Building a Career Development Plan

1. Building a Career Development Plan Stephen A. Geraci, MD Professor and Vice Chairman for Faculty Development Department of Medicine, U Mississippi William E. Davis, MD Associate Professor Department of Medicine Louisiana State University

2. Drs. Geraci and Davis have no Conflicts of Interest, Relations with Industry, or Financial Declarations related to the content of this session

3. Career Planning • Step 1: Self-Assessment • What are you good at? • What do you like doing? • Where does your job/career fit into your life? • What do you value highly?

4. Career Planning • Step 2: Create a Vision • What would be an ideal outcome for your professional life? • Do you have what it takes to fulfill your vision?

5. Career Planning • Step 3: Define the Route (Make a Plan) • What must you achieve to reach your goal? • What new knowledge, abilities, and skills should you acquire? • Who is available, willing and able to mentor you?

6. Career Planning • Step 4: Pave the Road • Think in 2, 3, or 5 year increments • Include major career and life events in your timeline • Assess which required activities can meet some of your development needs • Assess your flexible time • Proportion your time among activities • Set your own deadlines • Leave some uncommitted time • Make maximal use of your mentors • Plan, plan, plan • Periodic reassessment

7. Career Development Plan • Choose a model with categories specific to your plan • Pick specific short-term, intermediate, and long-term milestones in each category • Address series vs. parallel activities in plan • Consider “scheduled” re-evaluations to assure your plan continues to meet any changed goals or environments

8. Clinical 2 year Reach 75% target wRVU or collection goals Pass boards Meet all support persons at hospital Volunteer for a specific hospital committee 5 year Reach/exceed wRVU/ collections target Establish solid referral lines in 2 or more neighboring markets Chair hospital committee in area of expertise 10 year Establish practice as center of excellence in the county or state Achieve state-wide referral lines Gain national recognition through professional organization work Long-term Become nationally recognized expert in your field; EBG writing, national educational writing Assc editor of major journal in your field

9. Education 2 year Complete teaching workshop series Establish valuable rotation for local medical students Develop needed teaching modules for specific content areas 5 year Serve in formal role in medical student education in ambulatory care Serve on departmental education committee Join education committee of national organization 10 year Have formal part-time educational leadership role at home institution National educational role in medical student metrics (e.g., USMLE) Long-term Assistant dean or student clerkship director Chair educational projects for national societies focused on student education

10. Research 2 year Access institutional infrastructure for clinical trials and database research Identify mentors for collaborative projects Submit starter grant application 5 year Complete first grant work and obtain more sustained funding Write detailed research development plan for primary and 1 secondary lines of investigation Participate in departmental research committee 10 year NIH or nonprofit grant funding for 75% of salary Establish national collaborations with other universities and research bodies to influence field Long-term Chair NIH study group in my discipline Serve as section editor for major journals for your field Establish research foundation at your institution

11. Administration 2 year Serve on 2-3 committees across admin lines (hospital, practice, etc.) Complete basic admin training available at home institution Join national organization (ACPE) 5 year Chair major hospital/ practice committee(s) Complete masters’ degree (MBA, MHA) Serve on medical staff executive committee Major involvement in extramural administrative organizations (committees, leadership) 10 year Expand local leadership within institution and regionally (state medical assn, state chapters of professional organizations) Earn leadership position in national organization Long-term Become CMO/VPMA of major healthcare organization Establish faculty develop plan for physicians in management Publish books on physicians in medical administration

12. General Career Development Plan Template

13. CDP: Institutional Promotion Requirements

14. Clinician Educator CDP

15. Clinician Investigator CDP

17. Sample Case 1 A senior oncology fellow is starting his first year on faculty at the institution where he completed med school, residency and fellowship. He is hired to develop a lung cancer center of excellence, serve as APD for the Heme/Onc fellowship, and participate in multi-center clinical trials. He is on a clinical non-tenure track, with 75% wRVUand 25% education compensation. He needs to develop and submit a plan for his career development to his department chair within 3 months of beginning his new job.

18. Sample Case 2 A chief internal medicine resident wants to provide bedside teaching to medical students as part of his first full-time staff position. He is considering two potential positions at local teaching hospitals, and two clinical faculty positions in a near-by city. He hopes to contribute to improving medical education in his future career. He decides he needs to develop a plan to help him decide which position will best fit his needs.

19. Sample Case 3 An office-based general internist has joined a 4-person single specialty practice in the town she trained. During residency she performed research on smoking cessation tools, behavioral, drug and group therapy, and wants to continue this work in her practice. She hopes to make clinical research in this and other preventive health areas major components of her career.

20. Sample Case 4 • A third year staff intensivist employed by a tertiary care hospital has been disappointed in her practice and is re-evaluating her career plans. She has missed involvement with clinical trainees, scholarly activities, and opportunities to participate in clinical research in a mentored setting. She feels a formal plan is needed for her to make the best informed decision about her next career step.