Careers in Academic Emergency Medicine. Society for Academic Emergency Medicine Overview u Why academics? u Various settings u How to prepare u Fellowship.

Careers in Academic Emergency Medicine

Society for Academic Emergency Medicine

Overview

Why academics? Various settings How to prepare Fellowship training Marketplace issues Resources

Society for Academic Emergency Medicine

Academics

Pursuit of “scholarship” Expanding knowledge Passing on knowledge

Society for Academic Emergency Medicine

Why Choose Academics?

Career diversity Pursuit of knowledge / research Expertise development Love of teaching Advance specialty Colleagues

Society for Academic Emergency Medicine

Why Choose Academics?

“Cutting edge” practice Teaching hospital resources Interesting cases Longevity / pace / intensity Schedule control Sabbatical

Society for Academic Emergency Medicine

Downside of Academics

More total hours Generally less money Less “hands on” practice Pressure to produce

Society for Academic Emergency Medicine

Academic Career Building Blocks

Research Teaching

Administration

Patient Care

Society for Academic Emergency Medicine

“Traditional” Academics

Multiple academic tracks Institutional variation Research track -- various subgroups Clinical track Clinician educator track

Society for Academic Emergency Medicine

Research Roles

ResearcherResearch DirectorClinical Trials DirectorResident Research AdvisorResearch Assistants Program Director

Society for Academic Emergency Medicine

Educational Roles

Residency Director

Associate Residency Director

Medical Student Director

Medical School -- IOR, Assistant Dean

Rotating Residents Director

Fellowship Director

CME Director

Society for Academic Emergency Medicine

Specialty Roles

Chest Pain ER Director

Toxicology / PCC Director

HBO Chamber Director

Ultrasound Director

Society for Academic Emergency Medicine

Administrative Roles

Chair / Chief

Vice-Chair / Associate Chief

EMS Director

Clinical Operations Director

Pediatric ED Director

CQI / Risk Management Director

Billing Director

Society for Academic Emergency Medicine

Society for Academic Emergency Medicine

Promotion and Tenure

Progressive ranks Timelines Criteria track-dependent

*Publications *Grant funding *Regional/National recognition *Teaching evaluations *Clinical productivity

Area of focus Tenure

Society for Academic Emergency Medicine

Clinical Teaching Spectrum

EMR primary site EMR secondary site EMR rotation site Non-EM residency site Medical students FNP, PA, RN, EMT

Society for Academic Emergency Medicine

Community Based Positions

EMR secondary / tertiary training site Clinical faculty appointment Lifestyle and reimbursement Bedside teaching predominates

*Limited time *Conferences, CME

Research more difficult *Grants, time, support, collaboration *Can participate in clinical trials

Society for Academic Emergency Medicine

Preparing for Academics

Mentors Relationships / networking Join SAEM Residency research project Teaching opportunities Chief resident year Fellowship

Society for Academic Emergency Medicine

Fellowship Benefits

Area of expertise National contacts More competitive candidate Career success Career satisfaction

Society for Academic Emergency Medicine

EM Fellowships

Administration Injury ControlCardiovascular Emergencies Medical and Occupational ToxicologyClinical Forensic Medicine Medical EducationClinical Pharmacology Medical InformaticsDisaster Medicine Neurology/NeurovascularDisaster and Mass Gathering Pediatric Emergency Medicine

Medicine Research PolicyEMS ResearchEnvironmental Health Sports MedicineFaculty Development ToxicologyGeriatric EM Trauma/Critical CareHyperbaric Medicine UltrasoundInternational EM Wilderness Medicine & EMS

Society for Academic Emergency Medicine

Medical Toxicology

ED clinical time Poison Control Centers Consultation services Inpatient services Teaching / research

Society for Academic Emergency Medicine

Pediatric EM

Children’s hospitals Pediatric and adult patients Teaching / research

Society for Academic Emergency Medicine

Sports Medicine

Sports medicine clinic Team physician

*High school *College *Professional *Olympic

ED clinical shifts Teaching / research

Society for Academic Emergency Medicine

Undersea & Hyperbaric Medicine

Decompression chambers Worldwide locations ED clinical shifts Teaching / research

Society for Academic Emergency Medicine

Job Search

Where?*AEM, Annals of EM*SAEM, EMRA newsletters / websites*EM meetings

When?*Begin fall / winter

How?*Networking / personal contacts*Send CV and letter

Society for Academic Emergency Medicine

Job Search -- FAQ

Does 3 vs. 4 year program matter? Is fellowship needed? Need post-residency clinical experience? Will residency geography limit me? What if I’m not yet sure what I want?

Society for Academic Emergency Medicine

Marketplace Forces

Society for Academic Emergency Medicine

Marketplace Forces

2004-5 EM Faculty Salary Survey Mean salary $190K Mean 1st year $154K Geographic variation

*Midwest $192K *Northeast $193K *South $183K *West $196K

Kristal SL, et al., Acad Emerg Med 2006.

Society for Academic Emergency Medicine

Evaluating Academic Positions

Know what’s expected of you Clinical commitment Administrative duties Resources

*research *administrative

Mentorship availability Chair

Society for Academic Emergency Medicine

Final Thoughts

Ocean of opportunities Do what you love Mentorship key to success Doors aren’t closed Teach and lead

Society for Academic Emergency Medicine

Author Credit-Careers in Academic EMPeter Sokolove, MD

QUESTIONS?

Society for Academic Emergency Medicine

Postresidency Tools of the Trade CD

1) Career Planning – Garmel

2) Careers in Academic EM – Sokolove

3) Private Practice Career Options - Holliman

4) Fellowship/EM Organizations – Coates/Cheng

5) CV – Garmel

6) Interviewing – Garmel

7) Contracts for Emergency Physicians – Franks

8) Salary & Benefits – Hevia

9) Malpractice – Derse/Cheng

10) Clinical Teaching in the ED – Wald

11) Teaching Tips – Ankel

12) Mentoring - Ramundo

13) Negotiation – Ramundo

14) ABEM Certifications – Cheng

15) Patient Satisfaction – Cheng

16) Billing, Coding & Documenting – Cheng/Hall

17) Financial Planning – Hevia

18) Time Management – Promes

19) Balancing Work & Family – Promes & Datner

20) Physician Wellness & Burnout – Conrad /Wadman

21) Professionalism – Fredrick

22) Cases for professionalism & ethics – SAEM

23) Medical Directorship – Proctor

24) Academic Career Guide Chapter 1-8 – Nottingham

25) Academic career Guide Chapter 9-16 – Noeller