Transitioning to Junior Faculty

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Transitioning to Junior Faculty

• Maria E. Moreira, MD
• Associate Program Director
• Denver Health Residency in Emergency Medicine

2
Overview

• Key Players
• Daily EM Practice
• Mentors/Niche
• Pitfalls
• Feedback
• A Few Rules

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Key Players

• Medical Director
• Goals for first year
• ABEM examination
• Policies

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Key Players

• Nurse Manager/Charge Nurses
• Nurses perspectives
• Conflicts with nursing

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Key Players

• Hospital CEO
• President of the Medical Staff
• Department/Section Chairs
• EMS Director/Chief Paramedic
• Director of Clinical Social Work
• Hospital Librarian
• Chaplain

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Daily EM Practice

• Pick your battles
• Seek council from your partners
• Get to know consultants
• Know the resources

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Daily EM Practice

• Charting
• Coding/billing
• On call duties
• Team Building

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Daily EM Practice

• Continuing Education
• CME
• Conferences
• Reading
• Teaching Opportunities
• Nurses
• Paramedics
• Students
• Residents

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Daily EM Practice

• Resident Teaching
• Going from doing all the procedures to learning
  to sit-back and watch
• Resisting urge to always direct

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Daily EM Practice

• Become involved in a major area of practice
• Administration/Clinical
• Education
• Residency
• Medical Students
• EMS
• Simulation
• Research

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First Shift

• Show up early, plan to stay late
• Familiarity with resuscitation and airway
  equipment
• Familiarity with protocols
• Referral patterns
• Pre-hospital duties and protocols
• Availability of diagnostic tests

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Mentors/Niche

• Start early
• Area of interest
• Changing your niche

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Pitfalls

• Balance between Yes and No
• Not maintaining a CV on a regular basis
• Not knowing the criteria for advancement
• Only focusing on clinical acumen
• Taking on too much or too little
• Forgetting about balance in life as well as in
  practice

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Avoiding Burnout

• Diversify
• Schedule personal time

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Feedback

• Improves with time
• Practice/Practice/Practice
• Ideas for improvement

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Rule 1

• Well Back in insert state - doesnt work

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Rule 2

• Be tactful when citing medical literature

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Rule 3

• Ask for advice - liberally
• Dont be afraid to admit that you dont know
  something

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Rule 4

• Be generous with appreciation and manners
• Give people the benefit of the doubt
• Thank you goes a long way

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Rule 5

• When in Rome, dress like the Romans, act like the
  Romans

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Rule 6

• Dont try to change things in the first 6 months.
  Your ideas may be seen as rocking the boat
• Avoid being pulled into long standing conflicts
  that you dont understand

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Rule 7

• Remember where you came from
• You owe a debt to your teachers, mentors, and
  role models that can only be repaid by
• Doing the best that you can to practice high
  quality emergency medicine
• Helping those who come after you by being a
  teacher, mentor, and role model

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Enjoy Yourself

• You have come a long way and have a lot to be
  proud of. Take it easy and have some fun.