1 00:00:09,109 --> 00:00:11,244 WELCOME TO THE CLINICAL CENTER GRAND ROUNDS, 2 00:00:11,311 --> 00:00:15,048 A WEEKLY SERIES OF EDUCATIONAL LECTURES FOR PHYSICIANS AND 3 00:00:15,115 --> 00:00:17,684 HEALTH CARE PROFESSIONALS BROADCAST FROM THE CLINICAL 4 00:00:17,751 --> 00:00:20,653 CENTER AT THE NATIONAL INSTITUTES OF HEALTH IN 5 00:00:20,720 --> 00:00:22,455 BETHESDA, MD. 6 00:00:22,522 --> 00:00:25,992 THE NIH CLINICAL CENTER IS THE WORLD'S LARGEST HOSPITAL TOTALLY 7 00:00:26,059 --> 00:00:29,696 DEDICATED TO INVESTIGATIONAL RESEARCH AND LEADS THE GLOBAL 8 00:00:29,763 --> 00:00:32,632 EFFORT IN TRAINING TODAY'S INVESTIGATORS AND DISCOVERING 9 00:00:32,699 --> 00:00:34,801 TOMORROW'S CURES. 10 00:00:34,868 --> 00:00:43,777 LEARN MORE BY VISITING US ONLINE AT HTTP://CLINICALCENTER.NIH.GOV 11 00:00:43,843 --> 00:00:48,047 WELCOME TO TODAY'S CLINICAL 12 00:00:48,114 --> 00:00:55,088 CENTER GRAND ROUNDS. 13 00:00:55,155 --> 00:00:58,691 FEW HOUSEKEEPING POINTS, TODAY'S 14 00:00:58,758 --> 00:01:01,828 CME IS 50552. 15 00:01:01,895 --> 00:01:02,328 AGAIN, 50552. 16 00:01:02,395 --> 00:01:04,431 PLEASE TEXT THIS CODE TO THE 17 00:01:04,497 --> 00:01:05,999 JOHNS HOPKINS CME PHONE SOMEBODY 18 00:01:06,065 --> 00:01:07,600 WHICH WILL APPEAR ON THE SLIDES 19 00:01:07,667 --> 00:01:09,536 TO RECEIVE CME CREDIT. 20 00:01:09,602 --> 00:01:12,505 WE WOULD ALSO LIKE YOU TO 21 00:01:12,572 --> 00:01:15,308 PROVIDE FEEDBACK PIE SCANNING 22 00:01:15,375 --> 00:01:17,210 THE QR CODE, FOR THOSE ARK 23 00:01:17,277 --> 00:01:19,112 PLYING FOR CME, YOU WILL RECEIVE 24 00:01:19,179 --> 00:01:20,613 A FEEDBACK LINK VIA E-MAIL AND 25 00:01:20,680 --> 00:01:22,148 THE SURVEY WILL BE USED TO 26 00:01:22,215 --> 00:01:23,316 PROVIDE US WITH IMPORTANT 27 00:01:23,383 --> 00:01:24,484 FEEDBACK ABOUT THE PRESENTATION 28 00:01:24,551 --> 00:01:26,820 AND ALLOWS TO YOU SUBMIT ANY 29 00:01:26,886 --> 00:01:28,755 SUGGESTIONS FOR FUTURE GRAND 30 00:01:28,822 --> 00:01:29,956 ROUND TOPICS. 31 00:01:30,023 --> 00:01:30,824 FOLLOWING THE PRESENTATION, 32 00:01:30,890 --> 00:01:32,392 QUESTIONS FOR THE SPEAKER WILL 33 00:01:32,459 --> 00:01:37,997 BE TAKEN FROM THE MICROPHONES IN 34 00:01:38,064 --> 00:01:39,065 BOTH AISLES, ADDITIONALLY, 35 00:01:39,132 --> 00:01:41,267 VIDEOCAST VIEWERS MAY SUBMIT 36 00:01:41,334 --> 00:01:43,603 QUESTIONS AT ANY TIME DURING THE 37 00:01:43,670 --> 00:01:46,239 LECTURE BY SCROLLING DOWN AND 38 00:01:46,306 --> 00:01:47,874 CLICKING THE LIVE FEEDBACK 39 00:01:47,941 --> 00:01:49,609 BUTTON LOCATED ON THE VIDEOCAST 40 00:01:49,676 --> 00:01:49,976 WEBSITE. 41 00:01:50,043 --> 00:01:53,046 AT THE CONCLUSION OF THE 42 00:01:53,112 --> 00:01:53,780 PRESENTATIONS, BOTH QUESTIONS 43 00:01:53,847 --> 00:01:55,849 WILL BE ANSWERED AS TIME PERMITS 44 00:01:55,915 --> 00:02:00,820 AND IN ADDITION, THERE WILL BE A 45 00:02:00,887 --> 00:02:02,121 STAFF CLINICIAN COUNSEL 46 00:02:02,188 --> 00:02:03,056 SPONSORED COFFEE MEET AND GREET 47 00:02:03,122 --> 00:02:05,959 WITH OUR SPEAKER IN THE ATRIUM 48 00:02:06,025 --> 00:02:09,529 JUST OUTSIDE THE 49 00:02:09,596 --> 00:02:09,963 LIPSETT AUDITORIUM. 50 00:02:10,029 --> 00:02:11,931 NOW IT IS MY GREAT PLEASURE TO 51 00:02:11,998 --> 00:02:16,803 WELCOME BACK HOME TO THE NIH 52 00:02:16,870 --> 00:02:18,638 CENTER THE SPEAKER, TYSON BELL, 53 00:02:18,705 --> 00:02:20,440 ALSO XOAN AS THE MASTER OF FLOW. 54 00:02:20,507 --> 00:02:21,608 THIS PRESENTATION IS THE SECOND 55 00:02:21,674 --> 00:02:23,276 IN WHAT WE HOPE WILL BE A LONG 56 00:02:23,343 --> 00:02:26,012 TRADITION OF THE NIH STAFF 57 00:02:26,079 --> 00:02:27,747 COMMISSION COUNCIL ANNUALLY 58 00:02:27,814 --> 00:02:28,915 SPONSORED CLINICAL CENTER DPRAND 59 00:02:28,982 --> 00:02:29,816 ROUNDS. 60 00:02:29,883 --> 00:02:33,953 THE STAFF CLINICIAN COUNCIL 61 00:02:34,020 --> 00:02:35,421 SPONSORED PRESENTATIONS ARE 62 00:02:35,488 --> 00:02:36,689 INTENDED TO SPOTLIGHT TALKS 63 00:02:36,756 --> 00:02:38,391 IMPORTANT TO THE PERSONAL AND 64 00:02:38,458 --> 00:02:40,827 PROFESSIONAL DEVELOPMENT OF OUR 65 00:02:40,894 --> 00:02:42,428 CLINICAL FACULTY. 66 00:02:42,495 --> 00:02:45,131 THE DOCTOR IS THE WITH THE 67 00:02:45,198 --> 00:02:46,866 DIVISION OF PULMONARY AND 68 00:02:46,933 --> 00:02:47,800 INFECTIOUS DISEASES AT THE 69 00:02:47,867 --> 00:02:49,302 UNIVERSITY OF VIRGINIA WHERE HE 70 00:02:49,369 --> 00:02:52,205 ALSO SERVES AS VICE CHAIR FOR 71 00:02:52,272 --> 00:02:53,439 FACULTY AFFAIRS FOR THE 72 00:02:53,506 --> 00:02:54,374 UNIVERSITY OF VIRGINIA 73 00:02:54,440 --> 00:02:55,775 DEPARTMENT OF MEDICINE, DR. BELL 74 00:02:55,842 --> 00:02:57,777 IS BOARD CERTIFIED IN INTERNAL 75 00:02:57,844 --> 00:02:58,645 MEDICINE, INFECTIOUS DISEASES 76 00:02:58,711 --> 00:03:00,747 AND CRITICAL CARE MEDICINE. 77 00:03:00,813 --> 00:03:03,216 TYSON EARNED HIS BACHELOR'S OF 78 00:03:03,283 --> 00:03:04,751 ARTS DEGREE IN AFRICAN AMERICAN, 79 00:03:04,817 --> 00:03:06,252 AND AFRICAN STUDIES AT THE 80 00:03:06,319 --> 00:03:07,954 UNIVERSITY OF VIRGINIA IN 2005 81 00:03:08,021 --> 00:03:11,391 AND HIS MEDICAL DEGREE AT 82 00:03:11,457 --> 00:03:13,059 COLUMBIA UNIVERSITY DEGREE OF 83 00:03:13,126 --> 00:03:14,327 SURGEONS IN 2009. 84 00:03:14,394 --> 00:03:16,229 HE COMPLETED HIS RESIDENCY AND 85 00:03:16,296 --> 00:03:17,030 CHIEF RESIDENCY IN INTERNAL 86 00:03:17,096 --> 00:03:19,632 MEDICINE AT THE MASS MATIONZ 87 00:03:19,699 --> 00:03:22,035 GENERAL HOSPITAL AND A 88 00:03:22,101 --> 00:03:23,202 FELLOWSHIP IN INFECTIOUS DISEASE 89 00:03:23,269 --> 00:03:25,238 AT MASS GENERAL BRIGHAM. 90 00:03:25,305 --> 00:03:28,041 HE THEN TRAINED HERE AT THE NIH 91 00:03:28,107 --> 00:03:29,876 CLINICAL CENTER IN CLINICAL CARE 92 00:03:29,943 --> 00:03:31,878 MEDICINE, HE SUBSEQUENTLY JOINED 93 00:03:31,945 --> 00:03:33,646 THE FACULTY OF THE UNIVERSITY OF 94 00:03:33,713 --> 00:03:36,382 VIRGINIA IN 2033 WHERE HE SERVES 95 00:03:36,449 --> 00:03:38,618 AS AN ASSOCIATE PROFESSOR OF 96 00:03:38,685 --> 00:03:39,586 MEDICINE INFECTIOUS DISEASES AND 97 00:03:39,652 --> 00:03:40,954 INTERNATIONAL HEALTH AND THE 98 00:03:41,020 --> 00:03:42,956 DIVISION OF PULL MONITORAR EXPE 99 00:03:43,022 --> 00:03:44,457 CRITICAL CARE MEDICINE, IN 2020 100 00:03:44,524 --> 00:03:46,926 HE EARNED HIS MBA FROM THE 101 00:03:46,993 --> 00:03:48,761 UNIVERSITY OF VIRGINIA DARTEN 102 00:03:48,828 --> 00:03:50,363 SCHOOL OF BUSINESS. 103 00:03:50,430 --> 00:03:51,264 DR. BELL HAS BEEN WIDELY 104 00:03:51,331 --> 00:03:52,699 RECOGNIZED FOR HIS TEACHING AND 105 00:03:52,765 --> 00:03:55,034 LEADERSHIP IN THE STUDY OF 106 00:03:55,101 --> 00:03:56,135 HEALTH DISPARITIES, IN 2022 HE 107 00:03:56,202 --> 00:03:58,972 WAS NAMED 1 OF THE TOP 40 UNDER 108 00:03:59,038 --> 00:04:00,840 40 LEADERS IN MINORITY HEALTH BY 109 00:04:00,907 --> 00:04:05,545 THE NATIONAL MINORITY QUALITY 110 00:04:05,612 --> 00:04:07,747 FORUM THE STAIM YEAR HE RECEIVED 111 00:04:07,814 --> 00:04:08,581 EXCELLENCE OF TEACHING AWARD 112 00:04:08,648 --> 00:04:09,882 FROM THE UNIVERSITY DEPARTMENT 113 00:04:09,949 --> 00:04:11,517 OF MEDICINE AND KEY NOTE SPEAKER 114 00:04:11,584 --> 00:04:12,952 AT THE UNIVERSITY OF 115 00:04:13,019 --> 00:04:13,586 COMMENCEMENT EXERCISES. 116 00:04:13,653 --> 00:04:17,590 AT THIS TIME HE SPOKE ELOQUENTLY 117 00:04:17,657 --> 00:04:19,859 ABOUT ACHIEVING FLOW, BY 118 00:04:19,926 --> 00:04:22,262 NEGOTIATING BOTH PRESSURE AND 119 00:04:22,328 --> 00:04:23,062 RESISTANCE FROM DETERMINATION 120 00:04:23,129 --> 00:04:23,529 AND GRACE. 121 00:04:23,596 --> 00:04:26,232 HE IS A PASSIONATE CLINICAL 122 00:04:26,299 --> 00:04:28,201 EDUCATOR WHO HOSTS A PODCAST FOR 123 00:04:28,267 --> 00:04:30,203 PHYSICIANS IN ACADEMIC MEDICINE. 124 00:04:30,269 --> 00:04:33,373 HE IS AN ENTREPRENEUR WHO 125 00:04:33,439 --> 00:04:34,374 CONFOUNDED A COMPANY DEDICATED 126 00:04:34,440 --> 00:04:36,042 TO DELIVERING BREAK THROUGH 127 00:04:36,109 --> 00:04:38,544 CANCER DETECTION, HE'S A FRONT 128 00:04:38,611 --> 00:04:41,447 LINE LEADER WHO WORKS TIRELESSLY 129 00:04:41,514 --> 00:04:42,949 FOR HIS PATIENTS, COLLEAGUES AND 130 00:04:43,016 --> 00:04:43,883 COMMUNITY. 131 00:04:43,950 --> 00:04:46,219 HE IS AN ALTRUISTIC HUMAN BEING 132 00:04:46,285 --> 00:04:47,687 WHO CHANGES THE STATUS QUO AND 133 00:04:47,754 --> 00:04:48,988 NOT AFRAID TO SHARE HIS JOWRN 134 00:04:49,055 --> 00:04:50,256 TOW HELP YOU BELIEVE IN 135 00:04:50,323 --> 00:04:50,523 YOURSELF. 136 00:04:50,590 --> 00:04:52,692 PLEASE JOIN ME IN WELCOMING 137 00:04:52,759 --> 00:04:54,193 TODAY, GRAND ROUNDS SPEAKER 138 00:04:54,260 --> 00:04:57,930 DR. TYSON BELL WHO WILL PRESENT 139 00:04:57,997 --> 00:04:59,699 THE FACULTY AFFAIRS FILES OF 140 00:04:59,766 --> 00:05:01,000 UNRALPHING THE MYSTERY OF 141 00:05:01,067 --> 00:05:07,573 ACADEMEC MEDICINE, DR. BELL. 142 00:05:07,640 --> 00:05:08,207 [ APPLAUSE ] 143 00:05:08,274 --> 00:05:09,575 >> WELL THAT IMPOSSIBLE TO BUILD 144 00:05:09,642 --> 00:05:11,544 ROW MAKES ME REALIZE I'M DOING 145 00:05:11,611 --> 00:05:13,046 TOO MANY THINGS AT 1 TIME. 146 00:05:13,112 --> 00:05:14,747 THANK YOU SO MUCH FOR INVITING 147 00:05:14,814 --> 00:05:16,115 ME BACK, THIS PLACE IS REALLY 148 00:05:16,182 --> 00:05:17,917 SPECIAL TO ME, I FEEL LIKE A LOT 149 00:05:17,984 --> 00:05:19,652 OF MY ACADEMIC CAREER, I WAS 150 00:05:19,719 --> 00:05:20,720 KIND OF STRUGGLING ALONG, TRYING 151 00:05:20,787 --> 00:05:22,121 TO FIGURE OUT WHAT MY CALLING 152 00:05:22,188 --> 00:05:23,589 WAS GOING TO BE, WHAT I WANTED 153 00:05:23,656 --> 00:05:26,626 TO DO BECAUSE I DIDN'T QUITE FIT 154 00:05:26,693 --> 00:05:28,628 IN ANYONE'S BOX AND AT THE IN, 155 00:05:28,695 --> 00:05:29,996 IH WAS THE FIRST PLACE WHERE I 156 00:05:30,063 --> 00:05:31,564 FELT LIKE I DID FIT IN THE BOX 157 00:05:31,631 --> 00:05:32,965 AND THAT BOX REALLY WAS A BOX 158 00:05:33,032 --> 00:05:34,901 THAT HAD NO WALLS BECAUSE, 159 00:05:34,967 --> 00:05:36,669 PEOPLE ARE DOING ALL KINDS OF 160 00:05:36,736 --> 00:05:40,006 THINGS, BUT YOU REALIZE THEY WAS 161 00:05:40,073 --> 00:05:42,175 AN OUTLIER SO THIS IS WHERE I 162 00:05:42,241 --> 00:05:43,443 HIT MY INFLECTION POINT IN MY 163 00:05:43,509 --> 00:05:45,445 CAREER AND I OWE A LOT OF MY 164 00:05:45,511 --> 00:05:48,081 SUCCESS TO THE PEOPLE HERE, 165 00:05:48,147 --> 00:05:50,149 DR. MASUR, FUNCTIONS IN HOST 166 00:05:50,216 --> 00:05:51,984 DEFENSEN, BERKELEY WHO I CRAFTED 167 00:05:52,051 --> 00:05:53,319 MY COMMENCEMENT SPEECH ON YOUR 168 00:05:53,386 --> 00:05:55,321 LECTURES, A LOT OF MY SUCCESS 169 00:05:55,388 --> 00:05:56,656 TRACES RIGHT BACK TO THIS PLACE 170 00:05:56,723 --> 00:05:58,224 SO IT'S SO SPECIAL TO ME AND I 171 00:05:58,291 --> 00:05:59,625 ENJOYED THE WALK FROM THE 172 00:05:59,692 --> 00:06:01,360 GATEWAY CENTER ALL THE WAY UP TO 173 00:06:01,427 --> 00:06:02,528 THE CLINICAL CENTER EVEN THOUGH 174 00:06:02,595 --> 00:06:04,030 IT'S STARTING TO GET A LITTLE 175 00:06:04,097 --> 00:06:04,597 WARM. 176 00:06:04,664 --> 00:06:07,266 ALL RIGHT, SO, THE FACULTY FILES 177 00:06:07,333 --> 00:06:09,702 SO I'VE BEEN DOING FACULTY 178 00:06:09,769 --> 00:06:11,237 AFFAIRS AT THE DEPARTMENT OF 179 00:06:11,304 --> 00:06:12,071 MEDICINE WHERE BASICALLY WHAT 180 00:06:12,138 --> 00:06:13,606 I'VE BEEN DOING IS TALKING WITH 181 00:06:13,673 --> 00:06:15,975 FACULTY ABOUT THE THINGS THAT 182 00:06:16,042 --> 00:06:17,710 THEY'RE GOING THROUGH WHETHER IT 183 00:06:17,777 --> 00:06:19,445 BE WORK, LIFE, CAREER AND I 184 00:06:19,512 --> 00:06:21,314 ALWAYS COMMIT MYSELF TO JUST 185 00:06:21,380 --> 00:06:22,548 LISTENING FIRST, SO LIKE THE 186 00:06:22,615 --> 00:06:23,583 FIRST YEAR, FIRST YEAR AND A 187 00:06:23,649 --> 00:06:25,251 HALF OR SO, AND I'VE DONE A LOT 188 00:06:25,318 --> 00:06:26,753 OF LISTENING AND NOW THIS IS MY 189 00:06:26,819 --> 00:06:28,721 FIRST TIME, I WILL DO TALKING 190 00:06:28,788 --> 00:06:29,655 AND PUT SOME THOUGHTS OUT ABOUT 191 00:06:29,722 --> 00:06:32,024 SOME OF THE ISSUES I SEE WITHIN 192 00:06:32,091 --> 00:06:33,292 ACADEMIC MEDICINE, AND REALLY 193 00:06:33,359 --> 00:06:36,462 IT'S GOING TO BREAK DOWN INTO 194 00:06:36,529 --> 00:06:39,966 THE PEOPLE, SO, [INDISCERNIBLE] 195 00:06:40,032 --> 00:06:41,734 PAYS ME TO TELL THEM THAT NOBODY 196 00:06:41,801 --> 00:06:43,269 CARES ABOUT COVID ANYMORE, SO I 197 00:06:43,336 --> 00:06:44,937 NEED TO DISCLOSE THAT. 198 00:06:45,004 --> 00:06:47,373 OBJECTIVES, 3 THINGS, I WANT TO 199 00:06:47,440 --> 00:06:49,475 DISCUSS CAREER, LIFE, MONEY, AND 200 00:06:49,542 --> 00:06:51,344 FAMILY ALL IN THE CONTEXT OF 201 00:06:51,410 --> 00:06:52,178 ACADEMIC MEDICINE, I WILL SAY 202 00:06:52,245 --> 00:06:53,613 THINGS THAT MAY BE YOU DON'T 203 00:06:53,679 --> 00:06:56,182 AGREE WITH BUT THE HOPE IS TO 204 00:06:56,249 --> 00:06:56,983 PROVOKE A DISCUSSION HERE. 205 00:06:57,049 --> 00:06:59,886 I WANT TO GIVE YOU A STARTING 206 00:06:59,952 --> 00:07:01,120 POINT FOR FURTHER DEVELOPING 207 00:07:01,187 --> 00:07:02,955 YOUR CAREER REGARD OF WHAT STAGE 208 00:07:03,022 --> 00:07:04,023 YOU'RE IN BECAUSE CAREERS 209 00:07:04,090 --> 00:07:05,291 CONTINUE TO EVOLVE AT EVERY 210 00:07:05,358 --> 00:07:07,260 POINT AND THEN HOPEFULLY 211 00:07:07,326 --> 00:07:08,728 GENERATE A LASTING DISCUSSION 212 00:07:08,795 --> 00:07:09,729 AMONGST FACULTY HERE ABOUT 213 00:07:09,796 --> 00:07:12,965 MAKING A ROBUST CULTURE OF 214 00:07:13,032 --> 00:07:13,666 FACULTY DEVELOPMENT HERE. 215 00:07:13,733 --> 00:07:15,635 ALL RIGHT, SO I HAVE CASES, ALL 216 00:07:15,701 --> 00:07:18,971 RIGHT, THESE ARE ALL FACULTY 217 00:07:19,038 --> 00:07:20,673 MEMBERS AT UVA, THAT SOME POINT 218 00:07:20,740 --> 00:07:22,108 OR ANOTHER HAVE FOLKEN WITH THEM 219 00:07:22,175 --> 00:07:23,509 ABOUT SOME OF WHAT THEY'RE GOING 220 00:07:23,576 --> 00:07:27,547 THROUGH, SO CASE NUMBER 1 I WILL 221 00:07:27,613 --> 00:07:28,981 CALL SQUARE PEG ROUND LOOP HOLE, 222 00:07:29,048 --> 00:07:30,817 THIS IS A FAC ULTIMATELYY 223 00:07:30,883 --> 00:07:32,785 MEMBER, IN YEAR 5 OF THEIR 224 00:07:32,852 --> 00:07:35,188 APPOINTMENT, THEY WANT TO GO UP 225 00:07:35,254 --> 00:07:37,723 FOR PROMOTION, THEY'RE 226 00:07:37,790 --> 00:07:39,125 MD-Ph.D., THEY'RE ON TENURED 227 00:07:39,192 --> 00:07:39,959 INVESTIGATOR TRACK AND I WILL 228 00:07:40,026 --> 00:07:41,627 TALK ABOUT THE TRACKS AT UVA, 229 00:07:41,694 --> 00:07:44,397 BUT THIS IS THE TENURE TRACK, 230 00:07:44,463 --> 00:07:45,698 INDEPENDENT FUNDING TRACK, IT'S 231 00:07:45,765 --> 00:07:47,366 ENTRY LEVEL AT ASSISTANT 232 00:07:47,433 --> 00:07:49,402 PROFESSOR, HAS A GOOD 233 00:07:49,468 --> 00:07:51,137 PUBLICATION RECORD, GOOD 234 00:07:51,204 --> 00:07:52,305 REASONABLE REPUTATION, RUNNING A 235 00:07:52,371 --> 00:07:53,940 BASIC SCIENCES LAB WITH 7-9 236 00:07:54,006 --> 00:07:55,441 PEOPLE AND APPROXIMATE HE DOES 237 00:07:55,508 --> 00:07:56,843 HAVE SUBSTANTIAL ROLES IN 238 00:07:56,909 --> 00:07:58,044 CLINICAL DUTY EXPE EDUCATION AND 239 00:07:58,110 --> 00:07:59,345 FOR FUNDING HE USED A 240 00:07:59,412 --> 00:08:00,980 COMBINATION OF THE START UP 241 00:08:01,047 --> 00:08:02,615 FUNDS, HE HAS STATE FUNDING 242 00:08:02,682 --> 00:08:03,349 INITIATIVE THAT'S BEEN GREAT FOR 243 00:08:03,416 --> 00:08:06,619 US AND HE HAS A K-AWARD AND HE 244 00:08:06,686 --> 00:08:08,454 JUST SUBMITTED AN RO-1 TO HE 245 00:08:08,521 --> 00:08:10,389 FEEL SYSTEM OKAY TO SHIP OUT, HE 246 00:08:10,456 --> 00:08:12,158 HASN'T HEARD BACK ON THE SCORING 247 00:08:12,225 --> 00:08:12,391 YET. 248 00:08:12,458 --> 00:08:15,595 HE MET WITH OUR P& T HEAD AND 249 00:08:15,661 --> 00:08:16,963 ADVISED TO WAIT ANOTHER YEAR 250 00:08:17,029 --> 00:08:18,164 BECAUSE HE'S NOT QUITE READY SO 251 00:08:18,231 --> 00:08:19,465 WHAT DOES THAT MEAN, IF YOU LOOK 252 00:08:19,532 --> 00:08:21,234 AT HIS BREAK DOUBLE PATENTS OF 253 00:08:21,300 --> 00:08:24,303 HIS FTE OR CLINICAL COMMITMENTS 254 00:08:24,370 --> 00:08:26,739 YOU SEE HE REALLY IS A TRIFECTA 255 00:08:26,806 --> 00:08:32,578 LIKE THIS CLINICIAN, EDUCATOR, 256 00:08:32,645 --> 00:08:34,113 RESEARCHER, HE SPENTS 30% IN 257 00:08:34,180 --> 00:08:36,249 CLINICAL CARE AND 15% IN 258 00:08:36,315 --> 00:08:38,017 EDUCATION AND HE DOES HAVE 259 00:08:38,084 --> 00:08:39,051 LEADERSHIP ROLES BOTH WITHIN 260 00:08:39,118 --> 00:08:40,253 EDUCATION AND CLINICAL CARE SO 261 00:08:40,319 --> 00:08:42,788 HE REALLY DOES HAVE HIS FINGERS 262 00:08:42,855 --> 00:08:43,189 IN EVERYTHING. 263 00:08:43,256 --> 00:08:46,993 NOW I WANT TO BREAK DOWN JUST 264 00:08:47,059 --> 00:08:48,060 FOR BACKGROUND HERE, THE 265 00:08:48,127 --> 00:08:49,495 DIFFERENT TRACKS AT UVA, AND 266 00:08:49,562 --> 00:08:51,030 OVERLAY WITH THEM, WHAT I THINK 267 00:08:51,097 --> 00:08:52,665 AN EQUIVALENT WILL BE HERE AT 268 00:08:52,732 --> 00:08:54,500 THE NE H, SO THE CLINICIAN 269 00:08:54,567 --> 00:08:56,602 INVESTIGATOR TRACK IS TENURE 270 00:08:56,669 --> 00:08:58,804 ELIGIBLE, TENURE AT UVA IS 271 00:08:58,871 --> 00:09:00,006 UNCLEAR EXACTLY WHAT IT MEANS 272 00:09:00,072 --> 00:09:02,174 BECAUSE THERE'S A LOT OF JOB 273 00:09:02,241 --> 00:09:03,643 SECURITY EITHER WAY BUT TENURE 274 00:09:03,709 --> 00:09:05,544 FOR NOW DOES COME WITH A SMALL 275 00:09:05,611 --> 00:09:07,380 SALARY IPT GREATER CREASE, SO 276 00:09:07,446 --> 00:09:09,782 THERE'S THAT, NOW HIS CLINICIAN 277 00:09:09,849 --> 00:09:11,083 INVESTIGATOR TRACK, IS DESIGNED 278 00:09:11,150 --> 00:09:12,118 FOR POSITION RESEARCHERS AND 279 00:09:12,184 --> 00:09:12,785 SOME EXPECTATION OF CLINICAL 280 00:09:12,852 --> 00:09:13,819 CARE AND EVERYBODY'S IS, BUT 281 00:09:13,886 --> 00:09:15,888 THIS 1'S ALL ABOUT THE RESEARCH. 282 00:09:15,955 --> 00:09:18,891 NOW THAT ARE 2 OTHER TRACKS, 283 00:09:18,958 --> 00:09:20,626 CLINICAL EDUCATOR THAT'S ALSO 284 00:09:20,693 --> 00:09:22,028 TENURE ELIGIBLE, AND THIS 1 285 00:09:22,094 --> 00:09:23,963 SUGGIEST THAD HAVE YOU 80% OF 286 00:09:24,030 --> 00:09:25,464 YOUR TIME DEVOTED TO PATIENT 287 00:09:25,531 --> 00:09:27,800 CARE OR MEDICAL EDUCATION, SO 288 00:09:27,867 --> 00:09:31,203 THAT'S WHAT'S SUGGESTED BY IT 289 00:09:31,270 --> 00:09:32,505 AND THEN CLINICAL FACULTY ARE 290 00:09:32,571 --> 00:09:34,040 SEEING PATES FOR THE MOST PART, 291 00:09:34,106 --> 00:09:35,708 THIS IS A NON10 IRBED TRACK AND 292 00:09:35,775 --> 00:09:37,243 THE MAJORITY OF YOUR TIME IS 293 00:09:37,310 --> 00:09:38,377 SUPPOSED TO BE DEDICATED TO 294 00:09:38,444 --> 00:09:39,445 CLINICAL ACTIVITY. 295 00:09:39,512 --> 00:09:40,179 SO BETWEEN THE 2 DIFFERENT 296 00:09:40,246 --> 00:09:43,215 TRACKS THAT HE WOULD BE 297 00:09:43,282 --> 00:09:46,719 POTENTIALLY CONSIDERING, CI, AND 298 00:09:46,786 --> 00:09:48,454 CE, ARE THE 2 THAT I'M GOING TO 299 00:09:48,521 --> 00:09:50,022 FOCUS ON, HE'S ESTABLISHED THAT 300 00:09:50,089 --> 00:09:53,059 HE'S NOT GOING TO BE A CLINICAL 301 00:09:53,125 --> 00:09:53,626 FACULTY MEMBER. 302 00:09:53,693 --> 00:09:54,894 SO THE REQUIREMENTS FOR 303 00:09:54,961 --> 00:09:55,928 PROMOTION TO ASSOCIATE, NOW THIS 304 00:09:55,995 --> 00:09:57,330 WILL BE DIFFERENT FOR EVERY 305 00:09:57,396 --> 00:09:59,598 INSTITUTION, IF YOU'VE SEEN 1 306 00:09:59,665 --> 00:10:00,633 ACADEMIC INSTITUTION, YOU'VE 307 00:10:00,700 --> 00:10:02,034 SEEN 1 ACADEMIC CENTER, AND SO 308 00:10:02,101 --> 00:10:04,704 THIS WAS JUST AT UVA, SO FOR 309 00:10:04,770 --> 00:10:05,771 CLINICIAN INVESTIGATOR, YOU ARE 310 00:10:05,838 --> 00:10:08,407 REQUIRED TO HAVE 3 THINGS, 1 IS 311 00:10:08,474 --> 00:10:10,142 EXCELLENCE IN RESEARCH, AND THAT 312 00:10:10,209 --> 00:10:13,112 IS MEASURED BY INDEPENDENT AND 313 00:10:13,179 --> 00:10:14,447 ORIGINAL INVESTIGATION AND 314 00:10:14,513 --> 00:10:15,181 EXTERNAL FUNDING. 315 00:10:15,247 --> 00:10:18,985 THIS IS NOT WRITTEN IN THE LAW, 316 00:10:19,051 --> 00:10:21,587 BUT IT EFFECTIVELY, IT'S UNIQUE 317 00:10:21,654 --> 00:10:22,989 TO RO-1 OR EQUIVALENT GRANT 318 00:10:23,055 --> 00:10:26,492 WHICH IS THE GOLD STANDARD FOR 319 00:10:26,559 --> 00:10:27,026 INDEPENDENT INVESTIGATIVE 320 00:10:27,093 --> 00:10:29,061 FUNDING AND YOU HAVE TO HAVE A 321 00:10:29,128 --> 00:10:32,798 RECORD OF SCHOLARSHIP AND LOCAL 322 00:10:32,865 --> 00:10:33,899 AND REASONABLE REPUTATION, AND 323 00:10:33,966 --> 00:10:36,302 THEN AS YOU PROMOTE FURTHER, AS 324 00:10:36,369 --> 00:10:38,704 PROFESSOR YOU HAVE TO DEVELOP 325 00:10:38,771 --> 00:10:39,638 ANOTHER CORE OF EXCELLENCE 326 00:10:39,705 --> 00:10:41,607 WITHIN EDUCATION OR CLENICAL 327 00:10:41,674 --> 00:10:41,941 CARE. 328 00:10:42,008 --> 00:10:43,042 ALL RIGHT, CLINICAL EDUCATOR ON 329 00:10:43,109 --> 00:10:45,011 THE RIGHT HERE, YOU HAVE TO 330 00:10:45,077 --> 00:10:46,278 DEMONSTRATE EXCELLENCE IN EITHER 331 00:10:46,345 --> 00:10:49,248 OF THE 3 CORE MISSIONS OF THE 332 00:10:49,315 --> 00:10:50,449 ACADEMIC CENTER, PATIENT CARE, 333 00:10:50,516 --> 00:10:51,984 EDUCATION AND RESEARCH, AND THEY 334 00:10:52,051 --> 00:10:55,021 HIGHLIGHT SOME EXTERNAL FUNDING 335 00:10:55,087 --> 00:10:56,655 AS NOT A REQUIREMENT, BUT 336 00:10:56,722 --> 00:10:58,391 SOMETHING THAT COUNTS AS 337 00:10:58,457 --> 00:10:59,392 EXTERNAL AS RESEARCH EXCELLENCE, 338 00:10:59,458 --> 00:11:02,495 AND THEN YOU ALSO HAVE TO HAVE 339 00:11:02,561 --> 00:11:03,562 SCHOLARSHIP AND REASONABLE 340 00:11:03,629 --> 00:11:04,497 REPUTATION, SO THE MAIN DRVESS 341 00:11:04,563 --> 00:11:07,033 HERE IS THAT FOR THE CI TRACK, 342 00:11:07,099 --> 00:11:09,602 YOU HAVE TO HAVE EXTERNAL 343 00:11:09,668 --> 00:11:11,570 FUNDING AT THIS RO-1 LEVEL 344 00:11:11,637 --> 00:11:13,739 FUNDING OR HIGHER AND FOR CE 345 00:11:13,806 --> 00:11:15,708 IT'S MORE FLEXIBLE HOW THEY 346 00:11:15,775 --> 00:11:16,542 DEFINE RESEARCH EXCELLENCE AND 347 00:11:16,609 --> 00:11:19,745 IT'S 1 OF 2 OTHER PATHWAYS THAT 348 00:11:19,812 --> 00:11:21,080 YOU COULD CHOOSE, ALL RIGHT AND 349 00:11:21,147 --> 00:11:23,883 THEN SIMILAR TO THE CI TRACK IN 350 00:11:23,949 --> 00:11:25,651 ORDER TO GET FURTHER PROMOTION, 351 00:11:25,718 --> 00:11:29,522 YOU HAVE TO 22 AREAS OF 352 00:11:29,588 --> 00:11:30,389 EXCELLENCE, NOT JUST 1. 353 00:11:30,456 --> 00:11:30,923 ALL RIGHT. 354 00:11:30,990 --> 00:11:32,758 NOW HERE'S THE PROBLEM, IT'S 355 00:11:32,825 --> 00:11:34,493 DIFFERENT HERE OF COURSE, BUT 356 00:11:34,560 --> 00:11:38,798 OUTSIDE OF THE NIH, A LOT OF 357 00:11:38,864 --> 00:11:41,233 SUCCESS IN INVESTIGATIVE FUNDING 358 00:11:41,300 --> 00:11:42,401 DEPENDS ON RO-1 GRANTS 359 00:11:42,468 --> 00:11:44,236 EVENTUALLY AND AS CAN YOU SEE 360 00:11:44,303 --> 00:11:49,642 HERE, OUR RATE OF RO-1 FUNDING 361 00:11:49,708 --> 00:11:53,212 AND IT WAS IN THE 90S BUT EVEN 362 00:11:53,279 --> 00:11:56,182 LOWER NOW, IT'S 22%, SO THIS IS 363 00:11:56,248 --> 00:11:57,917 FIRST TIME SUCCESS AMONG FIRST 364 00:11:57,983 --> 00:12:00,086 TIME APPLICANTS AND I THINK 365 00:12:00,152 --> 00:12:03,255 THAT'S TOO LOW TO COUNT ON FOR 366 00:12:03,322 --> 00:12:04,523 PROMOTION, EESSENTIALLY, SO IF 367 00:12:04,590 --> 00:12:06,025 YOU ARE COUNTING ON A GRANT THAT 368 00:12:06,092 --> 00:12:07,993 HAS 20% AND THAT'S YOUR 369 00:12:08,060 --> 00:12:10,996 REQUIREMENT TO GET PROMOTED, I 370 00:12:11,063 --> 00:12:12,164 THINK THATEE OVERLY RESTRICTIVE. 371 00:12:12,231 --> 00:12:13,866 NOW IF YOU ARE REAPPLYING, YOU 372 00:12:13,933 --> 00:12:16,902 SEE THE RATE HERE, IT'S NOT 373 00:12:16,969 --> 00:12:18,204 FANTASTIC, RIGHT, BUT IT IS 374 00:12:18,270 --> 00:12:21,507 BETTER THAN 20%, AND THIS IS WHY 375 00:12:21,574 --> 00:12:24,076 I THINK THERE IS--WE ARE 376 00:12:24,143 --> 00:12:24,777 EXSEATED ABOUT BRINGING IN 377 00:12:24,844 --> 00:12:27,546 PEOPLE WHO HAVE MULTIPLE RO-1 378 00:12:27,613 --> 00:12:28,848 GRANTS FOR UVA BECAUSE THEY'RE 379 00:12:28,914 --> 00:12:30,683 MORE LIKELY TO GET REFUNDED BUT 380 00:12:30,749 --> 00:12:32,318 IT IS DIFFICULT TO GET THAT 381 00:12:32,384 --> 00:12:35,788 FIRST 1 WHICH IS WHY A LOT OF 382 00:12:35,855 --> 00:12:37,857 OUR YOUNG FACULTY FEEL LIKE THEY 383 00:12:37,923 --> 00:12:39,492 ARE ASKED TO DO PROJECTS THAT 384 00:12:39,558 --> 00:12:41,460 THEY FEEL WILL BE HIGHER CHANCE 385 00:12:41,527 --> 00:12:42,995 OF GETTING FUNDED, RATHER THAN 386 00:12:43,062 --> 00:12:43,662 THE INDEPENDENT INVESTIGATIVE 387 00:12:43,729 --> 00:12:44,663 WORK THEY WANT TO DO AND 388 00:12:44,730 --> 00:12:45,631 SOMETIMES ARE NOT ANSWERING THE 389 00:12:45,698 --> 00:12:46,665 QUESTIONS THAT THEY WANT TO 390 00:12:46,732 --> 00:12:48,834 ANSWER BUT THE QUESTIONS THEY 391 00:12:48,901 --> 00:12:50,569 THINK WILL GET MONITOR THAT'S 392 00:12:50,636 --> 00:12:51,971 HOPEFULLY WILL DEVELOP INTO MORE 393 00:12:52,037 --> 00:12:53,739 CAREER SUCCESS. 394 00:12:53,806 --> 00:12:55,441 SO THAT'S 1 ISSUE I'VE OUTLINED 395 00:12:55,508 --> 00:12:58,277 HERE AND I'VE BASIC LEAVE TAKEN 396 00:12:58,344 --> 00:13:00,312 A STANCE THAT AT THE UNIVERSITY 397 00:13:00,379 --> 00:13:01,547 OF VIRGINIA, I DON'T THINK 398 00:13:01,614 --> 00:13:03,182 ANYONE WHO'S TARTING OUT ON 399 00:13:03,249 --> 00:13:04,817 FACULTY SHOULD BE ON THE CI 400 00:13:04,884 --> 00:13:05,784 TRACK, EVEN IF THEY ARE DOING 401 00:13:05,851 --> 00:13:07,386 THAT SORT OF WORK. 402 00:13:07,453 --> 00:13:10,156 I THINK IT'S NOT A REALISTIC 403 00:13:10,222 --> 00:13:12,057 PATHWAY. 404 00:13:12,124 --> 00:13:15,594 ALL RIGHT, SO, NOW, AS AN ID 405 00:13:15,661 --> 00:13:17,363 FELLOW, I WAS ASKED AND TRAINED 406 00:13:17,429 --> 00:13:19,865 WHY AND GET DOWN TO THE ROOT 407 00:13:19,932 --> 00:13:21,734 CAUSE AND FIND THE ABSCESS, SO 408 00:13:21,800 --> 00:13:24,370 ALWAYS ASK, WHY THIS, WHY THIS, 409 00:13:24,436 --> 00:13:25,104 WHY THIS? 410 00:13:25,171 --> 00:13:26,038 SO WHY PROMOTION NOW? 411 00:13:26,105 --> 00:13:28,974 WELL IT COMES WITH A 10% PAY 412 00:13:29,041 --> 00:13:31,177 INCREASE WHICH IN HIS CASE WOULD 413 00:13:31,243 --> 00:13:32,945 CORRESPOND TO $23,000, THAT'S A 414 00:13:33,012 --> 00:13:35,047 LOT OF MONEY, NOW HE CAN MAKE 415 00:13:35,114 --> 00:13:37,716 HIS ENDS MEET, BUT HE'S NOT 416 00:13:37,783 --> 00:13:39,251 QUITE COMFORTABLE, HE'S SAVING 417 00:13:39,318 --> 00:13:40,886 FOR RETIREMENT, COLLEGE, AND THE 418 00:13:40,953 --> 00:13:43,722 KIDS, 1 OUT OF 3 KID SYSTEM IN 419 00:13:43,789 --> 00:13:45,224 PRIVATE KIDS MIDDLE SCHOOL 420 00:13:45,291 --> 00:13:46,425 THAT'S HIGHLY RATE INDEED OUR 421 00:13:46,492 --> 00:13:49,428 AREA, HE TRAVELS OUT OF STATE 422 00:13:49,495 --> 00:13:51,397 FREQUENTLY FOR SWIM MEET ANDS 423 00:13:51,463 --> 00:13:52,331 THERE'S A BIG COST ASSOCIATE 424 00:13:52,398 --> 00:13:54,433 WIDE THAT SO HE MOONLIGHTS 3-4 425 00:13:54,500 --> 00:13:55,834 TIMES A MONTH FOR EXTRA INCOME 426 00:13:55,901 --> 00:13:57,703 AND THAT'S A COMMON THING THAT 427 00:13:57,770 --> 00:13:59,672 UPON HAS AMONGST OUR FACULTY AND 428 00:13:59,738 --> 00:14:03,175 I KNOW HAPPENS A LOT HERE AND 429 00:14:03,242 --> 00:14:04,243 OUR FACULTY. 430 00:14:04,310 --> 00:14:06,212 SO I WILL COME BACK TO THAT 431 00:14:06,278 --> 00:14:07,613 EMPLOY SO LESSON 1, ANTICIPATE 432 00:14:07,680 --> 00:14:08,881 YOUR CAREER EVOLUTION, I WAS 433 00:14:08,948 --> 00:14:10,616 VERY CAUTIOUS IN SAYING NOT 434 00:14:10,683 --> 00:14:12,151 WHERE ARE YOU NOW, BUT WHERE YOU 435 00:14:12,218 --> 00:14:13,319 ANTICIPATE THAT YOU'RE GOING TO 436 00:14:13,385 --> 00:14:16,155 BE, SO HE WAS HIRED AS AN 437 00:14:16,222 --> 00:14:17,456 INVESTIGATOR BUT HIS JOB IS 438 00:14:17,523 --> 00:14:19,458 ACTUALLY A MIX, HE DOES 439 00:14:19,525 --> 00:14:21,427 EDUCATION, HE DOES RESEARCH, HE 440 00:14:21,493 --> 00:14:23,529 DOES CLINICAL CARE, IN MY VIEW 441 00:14:23,596 --> 00:14:25,130 ISSUES THE CLINICIAN EDUCATOR 442 00:14:25,197 --> 00:14:26,298 TRACK ALLOWS FOR MORE 443 00:14:26,365 --> 00:14:27,800 FLEXIBILITY AND AN EASIER 444 00:14:27,866 --> 00:14:28,767 PROMOTION PATHWAY AND HIS GOAL 445 00:14:28,834 --> 00:14:30,936 IS TO GET PROMOTED AND HAVE THAT 446 00:14:31,003 --> 00:14:33,672 PAY RAISE, IT'S EASIER IF HE'S 447 00:14:33,739 --> 00:14:35,307 ON A CLIN ED, PATHWAY, HE 448 00:14:35,374 --> 00:14:36,942 DOESN'T HAVE TO GIVE UP HIS LAB, 449 00:14:37,009 --> 00:14:38,944 HE CAN GET JUST AS MANY GRANTS 450 00:14:39,011 --> 00:14:41,714 AS HE WANTS TO BUT THERE'S NO 451 00:14:41,780 --> 00:14:43,782 FINANCIAL REPUTATIONAL DOWN 452 00:14:43,849 --> 00:14:45,851 SIDE, HE DON'T PUT ON OUR BADGES 453 00:14:45,918 --> 00:14:49,521 WHAT TRACK YOU'RE ON, IT'S JUST 454 00:14:49,588 --> 00:14:50,689 ASSOCIATE OR DISTINGUISHED 455 00:14:50,756 --> 00:14:53,092 PROFESSOR, SO NO 1 REALLY CARES 456 00:14:53,158 --> 00:14:53,926 WHAT PATHWAY YOU'RE ON. 457 00:14:53,993 --> 00:14:56,729 SO IN THIS CASE, EVEN THOUGH THE 458 00:14:56,795 --> 00:14:58,797 POLICY WAS CLEARLY WRITTEN FOR 459 00:14:58,864 --> 00:15:00,032 INVESTIGATIVE FUNDED PEOPLE TO 460 00:15:00,099 --> 00:15:02,368 GO IN THIS SPECIFIC PATHWAY, THE 461 00:15:02,434 --> 00:15:04,336 LETTER OF THE LAW ALLOWS YOU TO 462 00:15:04,403 --> 00:15:06,538 GO TO A CLINICIAN EDUCATOR 463 00:15:06,605 --> 00:15:07,873 PATHWAY, SO IN MY VIEW, IF HE 464 00:15:07,940 --> 00:15:09,408 CAN FOLLOW THE LETTER OF THE 465 00:15:09,475 --> 00:15:10,943 POLICY, IT'S OKAY TO VIOLATE THE 466 00:15:11,010 --> 00:15:12,678 SPIRIT OF THAT POLICY. 467 00:15:12,745 --> 00:15:16,081 SO FOR HIM, I ADVISE HIM, GO TO 468 00:15:16,148 --> 00:15:17,216 CLINICIAN EDUCATOR PATHWAY, GET 469 00:15:17,283 --> 00:15:19,351 YOUR PROMOTION NOW AND JUST 470 00:15:19,418 --> 00:15:20,619 CONTINUE YOUR CAREER AS THE SAME 471 00:15:20,686 --> 00:15:23,822 WAY THAT YOU WOULD OTHERWISE. 472 00:15:23,889 --> 00:15:24,690 ALL RIGHT, BUT THERE'S SOMETHING 473 00:15:24,757 --> 00:15:26,191 ELSE THAT I WANT TO ADDRESS 474 00:15:26,258 --> 00:15:28,360 HERE, AND THAT'S THAT HE WAS 475 00:15:28,427 --> 00:15:29,428 REALLY STRETCHING HIMSELF TO 476 00:15:29,495 --> 00:15:31,063 MAKE THE ENDS MEET AND HE WAS 477 00:15:31,130 --> 00:15:32,931 MEETING A LOT OF OBLIGATIONS FOR 478 00:15:32,998 --> 00:15:35,234 IT THAT HIS CHILDREN WANTED TO 479 00:15:35,301 --> 00:15:36,535 DO, SO RAISE YOUR HAND IF YOU 480 00:15:36,602 --> 00:15:37,836 BELIEVE THAT WE SHOULD ALL 481 00:15:37,903 --> 00:15:39,538 STRIVE TO PROVIDE OUR KIDS WITH 482 00:15:39,605 --> 00:15:49,014 THE BEST OPPORTUNITIES THAT WE 483 00:15:49,081 --> 00:15:49,481 CAN. 484 00:15:49,548 --> 00:15:51,884 ALL RIGHT, I DISAGREE WITH YOU. 485 00:15:51,950 --> 00:15:53,452 ALL RIGHT, WE SHOULD NOT WANT TO 486 00:15:53,519 --> 00:15:55,521 PROVIDE OUR KIDS WITH THE BEST 487 00:15:55,587 --> 00:15:57,222 OPPORTUNITIES WE CAN. 488 00:15:57,289 --> 00:15:58,290 THAT'S A ROUGH STATEMENT, RIGHT? 489 00:15:58,357 --> 00:16:00,426 BUT LET ME SAY IT ANOTHER WAY 490 00:16:00,492 --> 00:16:02,361 THAT'S A LITTLE EASIER TO 491 00:16:02,428 --> 00:16:02,594 DIGEST. 492 00:16:02,661 --> 00:16:03,896 WE SHOULD PROVIDE OUR KIDS WITH 493 00:16:03,962 --> 00:16:04,830 THE BEST OPPORTUNITIES THAT ARE 494 00:16:04,897 --> 00:16:07,132 REASONABLE FOR OUR MEANS AND OUR 495 00:16:07,199 --> 00:16:08,534 LIFESTYLE, MEANING, IT'S NOT THE 496 00:16:08,600 --> 00:16:10,736 ULTIMATE GOAL, BUT IT'S A PART 497 00:16:10,803 --> 00:16:12,838 OF OUR LIVES, OUR KIDS FIT INTO 498 00:16:12,905 --> 00:16:15,441 OUR LIVES, WE DON'T FIT INTO OUR 499 00:16:15,507 --> 00:16:16,241 KIDS LIVES, RIGHT? 500 00:16:16,308 --> 00:16:19,545 SO I KNOW IN OF THESE THINGS 501 00:16:19,611 --> 00:16:22,548 BRING YOU JOY, BACK BREAKING 502 00:16:22,614 --> 00:16:24,049 EXTRA CURRICULAR ACTIVITIES, 503 00:16:24,116 --> 00:16:25,150 OVERSCHEDDULES, TRAVELING ALL 504 00:16:25,217 --> 00:16:26,785 ACROSS THE COUNTRY TO DO TRAVEL 505 00:16:26,852 --> 00:16:28,620 TEAMS, NOW IF THAT BRINGS YOU 506 00:16:28,687 --> 00:16:31,056 JOY, AND YOU LOVE DOING THESE 507 00:16:31,123 --> 00:16:32,791 THINGS, THEN CONTINUE DOING 508 00:16:32,858 --> 00:16:34,993 THEM, BUT IN MY EXPERIENCE, A 509 00:16:35,060 --> 00:16:36,962 LOT OF FACULTY WHEN I ASK THEM, 510 00:16:37,029 --> 00:16:40,366 HEY, WHAT ARE DOING THIS 511 00:16:40,432 --> 00:16:41,767 WEEKEND, I WILL BE THERE ALL 512 00:16:41,834 --> 00:16:43,502 WEEKEND AND I WILL BE THERE FOR 513 00:16:43,569 --> 00:16:45,871 A SWIM MEET AND YOU CAN SEE THE 514 00:16:45,938 --> 00:16:47,840 JOY LEAK FROM THEIR FACE. 515 00:16:47,906 --> 00:16:49,108 THAT'S A SITUATION WHERE MAYBE 516 00:16:49,174 --> 00:16:50,442 YOU SHOULD CONSIDER JUST NOT 517 00:16:50,509 --> 00:16:51,076 DOING THAT. 518 00:16:51,143 --> 00:16:52,945 NOW I'VE TOLD MY KID, THEY'RE 6 519 00:16:53,011 --> 00:16:54,546 AND 10 YEARS OLD AND I'VE 520 00:16:54,613 --> 00:16:56,415 ALREADY TOLD THEM, THEY'RE NOT 521 00:16:56,482 --> 00:16:57,349 DOING TRAVEL TEAMS, WE'RE NOT 522 00:16:57,416 --> 00:16:58,217 DOING IT. 523 00:16:58,283 --> 00:16:59,585 THERE'S A LIMIT TO WHAT WE'RE 524 00:16:59,651 --> 00:17:01,353 GOING TO DO TO SUSTAIN THEIR 525 00:17:01,420 --> 00:17:02,988 LEVEL OF ENJOYMENT BECAUSE WE 526 00:17:03,055 --> 00:17:07,960 HAVE LOTS OF COMPETITIVE TEAMS 527 00:17:08,026 --> 00:17:08,827 IN CHARLOTTESVILLE, NOW 528 00:17:08,894 --> 00:17:11,864 HOPEFULLY I STICK WITH THAT, BUT 529 00:17:11,930 --> 00:17:13,499 WE AT LEAST SET THAT 530 00:17:13,565 --> 00:17:14,800 EXPECTATION, WE DON'T ORBIT 531 00:17:14,867 --> 00:17:16,101 AROUND OUR KIDS, YOU ORBIT ARK 532 00:17:16,168 --> 00:17:17,536 ROUND US AND THAT'S A STEP THAT 533 00:17:17,603 --> 00:17:18,937 WE'RE NOT GOING TO GO. 534 00:17:19,004 --> 00:17:22,207 NOW, THIS IS TOUCHY PUBLIC 535 00:17:22,274 --> 00:17:23,308 SCHOOL VERSUS PRIEF SCHOOL AND I 536 00:17:23,375 --> 00:17:25,077 THINK THIS COMES UP IN THE 537 00:17:25,144 --> 00:17:28,080 CONTEXT OF PROVIDING THE BEST 538 00:17:28,147 --> 00:17:29,181 FOR OUR KID ANDS THINGS LIKE 539 00:17:29,248 --> 00:17:30,115 THAT SO I WILL BE HONORS 540 00:17:30,182 --> 00:17:31,183 EMPLOYEES TOAST TELL YOU WHAT I 541 00:17:31,250 --> 00:17:35,187 DO, SO MY KIDS ARE IN PUBLIC 542 00:17:35,254 --> 00:17:35,921 SCHOOL, IN [INDISCERNIBLE] 543 00:17:35,988 --> 00:17:37,089 COUNTY, THEY'RE DOING WELL, MY 544 00:17:37,156 --> 00:17:38,390 DAUGHTER IS STARTING TO READ, MY 545 00:17:38,457 --> 00:17:40,392 SON IS DOING QUITE WELL IN HIS 546 00:17:40,459 --> 00:17:42,694 CLASS, I KNOW FOR A FACT THAT IF 547 00:17:42,761 --> 00:17:44,863 THEY WERE IN OUR PRIVATE SCHOOL 548 00:17:44,930 --> 00:17:47,166 SYSTEM, THAT MY DAUGHTER WOULD 549 00:17:47,232 --> 00:17:48,000 PROBABLY BE READING RIGHT NOW 550 00:17:48,066 --> 00:17:50,502 AND THAT MY SON WOULD BE FURTHER 551 00:17:50,569 --> 00:17:52,171 ALONG IN HIS ACADEMIC 552 00:17:52,237 --> 00:17:54,239 ADVANCEMENT, I KNOW THAT BECAUSE 553 00:17:54,306 --> 00:17:55,607 I'VE SEEN WHAT'S HAPPENING IN 554 00:17:55,674 --> 00:17:57,042 THE PRIVATE SCHOOLS AND PUBLIC 555 00:17:57,109 --> 00:17:59,645 SCHOOLS, BUT I THINK IT'S GOOD 556 00:17:59,711 --> 00:18:00,779 ENOUGH WHAT THEY'RE GETTING IN 557 00:18:00,846 --> 00:18:02,748 PUBLIC SCHOOL AND THE BEST 558 00:18:02,815 --> 00:18:04,283 PREDICTOR OF YOUR CHILD'S 559 00:18:04,349 --> 00:18:06,385 SUCCESS IS THE FACT THAT YOU'RE 560 00:18:06,452 --> 00:18:06,819 SUCCESSFUL. 561 00:18:06,885 --> 00:18:08,720 SO IN MY HOUSEHOLD OUR FEELING 562 00:18:08,787 --> 00:18:11,156 IS, WE WILL DO WHAT'S BEST FOR 563 00:18:11,223 --> 00:18:11,523 US FINANCIALLY. 564 00:18:11,590 --> 00:18:13,459 WE COULD AFFORD TO PUT OUR KIDS 565 00:18:13,525 --> 00:18:14,726 IN PRIVATE COOL BUT WE'RE 566 00:18:14,793 --> 00:18:16,695 CHOOSING NOT TO MAKE IT MORE 567 00:18:16,762 --> 00:18:19,231 FINANCIAL BENEFICIAL FOR US, AND 568 00:18:19,298 --> 00:18:21,066 THEN THAT MAY BECOME A 569 00:18:21,133 --> 00:18:22,801 CONVERSATION LATER, MY SON HAS 570 00:18:22,868 --> 00:18:24,736 ALREADY ASKED ME, SOME OF HIS 571 00:18:24,803 --> 00:18:26,505 FRIENDS ARE IN PRIVATE SCHOOL, I 572 00:18:26,572 --> 00:18:27,673 TOLD HIM NO, BUT MAYBE AT SOME 573 00:18:27,739 --> 00:18:29,675 POINT WHEN IT MAKES SENSE, HIGH 574 00:18:29,741 --> 00:18:30,342 COOL LEVEL, SOMETHING LIKE THAT 575 00:18:30,409 --> 00:18:32,544 BUT WHAT I DON'T WANT TO DO IS 576 00:18:32,611 --> 00:18:34,413 COMMIT THEM BOTH TO BEING IN AT 577 00:18:34,480 --> 00:18:35,647 THE ELEMENTARY COOL ALL THE WAY 578 00:18:35,714 --> 00:18:37,015 UP BECAUSE THATIA JUST GOING TO 579 00:18:37,082 --> 00:18:39,751 PUT A STRAIN ON US THAT I'M NOT 580 00:18:39,818 --> 00:18:40,619 TELLING TO TAKE BO 581 00:18:40,686 --> 00:18:41,787 CONSIDERATION, NOW I DO KNOW 582 00:18:41,854 --> 00:18:43,055 THERE ARE SOME SPECIAL 583 00:18:43,121 --> 00:18:44,323 SITUATIONS, LIKE SOME CHILDREN 584 00:18:44,389 --> 00:18:46,525 NEED, YOU KNOW SPECIAL--SPECIAL 585 00:18:46,592 --> 00:18:47,359 NEEDS, THERE'S SOMETHING UNIQUE 586 00:18:47,426 --> 00:18:50,128 ABOUT THE SCHOOL, MAYBE YOU WENT 587 00:18:50,195 --> 00:18:51,096 THERE AND THERE'S SOMETHING THAT 588 00:18:51,163 --> 00:18:53,365 MAKES YOU FEEL GOOD ABOUT IT SO 589 00:18:53,432 --> 00:18:54,533 OUTSIDE OF THOSE SPECIAL 590 00:18:54,600 --> 00:18:55,968 SITUATIONS WHERE IT DOES 591 00:18:56,034 --> 00:18:56,902 OBJECTIVELY MAKE SENSE, THIS IS 592 00:18:56,969 --> 00:18:58,003 REALLY JUST DOWN TO THE 593 00:18:58,070 --> 00:18:59,071 FINANCES, I THINK THAT'S 594 00:18:59,137 --> 00:19:01,940 SOMETHING TO CONSIDER, AND AT 595 00:19:02,007 --> 00:19:03,375 THE LATER FACULTY LEVEL WHEN I 596 00:19:03,442 --> 00:19:05,377 WAS A FELLOW, YOU KNOW, I'M A 597 00:19:05,444 --> 00:19:09,414 NODEY --NOSY PERSON, I ASK 598 00:19:09,481 --> 00:19:11,283 PEOPLE, WHO ARE YOU DOING, WHAT 599 00:19:11,350 --> 00:19:12,818 ARE YOUR KIDS DOING. 600 00:19:12,885 --> 00:19:15,053 AND A LOT OF WHAT CAME UP, MY 601 00:19:15,120 --> 00:19:17,189 KID GOT INTO UNIVERSITY OF 602 00:19:17,256 --> 00:19:18,156 MARYLAND, VIRGINIA TECH OR 603 00:19:18,223 --> 00:19:19,558 GEORGE TOWN OR GW, LIKE WHAT DO 604 00:19:19,625 --> 00:19:21,793 I DO IN AND THERE WAS A 1 605 00:19:21,860 --> 00:19:23,328 FACULTY, I IT WASN'T HERE BUT IT 606 00:19:23,395 --> 00:19:26,031 WAS SOME OTHER INSTITUTION CLOSE 607 00:19:26,098 --> 00:19:28,600 TO HERE WHO SAID I'M GOING TO 608 00:19:28,667 --> 00:19:30,536 HAVE TO MOONLIGHT LIKE 4 OR 5 609 00:19:30,602 --> 00:19:33,739 TIMES A MONTH TO AFFORD THIS AND 610 00:19:33,805 --> 00:19:35,374 THEY GOT INTO UVA, AND THEY 611 00:19:35,440 --> 00:19:37,142 WANTED TO GO TO GEORGE TOWN, I 612 00:19:37,209 --> 00:19:38,544 KIND OF WHAT WANTED TO TELL THEM 613 00:19:38,610 --> 00:19:39,711 YOU CAN BE THE GO TO GEORGE 614 00:19:39,778 --> 00:19:41,580 TOWN, I KNOW THERE ARE GEORGE 615 00:19:41,647 --> 00:19:43,515 TOWN GRADS HERE, THERE'S NO SLAM 616 00:19:43,582 --> 00:19:45,183 AGAINST THAT BUT ECONOMICALLY, 617 00:19:45,250 --> 00:19:46,919 IT WAS WAY MORE BENEFICIAL TO GO 618 00:19:46,985 --> 00:19:48,353 TO THE STATE SCHOOL, NOW YOU 619 00:19:48,420 --> 00:19:49,755 COULD ALSO INSTEAD OF JUST 620 00:19:49,821 --> 00:19:50,722 SAYING NO, BECAUSE WE DON'T WANT 621 00:19:50,789 --> 00:19:54,359 TO TELL OUR KIDS NO, RIGHT? 622 00:19:54,426 --> 00:19:55,627 BUT YOU COULD ALSO A I'LL 623 00:19:55,694 --> 00:19:57,663 SUPPORT YOU UP TO THE LEVEL THAT 624 00:19:57,729 --> 00:19:59,264 I WAS PLANNING ON AT UNIVERSITY 625 00:19:59,331 --> 00:20:00,299 OF VIRGINIA, AND THEN THE REST 626 00:20:00,365 --> 00:20:02,100 IS ON YOU, THAT'S PERFECTLY 627 00:20:02,167 --> 00:20:03,368 FINE, TOO, BUT MY POINT HERE IS 628 00:20:03,435 --> 00:20:05,137 THAT THESE ARE THINGS WE SHOULD 629 00:20:05,203 --> 00:20:06,405 THINK ABOUT, AND WE SHOULDN'T 630 00:20:06,471 --> 00:20:08,807 JUST LEAN TOWARDS DOING AND 631 00:20:08,874 --> 00:20:11,543 DOING MORE JUST BECAUSE WE CAN 632 00:20:11,610 --> 00:20:13,078 OR EVEN TO THAT PEOPLE AROUND US 633 00:20:13,145 --> 00:20:14,346 ARE DOING THE SAME. 634 00:20:14,413 --> 00:20:14,913 ALL RIGHT. 635 00:20:14,980 --> 00:20:17,983 I HOPE THAT WASN'T TOO 636 00:20:18,050 --> 00:20:18,450 CONTROVERSIAL. 637 00:20:18,517 --> 00:20:20,152 ALL RIGHT, CASE NUMBER 2. 638 00:20:20,218 --> 00:20:23,155 A DAY EARLY AND A DOLLAR SHOT. 639 00:20:23,221 --> 00:20:25,090 THIS IS A FACULTY MEMBER WHO IS 640 00:20:25,157 --> 00:20:26,558 IN YEAR 9 OF THEIR APPOINTMENT 641 00:20:26,625 --> 00:20:28,961 AND THEY WERE DENIED PROMOTION 642 00:20:29,027 --> 00:20:30,095 ON AN CLINICIAN INVESTIGATOR 643 00:20:30,162 --> 00:20:30,329 TRACK. 644 00:20:30,395 --> 00:20:31,396 REMEMBER I ALREADY HATE THIS 645 00:20:31,463 --> 00:20:32,431 TRACK, I DON'T THINK ANYONE 646 00:20:32,497 --> 00:20:33,599 SHOULD BE ON THIS. 647 00:20:33,665 --> 00:20:34,800 HERE'S ANOTHER REASON WHY, THEY 648 00:20:34,866 --> 00:20:36,068 TARTED TO THIS TRACK WITH A 649 00:20:36,134 --> 00:20:37,836 SMALL LAB AND A K-GRANT. 650 00:20:37,903 --> 00:20:40,072 THEY WERE UNABLE TO SECURE RO-1 651 00:20:40,138 --> 00:20:41,640 FUBDING OR THE EQUIVALENT. 652 00:20:41,707 --> 00:20:42,874 AND THEN WE HAVE AN OPTION, YOU 653 00:20:42,941 --> 00:20:44,876 HAVE TO GO UP ON THIS TRACK BY 654 00:20:44,943 --> 00:20:48,046 YEAR 6 AND YOU CAN DEFER IT, AND 655 00:20:48,113 --> 00:20:49,581 SO, THEY GOT 1 YEAR DEFERRAL AND 656 00:20:49,648 --> 00:20:51,316 THEY WERE SUPPOSED TO GO UP ON 657 00:20:51,383 --> 00:20:52,684 YEAR 7 AND THEN COVID HAPPENED 658 00:20:52,751 --> 00:20:55,153 AND WE HAD THESE OPTIONAL 659 00:20:55,220 --> 00:20:56,188 DEFERRALS THAT SHE ELECTED TO 660 00:20:56,254 --> 00:20:59,191 TAKE SO SHE HAD 2 AND THEN WERE 661 00:20:59,257 --> 00:21:02,060 DELAYED BY 3 YEARS, THE DIVISION 662 00:21:02,127 --> 00:21:04,129 CHIEF AND CONCERNED THAT THEIR 663 00:21:04,196 --> 00:21:06,098 HIGH CLINICAL BURDEN PREVENTS 664 00:21:06,164 --> 00:21:07,265 THEM FROM PROMOTING THEIR 665 00:21:07,332 --> 00:21:08,567 RESEARCH, GOES UP FOR PROMOTION, 666 00:21:08,634 --> 00:21:10,335 DENIED AND IN OUR SYSTEM IF 667 00:21:10,402 --> 00:21:10,969 YOU'RE DENIED PROMOTION, THEN 668 00:21:11,036 --> 00:21:12,571 YOU GO TO THE CLINICAL FACULTY 669 00:21:12,638 --> 00:21:12,871 TRACK. 670 00:21:12,938 --> 00:21:16,475 SO THIS IS WHAT HAPPENED. 671 00:21:16,541 --> 00:21:19,378 NOW, WHY SO MUCH CLINICAL DUTY. 672 00:21:19,444 --> 00:21:22,514 REMEMBER, WE ALWAYS WANT TO ASK 673 00:21:22,581 --> 00:21:25,484 WHY, IN-PATIENT DUTY IS ABOUT 20 674 00:21:25,550 --> 00:21:28,520 WEEKS PER YEAR, SO .70 FTE IS 675 00:21:28,587 --> 00:21:30,222 WHAT THAT EQUATES TOO BUT THEN 676 00:21:30,288 --> 00:21:31,523 THEY MOONLIGHT ABOUT 6 TIMES FOR 677 00:21:31,590 --> 00:21:32,591 EXTRA INCOME SO EVEN MORE THAN 678 00:21:32,658 --> 00:21:34,559 THE OTHER PERSON AND THEN 1 OF 679 00:21:34,626 --> 00:21:35,961 THEIR MAJOR FINANCIAL GOAL 680 00:21:36,028 --> 00:21:37,696 SYSTEM TO PAY OFF THEIR HOME 681 00:21:37,763 --> 00:21:40,198 EARLY, THEIR MORTGAGE IS AT 682 00:21:40,265 --> 00:21:42,167 2.6%, I KNOW THEY'RE MUCH HIGHER 683 00:21:42,234 --> 00:21:43,468 THAN THAT NOW, SO I'M SORRY IF 684 00:21:43,535 --> 00:21:45,303 YOU WERE NOT ABLE TO LOCK IN A 685 00:21:45,370 --> 00:21:47,406 RATE LIKE THIS BUT THIS IS THEIR 686 00:21:47,472 --> 00:21:47,673 SITUATION. 687 00:21:47,739 --> 00:21:49,474 THE SAVINGS FOR RETIREMENT AND 688 00:21:49,541 --> 00:21:51,443 COLLEGE ARE OKAY BUT THEY COULD 689 00:21:51,510 --> 00:21:53,045 BE BETTER, AND THEY'RE ON TRACK 690 00:21:53,111 --> 00:21:55,080 TO PAYOFF THEIR MORTGAGE 10 691 00:21:55,147 --> 00:21:56,915 YEARS EARLY. 692 00:21:56,982 --> 00:21:58,550 ALL RIGHT, SO THE ISSUES 693 00:21:58,617 --> 00:22:00,519 IDENTIFIED HERE ARE THAT THE CI 694 00:22:00,585 --> 00:22:01,920 TRACK WAS NO LONGER THE 695 00:22:01,987 --> 00:22:02,954 APPROPRIATE TRACK, I DON'T THINK 696 00:22:03,021 --> 00:22:04,823 IT'S APPROPRIATE FOR ANYONE, 697 00:22:04,890 --> 00:22:05,657 REALLY, THERE'S FAILURE TO 698 00:22:05,724 --> 00:22:07,192 CHANGE TRACKS WHEN IT WAS CLEAR 699 00:22:07,259 --> 00:22:08,827 THAT THAT INITIAL PLAN WAS BT 700 00:22:08,894 --> 00:22:10,629 WORKING SO INSTEAD OF DOING 701 00:22:10,696 --> 00:22:11,963 THESE DEFERRALS, MAYBE WE KREBS 702 00:22:12,030 --> 00:22:13,331 CYCLE SWITCHING TO ANOTHER TRACK 703 00:22:13,398 --> 00:22:15,233 THAT MAY BE EASIER AND DOESN'T 704 00:22:15,300 --> 00:22:17,302 DEPEND ON THIS, THIS EXTERNAL 705 00:22:17,369 --> 00:22:18,804 FUNDING THAT WE KNOW HAS GONE 706 00:22:18,870 --> 00:22:21,940 DOWN AND THEN THERE'S AN 707 00:22:22,007 --> 00:22:22,841 OVERSTRETCHED CLINICAL BURDEN 708 00:22:22,908 --> 00:22:23,909 SIMILAR TO THE OTHER PERSON, 709 00:22:23,975 --> 00:22:26,111 CASE 1, BUT THIS IS WORSE, AND 710 00:22:26,178 --> 00:22:27,412 FINANCIAL GOALS IN MY OPINION 711 00:22:27,479 --> 00:22:28,847 ARE NOT OPTIMIZED SO LET'S TALK 712 00:22:28,914 --> 00:22:29,214 ABOUT THIS. 713 00:22:29,281 --> 00:22:31,450 IF YOU HAVE A FINANCIAL PLANNER, 714 00:22:31,516 --> 00:22:34,519 AT LEAST A GOOD 1, AND YOU WORK 715 00:22:34,586 --> 00:22:36,822 THROUGH WHAT THE FINANCIAL 716 00:22:36,888 --> 00:22:38,457 PRIORITIES ARE, THEY GO IN THIS 717 00:22:38,523 --> 00:22:40,325 SORT OF ORDER, FIRST IF YOU HAVE 718 00:22:40,392 --> 00:22:42,594 A DEBT PAYMENT, YOU SHOULD MAKE 719 00:22:42,661 --> 00:22:43,862 YOUR DEBT PAYMENT, YOU SHOULDN'T 720 00:22:43,929 --> 00:22:45,263 NOT PAY YOUR MORTGAGE OR CAR, 721 00:22:45,330 --> 00:22:47,799 AND YOU GET A BAD CREDIT SCORE 722 00:22:47,866 --> 00:22:49,101 AND EVERYTHING'S MORE EXPENSIVE 723 00:22:49,167 --> 00:22:51,069 SO PAY YOUR DEBT. 724 00:22:51,136 --> 00:22:51,470 THAT'S NUMBER 1. 725 00:22:51,536 --> 00:22:54,372 NUMBER 2 YOU WANT AN EMERGENCY 726 00:22:54,439 --> 00:22:57,142 FUND, NOW MOST SOURCES SAY YOU 727 00:22:57,209 --> 00:22:59,111 WANT 6 TO 9 MONTHS OF FUNDING, 728 00:22:59,177 --> 00:23:01,012 IF YOU WERE AT OF A JOB FOR THAT 729 00:23:01,079 --> 00:23:02,748 AMOUNT OF TIME YOU COULD PAY FOR 730 00:23:02,814 --> 00:23:03,715 YOUR BILLS AND ALL THAT. 731 00:23:03,782 --> 00:23:05,217 I THINK FOR PHYSICIANS IT 732 00:23:05,283 --> 00:23:08,186 DOESN'T NEED TO BE THAT LARGE, 733 00:23:08,253 --> 00:23:09,888 BECAUSE THE PHYSICIAN SECURITY 734 00:23:09,955 --> 00:23:12,124 IS 3.4%, I DON'T THINK WE HAVE 735 00:23:12,190 --> 00:23:14,993 TO WORRY ABOUT THAT BUT YOU 736 00:23:15,060 --> 00:23:18,764 SHOULD HAVE EMERGENCY FUND 737 00:23:18,830 --> 00:23:21,500 SAVINGS, AND AFTER THAT, IT CAN 738 00:23:21,566 --> 00:23:24,936 BE OTHER GOALS WHETHER IT BE 739 00:23:25,003 --> 00:23:27,339 COLLEGE, VACATION HOME, BOAT, 740 00:23:27,405 --> 00:23:30,442 ANYTHING THAT IS NOT FOR 741 00:23:30,509 --> 00:23:30,742 RETIREMENT. 742 00:23:30,809 --> 00:23:31,743 SO THIS FACULTY MEMBER, REMEMBER 743 00:23:31,810 --> 00:23:33,812 I SAID THERE ARE SAVINGS WERE 744 00:23:33,879 --> 00:23:35,013 OKAY FOR RETIREMENT BUT IT COULD 745 00:23:35,080 --> 00:23:36,448 BE BETTER AND SAME FOR COLLEGE, 746 00:23:36,515 --> 00:23:37,849 IT COULD BE BETTER AND THEY'RE 747 00:23:37,916 --> 00:23:39,484 PUTTING A LOT OF MONEY INTO 748 00:23:39,551 --> 00:23:40,886 PAYING OFF THE HOUSE EARLY, SO 749 00:23:40,952 --> 00:23:41,953 LET'S TALK ABOUT THAT. 750 00:23:42,020 --> 00:23:44,322 THIS GETS TO THE NOTION OF 751 00:23:44,389 --> 00:23:44,856 ECONOMIC OPPORTUNITY COST. 752 00:23:44,923 --> 00:23:47,492 NOW THIS IS A PORTION WHERE I'M 753 00:23:47,559 --> 00:23:51,196 GOING TO IMPART TO YOU, THE 754 00:23:51,263 --> 00:23:52,931 $168,000, 675 THAT I PAY FOR MY 755 00:23:52,998 --> 00:23:55,600 MBA, I WILL GIVE YOU THE LESSONS 756 00:23:55,667 --> 00:23:57,736 IN 3 SLIDES, ALL RIGHT, SO 757 00:23:57,803 --> 00:23:58,670 ECONOMIC OPPORTUNITY COSTS, 758 00:23:58,737 --> 00:23:59,805 BASICALLY ASKED THE QUESTION, 759 00:23:59,871 --> 00:24:02,541 WHAT DO YOU SACRIFICE BY 760 00:24:02,607 --> 00:24:03,842 CHOOSING 1 OPTION OVER THE 761 00:24:03,909 --> 00:24:05,911 OTHER, IF YOU'RE USING THE MONEY 762 00:24:05,977 --> 00:24:07,212 IN THIS WAY, WHAT ARE THE OTHER 763 00:24:07,279 --> 00:24:09,181 THINGS CAN YOU DO WITH YOUR 764 00:24:09,247 --> 00:24:09,981 MONEY AND WHAT BENEFIT WOULD 765 00:24:10,048 --> 00:24:12,784 THAT GIVE YOU OR WHAT WOULD THE 766 00:24:12,851 --> 00:24:13,018 COST BE. 767 00:24:13,084 --> 00:24:14,719 SO YOU GUYS UNDERSTAND THE 768 00:24:14,786 --> 00:24:15,787 CONCEPT VERY WELL, BECAUSE 769 00:24:15,854 --> 00:24:16,521 THERE'S TIME OPPORTUNITY COST. 770 00:24:16,588 --> 00:24:18,590 I REMEMBER WHEN I WAS A FELLOW 771 00:24:18,657 --> 00:24:20,025 HERE, I LIVED IN NORTHERN 772 00:24:20,091 --> 00:24:22,360 VIRGINIA TO SAVE MONEY, I LIVED 773 00:24:22,427 --> 00:24:24,930 WITH MY WIFE'S PARENT NEAR 774 00:24:24,996 --> 00:24:26,698 DULLES AIRPORT AND I KNEW IF I 775 00:24:26,765 --> 00:24:28,700 TRIED TO LEAVE AT 8:00 TO GET TO 776 00:24:28,767 --> 00:24:31,670 WORK, THAT WAS GOING TO BE A 777 00:24:31,736 --> 00:24:32,070 DISASTER. 778 00:24:32,137 --> 00:24:35,140 IF I LEFT AT 6:00, IT'S A 779 00:24:35,207 --> 00:24:36,741 PREDICTABLE DISASTER THAT I WAKE 780 00:24:36,808 --> 00:24:40,278 UP EARLY BUT I AT LEAST GET TO 781 00:24:40,345 --> 00:24:42,347 WORK WITHIN HOUR BUT IF I LEAVE 782 00:24:42,414 --> 00:24:44,883 AT 3:00 IN THE AFTERNOON, IT 783 00:24:44,950 --> 00:24:46,852 WON'T BE PERFECT, I CAN GET HOME 784 00:24:46,918 --> 00:24:48,954 AT A REASONABLE TIME, BUT IF I 785 00:24:49,020 --> 00:24:51,790 LEAVE AT 4 OR CLOCK, BETS ARE 786 00:24:51,857 --> 00:24:53,325 OFF, THERE'S PRECIOUS HOURS, SO 787 00:24:53,391 --> 00:24:54,626 THERE'S TIME OPPORTUNITY COST TO 788 00:24:54,693 --> 00:25:03,301 GETTING HERE EARLIER AND LEAVING 789 00:25:03,368 --> 00:25:06,938 HER EARLIER NOW THE SAME CONCEPT 790 00:25:07,005 --> 00:25:08,073 APPLIES IN ECONOMICS. 791 00:25:08,139 --> 00:25:09,608 SO I WILL PUT FORTH THE ARGUMENT 792 00:25:09,674 --> 00:25:11,943 THAT WAS PUT IN THE MILLIONAIRE 793 00:25:12,010 --> 00:25:13,411 NEXT DOOR, 1 OF THE FIRST 794 00:25:13,478 --> 00:25:15,380 PERSONAL FINANCE BOOKS I READ, I 795 00:25:15,447 --> 00:25:16,548 AGREE WITH ABOUT 65% OF WHAT 796 00:25:16,615 --> 00:25:19,784 THEY SAY IN HERE, YOU KNOW IT'S 797 00:25:19,851 --> 00:25:20,852 LIKE LIVING WITHIN YOUR MEANS 798 00:25:20,919 --> 00:25:22,621 AND THINGS LIKE THAT, BUT THEY 799 00:25:22,687 --> 00:25:24,890 ALSO SAY THINGS LIKE YOU SHOULD 800 00:25:24,956 --> 00:25:26,424 DRIVE A HONDA CIVIC FOR THE REST 801 00:25:26,491 --> 00:25:28,293 OF YOUR LIFE, THAT I DON'T AGREE 802 00:25:28,360 --> 00:25:30,195 WITH BUT THEY MAKE THE ARGUMENT 803 00:25:30,262 --> 00:25:33,031 THAT PHYSICIANS TEND TO BE 804 00:25:33,098 --> 00:25:33,932 UNDERACCUMULATORS OF EXPWELGT 805 00:25:33,999 --> 00:25:36,501 WHAT THAT MEANS IS FOR A SIMILAR 806 00:25:36,568 --> 00:25:37,335 PROFESSIONAL WITH A SIMILAR 807 00:25:37,402 --> 00:25:41,072 INCOME AT THE END OF THAT OTHER 808 00:25:41,139 --> 00:25:42,140 PROFESSIONAL CAREER, THEY TEND 809 00:25:42,207 --> 00:25:44,643 TO HAVE MY HIGHER NETWORK THAN A 810 00:25:44,709 --> 00:25:45,911 PHYSICIAN DOES AT THAT SAME 811 00:25:45,977 --> 00:25:46,478 INCOME LEVEL. 812 00:25:46,544 --> 00:25:47,913 SO MEANING A PHYSICIAN MIGHT 813 00:25:47,979 --> 00:25:50,215 STILL BE WEALTHY BUT THEY'RE 814 00:25:50,282 --> 00:25:51,383 LESS WEALTHY THAN THEIR INCOME 815 00:25:51,449 --> 00:25:52,317 WOULD PREDICT EMPLOY NOW THERE 816 00:25:52,384 --> 00:25:53,919 ARE SOME REASONS FOR THIS THAT 817 00:25:53,985 --> 00:25:55,921 SOME OF THEM ARE NOT 818 00:25:55,987 --> 00:25:57,522 CONTROLLABLE, WE TEND TO START 819 00:25:57,589 --> 00:26:01,092 LATER IN LIFE, SO RESIDENCY, 820 00:26:01,159 --> 00:26:02,928 TRAINING, FELPS OSHIP, I THINK I 821 00:26:02,994 --> 00:26:04,462 WAS 32 OR 33 WHEN I GOT MY,A 822 00:26:04,529 --> 00:26:04,996 DULT JOB. 823 00:26:05,063 --> 00:26:07,165 SO, YOU KNOW WHEN YOU LEAVE 824 00:26:07,232 --> 00:26:11,770 CLENG --COLLEGE AT 22, OR LEAVE 825 00:26:11,836 --> 00:26:15,273 GRAD SCHOOL AT 26, THERE'S OTHER 826 00:26:15,340 --> 00:26:17,242 YEARS THAT OTHERS ARE AX 827 00:26:17,309 --> 00:26:18,977 KIEWMULATING WEALTH SO THAT'S A 828 00:26:19,044 --> 00:26:21,146 FACTOR, BUT WE'VE HEARD THAT A 829 00:26:21,212 --> 00:26:23,248 LOT BUT WE'VE ALSO HEARD, I'M 830 00:26:23,315 --> 00:26:25,016 TOO BUSY, CLINIC BURDEN IS 831 00:26:25,083 --> 00:26:26,418 INCREASING, THESE GRANTS ARE 832 00:26:26,484 --> 00:26:27,218 AREN'T ANYTHING TO WRITE 833 00:26:27,285 --> 00:26:27,519 THEMSELVES. 834 00:26:27,585 --> 00:26:30,789 I DON'T HAVE TIME FOR THIS CRAP. 835 00:26:30,855 --> 00:26:32,390 I'VE HEARD THAT. 836 00:26:32,457 --> 00:26:36,494 A LOT OF US HAVE BEEN REWARDED 837 00:26:36,561 --> 00:26:38,363 AND WE'VE GOTTEN WHERE WE ARE 838 00:26:38,430 --> 00:26:39,431 BECAUSE WE GET THROUGH THE WORK 839 00:26:39,497 --> 00:26:40,966 THAT WE NEED TO DO, STARTING 840 00:26:41,032 --> 00:26:42,467 FROM COLLEGE AND ALL THE WAY UP, 841 00:26:42,534 --> 00:26:44,436 WE'RE NOT USED TO ASKING FOR 842 00:26:44,502 --> 00:26:46,738 HELP WITH THINGS THAT WE'RE NOT 843 00:26:46,805 --> 00:26:47,472 ENTIRELY COMFORTABLE ASKING FOR 844 00:26:47,539 --> 00:26:49,674 HELP WITH AND THEN THERE IS A 845 00:26:49,741 --> 00:26:50,875 SOCIAL EXPECTATION OF SEEING A 846 00:26:50,942 --> 00:26:53,311 DOCTOR, AND IF YOU SEE AN 847 00:26:53,378 --> 00:26:55,880 ORTHOPEDIC SURGEON AND THEY'RE 848 00:26:55,947 --> 00:26:56,948 DRIVING 1987 HONDA ACCORD, YOU 849 00:26:57,015 --> 00:26:58,616 ARE GOING TO HAVE QUESTIONS 850 00:26:58,683 --> 00:27:00,752 ABOUT THAT, ESPECIALLY IF THEY 851 00:27:00,819 --> 00:27:05,390 WORK AT GEORGE WASHINGTON. 852 00:27:05,457 --> 00:27:06,891 NOW WHAT HAPPENS UNFORTUNATELY 853 00:27:06,958 --> 00:27:09,661 IS THAT I THINK THAT POOR 854 00:27:09,728 --> 00:27:11,830 FINANCIAL DECISIONS BY 855 00:27:11,896 --> 00:27:13,765 PHYSICIANS ARE COMPENSATED FOR 856 00:27:13,832 --> 00:27:15,266 BY GENERATING EXTRA INCOME. 857 00:27:15,333 --> 00:27:19,971 SO, IN OTHER WORDS, IF FIND 858 00:27:20,038 --> 00:27:21,606 YOURSELF BEHIND AND NOT QUITE 859 00:27:21,673 --> 00:27:22,974 MEETING YOUR GOALS YOU STRETCH 860 00:27:23,041 --> 00:27:24,642 YOURSELF BY DOING MORE CLINICAL 861 00:27:24,709 --> 00:27:27,412 SHIFTS, TAKING ON MORE CLINICAL 862 00:27:27,479 --> 00:27:29,147 ACTIVITIES THAT SORT OF THING, 863 00:27:29,214 --> 00:27:31,016 INSTEAD OF HAVING MORE SOUND 864 00:27:31,082 --> 00:27:33,618 FINANCIAL HABITS, YOU FIX IT 865 00:27:33,685 --> 00:27:37,889 YOURSELF BY JUST WORKING MORE. 866 00:27:37,956 --> 00:27:38,556 ALL RIGHT? 867 00:27:38,623 --> 00:27:40,558 NOW LET'S RUN THROUGH THIS 868 00:27:40,625 --> 00:27:42,494 ECONOMIC OPPORTUNITY COST FOR 869 00:27:42,560 --> 00:27:45,130 THEIR DECISION, SO THEY HAVE A 870 00:27:45,196 --> 00:27:49,200 30 YEAR MORTGAGE, IT'S AT 3%, 871 00:27:49,267 --> 00:27:50,268 AND IT'S A 500,000 DLTS 872 00:27:50,335 --> 00:27:52,570 MORTGAGE, I KNOW THERE ARE SOME 873 00:27:52,637 --> 00:27:54,839 PLACES WHERE YOU CAN BUY HOUSES 874 00:27:54,906 --> 00:27:57,308 FOR 500,000, SO I KNOW, THIS IS 875 00:27:57,375 --> 00:27:59,644 NOT THIS AREA, I KNOW, DON'T 876 00:27:59,711 --> 00:28:01,246 ATTACK MAY, THE REGULAR MORTGAGE 877 00:28:01,312 --> 00:28:04,015 PAYMENT HERE WOULD BE $2663, 878 00:28:04,082 --> 00:28:05,984 TOTAL INTEREST AT THE END OF 879 00:28:06,051 --> 00:28:11,256 THIRD YEARS WOULD BE $220, SO 880 00:28:11,322 --> 00:28:12,724 YOU WOULD SAY $720,000 TOTAL AND 881 00:28:12,791 --> 00:28:15,627 LOAN PAID OFF IN 30 YEARS IF DO 882 00:28:15,693 --> 00:28:17,228 YOU DO IT IN 30 YEARINGS AND 883 00:28:17,295 --> 00:28:21,132 DON'T PAY ANY ADDITION MONEY IN 884 00:28:21,199 --> 00:28:21,766 ANY WAY. 885 00:28:21,833 --> 00:28:24,269 WHAT ABOUT IF YOU PAY AN EXTRA 886 00:28:24,335 --> 00:28:25,370 THOUSAND DOLLARS, YOUR PAYMENT 887 00:28:25,437 --> 00:28:29,307 GOES UP, YOUR TOTAL INTEREST 888 00:28:29,374 --> 00:28:31,476 GOES DOWN FROM $220,000 TO 889 00:28:31,543 --> 00:28:33,645 $188,000, AND YOUR LOAN IS PAID 890 00:28:33,711 --> 00:28:35,046 OFF IN 20 NOT 30 YEARS. 891 00:28:35,113 --> 00:28:38,616 SO YOUR BENEFIT, YOUR ECONOMIC 892 00:28:38,683 --> 00:28:43,388 BENEFIT YOU SAVE IS $92,000 IN 893 00:28:43,455 --> 00:28:44,522 INTEREST BY PAYING AN EXTRA 894 00:28:44,589 --> 00:28:45,924 THOUSAND DOLLARS A MONTH. 895 00:28:45,990 --> 00:28:47,992 NOW LET'S COMPARE THAT IF YOU 896 00:28:48,059 --> 00:28:49,861 TOOK THAT AMOUNT OF MONEY AND 897 00:28:49,928 --> 00:28:52,964 INVEST IT AND SAY LOW COST S&P 898 00:28:53,031 --> 00:28:55,433 500, SINCE THE BEGINNING OF THE 899 00:28:55,500 --> 00:28:58,636 S&P 500, IT'S RETURNED ABOUT 8%, 900 00:28:58,703 --> 00:29:00,038 PER YEAR, 8-10% PER YEAR OVER 901 00:29:00,105 --> 00:29:02,040 TIME SO IT GOES UP AND DOWN I 902 00:29:02,107 --> 00:29:04,209 KNOW, BUT OVERTIME IT TENDS TO 903 00:29:04,275 --> 00:29:10,582 RISE 8%, SO 8%, YOU INVEST THAT 904 00:29:10,648 --> 00:29:12,050 $1000 OVER THE 30 YEARS BECAUSE 905 00:29:12,117 --> 00:29:13,885 YOU'RE NOT PAYING EXTRA NOW, 906 00:29:13,952 --> 00:29:16,688 THAT $1000 PER MONTH GENERATES 907 00:29:16,754 --> 00:29:19,424 $1.4 MILLION AND SO IF YOU 908 00:29:19,491 --> 00:29:23,161 SUBTRACT 92,000 HERE FROM 1.4 909 00:29:23,228 --> 00:29:24,295 GENERATED THERE, YOU'RE 910 00:29:24,362 --> 00:29:25,330 $1.3 MILLION WEALTHIER BY NOT 911 00:29:25,396 --> 00:29:28,333 PAYING OFF YOUR DEBT SOONER THAN 912 00:29:28,399 --> 00:29:29,000 YOU NEED TO. 913 00:29:29,067 --> 00:29:32,537 NOW YOU GUYS ARE HERE BECAUSE 914 00:29:32,604 --> 00:29:33,605 YOU PAY EXQUISITE ATTENTION TO 915 00:29:33,671 --> 00:29:33,872 DETAIL. 916 00:29:33,938 --> 00:29:35,073 SO I KNOW SOME OF YOU PICKED UP 917 00:29:35,140 --> 00:29:38,109 ON THE FACT THAT LIF YOU PAY OFF 918 00:29:38,176 --> 00:29:39,577 YOUR MORTGAGE 20 YEARS EARLIER, 919 00:29:39,644 --> 00:29:41,112 THEN YOUR BILL'S GONE, THEN I 920 00:29:41,179 --> 00:29:42,747 WILL HAVE EXTRA MONEY TO INVEST 921 00:29:42,814 --> 00:29:43,681 AT THAT POINT, RIGHT? 922 00:29:43,748 --> 00:29:45,650 SO WHAT HAPPENS THERE, LET'S SAY 923 00:29:45,717 --> 00:29:47,852 YOU TAKE THAT EXTRA MONEY FOR 10 924 00:29:47,919 --> 00:29:49,087 YEARS, THIS WAS YOUR PAYMENT 925 00:29:49,154 --> 00:29:51,456 THAT YOU WERE PAYING, AND NOW 20 926 00:29:51,523 --> 00:29:54,092 YEARS YOU INVEST THAT FOR 10 927 00:29:54,159 --> 00:29:57,295 YEARS, AND IT'S AT 8%, YOU 928 00:29:57,362 --> 00:29:59,464 GENERATE 660,000 THERE IS OF 929 00:29:59,531 --> 00:30:01,199 NETWORTH, AND IF YOU COMPARE IT 930 00:30:01,266 --> 00:30:04,335 TO THE 1.3 GENERATED HERE, 931 00:30:04,402 --> 00:30:07,071 YOU'RE STILL $548,000 RICHER BY 932 00:30:07,138 --> 00:30:08,806 NOT PAYING YOUR DEBT OFF SOONER, 933 00:30:08,873 --> 00:30:11,476 NOW THE REASON THIS IS, IS A 934 00:30:11,543 --> 00:30:12,510 TIME VALUE OF MONEY. 935 00:30:12,577 --> 00:30:15,013 THAT IF YOU HAVE A MORTGAGE THAT 936 00:30:15,079 --> 00:30:16,915 IS AT A LOW PERCENTAGE RATE, THE 937 00:30:16,981 --> 00:30:18,650 PACE OF INFLATION MAKES THAT 938 00:30:18,716 --> 00:30:19,617 MORTGAGE CHEAPER OVER TIME AND 939 00:30:19,684 --> 00:30:21,920 IF YOU CAN DO SOMETHING THAT 940 00:30:21,986 --> 00:30:23,288 GENERATES MORE RETURN THAN THE 941 00:30:23,354 --> 00:30:24,355 INTEREST THAT YOU'RE PAYING, 942 00:30:24,422 --> 00:30:25,990 THEN YOU MAKE MORE MONEY AND 943 00:30:26,057 --> 00:30:28,760 THAT'S WHY COMPANIES LIKE APPLE 944 00:30:28,826 --> 00:30:30,595 THAT WORTH LIKE A TRILLION 945 00:30:30,662 --> 00:30:31,563 DOLLARS, THEY HAVE 17 BILLION 946 00:30:31,629 --> 00:30:33,398 DOLLARS WORTH OF LOANS AND YOU 947 00:30:33,464 --> 00:30:34,566 COULD EASILY JUST PAY THAT OFF 948 00:30:34,632 --> 00:30:36,668 WITH A STROKE OF A PEN BUT THEY 949 00:30:36,734 --> 00:30:38,269 REALIZE THAT THAT MONEY THEY'RE 950 00:30:38,336 --> 00:30:39,871 PAYING DEBT ON CAN GENERATE MORE 951 00:30:39,938 --> 00:30:41,005 INCOME FOR THEM DOWN THE ROAD SO 952 00:30:41,072 --> 00:30:42,674 I WANT TO YOU THINK LIKE THAT, 953 00:30:42,740 --> 00:30:44,008 TOO, BUT IT'S NOT THAT SIMPLE. 954 00:30:44,075 --> 00:30:45,310 THERE ARE MORE QUESTIONS HERE 955 00:30:45,376 --> 00:30:46,477 THAN JUST, SHOULD YOU DO THIS OR 956 00:30:46,544 --> 00:30:48,313 SHOULD YOU DO THAT. 957 00:30:48,379 --> 00:30:50,615 SO 1 OBVIOUS QUESTION IS PAYING 958 00:30:50,682 --> 00:30:53,017 OFF YOUR DEBT SOONER WORTH IT TO 959 00:30:53,084 --> 00:30:53,585 YOU. 960 00:30:53,651 --> 00:30:53,918 RIGHT? 961 00:30:53,985 --> 00:30:57,555 SO IT MIGHT MEAN THAT THAT 548, 962 00:30:57,622 --> 00:30:59,857 THAT WOULD BE GOOD BUT YOU JUST 963 00:30:59,924 --> 00:31:01,492 WANT THAT, YOU JUST WANT YOUR 964 00:31:01,559 --> 00:31:02,827 MORTGAGE PAID OFF SOONER, YOU 965 00:31:02,894 --> 00:31:04,028 WANT THAT FEELING. 966 00:31:04,095 --> 00:31:04,829 THATYA VALID. 967 00:31:04,896 --> 00:31:06,698 THAT'S A VALID FEELING BUT JUST 968 00:31:06,764 --> 00:31:08,333 REALIZE THAT THAT'S THE COST, 969 00:31:08,399 --> 00:31:11,202 THE ECONOMIC OPPORTUNITY COST 970 00:31:11,269 --> 00:31:12,270 FOR THAT. 971 00:31:12,337 --> 00:31:14,806 IS PAYING YOUR DEBT OFF SOONER 972 00:31:14,872 --> 00:31:16,641 WORTH THE TIME SPENT FOR DOING 973 00:31:16,708 --> 00:31:17,942 THAT, THE EXTRA MOONLIGHTING 974 00:31:18,009 --> 00:31:19,477 SHIFTS AND ALL THE EXTRA 975 00:31:19,544 --> 00:31:20,745 CLINICAL DUTIES YOU'RE DOING, 976 00:31:20,812 --> 00:31:22,146 WOULD IT BE BETTER SPENT DOING 977 00:31:22,213 --> 00:31:24,415 SOMETHING ELSE AND THE QUESTION 978 00:31:24,482 --> 00:31:25,850 I ULTIMATELY ASK MYSELF BECAUSE 979 00:31:25,917 --> 00:31:27,785 I--ONCE I HAVE MY PROMOTION FROM 980 00:31:27,852 --> 00:31:30,121 ASSIST ABT TO ASSOCIATE, I STOP 981 00:31:30,188 --> 00:31:31,389 MOONLIGHTING, THERE WASN'T A 982 00:31:31,456 --> 00:31:35,426 FIRM DECISION, BUT MY WIFE 983 00:31:35,493 --> 00:31:36,561 STARTED--SHE'S A PERFORMER AND 984 00:31:36,628 --> 00:31:38,029 DOES BROADWAY AND SINGING AND 985 00:31:38,096 --> 00:31:39,097 THERE'S A PERFORMANCE THE 986 00:31:39,163 --> 00:31:40,598 BEGINNING OF THE YEAR AND SO SHE 987 00:31:40,665 --> 00:31:45,903 HAD A LOT OF NIGHT DUTY AND 988 00:31:45,970 --> 00:31:47,405 REHEARSALS AND THINGS AND I 989 00:31:47,472 --> 00:31:48,573 REALIZED WE'RE FINE, WE'RE 990 00:31:48,640 --> 00:31:50,308 MAKING ENDS MEET AND I CAN 991 00:31:50,375 --> 00:31:52,977 GENERATE EXTRA MONEY AND INVEST 992 00:31:53,044 --> 00:31:54,379 IT AND HAVE ALL THIS EXTRA MONEY 993 00:31:54,445 --> 00:31:55,713 ABOUT YOU IT'S NOT WORTH IT FOR 994 00:31:55,780 --> 00:31:56,514 ME AT THAT POINT. 995 00:31:56,581 --> 00:31:58,616 SO IS IT WORTH DPENERATING EXTRA 996 00:31:58,683 --> 00:31:59,851 INCOME ALTOGETHER, WHICH IS ALSO 997 00:31:59,917 --> 00:32:00,918 A QUESTION YOU SHOULD ASK EMPLOY 998 00:32:00,985 --> 00:32:03,187 NOW I KNOW THAT PEOPLE MOONLIGHT 999 00:32:03,254 --> 00:32:05,390 AND DO EXTRA SHIFTS FOR MANY 1000 00:32:05,456 --> 00:32:06,491 DIFFERENT REASONS SO SOMETIMES 1001 00:32:06,557 --> 00:32:09,227 IT MIGHT BE SKILLS ACQUISITION, 1002 00:32:09,294 --> 00:32:10,628 KEEPING YOUR SKILLS BASE UP AND 1003 00:32:10,695 --> 00:32:13,631 THINGS LIKE THAT, VERY VALID AND 1004 00:32:13,698 --> 00:32:14,532 SOMETIMES IT'S GENERATING EXTRA 1005 00:32:14,599 --> 00:32:16,100 INCOME TO MAKE THE POINTS MEET 1006 00:32:16,167 --> 00:32:17,935 BUT MAKE SURE THAT YOU'RE 1007 00:32:18,002 --> 00:32:18,770 MANAGING YOUR FINANCES 1008 00:32:18,836 --> 00:32:20,405 APPROPRIATELY SO YOU'RE NOT 1009 00:32:20,471 --> 00:32:21,406 DOING ANYMORE THAN YOU HAVE TO 1010 00:32:21,472 --> 00:32:23,074 BECAUSE A LOT OF UNHAPPINESS 1011 00:32:23,141 --> 00:32:24,008 COMES FROM BEING STRETCHED AND 1012 00:32:24,075 --> 00:32:26,077 FEEL LIKE YOU'RE DOING THINGS 1013 00:32:26,144 --> 00:32:27,612 THAT YOU DON'T REALLY WANT TO DO 1014 00:32:27,679 --> 00:32:28,780 TO MAKE ENDS MEET. 1015 00:32:28,846 --> 00:32:30,214 SO LESSON 3 IS TO ORGANIZE YOUR 1016 00:32:30,281 --> 00:32:33,117 FINE ARMANI LIFE, I HAVE A CHECK 1017 00:32:33,184 --> 00:32:33,651 LIST FOR YOU. 1018 00:32:33,718 --> 00:32:36,988 IF YOU ARE NOT TRACKING YOUR 1019 00:32:37,055 --> 00:32:37,922 FINANCIAL TRANSACTIONS AND,A 1020 00:32:37,989 --> 00:32:39,223 COUNTS, I THINK YOU SHOULD DO 1021 00:32:39,290 --> 00:32:40,625 THAT, THERE ARE MANY DIFFERENT 1022 00:32:40,692 --> 00:32:43,328 WAYS, THESE ARE ALL SOFTWARE 1023 00:32:43,394 --> 00:32:45,163 SERVICES, EMPOWER, QUICKEN, I 1024 00:32:45,229 --> 00:32:46,798 USE MONARCH MONEY BUT I'M NOT 1025 00:32:46,864 --> 00:32:49,334 RECOMMENDING THAT AND CREDIT 1026 00:32:49,400 --> 00:32:50,268 KARMA, IT'S PAINFUL BECAUSE IT 1027 00:32:50,335 --> 00:32:52,036 TAKE ACE LOT OF TIME TO PUT ALL 1028 00:32:52,103 --> 00:32:53,538 YOUR INFORMATION IN THERE, 1029 00:32:53,604 --> 00:32:54,939 YOU'RE TRACKING IT, YOU HAVE TO 1030 00:32:55,006 --> 00:32:56,240 FIGURE OUT LIKE WAS THIS 1031 00:32:56,307 --> 00:32:57,742 ACTUALLY AFRONS COFFEE OR WAS A 1032 00:32:57,809 --> 00:33:00,345 SNACK OR SOMETHING LIKE THAT, 1033 00:33:00,411 --> 00:33:02,480 AND I DO THIS FOR 1 OR 2 MONTHS 1034 00:33:02,547 --> 00:33:04,449 OUT OF THE YEAR WHERE I CLOSELY 1035 00:33:04,515 --> 00:33:05,817 TRACK IT CAREFULLY AND THEN THE 1036 00:33:05,883 --> 00:33:07,385 REST OF THE YEAR I GO ON BECAUSE 1037 00:33:07,452 --> 00:33:08,753 I HAVE BETTER THINGS TO DO WITH 1038 00:33:08,820 --> 00:33:11,322 MY LIFE BUT AT LEAST I KNOW WHAT 1039 00:33:11,389 --> 00:33:12,623 I'M SPENDING MONEY ON, SO 1040 00:33:12,690 --> 00:33:13,458 SOMETIMES YOU WILL FIND 1041 00:33:13,524 --> 00:33:14,625 SURPRISES LIKE I FOUND THAT MY 1042 00:33:14,692 --> 00:33:18,496 WIFE AND I BOTH HAD AMAZON PRIME 1043 00:33:18,563 --> 00:33:19,964 MEMBERSHIPS, ASK HER MEMBERSHIP 1044 00:33:20,031 --> 00:33:22,100 WAS A 1 YEAR ANNUAL FEE THAT YOU 1045 00:33:22,166 --> 00:33:24,535 SAVE MONEY ON AND 1 YEAR WE SAID 1046 00:33:24,602 --> 00:33:25,970 LET'S DO THAT TO SAVE MONEY AND 1047 00:33:26,037 --> 00:33:28,106 THEN I'M DOING THE MONTHLY 1048 00:33:28,172 --> 00:33:29,407 SUBSCRIPTION AND WE NEVER PICKED 1049 00:33:29,474 --> 00:33:31,809 UP ON IT AND YOU WOULDN'T UNLESS 1050 00:33:31,876 --> 00:33:34,011 YOU WERE TRACKING YOUR FINE 1051 00:33:34,078 --> 00:33:35,413 FINANCES CLOSELY AND THERE'S 1052 00:33:35,480 --> 00:33:36,514 PROBABLY 7 OR 8 STREAMING 1053 00:33:36,581 --> 00:33:37,448 SERVICES THAT WE'RE PAYING IF 1054 00:33:37,515 --> 00:33:39,217 ARE THAT WE DON'T ACTUALLY USE, 1055 00:33:39,283 --> 00:33:42,186 SO THINGS LIKE THAT, IT'S NOT 1056 00:33:42,253 --> 00:33:46,157 LIKE--I'M NOT GOING TO BECOME 1057 00:33:46,224 --> 00:33:48,559 SUPER WEALTHY BECAUSE I TOPPED 1058 00:33:48,626 --> 00:33:49,961 MY AMAZON PRIME SUBSCRIPTION BUT 1059 00:33:50,027 --> 00:33:51,262 IT'S THINGS THAT YOU'RE 1060 00:33:51,329 --> 00:33:52,797 RECAPTURING YOUR POWER OF YOUR 1061 00:33:52,864 --> 00:33:53,898 FINANCES, NOW THE NEXT THING IS 1062 00:33:53,965 --> 00:33:55,066 TO LEARN ABOUT CAREER AND 1063 00:33:55,133 --> 00:33:56,467 PERSONAL FINANCE BECAUSE THIS IS 1064 00:33:56,534 --> 00:33:58,636 NOT SOMETHING WE TALK ABOUT 1065 00:33:58,703 --> 00:33:59,337 COMFORTABLE ONABLY WITH OUR 1066 00:33:59,404 --> 00:34:00,872 COLLEAGUES AND EVEN FOR ME, I 1067 00:34:00,938 --> 00:34:01,839 STRUGGLE WITH BEING OPEN ABOUT 1068 00:34:01,906 --> 00:34:04,709 THIS, SO I DO HAVE A COLLEAGUE 1069 00:34:04,776 --> 00:34:05,743 THAT--WHO'S IN A SIMILAR STAGE 1070 00:34:05,810 --> 00:34:07,712 IN MY LIFE AND CAREER, WE SHARE 1071 00:34:07,779 --> 00:34:09,013 ALL OUR INFORMATION WITH EACH 1072 00:34:09,080 --> 00:34:11,983 OTHER, SHE KNOWS WHAT I MAKE, 1073 00:34:12,049 --> 00:34:13,618 WHAT I'M WORTH, I KNOW HERS AND 1074 00:34:13,684 --> 00:34:14,952 WE TALK THROUGH OUR DIFFERENT 1075 00:34:15,019 --> 00:34:16,053 FINANCIAL SITUATIONS AND THEN 1076 00:34:16,120 --> 00:34:17,688 THERE'S A BOOK CLUB, WE'RE NOT 1077 00:34:17,755 --> 00:34:19,223 READING LIKE A BOOK A MONTH OR 1078 00:34:19,290 --> 00:34:20,958 ANYTHING, IT MIGHT BE LIKE 1 1079 00:34:21,025 --> 00:34:23,761 BOOK A YEAR, ON BASIC PERSON 1080 00:34:23,828 --> 00:34:24,729 FINANCE AND OUR REFLECTIONS ON 1081 00:34:24,796 --> 00:34:27,732 IT, AND ALSO IT MIGHT BE ABOUT 1082 00:34:27,799 --> 00:34:28,166 CAREER DEVELOPMENT. 1083 00:34:28,232 --> 00:34:29,634 NOW A FINANCIAL ADVISOR IS A 1084 00:34:29,700 --> 00:34:30,802 GREAT IDEA, A CONSULT FOR 1085 00:34:30,868 --> 00:34:32,904 SOMETHING THAT'S VERY IMPORTANT, 1086 00:34:32,970 --> 00:34:33,971 FINANCIAL ADVISOR IS SOMEONE WHO 1087 00:34:34,038 --> 00:34:34,939 KNOWS THINGS LIKE THIS SO YOU 1088 00:34:35,006 --> 00:34:37,909 DON'T HAVE TO KNOW THINGS LIKE 1089 00:34:37,975 --> 00:34:38,810 THIS. 1090 00:34:38,876 --> 00:34:39,911 NOW THERE ARE 2 DIFFERENT KINDS, 1091 00:34:39,977 --> 00:34:42,346 THERE ARE 1S WHO ASSESS A 1 TIME 1092 00:34:42,413 --> 00:34:45,116 FEE, YOU JUST PAY A BURCH OF 1093 00:34:45,183 --> 00:34:46,350 MONEY. 1094 00:34:46,417 --> 00:34:47,652 --BUNCH OF MONEY, IT'S PAINFUL 1095 00:34:47,718 --> 00:34:49,854 TO GIVE THEM THAT MONEY BUT THEY 1096 00:34:49,921 --> 00:34:50,788 GIVE YOU GOOD ADVICE. 1097 00:34:50,855 --> 00:34:53,691 FIRST TIME I DID IT I PAID $750 1098 00:34:53,758 --> 00:34:56,360 AND THE FINANCIAL ADVISOR SAID I 1099 00:34:56,427 --> 00:34:58,563 SHOULD REFINANCE MY MORTGAGE, 1100 00:34:58,629 --> 00:34:59,697 NEVER OCCURRED TO ME TO DO IT 1101 00:34:59,764 --> 00:35:03,167 BUT I DID IT AND IT WAS PAINFUL 1102 00:35:03,234 --> 00:35:05,470 BUT I SAVED $820 BY REFINANCING 1103 00:35:05,536 --> 00:35:05,770 MY MORTGAGE. 1104 00:35:05,837 --> 00:35:08,239 SO HE MADE UP WITH HIS FEE JUST 1105 00:35:08,306 --> 00:35:09,340 WITH THIS FIRST MONTH AFTER 1106 00:35:09,407 --> 00:35:10,775 DOING THAT, NOW THAT'S 1 WAY TO 1107 00:35:10,842 --> 00:35:12,643 DO IT, THE OTHER WAY IT TO HAVE 1108 00:35:12,710 --> 00:35:13,845 SOMEONE WHO MANAGES YOUR ASSETS 1109 00:35:13,911 --> 00:35:15,947 SO IF YOU DON'T WANT TO MANAGE 1110 00:35:16,013 --> 00:35:17,014 YOUR INVESTMENTS THAT'S ALSO 1111 00:35:17,081 --> 00:35:17,348 FINE. 1112 00:35:17,415 --> 00:35:19,116 THEY WILL TAKE A CHUNK OF YOUR 1113 00:35:19,183 --> 00:35:22,086 MONITOR THAT'S' GENERATED AND IS 1114 00:35:22,153 --> 00:35:23,788 USUALLY 1 TO 1.5%, SOME PEOPLE 1115 00:35:23,855 --> 00:35:25,423 SAY DON'T EVER DO THAT. 1116 00:35:25,490 --> 00:35:26,357 I THINK IT'S FINE IF YOU DON'T 1117 00:35:26,424 --> 00:35:27,992 WANT TO TOUCH IT AND YOU WANT 1118 00:35:28,059 --> 00:35:29,494 SOMEONE ELSE WHO IS PROFESSIONAL 1119 00:35:29,560 --> 00:35:31,128 AND MANAGE IT, BUT DO THAT, THE 1120 00:35:31,195 --> 00:35:34,332 POINT IS HAVE SOMEONE WHO IS 1121 00:35:34,398 --> 00:35:36,968 LOOKING OUT FOR YOUR FINANCIAL 1122 00:35:37,034 --> 00:35:38,936 INTEREST, AND THEN CRAFT AN 1123 00:35:39,003 --> 00:35:40,838 ESTATE PLAN, ANYONE WHO'S BEEN 1124 00:35:40,905 --> 00:35:43,174 WITH A PATIENT END OF WELL, 1125 00:35:43,241 --> 00:35:44,442 KNOWS IT'S IMPORTANT TO HAVE 1126 00:35:44,509 --> 00:35:46,377 POWER OF ATTORNEY AND WILL 1127 00:35:46,444 --> 00:35:47,211 ENTRUST PREPARATION, SO THOSE 1128 00:35:47,278 --> 00:35:48,412 ARE ALL THINGS I SUGGIEST FOR 1129 00:35:48,479 --> 00:35:52,416 YOU GUYS TO DO. 1130 00:35:52,483 --> 00:35:52,817 ALL RIGHT. 1131 00:35:52,884 --> 00:35:55,253 NOW I WANT TO GET TO THE 1132 00:35:55,319 --> 00:35:56,554 QUESTION, DOES MONEY BUY 1133 00:35:56,621 --> 00:35:59,357 HAPPINESS ISSUES WHO HAS BEEN 1134 00:35:59,423 --> 00:36:01,826 TOLD THAT MONEY BUYS YOU 1135 00:36:01,893 --> 00:36:02,426 HAPPINESS? 1136 00:36:02,493 --> 00:36:05,263 THERE'S A SONG, MONEY CAN WEIGH 1137 00:36:05,329 --> 00:36:07,064 YOU HAPPINESS. 1138 00:36:07,131 --> 00:36:08,599 I I'VE ALWAYS BEEN OF THE MIND 1139 00:36:08,666 --> 00:36:14,138 SET WHERE PEOPLE WHO SAY THIS 1140 00:36:14,205 --> 00:36:16,107 DON'T HAVE ANY MONEY BECAUSE 1141 00:36:16,173 --> 00:36:18,109 MONEY ABSOLUTELY DOES BUY YOU 1142 00:36:18,175 --> 00:36:18,376 HAPPINESS. 1143 00:36:18,442 --> 00:36:19,877 THESE ARE 2 DIFFERENT STUDIES, 1144 00:36:19,944 --> 00:36:22,246 THEY FOUND 2 DIFFERENT THINGS, 1145 00:36:22,313 --> 00:36:26,851 THIS 1 WAS BY KAHNEMAN AND 1146 00:36:26,918 --> 00:36:27,451 ASSOCIATES AT PRINCETON 1147 00:36:27,518 --> 00:36:28,553 UNIVERSITY AND THEY'RE LOOKING 1148 00:36:28,619 --> 00:36:29,954 AT ABOUT A THOUSAND PEOPLE IN 1149 00:36:30,021 --> 00:36:30,688 DIFFERENT PROFESSIONS AND THEY 1150 00:36:30,755 --> 00:36:35,693 ASK THEM ARE YOU HAPPY OR SAD? 1151 00:36:35,760 --> 00:36:39,397 OR ARE YOU HAPPY OR AT LEAST NOT 1152 00:36:39,463 --> 00:36:39,564 SAD? 1153 00:36:39,630 --> 00:36:41,632 AND WHAT THEY FOUND WAS THAT 1154 00:36:41,699 --> 00:36:43,701 YOUR HAPPINESS DEFINITELY 1155 00:36:43,768 --> 00:36:45,303 INCREASED UP AND TO A CERTAIN 1156 00:36:45,369 --> 00:36:46,904 POINT AND THAT PERSON POINT WAS 1157 00:36:46,971 --> 00:36:48,940 SOMEWHERE BETWEEN CYST THOUSAND 1158 00:36:49,006 --> 00:36:50,575 AND $90,000 OF HOUSEHOLD INCOME 1159 00:36:50,641 --> 00:36:52,310 PER YEAR, AND THEN PEOPLE WHO 1160 00:36:52,376 --> 00:36:55,046 REPORTED AT LEAST I WAS NOT SAD, 1161 00:36:55,112 --> 00:36:58,015 THEN THEY FOUND THE SAME RIGHT 1162 00:36:58,082 --> 00:36:58,349 HERE. 1163 00:36:58,416 --> 00:37:00,217 NOW WE HAVE TO ADJUST FOR 1164 00:37:00,284 --> 00:37:01,385 CERTAIN THINGS, THESE PEOPLE 1165 00:37:01,452 --> 00:37:02,920 WERE NOT LIVING IN BETHESDA, SO 1166 00:37:02,987 --> 00:37:05,022 YOU HAVE TO,A JUST FOR THAT, 1167 00:37:05,089 --> 00:37:05,656 RIGHT? 1168 00:37:05,723 --> 00:37:07,992 BUT THEY FOUND THAT THERE IS A 1169 00:37:08,059 --> 00:37:09,427 LIMIT, THE CONCEPT HERE IS THAT 1170 00:37:09,493 --> 00:37:11,629 THERE'S A LIMIT TO HOW MUCH 1171 00:37:11,696 --> 00:37:13,898 HAPPINESS WILL BUY YOU PAST A 1172 00:37:13,965 --> 00:37:15,533 SYRUP POINT OF HOUSEHOLD INCOME. 1173 00:37:15,600 --> 00:37:17,401 NOW THAT DIRECTLY CONFLICTS WITH 1174 00:37:17,468 --> 00:37:19,737 THIS STUDY, WHICH WAS PUT OUT BY 1175 00:37:19,804 --> 00:37:20,972 KILLINGSWORTH OUT OF UNIVERSITY 1176 00:37:21,038 --> 00:37:22,573 OF PENNSYLVANIA, AND THEY FOUND 1177 00:37:22,640 --> 00:37:26,110 THAT THIS WAS COMPLETELY LINEAR 1178 00:37:26,177 --> 00:37:27,411 RELATIONSHIP, THAT MORE MONEY, 1179 00:37:27,478 --> 00:37:30,448 MORE HAPPINESS, RIGHT THERE. 1180 00:37:30,514 --> 00:37:33,484 SO WHAT WOULD EXPLAIN AND THIS 1181 00:37:33,551 --> 00:37:35,953 WAS ABOUT 10 OR 30,000 1182 00:37:36,020 --> 00:37:39,357 RESPONDENTS, SO A LARGER SAMPLE 1183 00:37:39,423 --> 00:37:39,590 SIZE. 1184 00:37:39,657 --> 00:37:42,760 NOW WHAT WOULD EXPLAIN SUCH 1185 00:37:42,827 --> 00:37:44,061 DISPARATE FINDINGS THERE IN WHAT 1186 00:37:44,128 --> 00:37:46,430 WAS REALLY COOL IS THAT THESE 2 1187 00:37:46,497 --> 00:37:47,732 GROUPS CAME TOGETHER TO DO A 1188 00:37:47,798 --> 00:37:49,567 RESEARCH STUDY TOGETHER TO 1189 00:37:49,634 --> 00:37:50,968 RECONCILE WHY THEY FOUND SUCH 1190 00:37:51,035 --> 00:37:54,805 DRNT RESULTS AND WHAT THEY FOUND 1191 00:37:54,872 --> 00:37:57,008 WAS THAT IT'S MORE OR LESS A 1192 00:37:57,074 --> 00:37:58,743 LINEAR RELATIONSHIP BUT IT'S A 1193 00:37:58,809 --> 00:38:00,344 CAVEAT HERE, THESE PERCENTILES 1194 00:38:00,411 --> 00:38:02,313 ARE YOUR PERCENT OF BASE LINE 1195 00:38:02,380 --> 00:38:04,515 HAPPINESS, SO IN OTHER WORDS IF 1196 00:38:04,582 --> 00:38:07,051 YOU'RE HAPPIER THAN 85% OF THE 1197 00:38:07,118 --> 00:38:08,686 PEOPLE IN THE SURVEY RESPONSE, 1198 00:38:08,753 --> 00:38:12,990 YOU GOT MORE MONEY, YOU'RE MORE 1199 00:38:13,057 --> 00:38:13,224 HAPPY. 1200 00:38:13,290 --> 00:38:14,925 THAT LEADS TO MORE HAPPINESS. 1201 00:38:14,992 --> 00:38:18,496 AND THEN ONCE YOU GET DOWN TO 1202 00:38:18,562 --> 00:38:19,563 THE 15th PERCENTILE, IT 1203 00:38:19,630 --> 00:38:22,033 FLATTENING OFF AND THIS LEVEL IS 1204 00:38:22,099 --> 00:38:23,267 AROUND $120,000 OF HOUSEHOLD 1205 00:38:23,334 --> 00:38:25,603 INCOME, IF YOU WERE UNHAPPY, 1206 00:38:25,670 --> 00:38:26,771 STRESSED OUT, BURNT OUT, ALL 1207 00:38:26,837 --> 00:38:28,439 THOSE SORTS OF THINGS AND YOU 1208 00:38:28,506 --> 00:38:30,174 HAD MORE MONEY, YOU JUST ADDED 1209 00:38:30,241 --> 00:38:31,509 MORE MONEY TO BURN AND STRESS 1210 00:38:31,575 --> 00:38:37,948 YOU OUT. 1211 00:38:38,015 --> 00:38:38,616 ALL RIGHT? 1212 00:38:38,683 --> 00:38:42,486 SO IT KIND OF RECONCILED HOW YOU 1213 00:38:42,553 --> 00:38:43,587 FEEL BEFORE MONEY MATTERS. 1214 00:38:43,654 --> 00:38:45,222 I WANT TO SEE WHAT THIS LOOKS 1215 00:38:45,289 --> 00:38:46,624 LIKE IN PHYSICIANS SPECIFICALLY 1216 00:38:46,691 --> 00:38:47,758 BECAUSE GENERATING MORE INCOME 1217 00:38:47,825 --> 00:38:49,060 AS A PHYSICIAN OFTEN IS 1218 00:38:49,126 --> 00:38:50,461 DIFFERENT THAN GENERATING MORE 1219 00:38:50,528 --> 00:38:52,329 INCOME IF YOU WORK FOR AMAZON, 1220 00:38:52,396 --> 00:38:55,833 YOU MIGHT BE DOING MORE OR LESS 1221 00:38:55,900 --> 00:38:57,468 THE SAME WORK, AND A LOT OF 1222 00:38:57,535 --> 00:38:58,636 RESPONSIBILITY, A LOT OF 1223 00:38:58,703 --> 00:38:59,804 PHYSICIANS GENERATE MORE INCOME, 1224 00:38:59,870 --> 00:39:02,206 YOU ARE IN A SPECIALTY WHERE 1225 00:39:02,273 --> 00:39:04,508 THERE'S A LOT OF NIGHT CALL, 1226 00:39:04,575 --> 00:39:05,910 OVERNIGHT, OR DOOR TO DOOR, OR 1227 00:39:05,976 --> 00:39:07,411 AND YOU DO THAT TO MAKE MORE 1228 00:39:07,478 --> 00:39:10,614 INCOME AND THIS IS ABSOLUTELY MY 1229 00:39:10,681 --> 00:39:12,249 ANECDOTA EXPERIENCE, IS THAT 1230 00:39:12,316 --> 00:39:13,617 FACULTY WHO FEEL LIKE THEY'RE 1231 00:39:13,684 --> 00:39:15,686 STRETCHING THEMSELVES TO SUSTAIN 1232 00:39:15,753 --> 00:39:18,422 A INCOME THRESHOLD TO SUSTAIN A 1233 00:39:18,489 --> 00:39:20,091 LIFESTYLE WHO ARE BURNT OUT AND 1234 00:39:20,157 --> 00:39:22,560 UNHAPPY, THAT IS A TREND IN OUR 1235 00:39:22,626 --> 00:39:23,961 PROFESSION,A THAT LEADS TO NOT 1236 00:39:24,028 --> 00:39:24,995 MUCH MORE HAPPINESS GAIN. 1237 00:39:25,062 --> 00:39:27,865 SO MY POINT HERE IS NOT YOU 1238 00:39:27,932 --> 00:39:29,233 SHOULDN'T THINK THAT MONEY IS 1239 00:39:29,300 --> 00:39:31,202 IMPORTANT HERE, IS ALSO NOT AN 1240 00:39:31,268 --> 00:39:32,803 ARGUMENT THAT PEOPLE SHOULD BE 1241 00:39:32,870 --> 00:39:34,205 UNDERPAID BECAUSE I THINK PEOPLE 1242 00:39:34,271 --> 00:39:36,373 SHOULD BE PAID FAIRLY BUT MY 1243 00:39:36,440 --> 00:39:39,243 POINT HERE IS THAT IF YOU'RE 1244 00:39:39,310 --> 00:39:40,444 UNHAPPY AND YOU THINK MORE MONEY 1245 00:39:40,511 --> 00:39:41,746 WILL BE THE SOLUTIONS PROBABLY 1246 00:39:41,812 --> 00:39:43,247 NOT GOING TO WORK, OKAY? 1247 00:39:43,314 --> 00:39:44,081 AND THAT'S ANOTHER REASON WHY 1248 00:39:44,148 --> 00:39:45,716 YOU WANT TO MAKE SURE THAT YOUR 1249 00:39:45,783 --> 00:39:51,756 FINANCIAL HOUSE IS IN ORDER. 1250 00:39:51,822 --> 00:39:52,823 ALL RIGHT, MOVING ON. 1251 00:39:52,890 --> 00:39:55,459 WE'RE DONE WITH MONEY, MAYBE. 1252 00:39:55,526 --> 00:39:58,129 NO MEANS YES, CASE NUMBER 32. 1253 00:39:58,195 --> 00:40:00,297 THIS IS A FACULTY MEMBER FEELING 1254 00:40:00,364 --> 00:40:01,499 OVERWHELMED AND BURNT OUT MOVING 1255 00:40:01,565 --> 00:40:03,100 ACROSS THE COUNTRY FROM 1256 00:40:03,167 --> 00:40:04,368 WASHINGTON, THEY STARTED ON 1257 00:40:04,435 --> 00:40:06,170 FACULTY 3 YEARS AGO AS A 1258 00:40:06,237 --> 00:40:08,005 CLINICAL EDUCATOR AND THEY 1259 00:40:08,072 --> 00:40:09,206 DEVELOPED A STELLAR REPUTATION, 1260 00:40:09,273 --> 00:40:11,308 THEY ARE EXCELLENT IN TEACHING, 1261 00:40:11,375 --> 00:40:14,078 CLINICAL CARE, MULTIPLE TEACHING 1262 00:40:14,145 --> 00:40:15,713 AWARDS, CLINIC DUTY RIGHT THERE, 1263 00:40:15,780 --> 00:40:18,482 4 HALF DAYS A WEEK, 8 WEEKS PER 1264 00:40:18,549 --> 00:40:21,485 YEAR OF INPATIENT DUTY. 1265 00:40:21,552 --> 00:40:23,120 MULTIPLE COMMITTEES, BALANCES 1266 00:40:23,187 --> 00:40:23,988 MULTIPLE MEETING, INCLUDING WHEN 1267 00:40:24,054 --> 00:40:25,356 ON SERVICE, THEY DON'T ENJOY 1268 00:40:25,422 --> 00:40:26,757 CLINIC THAT MUCH ANYMORE AND 1269 00:40:26,824 --> 00:40:28,492 THEY'RE INTERESTED IN DEVELOPING 1270 00:40:28,559 --> 00:40:31,428 A MENTORSHIP AND EDUCATE ORROLE 1271 00:40:31,495 --> 00:40:32,730 AT THE MEDICAL SCHOOL LEVEL. 1272 00:40:32,797 --> 00:40:34,799 SO THEY CAME TO ME AND THINKING 1273 00:40:34,865 --> 00:40:37,201 BURN OUT, WHAT SHOULD I DO? 1274 00:40:37,268 --> 00:40:38,536 NOW BURN OUT IS HIGH, AND 1 1275 00:40:38,602 --> 00:40:39,937 THING TO POINT OUT IS THAT BURN 1276 00:40:40,004 --> 00:40:42,139 OUT IS HIGHER AMONGST FEMALE 1277 00:40:42,206 --> 00:40:44,575 FACULTY SOPHISTICATEDY THIS IS A 1278 00:40:44,642 --> 00:40:46,877 AAMC SURVEY, THEY NEED TO UPDATE 1279 00:40:46,944 --> 00:40:48,512 IT, THIS IS FROM 2019, I WOULD 1280 00:40:48,579 --> 00:40:50,614 LIKE TO SEE WHAT POST COVID 1281 00:40:50,681 --> 00:40:51,415 NUMBERS LOOK LIKE. 1282 00:40:51,482 --> 00:40:52,616 BUT WHAT'S TRIKING HERE IS THAT 1283 00:40:52,683 --> 00:40:54,385 IF YOU LOOK OVER HERE, THE LEVEL 1284 00:40:54,451 --> 00:40:56,754 OF TRESES IS PRETTY CONSISTENT 1285 00:40:56,821 --> 00:40:58,856 ACROSS DIFFERENT KINDS OF 1286 00:40:58,923 --> 00:40:59,089 FACULTY. 1287 00:40:59,156 --> 00:41:01,592 BUT IF YOU LOOK AT AND IT'S THE 1288 00:41:01,659 --> 00:41:02,693 SAME OVER HERE AND IF YOU LOOK 1289 00:41:02,760 --> 00:41:04,461 AT RACE AND GENDER, YOU SEE 1290 00:41:04,528 --> 00:41:06,063 THERE'S MORE FEELINGS OF BURNING 1291 00:41:06,130 --> 00:41:08,799 OUT OR BURNT OUT AMONG ALL WOMEN 1292 00:41:08,866 --> 00:41:12,369 AND THEN WOMEN OF COLOR. 1293 00:41:12,436 --> 00:41:13,971 AND SO, THERE'S AND WE'VE LOOKED 1294 00:41:14,038 --> 00:41:15,072 AT OUR OWN DATA AT THE 1295 00:41:15,139 --> 00:41:21,679 UNIVERSITY OF VIRGINIA AND WE 1296 00:41:21,745 --> 00:41:23,747 EXACTLY MIRROR ALMOST TO A T 1297 00:41:23,814 --> 00:41:24,849 THIS EXACT DATA. 1298 00:41:24,915 --> 00:41:27,651 THERE IS MORE BURN OUT AMONGST 1299 00:41:27,718 --> 00:41:28,819 OUR FEMALE COLLEAGUES AND I 1300 00:41:28,886 --> 00:41:30,454 THINK 1 IN 5 IS STILL TOO HIGH. 1301 00:41:30,521 --> 00:41:31,956 SO THIS IS SOMETHING THAT WE 1302 00:41:32,022 --> 00:41:33,424 SHOULD TALK MORE ABOUT AND THAT 1303 00:41:33,490 --> 00:41:35,593 WE SHOULD MAKE SURE THAT PEOPLE 1304 00:41:35,659 --> 00:41:38,329 HAVE GOOD SUPPORT TO GET THROUGH 1305 00:41:38,395 --> 00:41:39,730 BURN OUT AND WITH THEIR FIELD 1306 00:41:39,797 --> 00:41:41,332 AND WORK, I THINK WHAT'S ALSO 1307 00:41:41,398 --> 00:41:42,399 IMPORTANT IS THAT WE NEED TO 1308 00:41:42,466 --> 00:41:44,168 MAKE SURE THAT THE WORK WE DO 1309 00:41:44,235 --> 00:41:46,136 WITH SELF-IS NOT STUPID AND THAT 1310 00:41:46,203 --> 00:41:48,472 WE ARE DOING WHAT WE CAN TO 1311 00:41:48,539 --> 00:41:49,540 DECREASE THE NONVALUE ADDED 1312 00:41:49,607 --> 00:41:53,310 THINGS THAT WE HAVE TO DO 1313 00:41:53,377 --> 00:41:54,111 BECAUSE ADMINISTRATIVE BURDEN 1314 00:41:54,178 --> 00:41:55,212 INCREASE IN HEALTHCARE NOT GOING 1315 00:41:55,279 --> 00:41:56,680 DOWN, 1 THING I WANT TO 1316 00:41:56,747 --> 00:41:59,450 SPECIFICALLY POINT OUT IS THE 1317 00:41:59,516 --> 00:42:00,651 TERM CALLED THE MINORITY TAX, 1318 00:42:00,718 --> 00:42:02,152 THIS WAS COINED MANY YEARS AGO 1319 00:42:02,219 --> 00:42:05,222 BUT ADDRESSED HERE IN THE BMC 1320 00:42:05,289 --> 00:42:06,857 MEDICAL EDUCATION JOURNAL WHERE 1321 00:42:06,924 --> 00:42:11,829 RODRIGUEZ AND COLLEAGUES SAID 1322 00:42:11,896 --> 00:42:14,231 THAT THE MINOR TAX HAS BEEN 1323 00:42:14,298 --> 00:42:18,369 DEFINED AS THE TAX OF EXTRA 1324 00:42:18,435 --> 00:42:19,336 SPBTS ONITY FACULTY IN THE NAME 1325 00:42:19,403 --> 00:42:26,277 OF EFFORTS TO, ACHIEVE DIVERSIT. 1326 00:42:26,343 --> 00:42:27,645 SO THIS IS--THEY FOUND OUT THERE 1327 00:42:27,711 --> 00:42:28,979 WERE ON 2 DIFFERENT SEARCH 1328 00:42:29,046 --> 00:42:30,281 COMMITTEES BECAUSE THEY JOANED 1329 00:42:30,347 --> 00:42:31,715 WOKNOW SEARCH COMMITTEE THINKING 1330 00:42:31,782 --> 00:42:32,983 THEY WERE REVIEWING 1 GROUP OF 1331 00:42:33,050 --> 00:42:35,619 CANDIDATES AND FOUND THEY WERE 1332 00:42:35,686 --> 00:42:36,787 ACTUALLY ON IA DIFFERENT SYRUP 1333 00:42:36,854 --> 00:42:38,222 COMMITTEE AND THEY WERE ON 2 AT 1334 00:42:38,289 --> 00:42:39,690 THE SAME TIME BUT THOUGHT THEY 1335 00:42:39,757 --> 00:42:40,357 WERE ON 1. 1336 00:42:40,424 --> 00:42:43,027 THEY ARE ON A HOSPITAL CULTURE 1337 00:42:43,093 --> 00:42:44,094 IMPROVEMENT WORKING GROUP, STAFF 1338 00:42:44,161 --> 00:42:44,728 REPRESENTATIVE FOR THE CLINICAL 1339 00:42:44,795 --> 00:42:47,131 STAFF IN THE HOSPITAL, PRESSURE, 1340 00:42:47,197 --> 00:42:49,199 SO IT JUST GAZ ON AND ON AND ON. 1341 00:42:49,266 --> 00:42:50,034 AND THE GREEN THING RIGHT HERE 1342 00:42:50,100 --> 00:42:52,770 ACCIDENT THIS IS THE 1 THING 1343 00:42:52,836 --> 00:42:54,772 THAT'S ACTUALLY WRITTEN INTO HER 1344 00:42:54,838 --> 00:42:56,140 JOB DESCRIPTION SO THIS IS 1345 00:42:56,206 --> 00:42:57,908 PERSON WHO JUST SAYS YES, HAVE A 1346 00:42:57,975 --> 00:42:59,677 REPUTATION FOR BEING GREAT AND 1347 00:42:59,743 --> 00:43:02,012 PRODUCING EXCELLENT WORK, NO 1348 00:43:02,079 --> 00:43:03,981 GOOD GOOD DEED GOES UNPUNNISHED 1349 00:43:04,048 --> 00:43:06,083 SO THEY KEEP GETTING ASKED TO DO 1350 00:43:06,150 --> 00:43:07,952 THINGS, AND IT'S LIKE DEATH BI A 1351 00:43:08,018 --> 00:43:09,420 THOUSAND CUTS THAT EVENTUALLY 1352 00:43:09,486 --> 00:43:13,090 YOU REACH A BREAKING POINT, SO 1353 00:43:13,157 --> 00:43:15,159 LESSON 4, IS TO HARNESS THE 1354 00:43:15,225 --> 00:43:18,128 POWER OF NO, WHO REMEMBERS THE 1355 00:43:18,195 --> 00:43:19,863 DARE, DARE TO KEEP YOU OFF DRUGS 1356 00:43:19,930 --> 00:43:23,100 IN I WILL DARE YOU TO SAY NO. 1357 00:43:23,167 --> 00:43:24,268 PREFACULTY SUCCESS SO BEFORE YOU 1358 00:43:24,335 --> 00:43:27,137 GET TO THE FACULTY LEVEL, YOU 1359 00:43:27,204 --> 00:43:28,872 HAVE BECOME SUCCESSFUL BECAUSE 1360 00:43:28,939 --> 00:43:30,741 YOU SAID YES TO THINGS, I TOOK 1361 00:43:30,808 --> 00:43:32,343 ON THE EXTRA PROJECT, YOU'VE 1362 00:43:32,409 --> 00:43:34,445 DONE THE EXTRA COURSE, THE EXTRA 1363 00:43:34,511 --> 00:43:37,114 OPPORTUNITY BUT ONCE YOU'RE 1364 00:43:37,181 --> 00:43:38,248 FACULTY, I THINK YOUR 1365 00:43:38,315 --> 00:43:39,316 SUGASSESSES REQUIRES TO YOU SAY 1366 00:43:39,383 --> 00:43:40,851 NO TO THINGS AND YOU MAKE AN 1367 00:43:40,918 --> 00:43:41,685 EFFORT TO PROTECT YOUR TIME, 1368 00:43:41,752 --> 00:43:43,554 THIS IS A FUNNY TWEET THAT MY 1369 00:43:43,620 --> 00:43:44,755 FRIENDS AND I CIRCULATE EVERY 1370 00:43:44,822 --> 00:43:48,092 NOW AND THEN, THIS IS DENNIS 1371 00:43:48,158 --> 00:43:49,827 BRITON Ph.D. FACULTY BUT HE 1372 00:43:49,893 --> 00:43:52,396 SAID I WAS ASKED TO SERVE ON A 1373 00:43:52,463 --> 00:43:54,598 DIVERSITY COMMITTEE AND I SAID 1374 00:43:54,665 --> 00:43:55,399 NO, PLEASE CONGRATULATE ME. 1375 00:43:55,466 --> 00:43:56,700 AND IT FEELS WRONG TO TURN 1376 00:43:56,767 --> 00:43:58,102 PEOPLE DOWN BUT ONCE YOU TART TO 1377 00:43:58,168 --> 00:44:04,375 DO IT, IT FEELS GOOD. 1378 00:44:04,441 --> 00:44:04,708 RIGHT? 1379 00:44:04,775 --> 00:44:06,343 SO I CHALLENGE PEOPLE TO MAKE A 1380 00:44:06,410 --> 00:44:07,978 CHECK LIST OF LIKE 10 BLANK 1381 00:44:08,045 --> 00:44:09,013 CHECKINGS AND THEN THESE ARE ALL 1382 00:44:09,079 --> 00:44:11,682 THINGS THAT YOU SAY NO TO, AND 1383 00:44:11,749 --> 00:44:12,850 SO SOMEONE ASKS YOU TO DO 1384 00:44:12,916 --> 00:44:14,151 SOMETHING, YOU SAY NO, AND YOU 1385 00:44:14,218 --> 00:44:15,886 CHECK AND YOU WRITE DOWN WHAT IT 1386 00:44:15,953 --> 00:44:18,222 IS TO YOU SAID NO TOO AND IT 1387 00:44:18,288 --> 00:44:20,324 FEELS SO WRONG TO START DOING 1388 00:44:20,391 --> 00:44:21,692 THIS BECAUSE YOU ALWAYS SAID YES 1389 00:44:21,759 --> 00:44:23,327 TO PEOPLE BUT ONCE YOU STAY NO 1390 00:44:23,394 --> 00:44:23,994 AND RESTRICT YOUR OPPORTUNITIES 1391 00:44:24,061 --> 00:44:26,063 TO THE THINGS YOU WANT ON DO, 2 1392 00:44:26,130 --> 00:44:27,131 THINGS HAPPEN, YOU FEEL BETTER 1393 00:44:27,197 --> 00:44:28,165 ABOUT THE TIME YOU'RE COMMITTING 1394 00:44:28,232 --> 00:44:29,800 TO THE JOB THAT YOU WANT TO DO, 1395 00:44:29,867 --> 00:44:33,137 AND THE SECOND IS THAT PEOPLE 1396 00:44:33,203 --> 00:44:34,204 REALIZE THAT THEY SHOULDN'T COME 1397 00:44:34,271 --> 00:44:35,672 TO YOU UNLESS IT'S SOMETHING 1398 00:44:35,739 --> 00:44:36,740 THAT'S WORTH WHILE AND WORTH 1399 00:44:36,807 --> 00:44:37,107 YOUR TIME. 1400 00:44:37,174 --> 00:44:39,576 SO ONCE I STARTED SAYING NO TO 1401 00:44:39,643 --> 00:44:41,211 OPPORTUNITIES, I DON'T SAY NO TO 1402 00:44:41,278 --> 00:44:42,846 THE NIH, I WILL COME AND SPEAK 1403 00:44:42,913 --> 00:44:44,748 WITH YOU GUYS, BUT I HAVE TURNED 1404 00:44:44,815 --> 00:44:46,216 DOWN SIMILAR OPPORTUNITIES TO 1405 00:44:46,283 --> 00:44:48,318 OTHER PLACES BECAUSE IT JUST 1406 00:44:48,385 --> 00:44:50,220 DIDN'T--IT DIDN'T FIT. 1407 00:44:50,287 --> 00:44:52,856 NOW, IT'S EASY TO TELL PEOPLE 1408 00:44:52,923 --> 00:44:54,825 JUST START SAYING SNOW, JUST 1409 00:44:54,892 --> 00:44:55,893 START SAYING NO, BUT I WANT TO 1410 00:44:55,959 --> 00:44:57,327 GIVE YOU A FRAMEWORK FOR HOW TO 1411 00:44:57,394 --> 00:44:58,829 THINK THROUGH. THIS I WILL GIVE 1412 00:44:58,896 --> 00:44:59,463 YOU EXAMPLES. 1413 00:44:59,530 --> 00:45:02,800 SO GETTING READY FOR THIS TALK, 1414 00:45:02,866 --> 00:45:04,268 HERE'S PARKER'S E-MAIL, THIS WAS 1415 00:45:04,334 --> 00:45:05,803 THE PREP MEETING WE WERE GOING 1416 00:45:05,869 --> 00:45:08,439 TO HAVE BEFORE COMING ON, I KNOW 1417 00:45:08,505 --> 00:45:10,741 YOU'RE FREE, YOU'RE ALL SET, YOU 1418 00:45:10,808 --> 00:45:12,709 DON'T NEED ME BUT A HAVE A 1419 00:45:12,776 --> 00:45:14,912 CONFLICT WITH MY SON'S 1420 00:45:14,978 --> 00:45:15,446 PRESENTATION, IF THERE'S 1421 00:45:15,512 --> 00:45:18,382 ANYTHING I CAN DO FOR HELP, I 1422 00:45:18,449 --> 00:45:20,017 CAN YOIN FOR 5 MINUTES, EVEN IF 1423 00:45:20,084 --> 00:45:23,020 YOU DON'T NEED ME, I CAN JOIN 1424 00:45:23,087 --> 00:45:24,855 FOR 5 MINUTES. 1425 00:45:24,922 --> 00:45:26,957 AND ID, I KNOW OF COURSE, MY 1426 00:45:27,024 --> 00:45:28,592 CHILD FRACTURED HER WRIST, I'M 1427 00:45:28,659 --> 00:45:29,893 CATCHING UP, I'M ON SERVICE, SO 1428 00:45:29,960 --> 00:45:31,695 SHOULD HAVE BEEN A VERY EASY 1429 00:45:31,762 --> 00:45:32,763 DECISION TO JUST SAY I'M NOT 1430 00:45:32,830 --> 00:45:35,866 GOING TO BE HERE, I HAVE SO MANY 1431 00:45:35,933 --> 00:45:40,437 THINGS TO DO, I WILL SAY NO BUT 1432 00:45:40,504 --> 00:45:42,840 THAT'S THE CULTURE WE NEED DO 1433 00:45:42,906 --> 00:45:48,679 DEVELOP, THAT WE ARE HERE FOR 1434 00:45:48,745 --> 00:45:50,380 EACH OTHER, THAT ARE FOCUS ON 1435 00:45:50,447 --> 00:45:52,616 THE JUST HERE AS OUR ROLE IN 1436 00:45:52,683 --> 00:45:53,450 CLINICIANS OR RESEARCHERS HERE 1437 00:45:53,517 --> 00:45:55,052 AND THERE'S OTHER THINGS GOING 1438 00:45:55,119 --> 00:45:56,587 ON AND WE DON'T EXPECT PEOPLE TO 1439 00:45:56,653 --> 00:45:58,655 BE PLACES JUST BECAUSE THEY CAN 1440 00:45:58,722 --> 00:46:00,390 BE PLACES, NOW, THE FRAMEWORK I 1441 00:46:00,457 --> 00:46:03,060 WANT TO GIVE YOU IS FROM A GOOD 1442 00:46:03,127 --> 00:46:06,830 FRIEND OF MINE, 1443 00:46:06,897 --> 00:46:08,298 DR. [INDISCERNIBLE] AT UCLA AND 1444 00:46:08,365 --> 00:46:09,933 SHE HAS THIS APPROACH WHERE SHE 1445 00:46:10,000 --> 00:46:12,569 THINKS ABOUT HER LIFE IN CAREER 1446 00:46:12,636 --> 00:46:12,803 BUCKETS. 1447 00:46:12,870 --> 00:46:13,737 SO EVERYTHING SHE DOES OUTSIDE 1448 00:46:13,804 --> 00:46:15,839 OF HER DIRECT RESPONSIBILITY, 1449 00:46:15,906 --> 00:46:17,341 NEED TO FULFILL 1 OF THESE 1450 00:46:17,407 --> 00:46:20,777 BUCKETS SO RESEARCH, SHE'S A 1451 00:46:20,844 --> 00:46:21,678 COLORECTAL CANCER RESEARCHER OR 1452 00:46:21,745 --> 00:46:24,381 IT CAN CONTRIBUTE TO HER WEALTH, 1453 00:46:24,448 --> 00:46:25,549 CONSULTING FEE, SPEAKER FEE, IT 1454 00:46:25,616 --> 00:46:27,518 NEEDS TO CONTRIBUTE TO HER 1455 00:46:27,584 --> 00:46:32,456 ADVOCACY, A LOT OF ADVOCACY WORK 1456 00:46:32,523 --> 00:46:34,525 FOR UNDERREPRESENTED MINORITIES 1457 00:46:34,591 --> 00:46:35,792 AND COLORECTAL CANCER SCREENING, 1458 00:46:35,859 --> 00:46:36,960 IT CAN FULFILL THE OBLIGATIONS 1459 00:46:37,027 --> 00:46:38,428 LIAISON FAIGZ, SO A CONFERENCE 1460 00:46:38,495 --> 00:46:39,930 THAT INVITES YOUR FAMILY TO GO 1461 00:46:39,997 --> 00:46:41,899 TO FOR INSTANCE, OR RAISE HER 1462 00:46:41,965 --> 00:46:43,534 NATIONAL PROFILE BECAUSE IF HER 1463 00:46:43,600 --> 00:46:44,835 NATIONAL PROFILE IS RAISED THEN 1464 00:46:44,902 --> 00:46:46,470 THAT'S BEATER FOR HER CAREER, 1465 00:46:46,537 --> 00:46:47,571 NOW THERE'S 1 THING, SO SHE TOLD 1466 00:46:47,638 --> 00:46:49,740 ME THIS, I WAS LIKE, COOL, SO 1467 00:46:49,806 --> 00:46:51,842 YOU DO SOMETHING ONLY IF IT 1468 00:46:51,909 --> 00:46:53,243 FILLS YOUR BUCKET, SHE SAID NO, 1469 00:46:53,310 --> 00:46:55,379 IT NEEDS TO FULFILL AT LEAST 2 1470 00:46:55,445 --> 00:46:57,414 BUCKETS AT 1 TIME, ALL RIGHT IN 1471 00:46:57,481 --> 00:46:59,616 SO, IT'S NOT JUST, JUST 1-OFF 1472 00:46:59,683 --> 00:47:02,019 THING, BUT IF IT CAN FULFILL 2 1473 00:47:02,085 --> 00:47:03,887 DIFFERENT ROLES AT 1 TIME, THEN 1474 00:47:03,954 --> 00:47:07,658 THAT'S SOMETHING THAT'S WORTH 1475 00:47:07,724 --> 00:47:08,025 GOING TO. 1476 00:47:08,091 --> 00:47:09,826 SO WHEN I GO TO CONFERENCES, I 1477 00:47:09,893 --> 00:47:12,029 TRY TO SEE IF I CAN BRING MY 1478 00:47:12,095 --> 00:47:14,331 FAMILY ALONG AND THEY HAVE THAT 1479 00:47:14,398 --> 00:47:16,166 EXPERIENCE WITH ME, AND I CAN 1480 00:47:16,233 --> 00:47:17,034 FULFILL 2 ROLESSA THE ONCE. 1481 00:47:17,100 --> 00:47:18,802 BACK WHEN I WAS DOING A LOT OF 1482 00:47:18,869 --> 00:47:21,004 COVID WORK IT WAS RAISING MY 1483 00:47:21,071 --> 00:47:22,506 PUBLIC PROFILE, AND DESTROYED MY 1484 00:47:22,573 --> 00:47:24,007 FAMILY LIFE BECAUSE I WAS AT 1485 00:47:24,074 --> 00:47:25,342 WORK DOING ZOOM AND THINGS LIKE 1486 00:47:25,409 --> 00:47:26,944 THAT BUT IT LED TO MORE 1487 00:47:27,010 --> 00:47:28,345 OPPORTUNITIES TO SPEAK AND 1488 00:47:28,412 --> 00:47:30,914 ULTIMATELY GENERATE IT AND MORE 1489 00:47:30,981 --> 00:47:32,316 WEALTH AND CONSULTING FEES AND 1490 00:47:32,382 --> 00:47:35,552 THAT HELPED WITH THAT ASPECT OF 1491 00:47:35,619 --> 00:47:36,853 FAMILY LIFE, SO, 2 BUCKETS AT 1492 00:47:36,920 --> 00:47:38,589 ONCE BUT SHE MADE THE POINT, I 1493 00:47:38,655 --> 00:47:40,290 SPOKE WITH HER YESTERDAY, 1494 00:47:40,357 --> 00:47:42,192 BECAUSE I WANTED TO MAKE SURE I 1495 00:47:42,259 --> 00:47:42,793 DIDN'T MISREMETABOLISM RESENT 1496 00:47:42,859 --> 00:47:43,994 HER, SHE SAID YOU NEED TO 1497 00:47:44,061 --> 00:47:45,095 REMEMBER THAT YOUR PRIORITIES 1498 00:47:45,162 --> 00:47:46,997 MIGHT CHANGE OVER TIME SO ALWAYS 1499 00:47:47,064 --> 00:47:48,298 REEVALUATE WHAT YOUR BUCKETS ARE 1500 00:47:48,365 --> 00:47:49,733 BECAUSE YOU MIGHT HAVE 1501 00:47:49,800 --> 00:47:50,534 COMPLETELY DIFFERENT 1S, SOME 1502 00:47:50,601 --> 00:47:53,503 MAY NOT MEAN AS MUCH AS THEY DID 1503 00:47:53,570 --> 00:47:55,005 BEFORE, BUT THIS NOTION THAT YOU 1504 00:47:55,072 --> 00:47:55,839 SHOULDN'T JUST COMMIT TO 1505 00:47:55,906 --> 00:47:57,140 SOMETHING BECAUSE IT FULFILLS 1 1506 00:47:57,207 --> 00:47:59,343 ASPECT OF THIS THAT WE NEED TO 1507 00:47:59,409 --> 00:48:01,211 TART DOING DOUBLE DUTY SO I'VE 1508 00:48:01,278 --> 00:48:02,813 TAKEN THAT LESSON TO HEART FROM 1509 00:48:02,879 --> 00:48:03,046 HER. 1510 00:48:03,113 --> 00:48:04,581 ALL RIGHT, NOW I WANT TO GET 1511 00:48:04,648 --> 00:48:07,017 BACK TO THIS, THE MINORITY TAX, 1512 00:48:07,084 --> 00:48:09,653 THEY HAD A LIST OF ACTIONS TO 1513 00:48:09,720 --> 00:48:15,892 TAKE TO TRY TO DECREASE THE 1514 00:48:15,959 --> 00:48:17,094 CHANCE THAT YOUR INFACULTY, 1515 00:48:17,160 --> 00:48:17,995 YOU'RE NOT OVER TAXED 1516 00:48:18,061 --> 00:48:19,196 RESPONSIBILITIES THAT ARE 1517 00:48:19,263 --> 00:48:20,564 RELATED TO ACHIEVING DIVERSITY. 1518 00:48:20,631 --> 00:48:23,867 SO 1 WAS TO VALUE DIVERSITY 1519 00:48:23,934 --> 00:48:30,607 EFFORT LEERILY ACROSS THE 1520 00:48:30,674 --> 00:48:31,975 -FAIRLY ACROSS THE 1521 00:48:32,042 --> 00:48:34,578 INSTITUTE, WE DON'T WANT TO BE 1522 00:48:34,645 --> 00:48:36,413 ON COMMITTEES THAT HAVE EXTRA 1523 00:48:36,480 --> 00:48:40,250 TIME OR STIPEND NOT ATTACHED TO 1524 00:48:40,317 --> 00:48:41,084 IT. 1525 00:48:41,151 --> 00:48:42,252 FUND STATED INSTITUTIONAL 1526 00:48:42,319 --> 00:48:43,453 DIVERSITY EFFORTS, EXPECTATIONS 1527 00:48:43,520 --> 00:48:46,256 EMILYINATE ALL FORMS OF 1528 00:48:46,323 --> 00:48:51,094 DISCRAMINATION, ENSURE FRANK AD 1529 00:48:51,161 --> 00:48:52,262 HONEST COMMUNICATION BETWEEN 1530 00:48:52,329 --> 00:48:53,230 ADMINISTRATION AND FACULTY AND 1531 00:48:53,297 --> 00:48:55,932 DEVELOP AN EMPLOYEE RETENTION 1532 00:48:55,999 --> 00:48:57,334 STRATEGY, AND DEVELOP BROAD 1533 00:48:57,401 --> 00:48:59,169 KAWOF THURE CHANGE ACTIVITIES 1534 00:48:59,236 --> 00:49:01,371 WITH WIDE SPREAD PARTICIPATION. 1535 00:49:01,438 --> 00:49:02,739 NOW IT USUALLY BREAKS DOWN THIS 1536 00:49:02,806 --> 00:49:04,241 3 DIFFERENT NOTIONS RIGHT HERE, 1537 00:49:04,308 --> 00:49:07,110 SO 1 IS YOUR SENSE OF VALUE TO 1538 00:49:07,177 --> 00:49:08,412 THE INSTITUTION, DOES THE PLACE 1539 00:49:08,478 --> 00:49:10,280 I WORK, DID THE LAB I WORK IN, 1540 00:49:10,347 --> 00:49:11,948 DOES THE WORK THAT I WORK WITH, 1541 00:49:12,015 --> 00:49:14,484 DO THEY VALUE ME AS A PERSON, AS 1542 00:49:14,551 --> 00:49:17,454 AN INDIVIDUAL, AS A PARENT, 1543 00:49:17,521 --> 00:49:19,056 SECOND IS YOUR SENSE OF AGENCY, 1544 00:49:19,122 --> 00:49:20,457 THERE IS SOMETHING THAT'S 1545 00:49:20,524 --> 00:49:21,725 HAPPENING THAT DOESN'T MAKE 1546 00:49:21,792 --> 00:49:23,093 SENSE WITH YOUR WORK FLOW OR 1547 00:49:23,160 --> 00:49:23,994 SOMETHING IN YOUR CAREER, DO 1548 00:49:24,061 --> 00:49:26,596 HAVE YOU THE ABILITY TO CHANGE 1549 00:49:26,663 --> 00:49:26,797 THAT. 1550 00:49:26,863 --> 00:49:30,300 OR AT LEAST MAKE AN EXPOSURE TO 1551 00:49:30,367 --> 00:49:31,101 --EFFORT TO 1552 00:49:31,168 --> 00:49:32,502 MAKE THAT BETTER, THAT GETS TO 1553 00:49:32,569 --> 00:49:35,272 YOUR SENSE OF DO YOU HAVE POWER 1554 00:49:35,339 --> 00:49:36,973 OR FEEL POWERLESS AND YOUR SENSE 1555 00:49:37,040 --> 00:49:37,374 OF COMMUNITY. 1556 00:49:37,441 --> 00:49:38,875 DO YOU HAVE PEOPLE ARK ROUND YOU 1557 00:49:38,942 --> 00:49:40,711 WHO HAVE SIMILAR INTERESTS SO 1558 00:49:40,777 --> 00:49:42,646 CAN YOU CONFIDE IN FOR YOUR 1559 00:49:42,713 --> 00:49:45,215 CAREER AND YOUR PERSONAL LIVE. 1560 00:49:45,282 --> 00:49:46,950 NOW I WILL GIVE YOU AN EXAMPLE 1561 00:49:47,017 --> 00:49:48,852 HOW THIS WORKS OUT, I THINK A 1562 00:49:48,919 --> 00:49:51,588 LOT OF FOLKS RELY ON 1 OVER THE 1563 00:49:51,655 --> 00:49:52,522 OTHER, SO RESIDENCY, HAVE YOU A 1564 00:49:52,589 --> 00:49:54,057 STRONG SENSE OF COMMUNITY, I 1565 00:49:54,124 --> 00:49:55,792 NEVER FELT LEAK I HAD A LOT OF 1566 00:49:55,859 --> 00:49:57,194 POWER AS A RESIDENT. 1567 00:49:57,260 --> 00:49:59,596 I DIDN'T FEEL LIKE I WAS VALUE 1568 00:49:59,663 --> 00:50:01,998 AS A RESIDENT, BUT I HAD A LOT 1569 00:50:02,065 --> 00:50:03,533 OF PEOPLE WHO I WAS WITH ALL THE 1570 00:50:03,600 --> 00:50:05,302 TIME AND THEY VALIDATED ME EVERY 1571 00:50:05,369 --> 00:50:06,937 SINGLE DAY AND A GREAT 1572 00:50:07,003 --> 00:50:08,338 EXPERIENCE AND THAT'S WHY A LOT 1573 00:50:08,405 --> 00:50:09,840 OF PEOPLE REMEMBER THEIR 1574 00:50:09,906 --> 00:50:11,007 RESIDENCY FONDLY AND SAY THIS IS 1575 00:50:11,074 --> 00:50:12,542 WAS A GREAT EXPERIENCE, WOULD BT 1576 00:50:12,609 --> 00:50:14,411 DO IT AGAIN BUT IT WAS A GREAT 1577 00:50:14,478 --> 00:50:18,849 EXPERIENCE, NOW WHEN YOU 1578 00:50:18,915 --> 00:50:19,649 INTROFACULTY, THIS SENSE OF 1579 00:50:19,716 --> 00:50:21,051 COMMUNITY IS NOT AUTOMATICALLY 1580 00:50:21,118 --> 00:50:22,552 THERE ANYMORE, YOU'RE NOT AROUND 1581 00:50:22,619 --> 00:50:26,957 PEOPLE WHO ARE OF THE SAME AGE 1582 00:50:27,023 --> 00:50:27,758 OR SAME EXPERIENCES, THEY'RE 1583 00:50:27,824 --> 00:50:30,927 KIND OF ON YOUR OWN SOMETIMES 1584 00:50:30,994 --> 00:50:32,362 AND SO YOU'RE DEVELOPING YOUR 1585 00:50:32,429 --> 00:50:33,029 SENSE OF VALUE. 1586 00:50:33,096 --> 00:50:34,631 YOU HAVE YOUR ATTENDING SALARY 1587 00:50:34,698 --> 00:50:36,166 BUT THEN YOU REALIZE, MAYBE 1588 00:50:36,233 --> 00:50:37,667 YOU'RE UNDERPAID AND THEN YOU 1589 00:50:37,734 --> 00:50:39,603 HAVE ALL THESE CLINIC EXECATIONS 1590 00:50:39,669 --> 00:50:40,704 THAT DON'T REALLY MAKE SENSE TO 1591 00:50:40,771 --> 00:50:42,572 YOU, YOU DON'T KNOW WHY THE 1592 00:50:42,639 --> 00:50:43,640 ADMINITRATION IS MAKING THIS 1593 00:50:43,707 --> 00:50:45,041 CHANGE WHEN YOU'RE CLINIC IS NOT 1594 00:50:45,108 --> 00:50:46,343 REALLY A PROBLEM BUT THEY'RE 1595 00:50:46,410 --> 00:50:47,644 TRYING TO STANDARDIZE THINGS 1596 00:50:47,711 --> 00:50:48,912 ACROSS THE INSTITUTION, FOR 1597 00:50:48,979 --> 00:50:50,414 EFFICIENCY AND ROLL OVER AND ALL 1598 00:50:50,480 --> 00:50:52,849 THAT SORT OF STUFF AND YOU FEEL 1599 00:50:52,916 --> 00:50:56,620 POWERLESS AND A LOT OF OUR 1600 00:50:56,686 --> 00:50:58,021 FACULTY ARE STRUGGLING WITH THE 1601 00:50:58,088 --> 00:51:00,323 INCREASING SENSE OF LOSS OF 1602 00:51:00,390 --> 00:51:01,458 POWER AND SELF-DETERMINATION, 1603 00:51:01,525 --> 00:51:03,894 THAT THEY FEEL UPDATER VALUED BY 1604 00:51:03,960 --> 00:51:06,296 THEIR INSTITUTION AND @ THE SAME 1605 00:51:06,363 --> 00:51:08,632 TIME THERE'S NOT A LOT OF 1606 00:51:08,698 --> 00:51:09,433 COMMUNITY TO CONFIDE IN. 1607 00:51:09,499 --> 00:51:11,535 SO I TEND TO THINK IN TERPS OF 1608 00:51:11,601 --> 00:51:13,703 THESE 3 TEARMS AND IN USUALLY 1609 00:51:13,770 --> 00:51:15,338 WHEN SOMEONE IS VERY UNHAPPY OR 1610 00:51:15,405 --> 00:51:17,641 BURNT OUT SOME OF THESE MIGHT BE 1611 00:51:17,707 --> 00:51:18,842 OUT OF WHAT BEING AND THAT'S 1612 00:51:18,909 --> 00:51:20,577 WHAT I WANT US TO FOCUS ON 1613 00:51:20,644 --> 00:51:21,077 MOVING FORWARD. 1614 00:51:21,144 --> 00:51:23,647 NOW 1 THING THAT I THINK REALLY 1615 00:51:23,713 --> 00:51:25,382 HELPS, IS EXECUTIVE COACHING, SO 1616 00:51:25,449 --> 00:51:29,786 HERE'S AN EXAMPLE, WHO IS THIS 1617 00:51:29,853 --> 00:51:31,888 PERSON, SO I KNOW THERE'S WISARD 1618 00:51:31,955 --> 00:51:34,624 FANS IN A ROOM, THIS IS SOMEONE 1619 00:51:34,691 --> 00:51:35,592 WHO PLAYS BASKETBALL WELL, YOU 1620 00:51:35,659 --> 00:51:39,029 MAY NOT BE USED TO THAT. 1621 00:51:39,095 --> 00:51:41,865 SO HE IS THE BEST HIM AND 1622 00:51:41,932 --> 00:51:43,166 CAITLIN CLARK ARE THE BEST 1623 00:51:43,233 --> 00:51:44,768 SHOOTERS THAT WE'VE EVER SEEN IN 1624 00:51:44,835 --> 00:51:46,570 THE HISTORY OF BASKETBALL AS A 1625 00:51:46,636 --> 00:51:48,738 SPORT ON OUR EARTH. 1626 00:51:48,805 --> 00:51:56,246 WHO ARE THESE PEOPLE? 1627 00:51:56,313 --> 00:51:58,048 THEY'RE SHOOTING COACHED 1628 00:51:58,114 --> 00:51:59,015 BRAPPEDON PAIP AND BRUCE 1629 00:51:59,082 --> 00:52:00,283 PHASIER, WOULD YOU LOOK AT THESE 1630 00:52:00,350 --> 00:52:04,721 GUYS CAN THINK SHOOTING COACH. 1631 00:52:04,788 --> 00:52:05,789 STEF CURRY HAS 2 SHOOTING 1632 00:52:05,856 --> 00:52:06,957 COACHES WHO HELPS HIM WORK ON 1633 00:52:07,023 --> 00:52:08,492 HIS SHOT. 1634 00:52:08,558 --> 00:52:11,161 THE GREATEST 3-POINT SHOOTER IN 1635 00:52:11,228 --> 00:52:12,696 THE HISTORY OF THE WORLD HAS 1636 00:52:12,762 --> 00:52:13,930 SHOOTING COACHES, WHAT IN THE 1637 00:52:13,997 --> 00:52:17,234 WORLD CAN THEY TELL HIM ABOUT 1638 00:52:17,300 --> 00:52:18,268 HIS SHOT? 1639 00:52:18,335 --> 00:52:19,569 RIGHT, NOW SURE, I BET BRANDON 1640 00:52:19,636 --> 00:52:21,771 AND BRUCE ARE BETTER 3-POINT 1641 00:52:21,838 --> 00:52:23,273 SHOOTERS THAN YOU ARE BUT 1642 00:52:23,340 --> 00:52:24,674 THEY'RE NOT BETTER THAN STEF 1643 00:52:24,741 --> 00:52:26,643 CURRY, I CAN,A SURE YOU THAT. 1644 00:52:26,710 --> 00:52:29,946 SO SOMEONE LIKE STEF CURRY HAS 1645 00:52:30,013 --> 00:52:33,683 COACHES, SHOULDN'T YOU HAVE A 1646 00:52:33,750 --> 00:52:34,584 COACH? 1647 00:52:34,651 --> 00:52:35,051 ALL RIGHT? 1648 00:52:35,118 --> 00:52:41,224 SO THINK ABOUT IT THIS WAY, YOU 1649 00:52:41,291 --> 00:52:45,829 GUYS ARE THE STEPH CURRY OF 1650 00:52:45,896 --> 00:52:47,330 ACADEMIC MEDICINE, IT'S NOT 1651 00:52:47,397 --> 00:52:48,698 NORMALIZED TO YOU BECAUSE YOU 1652 00:52:48,765 --> 00:52:51,134 BATHE IN MEDICINE ALL THE TIME 1653 00:52:51,201 --> 00:52:53,203 BUT LET'S THINK ABOUT THIS WAY, 1654 00:52:53,270 --> 00:52:55,205 3% OF THE PHYSICIANS ARE NIH 1655 00:52:55,272 --> 00:52:56,640 SPECIALIZATIONS AND THE NIH IS 1656 00:52:56,706 --> 00:52:58,008 THE STIP OF THE SPHERE WHEN IT 1657 00:52:58,074 --> 00:52:59,876 AM CANS TO TGF BETA ADVANCE WANT 1658 00:52:59,943 --> 00:53:01,244 SO WHEN I WORKED HERE AND I 1659 00:53:01,311 --> 00:53:03,313 WOULD ASK A PHARMACIST, HEY HA 1660 00:53:03,380 --> 00:53:04,881 DOES THAT MEDICINE DO, IT WAS 1661 00:53:04,948 --> 00:53:06,516 NORMAL TO SAY, WE DON'T KNOW, 1662 00:53:06,583 --> 00:53:09,019 WE'VE NEVER TRIED IT BEFORE. 1663 00:53:09,085 --> 00:53:11,254 WHEN I ASK QUESTIONS OF MY 1664 00:53:11,321 --> 00:53:12,088 PHARMACIST NOW, THERE'S USUALLY 1665 00:53:12,155 --> 00:53:13,023 SOMETHING WORKED OUT BECAUSE YOU 1666 00:53:13,089 --> 00:53:15,292 GUYS HAVE DONE THAT WORK SO YOU 1667 00:53:15,358 --> 00:53:17,460 GUYS REALLY ARE THE TIP OF THE 1668 00:53:17,527 --> 00:53:18,895 SPHEER WHEN IT COMES TO 1669 00:53:18,962 --> 00:53:20,997 ADVANCING KNOWLEDGE, IT CAN BE A 1670 00:53:21,064 --> 00:53:22,032 LONELY SPACE, CHALLENGING AND 1671 00:53:22,098 --> 00:53:23,199 STRESSFUL SPACE TO TRY TO 1672 00:53:23,266 --> 00:53:24,634 DEVELOP YOUR CAREER AS LYOU GUYS 1673 00:53:24,701 --> 00:53:27,671 ARE AT THE APEX OF THIS, YOU'RE 1674 00:53:27,737 --> 00:53:29,739 THE STEPh CURRYS AND IF HE HAS 1675 00:53:29,806 --> 00:53:31,141 AN EXECUTIVE SHOOTING COACH AND 1676 00:53:31,207 --> 00:53:32,742 AN EXECUTIVE COACH, RIGHT? 1677 00:53:32,809 --> 00:53:34,311 NOW THE NIH DOES HAVE THIS 1678 00:53:34,377 --> 00:53:37,047 RESOURCE, I LOOKED AT THEIR 1679 00:53:37,113 --> 00:53:37,981 EXECUTIVE COACHING WEBSITE HERE 1680 00:53:38,048 --> 00:53:39,382 AND THEY DO HAVE THESE AVAILABLE 1681 00:53:39,449 --> 00:53:41,551 FOR PROFESSIONALS AT THE NIH AND 1682 00:53:41,618 --> 00:53:42,719 THESE ARE MANY DIFFERENT NAMES 1683 00:53:42,786 --> 00:53:44,588 THAT THEY WORK ON THAT WILL IMET 1684 00:53:44,654 --> 00:53:45,989 TO BUT THAT RESOURCE IS THERE 1685 00:53:46,056 --> 00:53:48,658 AND IF I WORKED HERE THAT IS 1686 00:53:48,725 --> 00:53:50,527 SOMETHING I WOULD LOOK AT, AND 1687 00:53:50,594 --> 00:53:51,828 UNIVERSITY OF VIRGINIA WE HAD A 1688 00:53:51,895 --> 00:53:53,563 SIMILAR THING AND I MET WITH AN 1689 00:53:53,630 --> 00:53:55,065 EXECUTIVE COACH, I FELT LIKE MY 1690 00:53:55,131 --> 00:53:57,133 CAREER IS ANYTHING FINE BUT THEY 1691 00:53:57,200 --> 00:53:58,535 HAD GOOD POINTERS IN WEAKNESSES 1692 00:53:58,602 --> 00:54:00,403 I HAD AND HOW I APREACH 1693 00:54:00,470 --> 00:54:01,905 LEADERSHIP AND THINGS I NEED TO 1694 00:54:01,972 --> 00:54:04,574 WORK ON TO BE A BETTER LEADER. 1695 00:54:04,641 --> 00:54:09,579 NOW YOU ALSO HAVE A GREAT 1696 00:54:09,646 --> 00:54:13,049 RESOURCE HERE, DR. HASHIMOTO, HE 1697 00:54:13,116 --> 00:54:13,984 IS INDEPENDENT RESOURCE FOR 1698 00:54:14,050 --> 00:54:15,285 FACULTY TOW LOOK AT THEIR WORK 1699 00:54:15,352 --> 00:54:17,287 AND LIFE AS NIERK H SCIENTIST, 1700 00:54:17,354 --> 00:54:21,591 HE'S BEEN A--HE WAS AT YALE F 26 1701 00:54:21,658 --> 00:54:24,894 YEARS BEFORE COMING HERE IN 2017 1702 00:54:24,961 --> 00:54:25,862 AND I E-MAILED HIM YESTERDAY AND 1703 00:54:25,929 --> 00:54:26,830 HE WANTED TO STRESS WITH YOU 1704 00:54:26,896 --> 00:54:29,366 THAT HE WORKS WITH THE STAFF 1705 00:54:29,432 --> 00:54:30,967 CLINICIAN COUNCIL TO ORGANIZE 1706 00:54:31,034 --> 00:54:31,935 PROFESSIONAL ACTIVITIES AND 1707 00:54:32,002 --> 00:54:34,371 SUPPORT FOR CLINICAL FACULTY, HE 1708 00:54:34,437 --> 00:54:35,772 IS PILOTING A MENTORING PROGRAM 1709 00:54:35,839 --> 00:54:38,141 TO ASSIST WITH THAT FIRST MAJOR 1710 00:54:38,208 --> 00:54:39,943 TRANSITION FROM ASSISTANT TO 1711 00:54:40,010 --> 00:54:41,011 ASSOCIATE WERE POSITION, AND 1712 00:54:41,077 --> 00:54:44,547 THIS MODEL OF THE EXISTING 1713 00:54:44,614 --> 00:54:46,616 TENURED TRACK PI FACULTY MIDTERM 1714 00:54:46,683 --> 00:54:48,318 PROGRAM TO ESTABLISH, AND THE 1715 00:54:48,385 --> 00:54:50,053 OVERALL GOAL IS TO ESTABLISH THE 1716 00:54:50,120 --> 00:54:54,057 MENTORING, ON THE PAPER ON THE 1717 00:54:54,124 --> 00:54:55,492 MINORITY TAX TO ESTABLISH MENTOR 1718 00:54:55,558 --> 00:54:59,295 AND CULTURING, SO THAT'S THE 1719 00:54:59,362 --> 00:55:00,397 IDEA HERE TO ESTABLISH THAT 1720 00:55:00,463 --> 00:55:00,630 CULTURE. 1721 00:55:00,697 --> 00:55:02,832 SO I WANT TO MAKE CLEAR THE 1722 00:55:02,899 --> 00:55:04,000 COACH AND THE MENTOR, THIS WAS 1723 00:55:04,067 --> 00:55:05,635 ON THE NIRE H WEBSITE HERE, A 1724 00:55:05,702 --> 00:55:08,471 COACH IS THERE TO PROVIDE IN THE 1725 00:55:08,538 --> 00:55:09,973 OUTSIDE OPINION AND FOCUS ON 1726 00:55:10,040 --> 00:55:11,374 YOUR SUCCESS, THEY PROVIDE 1727 00:55:11,441 --> 00:55:12,876 OPPORTUNITIES FOR YOU TO EXPLORE 1728 00:55:12,942 --> 00:55:14,811 YOUR OWN MOTIVATIONS AND HELP 1729 00:55:14,878 --> 00:55:16,446 FIND ANSWERS FOR YOURSELF AND 1730 00:55:16,513 --> 00:55:17,947 IDENTIFY BARRIER ANDS SOLUTIONS 1731 00:55:18,014 --> 00:55:19,015 TO FIND OPPORTUNITIES THAT YOU 1732 00:55:19,082 --> 00:55:21,985 MAY NOT HAVE SEEN BEFORE, A 1733 00:55:22,052 --> 00:55:23,386 MENTOR TYPICALLY COME FROM 1734 00:55:23,453 --> 00:55:24,421 WITHIN YOUR ORGANIZATION, THEY 1735 00:55:24,487 --> 00:55:25,955 ARE FOCUSED ON YOUR SUCCESS, BUT 1736 00:55:26,022 --> 00:55:27,724 THEY ALSO HAVE OTHER PRIORITIES 1737 00:55:27,791 --> 00:55:29,559 AND THAT'S NOT ALWAYS A BAD 1738 00:55:29,626 --> 00:55:32,962 THING BUT REALIZE THAT YOUR 1739 00:55:33,029 --> 00:55:34,564 DEPARTMENT CHAIR OR THE PERSON 1740 00:55:34,631 --> 00:55:37,167 YOU REPORT TO MAY HAVE OTHER 1741 00:55:37,233 --> 00:55:38,902 INTERESTS IN ADDITION TO YOUR 1742 00:55:38,968 --> 00:55:39,736 SUCCESS, DOESN'T MEAN THEY DON'T 1743 00:55:39,803 --> 00:55:41,271 WANT YOU TO BE SUCCESSFUL BUT 1744 00:55:41,337 --> 00:55:42,906 THERE ARE OTHER THINGS THERE AND 1745 00:55:42,972 --> 00:55:44,441 THEY PROVIDE POLICY TO THE 1746 00:55:44,507 --> 00:55:46,076 ORGANIZATION THEY CAN HELP THE 1747 00:55:46,142 --> 00:55:48,011 MENTEE GET BETTER ACCESS TO 1748 00:55:48,078 --> 00:55:48,445 BETTER OPPORTUNITYS. 1749 00:55:48,511 --> 00:55:51,314 SO I MAKE IT A POINT TO HAVE A 1750 00:55:51,381 --> 00:55:53,016 COACH, A MENTOR WITHIN MY 1751 00:55:53,083 --> 00:55:54,050 IMMEDIATE ORGANIZATION AND 1752 00:55:54,117 --> 00:55:54,851 SOMEONE OUTSIDE MY DEPARTMENT 1753 00:55:54,918 --> 00:55:56,186 DIVISION, WHO I TALK WITH AS 1754 00:55:56,252 --> 00:55:57,787 WELL WHO ARE PEOPLE WHO I KIND 1755 00:55:57,854 --> 00:56:01,357 OF HAVE A BOARD OF FOLKS WHO I 1756 00:56:01,424 --> 00:56:02,392 LEAN ON FOR ADVICE 1757 00:56:02,459 --> 00:56:04,694 [INDISCERNIBLE] BEING A COUPLE 1758 00:56:04,761 --> 00:56:06,162 OF THEM. 1759 00:56:06,229 --> 00:56:08,898 NOW LESSON 5 HERE, CAREER 1760 00:56:08,965 --> 00:56:10,767 SOLUTION ERS US EVOLUTION AND 1761 00:56:10,834 --> 00:56:11,735 DESTINATION, SO I'VE SPOKEN WITH 1762 00:56:11,801 --> 00:56:13,870 THE FELLOWS AND SOME OF THE 1763 00:56:13,937 --> 00:56:14,704 FACULTY ALREADY AND WE'VE SEEN 1764 00:56:14,771 --> 00:56:16,439 THIS NOTION THAT CAREERS ARE 1765 00:56:16,506 --> 00:56:17,507 NONLINEAR AND YOU CAN'T PREDICT 1766 00:56:17,574 --> 00:56:19,175 WHAT YOU'RE GOING TO BE DOING IN 1767 00:56:19,242 --> 00:56:21,478 5 YEARS VERSUS NOW, BLAH, BLAH, 1768 00:56:21,544 --> 00:56:22,779 BLAH AND I'VE SEEN GRAPHICS 1769 00:56:22,846 --> 00:56:24,514 LOAMACYIC THIS THAT HAVE ALWAYS 1770 00:56:24,581 --> 00:56:25,281 NEVER BEEN QUITE COMFORTABLE 1771 00:56:25,348 --> 00:56:26,416 WITH THEM AND I THINK I FIGURE 1772 00:56:26,483 --> 00:56:30,720 THE OUT WHY, THAT THIS ASSUMES 1773 00:56:30,787 --> 00:56:35,058 THAT IT'S ALL WIGGLE, DIGLE, YOU 1774 00:56:35,125 --> 00:56:36,693 HAVE NO CONTROL, YOU DON'T KNOW 1775 00:56:36,760 --> 00:56:37,660 WHAT'S ANYTHING ON AND THEN YOU 1776 00:56:37,727 --> 00:56:39,529 GET TO THE PROMISED LAND UP HERE 1777 00:56:39,596 --> 00:56:41,197 IN THE SKY, THAT'S WHERE IT IS, 1778 00:56:41,264 --> 00:56:42,932 THAT'S THE MECCA, RIGHT IN I 1779 00:56:42,999 --> 00:56:44,901 LOOK AT IT MORE AS LEAK A TREE, 1780 00:56:44,968 --> 00:56:47,604 THIS IS A RED BUD THAT'S IN MY 1781 00:56:47,670 --> 00:56:50,974 BACKYARD AND IT'S A LITTLE MORE 1782 00:56:51,040 --> 00:56:51,775 TABLE, RIGHT? 1783 00:56:51,841 --> 00:56:53,209 YOU KNOW IT'S A TREE, YOU KNOW 1784 00:56:53,276 --> 00:56:55,011 IT'S GOING TO GROW, IT NEEDS 1785 00:56:55,078 --> 00:56:56,179 LIGHT, WATER AND NUTRIENTS BUT 1786 00:56:56,246 --> 00:56:58,348 IT'S GOING TO LOOK A LITTLE 1787 00:56:58,414 --> 00:56:59,783 DIFFERENT FROM YEAR TO YEAR AS 1788 00:56:59,849 --> 00:57:01,084 IT GROWS, RIGHT IN AND THE 1789 00:57:01,151 --> 00:57:03,486 BRANCHES MIGHT HAVE A DIFFERENT 1790 00:57:03,553 --> 00:57:05,088 COMPOSITION, WE HAVE 1 OF THE 1791 00:57:05,155 --> 00:57:07,190 BRANCHES WAS TAKEN DOWN BY A 1792 00:57:07,257 --> 00:57:09,526 LAWN MOWER GUY WHO RAN INTO THE 1793 00:57:09,592 --> 00:57:11,694 BRANCH, SO THAT'S GONE, SO 1794 00:57:11,761 --> 00:57:15,365 THERE'S 0 ALONG THE WAY AND IF 1795 00:57:15,431 --> 00:57:17,567 YOU CUT THE TREE DOWN AND LOOK 1796 00:57:17,634 --> 00:57:19,035 AT THE RINGS TO STUDY, YOU KNOW 1797 00:57:19,102 --> 00:57:19,903 WHAT WILL HAPPEN. 1798 00:57:19,969 --> 00:57:21,771 SO I FEEL LIKE CAREER 1799 00:57:21,838 --> 00:57:23,540 DEVELOPMENT IS LIKE THIS, SO IF 1800 00:57:23,606 --> 00:57:24,374 ANYONE'S A GARDENER, YOU KNOW 1801 00:57:24,440 --> 00:57:26,042 THERE'S A LOT OF WORK THAT GOES 1802 00:57:26,109 --> 00:57:27,777 INTO GARDENING AND THAT YOUR 1803 00:57:27,844 --> 00:57:29,212 GARDEN WILL CHANGE NATURE 1804 00:57:29,279 --> 00:57:30,713 OVERTIME BUT THERE'S SOME 1805 00:57:30,780 --> 00:57:33,416 PREDICTABILITY TO IT, SO, I 1806 00:57:33,483 --> 00:57:35,485 THINK YOUR CAREER HAS DIFFERENT 1807 00:57:35,552 --> 00:57:36,452 BRANCHES, IN THESE DIFFERENT 1808 00:57:36,519 --> 00:57:39,422 THINGS AT DIFFERENT TIMES AND IT 1809 00:57:39,489 --> 00:57:40,490 RESPONDS DIFFERENTLY TO 1810 00:57:40,557 --> 00:57:41,524 DIFFERENT STIMULI, BUT AT THE 1811 00:57:41,591 --> 00:57:43,626 END WE KIND OF KNOW YOU'RE GOING 1812 00:57:43,693 --> 00:57:45,261 TO BE SUCCESSFUL BUT BE 1813 00:57:45,328 --> 00:57:46,296 COMFORTABLE KNOWING IT MIGHT 1814 00:57:46,362 --> 00:57:49,165 LOOK DIFFERENT YEAR TO YEAR IN 1815 00:57:49,232 --> 00:57:50,533 THAT JOURNEY. 1816 00:57:50,600 --> 00:57:52,435 SO IN SUMMARY, THESE ARE MY 5 1817 00:57:52,502 --> 00:57:53,369 LESSONS MAKE SURE THE PATH 1818 00:57:53,436 --> 00:57:55,305 YOU'RE ON IS THE CORRECT 1, JUST 1819 00:57:55,371 --> 00:57:56,606 BECAUSE YOU CAN DO THINGS 1820 00:57:56,673 --> 00:57:58,708 DOESN'T MEAN YOU SHOULD DO 1821 00:57:58,775 --> 00:57:59,542 THINGS, PLEASE ORGANIZE YOUR 1822 00:57:59,609 --> 00:58:00,677 FINANCIAL LIFE, PARTNER ESES THE 1823 00:58:00,743 --> 00:58:03,780 POWER OF THE UNAPOLOGETIC NO AND 1824 00:58:03,847 --> 00:58:05,381 EXPECT TO EVOLVE OVER TIME AND 1825 00:58:05,448 --> 00:58:06,249 THAT YOU'RE CAREER WILL EVOLVE 1826 00:58:06,316 --> 00:58:08,184 WITH YOU AND I WILL END WITH 1827 00:58:08,251 --> 00:58:13,423 THIS QUOTE RIGHT HERE. 1828 00:58:13,489 --> 00:58:20,396 AND HAPPY TO TAKE ANY QUESTIONS 1829 00:58:20,463 --> 00:58:20,697 OR COMMENTS. 1830 00:58:20,763 --> 00:58:20,997 [ APPLAUSE ] 1831 00:58:21,064 --> 00:58:21,130 . 1832 00:58:21,197 --> 00:58:22,599 >> WE HAVE A FEW MINUTES LEFT 1833 00:58:22,665 --> 00:58:25,235 FOR QUESTIONS FOR DR. BELL, THE 1834 00:58:25,301 --> 00:58:27,303 MICROPHONES ON EITHER SIDE IF 1835 00:58:27,370 --> 00:58:34,344 ANY HAS ANY QUESTIONS STEP UP TO 1836 00:58:34,410 --> 00:58:35,712 THE MICROPHONE, AND I KNOW THERE 1837 00:58:35,778 --> 00:58:37,814 ARE QUESTIONS ON THE VIDEOCAST, 1838 00:58:37,881 --> 00:58:39,115 TYPE THEM IN THERE AND WE WILL 1839 00:58:39,182 --> 00:58:40,483 ASK THEM FOR YOU. 1840 00:58:40,550 --> 00:58:42,352 IN THE MEAN TIME I WILL TALK 1841 00:58:42,418 --> 00:58:44,220 ABOUT WHAT YOU SAID, YOU TALKED 1842 00:58:44,287 --> 00:58:45,622 ABOUT CAREER DEVELOPMENT AND 1843 00:58:45,688 --> 00:58:47,790 WHAT GOES ON IN YOUR OWN 1844 00:58:47,857 --> 00:58:49,759 INSTITUTION, AND IS CAREER 1845 00:58:49,826 --> 00:58:51,494 DEVELOPMENT LEAVING THE 1846 00:58:51,561 --> 00:58:52,829 INSTITUTION AND IT'S TIME TO 1847 00:58:52,896 --> 00:58:55,231 MAKE A MOVE AND AFFECT YOUR 1848 00:58:55,298 --> 00:58:56,299 CLEAR DEVELOPMENT, SO, I 1849 00:58:56,366 --> 00:58:58,835 STRUGGLE WITH THIS, LIKE 1850 00:58:58,902 --> 00:59:00,103 ACTIVELY RIGHT MOW, BECAUSE 1851 00:59:00,169 --> 00:59:01,638 WE'RE COMFORTABLE IN 1852 00:59:01,704 --> 00:59:02,939 CHARLOTTESVILLE, I LOVE UVA, AND 1853 00:59:03,006 --> 00:59:13,516 I TALK TO SOME OF THEM AT THE 1854 00:59:15,585 --> 00:59:17,887 NEXT NATURAL STEP AM I STAYING 1855 00:59:17,954 --> 00:59:19,756 HERE BECAUSE I'M COMFORTABLE OR 1856 00:59:19,822 --> 00:59:21,057 AM I STAYING HERE BECAUSE OF 1857 00:59:21,124 --> 00:59:22,692 TAKING THAT STEP AND I'M BEING 1858 00:59:22,759 --> 00:59:25,561 PASSIVE AND I DECIDED TO FOCUS 1859 00:59:25,628 --> 00:59:27,397 ON, AND MY EXTENT IS SKILL 1860 00:59:27,463 --> 00:59:29,265 DEVELOPMENT RATHER THAN THE JOB 1861 00:59:29,332 --> 00:59:32,101 TITLE AND SO, IF I'M LEARNING 1862 00:59:32,168 --> 00:59:33,169 AND GAINING SKILLS, AND KIND OF 1863 00:59:33,236 --> 00:59:34,737 DOING THE KIND OF WORK I WANT TO 1864 00:59:34,804 --> 00:59:36,739 DO AND ESPECIALLY IF MY FAMILY 1865 00:59:36,806 --> 00:59:38,141 IS COMFORTABLE, THEN THAT'S A 1866 00:59:38,207 --> 00:59:39,442 FACTOR IN MY STAYING AND EVEN 1867 00:59:39,509 --> 00:59:41,377 THOUGH I MIGHT BE GAIN MORE 1868 00:59:41,444 --> 00:59:43,680 INCOME AND HAVE A LARGER JOB 1869 00:59:43,746 --> 00:59:46,316 PROFILE BY MOVING SOMEWHERE 1870 00:59:46,382 --> 00:59:47,583 ELSE, I'VE CHOSEN TO STAY. 1871 00:59:47,650 --> 00:59:49,452 NOW A DIRECT EFFECT OF HAVING A 1872 00:59:49,519 --> 00:59:50,853 CULTURE OF MENTORSHIP AND 1873 00:59:50,920 --> 00:59:52,121 EXECUTIVE COACHING, IS THAT YOU 1874 00:59:52,188 --> 00:59:53,523 CAN EXPECT THAT THERE WILL BE 1875 00:59:53,589 --> 00:59:54,691 SOME PEOPLE WHO WILL LEAVE 1876 00:59:54,757 --> 00:59:56,426 BECAUSE YOU WILL REALIZE, THE 1877 00:59:56,492 --> 00:59:57,493 THEY WILL REALIZE THAT MAYBE 1878 00:59:57,560 --> 01:00:00,263 THEY'RE NOT GETTING THE SENSE OF 1879 01:00:00,330 --> 01:00:01,998 VALUE AND A SENSE OF AGENCY THAT 1880 01:00:02,065 --> 01:00:03,666 THEY HAVE THEIR HOME INSTITUTION 1881 01:00:03,733 --> 01:00:04,834 AND IT'S BETTER FOR THEM TO 1882 01:00:04,901 --> 01:00:06,703 LEAVE, I THINK THAT IN THOSE 1883 01:00:06,769 --> 01:00:08,204 CIRCUMSTANCES, THAT'S A GOOD 1884 01:00:08,271 --> 01:00:09,572 THING, BECAUSE YOU WANT PEOPLE 1885 01:00:09,639 --> 01:00:12,642 TO AT A AT INSTITUTION THAT WANT 1886 01:00:12,709 --> 01:00:14,043 TO BE THERE, THEY DON'T FEEL 1887 01:00:14,110 --> 01:00:16,145 LIKE THEY'RE TRAPPED THERE, A 1888 01:00:16,212 --> 01:00:18,214 LOT OF INSTITUTIONS, I WORKED 1889 01:00:18,281 --> 01:00:22,151 AUGHT BEFORE, PEOPLE ARE THERE 1890 01:00:22,218 --> 01:00:23,353 BECAUSE THEY FEEL TRAPPED BUT 1891 01:00:23,419 --> 01:00:24,320 NOT NECESSARILY THEY WANT TO BE 1892 01:00:24,387 --> 01:00:26,189 THERE, IT'S LIKE AN ATTACK, 1893 01:00:26,255 --> 01:00:27,256 EVERY TIME THEY WALK INTO WORK 1894 01:00:27,323 --> 01:00:28,558 ALL THE TIME AND THOSE 1895 01:00:28,624 --> 01:00:30,760 SITUATIONS, THAT IS WHERE YOU 1896 01:00:30,827 --> 01:00:31,794 SHOULD CONSIDER LEAVING, BUT 1897 01:00:31,861 --> 01:00:33,663 IT'S A COMBINATION OF MANY 1898 01:00:33,730 --> 01:00:34,964 DIFFERENT FACTORS, ISSUE YOUR 1899 01:00:35,031 --> 01:00:35,898 FAMILY, YOUR CAREER DEVELOP AM, 1900 01:00:35,965 --> 01:00:37,100 WHERE YOU THINK YOU WILL GO BUT 1901 01:00:37,166 --> 01:00:39,335 AS LONG AS YOU DO THAT, CAREFUL 1902 01:00:39,402 --> 01:00:40,403 EVALUATION, I THINK CAN YOU COME 1903 01:00:40,470 --> 01:00:41,904 TO THE RIGHT DECISION AS LONG AS 1904 01:00:41,971 --> 01:00:44,340 YOU DON'T HOLD YOURSELF TO AN 1905 01:00:44,407 --> 01:00:45,608 UNREALISTIC STANDARD. 1906 01:00:45,675 --> 01:00:47,477 >> YEAH, TYSON THANK YOU 1907 01:00:47,543 --> 01:00:49,779 FANTASTIC TALK BUT A GREAT 1908 01:00:49,846 --> 01:00:50,079 PERSPECTIVE. 1909 01:00:50,146 --> 01:00:51,748 THE THING ABOUT SAYING NO IS I 1910 01:00:51,814 --> 01:00:54,050 THINK IS A CRITICAL POINT, I 1911 01:00:54,117 --> 01:01:00,223 LOVE HOW YOU FRAME THAT E 1912 01:01:00,289 --> 01:01:01,157 SPECIALLY AS FACULTY. 1913 01:01:01,224 --> 01:01:03,426 I WONDER THOUGH ABOUT THE 1914 01:01:03,493 --> 01:01:05,161 PROTECTED TIME OR STIPULATIONS 1915 01:01:05,228 --> 01:01:06,195 PEPPED FOR COMMITTEE WORK 1916 01:01:06,262 --> 01:01:07,196 DOESN'T EXIST, HAVE YOU BEEN 1917 01:01:07,263 --> 01:01:11,701 ABLE TO OPERATIONALIZE ANYTHING 1918 01:01:11,768 --> 01:01:12,268 FOR U VA? 1919 01:01:12,335 --> 01:01:13,770 >> I HAVE NOT BUT I HAVE FOR 1920 01:01:13,836 --> 01:01:16,406 MYSELF, SO EVERY TIME SOMEONE 1921 01:01:16,472 --> 01:01:18,908 ASKED ME TO DO SOMETHING THAT IS 1922 01:01:18,975 --> 01:01:20,076 NOT DIRECTLY MY JOB 1923 01:01:20,143 --> 01:01:21,244 RESPONSIBILITY I ASK FOR 1924 01:01:21,310 --> 01:01:24,547 PROTECTED TIME O I ASK FOR MORE 1925 01:01:24,614 --> 01:01:26,082 INCOME, AND IT HAS ACTUALLY, YOU 1926 01:01:26,149 --> 01:01:28,951 HELP MEDE WITH THIS WHEN I--WHEN 1927 01:01:29,018 --> 01:01:30,253 I NEGOTIATED MY FIRST JOB, I GOT 1928 01:01:30,319 --> 01:01:32,155 MORE MONEY BECAUSE YOU TOLD ME, 1929 01:01:32,221 --> 01:01:33,856 THEY HAVE MORE MONEY TO GIVE 1930 01:01:33,923 --> 01:01:37,560 YOU, AND YOU GOT THEM TO PAY FOR 1931 01:01:37,627 --> 01:01:39,962 NDA, SO I OWE YOU ABOUT 1932 01:01:40,029 --> 01:01:42,665 $220,000, SO THANK YOU. 1933 01:01:42,732 --> 01:01:45,201 BUT IT FELT SO UNCOMFORTABLE TO 1934 01:01:45,268 --> 01:01:46,636 EVEN ASK AND ADVOCATE FOR MYSELF 1935 01:01:46,702 --> 01:01:48,137 AND JUST, YOU KNOW FOR 1936 01:01:48,204 --> 01:01:49,772 INSTITUTION FOR WHEN WHICH I OWE 1937 01:01:49,839 --> 01:01:52,308 SO MUCH, RIGHT IN WHY AM I 1938 01:01:52,375 --> 01:01:55,511 ASKING FOR MORE, BUT IT WAS--IT 1939 01:01:55,578 --> 01:01:57,413 WAS A SIGNAL, THAT I VALUE MY 1940 01:01:57,480 --> 01:01:58,915 TIME AND MY EXPERTISE AND YOU 1941 01:01:58,981 --> 01:02:00,116 SHOULD, TOO, AND IF YOU DON'T 1942 01:02:00,183 --> 01:02:01,884 THEN I WILL DO SOMETHING ELSE, 1943 01:02:01,951 --> 01:02:03,086 NOW WHAT HAPPENED OVER TIME IS 1944 01:02:03,152 --> 01:02:04,253 NOW PEOPLE KNOW, THEY ARE COMING 1945 01:02:04,320 --> 01:02:05,555 TO ME TO DO THINGS THAT THEY 1946 01:02:05,621 --> 01:02:07,423 NEED TO COME WITH SOMETHING, 1947 01:02:07,490 --> 01:02:08,891 BECAUSE IF IT'S NOT DIRECTLY 1948 01:02:08,958 --> 01:02:10,927 RELATED TO WHAT I DO, THEN 1949 01:02:10,993 --> 01:02:12,228 THERE'S GOING TO BE A PRICE TO 1950 01:02:12,295 --> 01:02:12,395 PAY. 1951 01:02:12,462 --> 01:02:14,030 NOW I WOULD LOVE TO 1952 01:02:14,097 --> 01:02:14,831 OPERATIONALIZE THAT, AND WHAT 1953 01:02:14,897 --> 01:02:17,200 I'M WORKING ON WITH OUR 1954 01:02:17,266 --> 01:02:18,468 COMPENSATION REDESIGN PLAN IS TO 1955 01:02:18,534 --> 01:02:19,769 TAKE INTO,A COUNT THE ACTUAL 1956 01:02:19,836 --> 01:02:22,171 WORK THAT BEAM ARE DOING IN 1957 01:02:22,238 --> 01:02:24,640 DESIGN AND SENSES INTO THAT, WO, 1958 01:02:24,707 --> 01:02:26,375 SO RIGHT NOW, OUR PLAN IS JUST 1959 01:02:26,442 --> 01:02:29,679 FOCUSED ON CLINICAL REVENUE 1960 01:02:29,745 --> 01:02:30,379 GENERATION AND THAT'S AN 1961 01:02:30,446 --> 01:02:32,048 IMPORTANT PART OF AN ACADEMIC 1962 01:02:32,115 --> 01:02:35,084 INSTITUTION AND A LOT OF QUALITY 1963 01:02:35,151 --> 01:02:36,686 WORK AND EDUCATION WORK TO GO ON 1964 01:02:36,752 --> 01:02:38,221 AND BUILD OUR MECHANISMS TO 1965 01:02:38,287 --> 01:02:41,657 REWARD THAT ACTIVITY AS WELL, 1966 01:02:41,724 --> 01:02:41,824 TOO. 1967 01:02:41,891 --> 01:02:42,725 NTHANK YOU. 1968 01:02:42,792 --> 01:02:44,060 >> VERY SIMPLE QUESTION, REALLY 1969 01:02:44,127 --> 01:02:44,861 WONDERFUL TALK, GREAT, I MEAN 1970 01:02:44,927 --> 01:02:45,962 YOU TALK ABOUT THINGS THAT WE 1971 01:02:46,028 --> 01:02:47,130 SHOULD BE TALKING ABOUT AND WE 1972 01:02:47,196 --> 01:02:49,999 NEVER HAD SO I CONGRATULATE YOU. 1973 01:02:50,066 --> 01:02:53,002 BUT THE QUESTION, I'M ALWAYS 1974 01:02:53,069 --> 01:02:54,637 INTRIGGED WHEN YOU PUT UP THE 1975 01:02:54,704 --> 01:02:56,572 PERCENTAGE OF TIME DEVOTED TO 1 1976 01:02:56,639 --> 01:02:58,341 EFFORT BECAUSE YOU DON'T SHOW 1977 01:02:58,407 --> 01:02:59,742 THE NUMERATOR AND DENOMINATOR. 1978 01:02:59,809 --> 01:03:03,613 HOW MANY HOURS A WEEK SHOULD WE 1979 01:03:03,679 --> 01:03:04,580 BE WORKING? 1980 01:03:04,647 --> 01:03:07,683 NOOH, THAT'S A LOADED QUESTION. 1981 01:03:07,750 --> 01:03:09,285 SO, OH, MAN, SO TIME ALLOCATION 1982 01:03:09,352 --> 01:03:14,957 IS SUCH A TRICKY TOPIC BECAUSE 1983 01:03:15,024 --> 01:03:15,691 DIFFERENT SPECIALTIES HAVE 1984 01:03:15,758 --> 01:03:16,726 DIFFERENT EXPECTATIONS OF WHAT 1985 01:03:16,792 --> 01:03:18,828 THE WORK SHOULD LOOK LIKE, AND 1986 01:03:18,895 --> 01:03:20,429 IF YOU TAKE INTO ACCOUNT 1987 01:03:20,496 --> 01:03:21,364 POLITICAL CARE WHERE THERE'S 1988 01:03:21,430 --> 01:03:23,799 NIGHT DUTY EXPE THINGS LIKE 1989 01:03:23,866 --> 01:03:26,836 THAT, I DON'T HAVE-SUCCINCT 1990 01:03:26,903 --> 01:03:28,137 ANSWER, AND I'VE BEEN ASKED TO 1991 01:03:28,204 --> 01:03:29,305 ANSWER THIS QUESTION, HOW MUCH 1992 01:03:29,372 --> 01:03:30,473 TIME SHOULD WE BE SPENDING 1993 01:03:30,540 --> 01:03:32,441 BECAUSE WE HAVE TO COMSAIT FOR 1994 01:03:32,508 --> 01:03:33,743 THAT TIME, I DECIDED I DON'T 1995 01:03:33,809 --> 01:03:36,779 WANT TO PUT A SPECIFIC NUMBER 1996 01:03:36,846 --> 01:03:38,614 INTO WHAT GOES INTO HOW MUCH 1997 01:03:38,681 --> 01:03:40,583 WORK YOU SHOULD BE DOING 1998 01:03:40,650 --> 01:03:42,318 BECAUSE, THE WORK THAT WE DO IS 1999 01:03:42,385 --> 01:03:45,087 NOT ON THE CLOCK, IN A SENSE, 2000 01:03:45,154 --> 01:03:45,288 RIGHT? 2001 01:03:45,354 --> 01:03:47,423 I DO ANSWER E-MAILS AFTER WORK, 2002 01:03:47,490 --> 01:03:49,625 I DO ANSWER E-MAILS BEFORE LIKE 2003 01:03:49,692 --> 01:03:52,361 I PUT THE KIDSOT BUS TO SCHOOL, 2004 01:03:52,428 --> 01:03:53,763 I WORK OVER NIGHT SOMETIMES NOT 2005 01:03:53,829 --> 01:03:57,667 THAT AWNCH AND I DON'T TRACK HOW 2006 01:03:57,733 --> 01:03:58,334 MUCH I'M WORKING. 2007 01:03:58,401 --> 01:04:01,003 I THINK THERE'S A LEVEL OF WHICH 2008 01:04:01,070 --> 01:04:01,938 PEOPLE ARE OVEREXTENDED, THE 2009 01:04:02,004 --> 01:04:04,006 OTHER ASPECT OF THIS IS THAT 2010 01:04:04,073 --> 01:04:07,076 SOME PEOPLE MIGHT DO THE SAME 2011 01:04:07,143 --> 01:04:07,877 YOB BUT THEY WORKENTIOUS 2012 01:04:07,944 --> 01:04:09,212 FICIENCY LEVELS SO FOR THE SAME 2013 01:04:09,278 --> 01:04:12,481 AMOUNT OF WORK, THERE MIGHT BE 2014 01:04:12,548 --> 01:04:14,517 MORE AFTER CLINIC WORK THAT 2015 01:04:14,584 --> 01:04:15,618 SOMEONE DOES COMPARED TO SOMEONE 2016 01:04:15,685 --> 01:04:20,556 ELSE, I THINK WHAT'S MOST 2017 01:04:20,623 --> 01:04:22,992 IMPORTANT WE HAVE A REASONABLE 2018 01:04:23,059 --> 01:04:23,526 EXPECTATION ABOUT THAT'S 2019 01:04:23,593 --> 01:04:24,727 TRANSPARENT ABOUT WHAT THE WORK 2020 01:04:24,794 --> 01:04:26,028 SHOULD LOOK LIKE IN TERMS OF 2021 01:04:26,095 --> 01:04:27,096 CLINICAL COMMITMENTS AND THE 2022 01:04:27,163 --> 01:04:28,598 HOURS SPENT THERE, AND THAT 2023 01:04:28,664 --> 01:04:30,233 OUTSIDE OF THAT, THAT YOU HAVE A 2024 01:04:30,299 --> 01:04:31,801 REASONABLE AMOUNT OF TIME TO DO 2025 01:04:31,867 --> 01:04:33,502 THE NONCLINICAL WORK THAT 2026 01:04:33,569 --> 01:04:36,038 FULFILLS YOU AND THAT YOU'RE 2027 01:04:36,105 --> 01:04:36,772 COMSATED APPROPRIATELY FOR THAT 2028 01:04:36,839 --> 01:04:40,309 AND I THINK IF FACULTY FEEL LIKE 2029 01:04:40,376 --> 01:04:42,812 THEY'RE WORK EXPECTATIONS ARE 2030 01:04:42,878 --> 01:04:44,080 TRANSPARENT, THEY'RE FAIR FOR 2031 01:04:44,146 --> 01:04:45,948 THEIR PROFESSION AND FOR THEIR 2032 01:04:46,015 --> 01:04:46,749 COLLEAGUES AND COMSATED 2033 01:04:46,816 --> 01:04:47,683 APPROPRIATELY AND THEY HAVE 2034 01:04:47,750 --> 01:04:48,985 OPPORTUNITY TO GROW, THEN THE 2035 01:04:49,051 --> 01:04:51,187 AMOUNT OF HOURS THAT YOU SPEND 2036 01:04:51,254 --> 01:04:52,788 DOING THIS VERSUS THAT, DOESN'T 2037 01:04:52,855 --> 01:04:54,490 MATTER AS MUCH, SO I'M KIND OF 2038 01:04:54,557 --> 01:04:55,491 DODGING YOU A LITTLE BIT BECAUSE 2039 01:04:55,558 --> 01:05:00,663 I DON'T HAVE A FIRM ANSWER. 2040 01:05:00,730 --> 01:05:01,864 >> WITH THAT I WOULD LIKE TO 2041 01:05:01,931 --> 01:05:03,833 THANK EVERYONE FOR COMING AND 2042 01:05:03,899 --> 01:05:05,234 WONDERFUL TALK FROM DR. BELL AND 2043 01:05:05,301 --> 01:05:07,403 I WANT TO ENCOURAGE EVERYONE 2044 01:05:07,470 --> 01:05:09,138 OUTSIDE WE HAVE A SPONSORED MEET 2045 01:05:09,205 --> 01:05:11,107 AND GREET AND COFFEE AND 2046 01:05:11,173 --> 01:05:12,041 DR. BELL WILL HANG AROUND AND IF 2047 01:05:12,108 --> 01:05:14,277 YOU HAVE MORE QUESTIONS OR SAY 2048 01:05:14,343 --> 01:05:15,444 HELLO AND TALK INFORMALLY AND 2049 01:05:15,511 --> 01:05:17,213 WITH THAT THAT CONCLUDES GRAND 2050 01:05:17,280 --> 01:05:17,446 ROUNDS. 2051 01:05:17,513 THANK YOU ALL FOR COMING.