00:27:21,920
I give that to them.

542
00:27:21,920 --> 00:27:23,480
You got to be really good in the science communication thing.

543
00:27:23,480 --> 00:27:27,760
But there are people whose job it is to teach writing.

544
00:27:27,760 --> 00:27:31,320
And that's who you go to to enhance your writing skill.

545
00:27:31,320 --> 00:27:37,640
Another example, if your need is proposal development, if your institution sponsors

546
00:27:37,640 --> 00:27:43,000
research in any way or supports research in any way, there is an office that helps people

547
00:27:43,000 --> 00:27:44,280
develop proposals.

548
00:27:44,280 --> 00:27:46,480
I need to say that again.

549
00:27:46,480 --> 00:27:52,440
There is an office that helps people develop proposals.

550
00:27:52,440 --> 00:27:54,400
Don't go to your mentor first.

551
00:27:54,400 --> 00:27:58,880
Go to the office that helps people develop proposals so you can get advice on how to

552
00:27:58,880 --> 00:28:00,600
develop a good proposal.

553
00:28:00,600 --> 00:28:01,600
You know what?

554
00:28:01,600 --> 00:28:03,920
They may not even have time to meet with you, but they'll say, we've created a series of

555
00:28:03,920 --> 00:28:04,920
100 resources.

556
00:28:04,920 --> 00:28:10,160
And you will be able to tap into those resources for your forward motion.

557
00:28:10,160 --> 00:28:11,160
Tap into systems.

558
00:28:11,160 --> 00:28:13,600
Number two, tap into communities.

559
00:28:13,600 --> 00:28:17,480
There are like-minded people like you who are trying to lead research programs.

560
00:28:17,480 --> 00:28:19,200
Do not do this by yourself.

561
00:28:19,200 --> 00:28:20,200
Okay.

562
00:28:20,200 --> 00:28:22,000
Do not do this by yourself.

563
00:28:22,000 --> 00:28:23,520
Do not do this by yourself.

564
00:28:23,520 --> 00:28:24,520
Okay.

565
00:28:24,520 --> 00:28:29,680
You will succeed because you are leveraging systems for your success and you are leveraging

566
00:28:29,680 --> 00:28:32,360
community for your success.

567
00:28:32,360 --> 00:28:34,920
You will succeed because you desire to.

568
00:28:34,920 --> 00:28:39,360
And now you understand that traditional mentoring systems are not going to get you what you

569
00:28:39,360 --> 00:28:43,760
need, but you, you can get yourself what you need.

570
00:28:43,760 --> 00:28:47,480
The third thing I'm going to invite you to think about, and I say it because I'm a coach,

571
00:28:47,480 --> 00:28:53,880
so you know that I have a bias towards coaching, is that you are a high-level player.

572
00:28:53,880 --> 00:28:55,560
Can I just tell you about you?

573
00:28:55,560 --> 00:28:59,680
If you're a physician, you've come through four years of med school or more, you've come

574
00:28:59,680 --> 00:29:02,840
through residency training, you've come through fellowship training, and now you're like,

575
00:29:02,840 --> 00:29:07,360
I did all that, and now I want to lead a research program, you're an incredible person.

576
00:29:07,360 --> 00:29:08,960
You are like the best of the best.

577
00:29:08,960 --> 00:29:11,400
You're the rarest of the rare.

578
00:29:11,400 --> 00:29:12,940
You're a great player.

579
00:29:12,940 --> 00:29:17,280
And every great player needs to enhance their ability to play.

580
00:29:17,280 --> 00:29:21,280
You need somebody who helps you accelerate your potential, and a coach will help you

581
00:29:21,280 --> 00:29:22,280
do that.

582
00:29:22,280 --> 00:29:25,480
I, as your coach, if you chose me, I would help you do that.

583
00:29:25,480 --> 00:29:27,080
Because, you know what?

584
00:29:27,080 --> 00:29:28,880
As your coach, I'm not going to do your work for you.

585
00:29:28,880 --> 00:29:31,880
I'm not even going to wake up in the morning with you when it's time to do your reps.

586
00:29:31,880 --> 00:29:33,320
I'm just not going to be there with you.

587
00:29:33,320 --> 00:29:38,640
But what I will do is help you to craft a program for your continued forward motion and your

588
00:29:38,640 --> 00:29:39,640
success.

589
00:29:39,640 --> 00:29:43,920
I'll help you craft a structure that helps you understand, okay, who are the people who

590
00:29:43,920 --> 00:29:45,440
need to be on my mentoring team?

591
00:29:45,440 --> 00:29:48,400
Who are the people I need to fire from the mentoring team?

592
00:29:48,400 --> 00:29:49,400
That sounds kind of harsh.

593
00:29:49,400 --> 00:29:53,560
Who are the people we need to let go of respectfully from our mentoring team because maybe they

594
00:29:53,560 --> 00:29:54,960
tear us down?

595
00:29:54,960 --> 00:30:00,920
These are all the things that I, and not just me, any coach can really help you structure

596
00:30:00,920 --> 00:30:03,040
this experience that you're about to build.

597
00:30:03,040 --> 00:30:07,440
Because you're not going to go forward looking for one mentor to save you.

598
00:30:07,440 --> 00:30:13,760
You're going to develop a system and create or become part of a community that supports

599
00:30:13,760 --> 00:30:14,760
your success.

600
00:30:14,760 --> 00:30:17,880
Look, I want to tell you that you can do this.

601
00:30:17,880 --> 00:30:22,680
I want to invite you to take the very first step, just one step this week, one step.

602
00:30:22,680 --> 00:30:27,640
I want you to ask yourself, what are the systems at my institution that support my research

603
00:30:27,640 --> 00:30:28,640
development?

604
00:30:28,640 --> 00:30:30,640
I'm asking you to not think about mentors right now.

605
00:30:30,640 --> 00:30:32,720
I'm just thinking about systems.

606
00:30:32,720 --> 00:30:35,500
Is there a writing program at your institution?

607
00:30:35,500 --> 00:30:40,220
Is there a place that you can go to get your grant proposal looked at?

608
00:30:40,220 --> 00:30:44,000
Is there someone who can help you with resources for your proposal development?

609
00:30:44,000 --> 00:30:49,080
Okay, I'm asking you to look away from your clinicians, look away from your mentors, and

610
00:30:49,080 --> 00:30:54,520
start looking to the systems within your institution that support research.

611
00:30:54,520 --> 00:30:58,720
This week I want you to make a list of them, and I want you to choose one.

612
00:30:58,720 --> 00:31:02,520
I want you to just access that one resource in support of your career.

613
00:31:02,520 --> 00:31:06,880
One, just one, just one, just choose one, and access that resource.

614
00:31:06,880 --> 00:31:08,800
You're not going to ask them to be a mentor.

615
00:31:08,800 --> 00:31:10,560
You're accessing a system.

616
00:31:10,560 --> 00:31:15,280
Choose one, do it this week, and if you want to, come tell me about what that resource

617
00:31:15,280 --> 00:31:19,480
is and how you leveraged it in support of your research program.

618
00:31:19,480 --> 00:31:24,320
Now imagine if you just came up with a list of five to seven systems and you chose one

619
00:31:24,320 --> 00:31:30,120
system every week to leverage in support of your career development.

620
00:31:30,120 --> 00:31:36,200
Imagine the kind of system you would have at the end of the year working for you towards

621
00:31:36,200 --> 00:31:43,040
your growth as a scholar, your growth as a researcher, your growth as someone who creates

622
00:31:43,040 --> 00:31:48,120
a body of work that transforms and enhances patient care.

623
00:31:48,120 --> 00:31:50,960
Oh my gosh, that would be so awesome.

624
00:31:50,960 --> 00:31:52,200
I can't wait to see it.

625
00:31:52,200 --> 00:31:53,600
Yep, definitely coming.

626
00:31:53,600 --> 00:31:55,000
I can see it happening already.

627
00:31:55,000 --> 00:31:59,400
I'm going to invite you to embrace it and make it part of your experience.

628
00:31:59,400 --> 00:32:03,080
If you don't already have a coach and you're looking for one, I'm here for you.

629
00:32:03,080 --> 00:32:04,800
Let me know how I can serve you.

630
00:32:04,800 --> 00:32:07,640
We'll set up a mentoring, set up a coaching call.

631
00:32:07,640 --> 00:32:10,920
I have mentees, and so sometimes I think about mentoring.

632
00:32:10,920 --> 00:32:14,640
My coaching work is different from the mentoring, but I'm inviting you to set up a coaching

633
00:32:14,640 --> 00:32:15,640
consulting call.

634
00:32:15,640 --> 00:32:16,640
Let's talk about your dreams.

635
00:32:16,640 --> 00:32:19,840
Let's talk about your goals and how I can help you get there.

636
00:32:19,840 --> 00:32:23,000
All right, enjoy your time away from this podcast.

637
00:32:23,000 --> 00:32:26,080
I'm looking forward to the very next one to help you succeed.

638
00:32:26,080 --> 00:32:33,360
All right, you take care and please share this with someone else.

639
00:32:33,360 --> 00:32:39,440
Bye bye.

640
00:32:39,440 --> 00:32:44,800
Thanks for listening to this episode of the Clinician Researcher Podcast, where academic

641
00:32:44,800 --> 00:32:50,240
clinicians learn the skills to build their own research program, whether or not they

642
00:32:50,240 --> 00:32:51,600
have a mentor.

643
00:32:51,600 --> 00:32:57,720
If you found the information in this episode to be helpful, don't keep it all to yourself.

644
00:32:57,720 --> 00:32:59,440
Someone else needs to hear it.

645
00:32:59,440 --> 00:33:03,500
So take a minute right now and share it.

646
00:33:03,500 --> 00:33:08,960
As you share this episode, you become part of our mission to help launch a new generation

647
00:33:08,960 --> 00:33:14,920
of clinician researchers who make transformative discoveries that change the way we do healthcare.

