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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's an absolute pleasure to be talking with you today.

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Thank you so much for tuning into today's episode.

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Today we're talking about what might be holding you back from your career advancement.

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What might be holding you back from your career advancement?

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This episode comes actually from a coaching session that we did earlier today in which

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one of my clients was talking about this job opportunity that she saw.

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It was an internal opportunity, and she thought, well, I want to go for it, but I'm not sure

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I'm the right fit, and I'm not sure I have the right qualifications, but maybe I should

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go talk to the director in this particular role or talk to the hiring manager and see

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if I might be a good fit for the role.

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So it was really important because I feel like that's so many of us in academia where

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we're like, well, I think I want to do that, but I don't really know if I'm qualified.

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Because we don't think we're qualified, we actually disqualify ourselves from the role.

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It reminds me of a story in research for me where I had this great idea that I wanted

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to move forward.

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So instead of living for the idea, I actually was going around almost like on a parade asking

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people their thoughts about my idea.

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Hey, what do you think about this idea?

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Do you think it's a great idea to move forward?

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And people would say, hey, this is a great idea.

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You should start moving forward with it.

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And I'm like, oh, great.

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Okay.

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Then I would go to the next person and say, hey, you're a senior person.

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What do you think about this idea?

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And it's almost as if as I was going around from person to person, I was really looking

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for permission because I wasn't sure it was a great idea.

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I wasn't even sure how to do it.

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I was a little bit like there were so many things holding me back.

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And instead of trying to understand what those things were, I was looking to other people

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to tell me whether my idea should move forward or not.

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And I want to pause here and just let you know that it is not up to other people whether

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your work moves forward or not.

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It will always be up to you.

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And in reality, your work exists in the context of other people's work.

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It exists in the context of other people.

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And so other people to some extent are relevant to your work, but they don't get to give you

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permission to do what you need to do.

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But we'll talk about that a little bit as we talk about what might be holding you back

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from your advancement.

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So I want to say that there are seven questions I want you to ask yourself when you are in

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a situation like this where you're like, oh, that looks like a great idea, but I'm just

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not sure I should do it.

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I want you to ask yourself these seven questions.

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The first thing I want you to ask when you find yourself hesitating from moving forward

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is to stop and say, why?

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What's happening here?

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What's holding me back?

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And it's a really important question.

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And to be honest, many times this is why it's helpful to have a coach ask you those questions

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because sometimes we don't even recognize that anything is holding us back.

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We're just like, I'm not really sure.

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I'm probably not qualified.

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But it's like, wait a minute, you identified an opportunity that you thought might be a

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good fit.

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And then because you don't think you're qualified, you're holding yourself back, but you identified

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an opportunity.

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And so I want you to stop and ask what's going on here so that you can really stop and drill

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down on the real reason behind the reason.

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Many times they're like, oh, I'm not qualified, but is that really the issue?

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Have you ever been qualified for anything?

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I take that back.

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You're eminently qualified.

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Can I just be honest with you or can I just get real and say, when we started medical

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school, we had no idea what we were getting ourselves into.

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Yeah, we had the grades, but I wish someone had told us what was really behind the medical

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school desk, right?

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What was really there in medical school?

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We had no idea.

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And so in reality, you qualify into whatever you go into.

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I mean, it's same for residency.

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Yeah, you finished fourth year of medical school and you were like, I'm so hot.

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I know medicine.

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And then you start your intern year and you're like, actually, I know nothing.

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And then if you do fellowship, you get to fellowship, the first year of fellowship,

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and you're like, wow, I thought I knew a lot and somehow I don't.

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So what I'm saying is that every time you've ever stepped up in your career as a trainee

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and not even talking about yourself as a faculty member, you've actually not been qualified.

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You've become qualified by the process of doing it.

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And so this whole idea that am I qualified, am I not, it's kind of false because it's

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like, well, are you interested?

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If you're interested, then what does it take to become qualified for that role?

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And that's an important way that I want you to think about it.

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Don't ask, am I qualified?

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Just ask, am I interested?

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Because here's the thing about you as a physician who's done all these crazy things where you

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deprived yourself in your 20s and maybe your 30s so that you could do this thing called

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medicine.

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You've already done like the impossible.

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And so is there anything you can't do?

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And so the only real requirement is interest because hey, how can you qualify yourself

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to be the person who's going to grow into that job or who's going to be able to do that

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role?

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What support do you need?

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So you're qualified, but if you're hesitating, stop and ask yourself what's going on.

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Okay.

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The second question I want you to ask yourself is what is actually pulling me towards this

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opportunity?

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There are many opportunities, but you don't say to every one of them, oh, I want to apply

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for that one.

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You don't do that.

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You actually are discriminating.

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There are some opportunities that you're reaching out to or reaching out for, and then there's

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some that you're like, eh, I don't think so.

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That means there's a reason you're drawn toward this opportunity.

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There's a reason why you want this specific promotion or this particular role.

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There is a reason.

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And so what I want you to stop and do is to ask yourself, well, what's the pull here?

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And that's so important because in life, oh, that we were pulled more than we were pushed.

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And so we're pushed a lot.

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We do things because we have to, because we feel obligated to.

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But the moment you have an experience where you actually feel pulled, you don't feel like

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you have to, you feel like I would like to, you pay attention to that.

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And you should recognize what is the pull?

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What is it about the role that makes you feel like you might want to do it?

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You want to pay attention to that so that you can make an informed decision about what

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that tells you about what you like, what that tells you about what you value, what that

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tells you about the season of life that you're in currently.

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So ask yourself, what is pulling you towards this opportunity?

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The third question I want you to ask yourself is what's your vision for yourself in this

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role?

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Because here you are, maybe focused on the qualification piece, am I qualified?

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But the question is, what do you see when you look at this role and you look at yourself

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in this role?

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What do you see?

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What's your vision for this role?

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And in this particular conversation I referenced with my client, she stops and she delays

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out this amazing vision.

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It is so amazing.

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And who cares whether you're qualified or not?

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Clearly you know where this thing should go and it shows.

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It shows that you have great understanding of what needs to happen in this space.

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And so lay out the vision.

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How do you see it moving forward?

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It's the kind of the partner to the pull.

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It's like something is pulling you.

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What is that?

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Lay out the vision and make it clear how you're going to really contribute to this role.

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And it's so important for you, but it's also important as you interview for this role,

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as you go for the role, as you try to make this advancement so that you also are able

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to communicate to others what it is about this role that fits you, what it is about

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this role that you're going to come in and do and make it yours.

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And so understanding your vision for yourself in this role helps you and it helps others

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as well to see how you fit.

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Okay.

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The fourth question I want you to ask yourself is what will this opportunity do for me?

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Ask yourself, what will this opportunity do for me?

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What benefit will it bring me?

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You already know there's a pull.

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You already have a sense of what you want to do, but it's like, what will it give you

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that you don't already have?

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This is really important because many times sometimes we go to roles where it feels like

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a lateral move.

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It's like, yeah, I was doing that before and now I'm doing this again.

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It's like, what does this role give you that you don't already have?

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It's really important.

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And that's a great place to really think about it because sometimes what you might figure

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out is that, you know what?

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It just makes me feel better maybe.

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Or maybe I'm fulfilling an obligation to my program director or yeah, my mentor will know

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that I took her seriously and applied.

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I wasn't really interested, right?

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You want to understand.

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But maybe it's like, well, you know, I haven't been able to be creative in the space that

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I'm in, but this role is going to help me be more creative.

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You want to know how it benefits you.

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You want to know how to count your win when you finally take on this role.

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Because if you're not clear on the win, on what you win when you get this role and you're

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in the role and you are not fulfilled, you're not satisfied because it's not clear what

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the win is.

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And it also helps you establish, are you doing this just to check a box?

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Are you doing this because it's something you really want to do?

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Because as I encourage, your life should not be about no more.

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No more should your life be about doing what you have to do.

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That was medical school.

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That was residency.

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That was fellowship.

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From now on, do what you want to do because you're so much better at it.

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You have a greater attitude about it.

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You produce more in that way.

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So you want to know, am I just checking a box?

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Is there a real benefit?

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Was it a box checking benefit?

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And maybe the box checking is the benefit.

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Maybe you're going out for promotion and someone says, well, if you don't have a position that's

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a leadership position, they may not really take you seriously.

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You're like, okay, let's check that box.

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And sometimes you do what you have to do to move forward in the way you have to move forward

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where you want to move forward.

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But recognize that you don't have to.

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And I want to invite you to think about doing things that you want to, especially because

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of the energy that comes from that space and how it allows you really to move that space

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forward because of how excited you are about the work.

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All right.

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So you ask yourself, what would this opportunity do for me?

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The fifth question is, what more information do you need to apply?

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So sometimes we're like in analysis paralysis.

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We're like, oh, yeah, I need to talk to that person and talk to that person and then talk

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to that person and then talk to that person's person.

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You have all these roadblocks you're setting up for yourself.

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And the real question is, what information do you need?

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You know the opportunities available.

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You know you want to do it.

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You understand what benefits it will bring you.

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What more information is needed?

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And this is so important because sometimes you realize that you're looking for permission.

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You're looking for someone to say, hey, you can go apply.

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I think you'll be a good fit for the role.

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You don't need that permission.

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You just need to know that it's your desire.

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And so sometimes in going around from person to person to ask for their opinion, are you

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getting information or are you just looking for someone to approve you?

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If it's information, great.

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How will you respond to information?

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What if you find out that maybe, oh, it doesn't pay as great as you thought.

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How does that change your thinking about the role?

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So you want to make sure that if you're talking to people that it's actually going to give

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you information that's actionable.

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Maybe you say, I don't care what the salary is.

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The opportunity is so great.

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I want to do it.

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Even if I just do it for a year.

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Great.

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Then you know there's no need to have any conversations with anybody because you're

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like, okay, you're ready to go.

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What I'm saying is that you want to be informed, but you don't want to go to people asking

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for approval.

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You want to make sure and distinguish your need for information from an unhealthy desire

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for approval before you feel like you can advance.

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Okay.

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And I want to say this applies to many of us who are writing grants.

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We're like, I've written a lot of career development awards.

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I now want to write the R01, but we're looking for someone to give us permission or to tell

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us that our idea is good enough to do the R01.

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It's like, wait, if you want to do it, go for it.

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Find out the information you need.

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How do you parlay the preliminary data you have already to write an effective R01?

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Go find that information out.

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But don't go around asking, should I be writing an R01?

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Because if you're thinking you should, then you absolutely should.

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Okay.

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The next thing is to ask yourself, how can I, oh, how will the information change my

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decision, right?

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We kind of talked about it earlier, but how will the information change my decision?

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And if the information is not going to change your decision, then maybe you don't need the

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information.

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If the information is only going to just support your decision, then get the information, but

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don't wait.

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Don't wait to go after the opportunity.

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Go after the opportunity and then ask for information.

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Because sometimes what happens is we're waiting for information, we're procrastinating and

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the opportunity may be passing by.

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And I believe that opportunities never truly leave.

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So people say opportunity knocks, but once opportunity is always knocking.

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But what you don't want to do is procrastinate because of fear, information gathering, and

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then you don't actually get to the opportunity.

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So you don't want to do that.

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All right.

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Number seven is, if you're concerned about your qualifications, ask yourself not, am

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I qualified, but how can I emphasize my qualifications?

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Because you know what?

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You're always qualified.

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And it may be, they wrote something in the job description.

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A job description is just a job description.

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Often doesn't really capture what's needed, but it needs to be written and it should be

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written.

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But it may be that the thing you think you're not qualified in may not even really be the

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most important thing for the job.

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But look at yourself not as someone who's missing items, but as someone who has the

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potential to gain whatever may be missing.

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And so say, how can you demonstrate your qualifications through what you already have in this role?

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All right.

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So these are seven items that I want you to think about some questions so that you can

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continue your advancement.

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I'm going to summarize.

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When you find yourself hesitating or moving forward towards a particular role, ask yourself

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why.

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Ask yourself what things are pulling you towards the opportunity so that you understand why

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you want to do it.

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Ask yourself what is your vision for yourself in this role.

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Clarify that for yourself so you can clarify that for others.

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Ask yourself what would this opportunity do for me so you really know it's a win-win for

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you.

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You want to ask yourself what more information do I need and what actions will I take on

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the basis of that information?

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How will it change my decision?

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And finally, ask yourself if you're feeling unqualified, how can I emphasize the qualifications

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I already have?

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So the next time an opportunity comes in front of you, I want you to focus not on your qualifications,

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not on how qualified you are, but on your desire.

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Do you want to do it?

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Is it something you really want to do?

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Well, if it is, then you should absolutely go for it.

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Imagine what your career would be like if you stopped looking for approval and instead

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just went for what you want every time.

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Because you know what?

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You probably won't get all of them, but you'll get some.

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And wouldn't it be amazing to see how your career is being shaped by you continually

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moving towards the things that you like every single time?

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All right, it's been a pleasure talking with you today.

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Please subscribe to our podcast.

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And if you would, please leave us a five star rating and definitely share because we feel

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All right, it's been a pleasure talking with you today.

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I look forward to talking with you again the next time on the Clinician Researcher Podcast.

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Thanks for listening to this episode of the Clinician Researcher Podcast, where academic

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clinicians learn the skills to build their own research program, whether or not they

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have a mentor.

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If you found the information in this episode to be helpful, don't keep it all to yourself.

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Someone else needs to hear it.

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So take a minute right now and share it.

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As you share this episode, you become part of our mission to help launch a new generation

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