Hilary Sanfey

The First JobResidency / Faculty

Learning Objectives

What to look for (what to avoid) Preparing yourself & your CV The interview Negotiation

What to Look For&

What to Avoid

Be wary of institutions / programs: High faculty turnover (ask why) Financial instability Programs on probation Chair about to retire Barriers to meeting with key staff (other

residents) during the interview Few minorities in key positions

The Department Chair? Chair supportive of junior faculty / residents

Mentorship record Promotions Opportunities for leadership National reputation Is he / she about to retire or move?

Business plan Administrative support Sound billing / reimbursement system

What to look for :Residency & Faculty

Know your priorities & goals (1 & 5 year) Personal Professional

The department / program The institution

Priorities & GoalsGoals should be flexible as interests & opportunities will change

Personal Professional

Clinical Research Promotion Leadership Financial Educational

Long term (5 year) and short term (1 year)

SMART Goals

Specific

Measurable

Achievable

Realistic

Time

Preparation

Know the program / department / institution Review institutional / departmental / website / marketing

brochures NIH funding Educational ranking National reputation of chair / senior faculty Talk to faculty / current and past residents / referring

physicians

Know yourself Application / priorities / interests

Curriculum Vitae Is there an institutional template? Review CVs from successful colleagues Be concise Be honest Make sure significant achievements stand out Have an explanation for the “gaps” Watch spelling / grammar Teaching portfolio

Personal Statement /Accompanying Letter

Why this specialty (institution)? Personal experiences. Future expectations (vision). Spelling / grammar. Use humor cautiously. Be original. Ask advisor(s) to read prior to submission.

Applying to a Residency Program Clinical Training - volume and patient mix Education – board results Research – optional vs. mandatory Environment – family friendly or hostile Hospitals – how many? How far apart? Where do residents go after training?

Academic vs. private practice Fellowship placement

Job Description (Residents) Duty hours / night duty / live in time Rotations

Specialty Location / hospitals / outreach clinics Elective

Research opportunities Funding

Leave Vacation Maternity / Paternity Study

Job Description (Faculty) Ascertain goals and priorities of chair / chief. Percentage time for :

Clinical work. Research. Educational activities. Administration.

Learn how your salary will be supported. Is there an inside candidate?

Priorities & Goals Personal Professional

Clinical Research Promotion Leadership Financial Educational

Clinical Outreach clinics Referral pattern Who is the competition? Support for new program development

Financial Staff Equipment Space

Institutional commitment to a new program

Research Percentage / protected time While awaiting NIH funding, ask about

Salary support Start up grants Opportunity for collaboration / sharing staff ,

space & equipment

Lab space allocation

Promotion and / or TenureLearn the rules!

Tracks Educator vs. investigator Clinical vs. non-clinical Tenure vs. non-tenure

Changing tracks Definition of scholarship Promotion record for each track in your

department

Promotion (continued)

Ascertain relative importance of teaching / research / clinical / service to P & T.

Time limitations / probationary periods. Are these negotiable ?

Consequences of failing to obtain P&T. “time off the clock.”

Leadership (Mentorship) Chair / faculty with a national reputation in

your area of interest Professional organizations National / regional committees Editorial boards

Can they offer you opportunities / consistent with your goals?

Can you identify with the faculty?

Financial How will your salary be supported? Revenue sources

Clinical / research / other Salary

Base Negotiated Incentives / bonus

Overheads Collection rate Office / secretarial support / dean’s tax / shared administrative /

clinic staff / collection fees Malpractice (tail coverage)

Educational Protected time to teach Relative value placed on resident vs.

medical student teaching by P&T Salary support for teaching CME requirements to maintain institutional

credentials Time off to attend national meetings

Personal Personal / family time / part time / flexible /

maternity / paternity leave Location / commute Are benefits transferable ? College fees differential for children Schools Housing / travel expenses Hobbies / interests

The Selection Process : Residency Getting an interview

Academic qualifications USMLE /AOA /school CV Personal statement Letters Personal recommendation

Getting a job offer / getting ranked Compatibility or “fit”

Qualities Determining Compatibility

Team player? Motivation? Communication skills? Leadership potential? Attitude? Compassion? Non-academic achievements?

The Interview Appearance Polite Be honest / prepared / enthusiastic / well

dressed / on time Write thank you letters Watch what you say at all times!

Interviewing for a Faculty Position Should talk to:

Chair / Chief Colleagues from your areas of interest and / or

research & clinical collaboration Business manager P & T advisor Residents / Nurses / Secretarial / lab staff Person vacating the post if relevant

Interviews (Faculty) The first interview

OK to look once even if really not interested

The second interview Demonstrating intent Accompanied by spouse / significant other

The third interview Consolidate expectations

Dealing with Inappropriate

Questions?

The Negotiation

Remember Priorities and Goals Personal Professional

Clinical Research Promotion leadership Financial Educational

Starting the Negotiation

Wish list in order of priority Negotiable vs. not negotiable Balance your goals against what is being

offered

Wish List Salary

AAMC guidelines plus 10% Department salary range Penalties for not covering salary

Protected time Lab space Part time / flexible opportunities

Negotiation The worst thing you can possibly do is

seem desperate to make the deal. That makes the other guy smell blood and then you are dead..

Donald Trump

Negotiation Patience may be a virtue but in negotiating

it is a weapon of incalculable power. If you can out wait the other side you usually can out negotiate them.

Mark McCormack

Author of “On Negotiating”

Take Control Speak assertively Don’t discount what you say before you say

it (don’t apologize for asking!) Stay focused on your goals Don’t be seduced by promises Shake hands and come out fighting Don’t set yourself up for failure!

Beware the "Once you take the job we…………… Will talk about your

Salary! Office! Lab space! Promotion! OR time! Beds!”

Get everything in writing

Pick your battles!

Compromise

The Decision Compare notes with personal goals and

priorities Be realistic Will I fit in? Will I be happy? Will this job help me get my next position?

Goals There are two aims in life: one is to achieve

your goals and the other is to take time to enjoy them. Only the wisest of mankind achieve the second aim.

Logan Pearsall Smith 1965-1946

Resources American College of Surgeonshttp://www.facs.org/medicalstudents/index.html American Medical Associationhttp://www.amaassn.org/ama/pub/category/2997.html Mom MD http://www.mommd.com/ AAMC http://www.aamc.org/ JAMA Career Net http://www.jamacareernet.com/ Association of Women Surgeonshttp://www.womensurgeons.org/

References

The first 90 days : Michael Watkins On becoming a leader: Warren Bennings Hardball for women: Pat Heim Same game, different rules: Gail Evans