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Welcome to the Clinician Researcher podcast.

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I'm your host, Toyosi Onwuemene,

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and it is a pleasure to be speaking with you today.

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Thank you so much for tuning in.

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Today, I am talking about when going above and beyond

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may not be the right thing to do.

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And it's an interesting, interesting episode.

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I'd love to hear your thoughts at the end of it.

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But before I get started, I just want to let you know

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that Clinician Researcher Academy is open for enrollment.

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Yes, this is our weekly group coaching academy,

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and this is where we help clinicians build the habits

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that are necessary to help them succeed as researchers.

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We help shape identity.

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We help you really get the results that you want

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in being able to do research that resonates with you,

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research that resonates with you,

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and also in being able to get publications

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and get grants submitted,

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whatever it is that you want to do

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in terms of growing your academic career.

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So excited to let you know that we are open for enrollment,

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and if you want more information,

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you can go to coagcoach.com, which is our website,

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and look for the tab Academy,

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and there's information about the Academy right there.

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All right, so I hope that you will think about joining us

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as we help clinicians really make the transitions necessary

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to succeed as researchers.

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Okay, so going above and beyond

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is our thing as physicians, right?

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We just go the extra mile,

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and it's part of our training.

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This is not even just so much like,

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oh, we're born this way.

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It's that we've been practicing this for so long.

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It is the way we think.

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It's the way we do things.

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So when you were an undergrad

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and really trying to get into med school,

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you were kind of the overachiever

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doing all the extra stuff, the shadowing,

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the doing the extracurricular so that you could write,

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hey, look at all the stuff I did.

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Let me get into the pre-med program, right?

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So you did that.

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And then you got into med school,

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and you were the person who studied and studied and studied

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and took tests and aced the tests.

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Some of us didn't, some of us didn't.

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But you did all that, and then you became a resident.

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Oh my gosh, like how hard you worked.

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You even took overnight call.

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Then you became a fellow, and wow, you went the extra mile.

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You're staying up late.

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It's our tendency to go above and beyond.

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While we become faculty members,

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going above and beyond is not always beneficial.

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It's not.

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I would say going above and beyond is important,

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and please do that as much as you can.

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But if you try to go above and beyond in everything,

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wow, it's kind of hard.

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It's challenging.

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No wonder you're burned out.

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No wonder you feel like you wanna quit.

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The question is, what are the things you need

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to actually go above and beyond in,

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and what are the things you need to do with minimal effort?

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And it's challenging to know how to do that, right?

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It's challenging to know how to do that.

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But in fact, one of the things that I,

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a story I wanna share is just, you know,

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I just actually, I'm recording this

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after a coaching session, and one of the clients,

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one of our clients talked about how, you know,

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she's on this project.

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It's a collaborative project, and she seems to be

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the one who's driving everything.

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And she was like, well, you know,

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all the rest of the collaborators are attendings,

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and I'm the only person who's a resident,

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and I really feel like, you know,

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I feel guilty when I don't have extra results,

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when things haven't moved forward

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like they're supposed to.

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And it turns out that she had a requirement

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for a project that she's completed.

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She's actually completed the project,

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but now she's going above and beyond.

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She's like, I'm done, but I wanna help

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to see this thing succeed.

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And it turns out it's a QI project,

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and there's a lab director who's part of this QI project,

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but she's on the project only to the extent

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to which it fulfilled a requirement for her.

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But so now she's on the project

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because she wants to get a good letter from the person

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who's gonna be a program director next year.

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And so when we really broke it down,

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it turns out that she was really trying

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to make this person happy because she was hoping

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that if she continued working hard,

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then this person would like her more.

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But it wasn't actually to her benefit

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that she continued to make these kinds of investments

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because you know what, she had actually finished

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the project, she had finished her responsibility

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on the project, and now her continued working

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on the project was actually affecting other things

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that she was supposed to be doing.

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And so I tell her story just to share

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that this is a common challenge for us.

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We're going above and beyond in so many things,

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and in reality, not all things are prioritized equally,

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not all things are equally important.

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So how do we separate going above and beyond

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in the right things versus going above and beyond

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in things that actually may not make sense?

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So I wanna talk to you about questions to ask yourself.

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Okay, questions to ask yourself.

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So if you find yourself doing more than anyone else

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in any collaboration, I want you to ask yourself why.

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If you are the one who's doing all the work,

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and this is not an unusual scenario,

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found myself in this situation,

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and I'm guessing that you have too,

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but if you find yourself as the one

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who's doing all the work,

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and it feels like you're pulling more weight

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than everybody else, pause, stop.

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Say, hmm, how come this is the case?

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And it's really important for you to pause and ask

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because it helps you figure out how to move forward next.

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Now you're pulling all this weight,

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but the work is not moving forward

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because the work really is work for five people.

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And if the five people are not carrying their weight,

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wow, you're gonna be carrying a lot of weight,

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but you're also not gonna be making much progress.

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And so the opportunity to stop and ask why it seems

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as if you're the only one doing all the work is important

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because it helps you decide how best to move forward.

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Okay, so that brings me now to number two.

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You wanna review for yourself

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what are your obligations on this project.

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Okay, let's say you're the leader of the project,

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you're the PI on this project,

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and you know what, it's really important to you.

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And if you don't do the work, the work doesn't move forward

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and you're like, well, I'm gonna carry it all myself.

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You should ask yourself

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are the other people needed on the project?

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Hopefully they're needed

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because you actually need them to do the work.

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But if they're not, then maybe make it a solo project.

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Don't make it a collaborative project.

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But if it's a collaborative project

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and it needs to be collaborative,

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then you do need the engagement of the collaborators.

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And so they all need to buy in

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or the work doesn't move forward.

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And if the collaborators say, well, we don't wanna buy in,

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it's important information,

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it's information that allows you to say,

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well, how do I wanna move forward?

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Do I wanna continue to work with collaborators

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who are actually not pulling any weight?

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Or do I want a new project, find new collaborators?

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And sometimes it actually is harder to continue,

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you're like, ah, I've already invested a lot,

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I'm just gonna keep going.

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It is hard to continue to drag people

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who don't wanna do the work, very, very hard.

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And in fact, sometimes they will derail you

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from the finish line.

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You have to decide, is it important enough

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to continue to drag these people along

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or do I cut my costs, cut my losses and move forward?

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So here is an opportunity for you to stop

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and assess what are my obligations here?

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Especially if you're not even the lead on the project,

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maybe you're not in the PI,

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but somehow you're working harder

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than everybody else on the project.

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Ask yourself, what are the things I'm required to do?

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You wanna understand your obligation to the project.

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What did I commit to doing from the beginning?

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I may be the one carrying everything now,

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but what was my commitment from the beginning

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and what was the commitment of the others

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in the collaboration?

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And that's important so you recognize

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how far have you gone beyond what you promised to go

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and who else is responsible, co-responsible with you

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for moving the project forward, okay?

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The next thing I want you to do

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is to now list all your other priorities

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because sometimes these kinds of projects

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can feel overwhelming.

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And there's a sense that, wait a minute,

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what else should I be working on?

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What else should I be doing, right?

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So what you wanna do is you wanna list your priorities

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and you wanna ask, well, what else am I supposed to be doing?

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What are the other things I'm supposed to be doing?

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So in this particular case of the coaching client

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that I'm talking about,

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she actually had a major exam coming up

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and that was a priority.

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And what's interesting is while she was really focused

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on putting all the energy in this project

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that she was carrying further than the people

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she was working with,

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she actually didn't have time to study for the exam.

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And here's the thing, if she didn't pass the exam,

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the people on the project would not be happy, right?

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These are her attendings.

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So if you are so busy doing a project

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that you weren't even supposed to really be doing

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and then you didn't study for the work

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that you were supposed to be doing,

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people are not gonna be happy with you.

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And so it was an important strategy

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for her to go through and list,

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well, what are the other things I really need to be focused on

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and where does this particular project rank

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relative to the other work that I'm doing, right?

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And when she put them all in rank order,

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what she found out was that, wait a minute,

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this is like at the bottom.

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I've completed my obligation.

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Everything else I'm doing here

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is still number 17 on my list,

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maybe more like number eight,

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but it's not at the top of the list.

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And so all this extra work

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where she was going above and beyond

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was actually not serving her

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because in going above and beyond on a low priority project,

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she was not able to do even the bare minimum

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on a high priority project.

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So how important it is for you to actually be able

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to prioritize the work that you're doing

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so that you recognize where this particular project fits

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and whether you should even be giving this project

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the light of day.

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So we went from talking about, well,

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I wanna go above and beyond to, wait a minute,

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should I even be doing any more work on this project?

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And at the end of our coaching call,

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she came to understand that actually she needed

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to submit her quit notice.

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She needed to say, hey guys,

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it's been great working with you

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and I'm moving on to the other things.

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But she was only able to discover that that was needed

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after she really took the time to prioritize

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her list of activities

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and put this particular project in context

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of all the other things that she was doing.

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Okay.

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The next thing is to ask yourself, well,

264
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how does this project overlap with benefits that help me?

265
00:10:37,200 --> 00:10:38,280
And this is really important,

266
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especially for us when we're early career

267
00:10:41,440 --> 00:10:43,960
and we feel as if like we owe other people

268
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and we need to do things that benefit them

269
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even if it doesn't benefit us.

270
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In life and in academia,

271
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the best work you're gonna do benefits you

272
00:10:53,760 --> 00:10:55,840
and it benefits others as well.

273
00:10:55,840 --> 00:10:59,120
It's always a win-win that really moves you forward.

274
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If you're in a situation where all the benefit,

275
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all the investments coming from you,

276
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but all the benefit goes to someone else,

277
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it feels heavy, you're gonna resent the other people,

278
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especially at the end of all the work

279
00:11:10,280 --> 00:11:11,440
when they don't even recognize

280
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how much of an investment you've made.

281
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And so you owe it to yourself to start to ask the question,

282
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what isn't it for me?

283
00:11:18,320 --> 00:11:22,000
How can I make sure that at the end of this experience,

284
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I actually get what I need?

285
00:11:23,640 --> 00:11:25,360
And it's not a selfish question.

286
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It allows you all to pull in the same direction.

287
00:11:28,320 --> 00:11:29,560
Because here's the thing,

288
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if you have no benefit, but all the investment,

289
00:11:33,720 --> 00:11:36,800
you may not feel like really making an investment

290
00:11:36,800 --> 00:11:39,680
because you don't perceive that you're getting much benefit.

291
00:11:39,680 --> 00:11:40,800
And so ask yourself,

292
00:11:40,800 --> 00:11:45,240
how can I overlap the benefit here with benefit for me?

293
00:11:45,240 --> 00:11:46,840
I'm so glad that I'm doing this work

294
00:11:46,840 --> 00:11:51,120
that allows this director of a certain lab program

295
00:11:51,120 --> 00:11:54,440
to get a QI project done that helps the lab

296
00:11:54,440 --> 00:11:58,560
then to meet its metrics or meet its requirements,

297
00:11:58,560 --> 00:12:02,320
or at least allows them to test a particular new process.

298
00:12:02,320 --> 00:12:04,640
It's great that that work is able to do that,

299
00:12:04,640 --> 00:12:06,360
but does it help you advance?

300
00:12:06,360 --> 00:12:08,680
Does it help you write another publication?

301
00:12:08,680 --> 00:12:10,880
Does it help you gain visibility?

302
00:12:10,880 --> 00:12:12,800
If at the end of the day,

303
00:12:12,800 --> 00:12:17,240
the only benefit is that somebody else is pleased,

304
00:12:17,240 --> 00:12:20,200
it's time to reconsider the project.

305
00:12:20,200 --> 00:12:21,800
I'm gonna say that again.

306
00:12:21,800 --> 00:12:24,960
If at the end of working on this project,

307
00:12:24,960 --> 00:12:28,960
the only benefit is that somebody else is pleased with you,

308
00:12:28,960 --> 00:12:32,400
then it is not worth even working on a project

309
00:12:32,400 --> 00:12:35,120
and definitely not worth going above and beyond.

310
00:12:35,120 --> 00:12:37,040
Now, here's the thing that came up in this conversation.

311
00:12:37,040 --> 00:12:39,240
It was like, yeah, but this person's gonna write me

312
00:12:39,240 --> 00:12:40,760
a letter of recommendation.

313
00:12:40,760 --> 00:12:42,800
It's like, well, who else can write you

314
00:12:42,800 --> 00:12:44,000
a letter of recommendation?

315
00:12:44,000 --> 00:12:45,840
Is this the only person

316
00:12:45,840 --> 00:12:48,640
who can write that letter of recommendation?

317
00:12:48,640 --> 00:12:52,640
And well, how does this project,

318
00:12:52,640 --> 00:12:54,240
continue to work on this project

319
00:12:54,240 --> 00:12:56,280
beyond what you've done so far?

320
00:12:56,280 --> 00:12:58,120
How does it get you more

321
00:12:59,080 --> 00:13:01,880
of what she would already maybe write for you right now?

322
00:13:01,880 --> 00:13:03,280
And the more she had time to think about it,

323
00:13:03,280 --> 00:13:05,040
she recognized that, wait a minute,

324
00:13:05,040 --> 00:13:07,280
I've done a good amount of this project.

325
00:13:07,280 --> 00:13:10,240
I'm at the point where I've done a lot of great things.

326
00:13:10,240 --> 00:13:12,440
I don't actually need to do any more.

327
00:13:12,440 --> 00:13:14,040
And that's important

328
00:13:14,040 --> 00:13:16,160
because trying to make other people happy

329
00:13:16,160 --> 00:13:18,000
is actually a losing battle.

330
00:13:18,000 --> 00:13:21,040
We're not very good at making other people happy.

331
00:13:21,040 --> 00:13:23,280
So it's kind of, it's a project you should just drop.

332
00:13:23,280 --> 00:13:24,880
Like if you're doing anything in life

333
00:13:24,880 --> 00:13:26,360
to make anybody else happy,

334
00:13:26,360 --> 00:13:28,520
you should start to really seriously think about

335
00:13:28,520 --> 00:13:30,360
whether it's even working.

336
00:13:30,360 --> 00:13:31,800
It's like you're putting all this energy

337
00:13:31,800 --> 00:13:34,920
and you're not even getting the outcome that you want

338
00:13:34,920 --> 00:13:36,880
because you can't choose for other people.

339
00:13:36,880 --> 00:13:39,800
You cannot guarantee that they're gonna like you.

340
00:13:39,800 --> 00:13:41,360
All you can guarantee is that you do the work

341
00:13:41,360 --> 00:13:42,560
you're supposed to do.

342
00:13:42,560 --> 00:13:46,200
In this situation, my client had actually done so much more

343
00:13:46,200 --> 00:13:48,400
than she really needed to do.

344
00:13:48,400 --> 00:13:50,240
She'd gone above and beyond already

345
00:13:50,240 --> 00:13:53,120
and going more above and beyond was really not necessary.

346
00:13:53,120 --> 00:13:54,400
Okay.

347
00:13:54,400 --> 00:13:56,800
The last thing I wanna ask you to do

348
00:13:56,800 --> 00:13:58,400
is to call out people pleasing.

349
00:13:58,400 --> 00:14:00,800
And I will tell you that there is no shame of judgment

350
00:14:00,800 --> 00:14:02,200
in being a people pleaser

351
00:14:02,200 --> 00:14:05,640
because in reality it's part of our training in medicine.

352
00:14:05,640 --> 00:14:08,200
You know, we struggled hard to impress people enough

353
00:14:08,200 --> 00:14:09,160
to get into medical school.

354
00:14:09,160 --> 00:14:10,480
And we were just begging to get in.

355
00:14:10,480 --> 00:14:12,240
We're like, I don't care where you take me.

356
00:14:12,240 --> 00:14:13,400
I just wanna get in.

357
00:14:13,400 --> 00:14:15,000
And then we get to residency

358
00:14:15,000 --> 00:14:18,200
and we have all these subjective evaluations.

359
00:14:18,200 --> 00:14:19,960
And it's like, hey, sometimes I feel like

360
00:14:19,960 --> 00:14:21,520
I'm just here to make you happy.

361
00:14:21,520 --> 00:14:23,400
And that's what we're training to do.

362
00:14:23,400 --> 00:14:26,560
And then we get to our fellowships and we're like, hey,

363
00:14:26,560 --> 00:14:28,360
I just want the attending to be happy.

364
00:14:28,360 --> 00:14:30,880
And so we practice a lot of people pleasing

365
00:14:30,880 --> 00:14:33,280
and it doesn't necessarily serve our careers.

366
00:14:33,280 --> 00:14:36,680
And maybe it works for us up until a certain point

367
00:14:36,680 --> 00:14:38,440
but the moment we become faculty,

368
00:14:38,440 --> 00:14:41,200
it becomes less and less effective.

369
00:14:41,200 --> 00:14:43,200
And so what I wanna invite you to do

370
00:14:43,200 --> 00:14:46,440
is to see the areas that you are going above and beyond

371
00:14:46,440 --> 00:14:49,640
just as a people pleasing strategy and call it out.

372
00:14:49,640 --> 00:14:53,120
Say, hmm, I'm just doing this to make someone happy.

373
00:14:53,120 --> 00:14:54,280
And that's important.

374
00:14:54,280 --> 00:14:57,480
So you recognize where you really should focus your energies

375
00:14:57,480 --> 00:15:00,520
and you don't invest more than is necessary

376
00:15:00,520 --> 00:15:01,960
because people are pleasing.

377
00:15:01,960 --> 00:15:03,320
It just doesn't get you very far.

378
00:15:03,320 --> 00:15:05,360
I mean, it may get you far with this person

379
00:15:05,360 --> 00:15:07,600
but what really ultimately happens

380
00:15:07,600 --> 00:15:08,760
is that the person you're pleasing

381
00:15:08,760 --> 00:15:10,800
doesn't even know how much you're putting into it.

382
00:15:10,800 --> 00:15:12,600
They don't really appreciate the work you're doing.

383
00:15:12,600 --> 00:15:14,400
And sometimes they turn around and they're like,

384
00:15:14,400 --> 00:15:15,920
yeah, your work sucks.

385
00:15:15,920 --> 00:15:17,240
And then it really hurts.

386
00:15:18,800 --> 00:15:20,960
Maybe you haven't experienced that, but I have.

387
00:15:20,960 --> 00:15:23,240
And it just, then you stop and you're like,

388
00:15:23,240 --> 00:15:25,720
why am I even bothering?

389
00:15:25,720 --> 00:15:26,640
And it's a great question.

390
00:15:26,640 --> 00:15:28,080
Why are you bothering?

391
00:15:28,080 --> 00:15:29,800
Why is that your goal?

392
00:15:29,800 --> 00:15:31,240
And how does that serve humanity

393
00:15:31,240 --> 00:15:33,320
in the way you wanna serve humanity

394
00:15:33,320 --> 00:15:35,360
in your role as a clinician researcher?

395
00:15:35,360 --> 00:15:36,440
All right, so those are the five things

396
00:15:36,440 --> 00:15:39,960
I want you to think about when going above and beyond

397
00:15:39,960 --> 00:15:41,880
is feeling especially icky.

398
00:15:41,880 --> 00:15:43,960
And you're like, I'm not sure I really wanna be doing this

399
00:15:43,960 --> 00:15:47,000
or it's feeling like a drag, it's feeling heavy.

400
00:15:47,000 --> 00:15:48,800
Ask yourself these questions.

401
00:15:48,800 --> 00:15:51,040
So the first question is why?

402
00:15:51,040 --> 00:15:53,600
Why am I doing the most work in this collaboration?

403
00:15:53,600 --> 00:15:55,480
The second thing is, well, what obligations

404
00:15:55,480 --> 00:15:56,800
do I have in this project?

405
00:15:56,800 --> 00:15:58,160
What do I absolutely need to do?

406
00:15:58,160 --> 00:16:00,120
And what are the things other people should be doing?

407
00:16:00,120 --> 00:16:02,320
Number three, list all your other priorities

408
00:16:02,320 --> 00:16:06,240
and rank this project relative to those other priorities.

409
00:16:06,240 --> 00:16:08,800
Number four, ask how much of this work

410
00:16:08,800 --> 00:16:11,600
actually overlaps with benefits for me

411
00:16:11,600 --> 00:16:13,600
as well as benefits for other people.

412
00:16:13,600 --> 00:16:15,920
And number five, call out people pleasing.

413
00:16:15,920 --> 00:16:19,360
If you recognize it, definitely call it out.

414
00:16:19,360 --> 00:16:21,960
So this week, I wanna invite you to think about a project

415
00:16:21,960 --> 00:16:24,680
that you may feel like it's dragging on you.

416
00:16:24,680 --> 00:16:26,600
Like, oh, every time you think about the project,

417
00:16:26,600 --> 00:16:28,320
you get bad feelings inside,

418
00:16:28,320 --> 00:16:30,000
you get an ugly knots in your stomach.

419
00:16:30,000 --> 00:16:31,720
Think about that project.

420
00:16:31,720 --> 00:16:35,680
And I want you to evaluate the investment

421
00:16:35,680 --> 00:16:37,320
relative to the benefit.

422
00:16:38,320 --> 00:16:39,600
And I wanna invite you to think about

423
00:16:39,600 --> 00:16:41,880
what could your experience be

424
00:16:41,880 --> 00:16:46,440
if you invested your energy in moving work forward

425
00:16:46,440 --> 00:16:48,520
instead of trying to make people happy?

426
00:16:49,560 --> 00:16:51,480
What could the outcome be?

427
00:16:52,440 --> 00:16:56,520
I'm excited about you putting energy into work

428
00:16:56,520 --> 00:16:59,240
that actually really advances your career.

429
00:16:59,240 --> 00:17:02,400
And so I hope that you'll rethink going above and beyond

430
00:17:02,400 --> 00:17:05,560
in every aspect of your life and be strategic

431
00:17:05,560 --> 00:17:07,560
about where you go above and beyond.

432
00:17:07,560 --> 00:17:08,960
All right, it's been an absolute pleasure

433
00:17:08,960 --> 00:17:10,120
talking with you today.

434
00:17:10,120 --> 00:17:11,800
Thank you so much for listening.

435
00:17:11,800 --> 00:17:13,600
I look forward to talking with you again

436
00:17:13,600 --> 00:17:40,200
on the next episode of the Clinician Researcher podcast.

