WanderingBlast
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I’m a first year attending with a malignant heme/BMT disease focus at an academic center. Right now I’m 50% clinical 40% research (10% admin/teaching). I may have just had a bad few weeks but I’m starting to feel like the research component of my work is burning me out. I don’t mind seeing patients outpatient, inpatient, or working hard clinically. I do seem to mind slogging through stats, worrying about manuscript deadlines, if I’m publishing enough, and if I might ever get a grant.
My program tells me if I wanted to change to be a full time clinician (with the same disease focus) I could. This would look like 2.5-3 days of clinic. Plus 8-12 inpatient weeks. My goals as an early career physician are to gain clinical experience in malignant heme and CAR-T/BMT in my first few years out, especially since I elected not to do a BMT fellowship. If I ever changed jobs, I would probably want to change to something hybrid or community based, but I’m not sure how likely I’d be to find a job looking for or willing to hire someone with a prior heme/BMT/cell therapy focus. If I went to another academic center (which would allow me to have a disease focus) I’d prefer not to have to do research but I’m not sure how common it is to find academic jobs that are looking for clinical-track physicians.
1) Given my goals, would I be at a disadvantage if I dropped research? I presume hybrid/community places won’t care and maybe it would even be an asset since I’d be more clinically busy. But would I shut the door on clinically-focused academic jobs if I did that? Do clinical-track academic jobs even exist at other places?
2) I really enjoy all of hematology (benign, malignant, transplant, etc). Anyone think we might be seeing more heme-focused community/hybrid jobs in the future as the population ages, autos and CAR-T moves outpatient, etc?
3) Would I be at a big disadvantage if I switched out of academia into a general oncology job in <5 years? I’m onc and heme boarded. Given how much I’m disliking research I’m thinking maybe I should have considered general community positions more seriously. If I left my current job for a general community position it would be because I wanted to ensure I had good job opportunities for the future (meaning opportunities where I don’t have to be doing research).
My program tells me if I wanted to change to be a full time clinician (with the same disease focus) I could. This would look like 2.5-3 days of clinic. Plus 8-12 inpatient weeks. My goals as an early career physician are to gain clinical experience in malignant heme and CAR-T/BMT in my first few years out, especially since I elected not to do a BMT fellowship. If I ever changed jobs, I would probably want to change to something hybrid or community based, but I’m not sure how likely I’d be to find a job looking for or willing to hire someone with a prior heme/BMT/cell therapy focus. If I went to another academic center (which would allow me to have a disease focus) I’d prefer not to have to do research but I’m not sure how common it is to find academic jobs that are looking for clinical-track physicians.
1) Given my goals, would I be at a disadvantage if I dropped research? I presume hybrid/community places won’t care and maybe it would even be an asset since I’d be more clinically busy. But would I shut the door on clinically-focused academic jobs if I did that? Do clinical-track academic jobs even exist at other places?
2) I really enjoy all of hematology (benign, malignant, transplant, etc). Anyone think we might be seeing more heme-focused community/hybrid jobs in the future as the population ages, autos and CAR-T moves outpatient, etc?
3) Would I be at a big disadvantage if I switched out of academia into a general oncology job in <5 years? I’m onc and heme boarded. Given how much I’m disliking research I’m thinking maybe I should have considered general community positions more seriously. If I left my current job for a general community position it would be because I wanted to ensure I had good job opportunities for the future (meaning opportunities where I don’t have to be doing research).
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