Reviews Supplements Transitions Into Clinical Practice For Cornea Fellows : Page 1

Transitions INTO CLINICAL PRACTICE FOR CORNEA FELLOWS Insider Advice for Creating a Successful Career Faculty Authors Esen K. Akpek, MD* The Wilmer Eye Institute The Johns Hopkins University School of Medicine Baltimore, MD Ashley Behrens, MD* The Wilmer Eye Institute The Johns Hopkins University School of Medicine Baltimore, MD Bryan S. Lee, MD, JD University of Washington Seattle, WA Jimmy K. Lee, MD Montefiore Medical Center Bronx, NY Marguerite B. McDonald, MD, FACS New York University Langone Medical Center New York, NY Sonia H. Yoo, MD Bascom Palmer Eye Institute University of Miami Miller School of Medicine Miami, FL Peter J. McDonnell, MD,* The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, served as a planning faculty member for this meeting. The faculty authors acknowledge Jaime Symowicz, PhD, Spire Learning, Parsippany, NJ, for contributions to the writing of this article. *Participation in this activity by Esen K. Akpek, MD, Ashley Behrens, MD, and Peter J. McDonnell, MD, does not constitute or imply endorsement by the Johns Hopkins University, the Johns Hopkins Hospital, or the Johns Hopkins Health System. INTRODUCTION A panel of leading experts in the cornea field, including both recent graduates and experienced faculty, gathered to share their expertise one-on-one with cornea fellows. This meeting produced valuable real-world guidance for you to use as you navigate your way into clinical practice as a cornea specialist. Continue reading for a summary of the expert faculty’s timeless guidance and their secrets for building a successful career as a cornea specialist. Types of Practice Settings: Where Do You Want to Work? There are several practice settings where a cornea specialist can find a position. You can also learn more by talking to ophthalmologists in the community, clinical or adjunct faculty, guest speakers, and friends who are further along in their careers. If possible, visit other practices to find out more about these different settings. ACADEMIC INSTITUTIONS Advantages • Forces you to stay up-to-date on current information in the field • Research and teaching opportunities • Potential for collaborative research with departments outside ophthalmology • Interesting case mix • Exposure to new procedures and technologies sooner • Built-in ancillary support system, such as administrative assistants, schedulers, research assistants Disadvantages • Teaching and research time are not compensated at clinical productivity rate • Institutional review boards (IRBs) are generally slower and more expensive • High overhead costs for clinical research • Must be willing to handle patient “dumps” especially on Fridays and before holidays • Overhead is higher because of support system YOUR JOB SEARCH: FINDING THE RIGHT POSITION THE FIRST TIME Did you know that 22% of ophthalmologists in their first 5 years of clinical practice have already held more than 1 position? Reasons for leaving their first position included: finding a better position, poor pay, poor relations with fellow doctors, work not shared equitably, lack of business, lack of partnership agreement, they or their family did not like location, and work-life balance was not as expected. 1 Find out how you can optimize your job search. “Your first job is actually probably more important than your fellowship, I would venture to say, because your fellowship is a short first year. What you do with what you’ve seen and learned afterwards will almost dictate your career trajectory.” ‒– Jimmy K. Lee, MD

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