Mark Rosenberg, MD
1. Over the years, academic faculty in nephrology has been decreasing in the US (by 5%) while the International Medical School graduated Faculty is fairly stable. This might be a phenotype that is at some risk of being lost.
2. US Department of Health and Human Services: Fellowship and training grants start with T and F grants that are T32 and F32. In order to transfer to junior faculty level and maintain “protected” research time, K08 (basic science), K23 (clinical investigation) and K 12 (institution career developmental grants) grants are sought after. Faculty investigators usually need a “K to R” transition in order to become an independent investigator.
3. The three most important benchmarks that impact the career development of a physician scientist:
- Publications in high impact journals,
- Senior author publications, and
- Publications without mentor co-author (Shea et al Am J of Medicine)
Mentorship and the drive for doing the research markedly affected achievement of these benchmarks.
4. Advice for clinicians entering the work force:
- A part-time career in academic internal medicine has been explored and should be advocated in some cases.
- For private practice, explore and start looking early—end of first year of fellowship, geography is important , talk to the most recent hires, talk to the most recently left, engage your faculty mentors in this search, look at multiple places and negotiate well.
5. Transition into a leadership position is good but also has risks. The average tenure of a medical school dean is 3.85 years, and an internal medicine chair is 4 years (Ringenbach & Ibrahimemail Am J of Medicine).
Post written by Dr. Kenar Jhaveri, eAJKD Blog Editor, and edited by Dr. Kellie Calderon, eAJKD Advisory Board member.