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In-house to home base – striking a balance that
matters to survive residency
Tom Appleton, MD, PhD – PGY4 Rheumatology
October 25, 2014
I do not have an affiliation (financial or otherwise)
with a pharmaceutical, medical device or
communications organization.
Je n’ai aucune affiliation (financière ou autre)
avec une entreprise pharmaceutique, un fabricant
d’appareils médicaux ou un cabinet de communication.
Tom Appleton, MD, PhD
October 25, 2014
Residency survival panel | Tom Appleton
A bit about me…
• Clinician-scientist career path
• Family life
• Internal medicine >> rheumatology
• Chief resident
?Clinician-scientist
MD/PhD Program
BSc
2004
Residency
PhD
Married
Child #1
2007
2008
2009
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MD
Child #2
2011
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Chief
Resident
Fellowship
2014
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Residency survival panel | Tom Appleton
Balancing family and profession
• Challenge #1: “Daddy, are you coming to my soccer game
on Saturday?”
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Residency survival panel | Tom Appleton
Balancing family and profession
Survival strategy #1: Recognize you can’t do it all, but you
can do your best at what you choose to accomplish.
Set your priorities and uphold them when challenged with
competing tasks.
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Residency survival panel | Tom Appleton
Leadership challenges
• Challenge #2: You wanted an opportunity to lead – well,
here it is!
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Residency survival panel | Tom Appleton
Leadership challenges
Survival strategy #2: Plan, re-evaluate, plan again, then
execute.
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Residency survival panel | Tom Appleton
Lessons learned
• Lesson #1: Need to identify the problem before it can be
fixed
• Lesson #2: Ask for help – use available resources
effectively
• Lesson #3: Organization is essential for success (plus lots
of hard work)
• Lesson #4: Hard work is not the same as smart work
• Lesson #5: Recognize when you’ve done enough and be
willing to hand over to others
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Residency survival panel | Tom Appleton
“Differences between experts and weaker problem-solvers
are due to their repertoire of experiences, not in the
problem-solving heuristics they employ.”
- Einstein, 1978
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Resident Survival Stories
Author: Ruth Vilayil, PGY-V OB/GYN
Date: October 25, 2014
I do not have an affiliation (financial or otherwise)
with a pharmaceutical, medical device or
communications organization.
Je n’ai aucune affiliation (financière ou autre)
avec une entreprise pharmaceutique, un fabricant
d’appareils médicaux ou un cabinet de communication.
Author: Ruth Vilayil
Date: October 25, 2014
1. Choose
wisely:
One yes turns into one thousand no’s.
2. Reflect:
The biggest
mistake is to
fail to learn
from your
mistake.
3. Always
grow:
Grow all ways...
Session/Presentation Name | Presenter Name
Relentlessly.
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Session/Presentation Name | Presenter Name
“The best things are the most difficult.”
-Greek Proverb
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Resident Survival Stories:
A different way to get there
Author: Abdullah Saleh
Date: Oct 25, 2014
I do not have an affiliation (financial or otherwise)
with a pharmaceutical, medical device or
communications organization.
Je n’ai aucune affiliation (financière ou autre)
avec une entreprise pharmaceutique, un fabricant
d’appareils médicaux ou un cabinet de communication.
Author: Abdullah Saleh
Date: Oct 25, 2014
Session/Presentation Name | Presenter Name
The many hats we wear
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Two worlds?
Leading a double life – reconciliation?
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Session/Presentation Name | Presenter Name
Finding the overlap
• Pursuing passion w/out sacrificing training
» Culture of “surgeon first”
» Clinical/academic responsibilities
» Avoiding being fringe – making it mainstream
• Managers versus leaders
» What does resident leadership look like?
» Building resiliency in the program/day to day
• Aligning research interest
» Novel program/projects/collaborations
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Staying employed….
• Pursuing competitive fellowship
» Path less traveled
» Research and grants
» Clear purpose for applying to fellowship
» Distinctive application
» Supportive reference letters
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Session/Presentation Name | Presenter Name
Finding your balance
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