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Navigating Success as a Clinical Researcher or Educator

Explore strategies to excel in clinical research and education, overcome challenges, secure funding, and achieve recognition. Learn about impactful evaluation methods for career advancement.

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Navigating Success as a Clinical Researcher or Educator

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  1. Making It As a Clinical Researcher or Educator Andrea E. Reid, MD, MPH Massachusetts General Hospital Harvard Medical School Boston, MA

  2. How do you define success? • Publications • Promotion • Prestige • Payment • Parity • Peace

  3. Franklin CoveyThe Seven Habits of Highly Effective People • Be Proactive • Begin with the End in Mind • Put First Things First • Think Win-Win • Seek First to Understand, Then to be Understood • Synergize • Sharpen the Saw

  4. Definition of Clinical Research • Patient-oriented research. Research conducted with human subjects or on material of human origin for which an investigator directly interacts with human subjects. This area of research includes: • Mechanisms of human disease • Therapeutic interventions • Clinical trials • Development of new technologies • Epidemiologic and behavioral studies • Outcomes research and health services research.

  5. Translational Blocks in the Clinical Research Continuum JAMA 2003: 289; 1278-87

  6. Funding Roadblocks on the Way Toward Improved Public Health JAMA 2004: 291; 1120-6

  7. NIH Director’s Panel on Clinical Research (CRP) • Three questions: • Who is going to do clinical research and how are these individuals to be properly trained? • Where will clinical research be conducted? • How will clinical research be funded?

  8. The problems in clinical research • Numbers down • Attrition up • Insufficiently nurturing environment in AMC to sustain CI • Insufficient infrastructure • Insufficient mentoring • Increased pressure for more clinical activity • Shrinking revenues

  9. Solutions to the crisis • Funding • New investigators • Mid-level investigators • Equitable grant review • Formalized training • Loan Repayment Programs

  10. How to succeed as a clinical researcher • Define your interests • Explore • Discuss • Commit • Supportive environment is crucial • Find a good research mentor • Experienced • Well-known • Funded • Interested in your success • Obtain formal training in methology

  11. Explore funding mechanisms • NIH • Veteran’s Administration • Industry • Foundations • Private money • Institutional grants

  12. The Current State of Affairs • NIH funds 212,000 researchers • ~ 30% extramural support devoted to clinical research • NIDDK programs directed to clinical research: • K01:Mentored Research Scientist Development Award • K08: Mentored Clinical Scientist Development Award • K23: Mentored Patient-Oriented Research Career Development Award • K24: Midcareer Investigator Award in Patient-Oriented Research

  13. Get someone else to pay your loans National Institutes of Health Extramural Programs • Loan Repayment Program for Minority Health Disparities Research • Extramural Clinical Research Loan Repayment Program for Individuals from Disadvantaged Backgrounds • Loan Repayment Program Regarding Clinical Researchers • Pediatric Research Loan Repayment Program

  14. Success as a clinical researcher depends on your network • Clinical research is collaborative • Be creative about your collaborations • Use your mentor’s network • Be open to forming new, unexpected connections with people and projects • Publish or perish

  15. How are you evaluated as a clinician-educator? • Objective criteria • Scholarly output • Book chapters, reviews, clinical guidelines, curricula • Grant support • Recognition as an education leader by peers • Teaching awards • National committees • Administrative skills • Revenue generated from clinical care

  16. How are you evaluated as a clinician-educator? • Subjective criteria: what are the measures of good teaching? • How well others learn • How much student grows as a learner because of input • Practice methods • “Impact factor”

  17. Components of evaluation • Teaching skills • Clinical skills • Mentoring • Academic administration • Developing educational programs • Non-research scholarship • Clinical research • Service coordination • Education research

  18. Methods of evaluation • Peer evaluation • Awards • Trainee evaluation • Teaching portfolio • Clinical service time • Leadership qualities • Grant support • Publications • The weight placed on each component varies by institution

  19. Importance of specific aspects of a clinician-educator's performance when the promotion committee makes decisions about promotion to associate professor JAMA 1997: 278; 723-8

  20. Know what your institution values • Hospital: revenue, efficiency, quality, community involvement • The medical school: publications, notoriety • Know the promotions process • Know your worth on the academic market

  21. Make the most of every opportunity • Teaching opportunities • Local: Medical students and residents • Regional: Medical societies • National: curriculum boards, national meetings, educational symposia • Service opportunities • Hospital and medical school committees • Don’t overdo • Evaluate benefit to you • Health organizations • GI Societies

  22. Begin with the end in mind • Document everything • When, where, why, how, to how many • Time keeping • Resume building • Mentor and be mentored • Seek feedback from educators you respect • Training • Challenge yourself

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