|While the gastroenterology career path is by no means short, for many of us it was relatively straightforward. If, like me, you knew you wanted to pursue gastroenterology, you moved from medical school to residency to fellowship relatively seamlessly, without need for significant pause or reflection. Yet during fellowship, there is a looming fork in the road. Mentors ask about your career goals. Family and friends probe to see if you’ll be moving to a job near them. Emails arrive from recruiters around the country.The good news is that there are options. The challenge is sorting through them to find a job that fits your needs, both personally and professionally. Key considerations for both academic and private careers include career goals, financial planning, expectations for work-life balance, family needs, and more. How you weigh these considerations will depend on your personal priorities and preferences.
Career Goals and Passions
By contrast, if you know that you want to spend a sizable majority of your time providing hands-on patient care, you may consider private practice. And there’s certainly no shortage of private options—these jobs make up the bulk of recruiting mail that floods our inboxes during fellowship. But the functions of academic and private jobs aren’t always so neatly divided. Many academic positions offer the opportunity to work primarily as a clinician–educator. Similarly, research and teaching opportunities are available at some practices and healthcare organizations associated with academic centers.
While academic salaries are reported to be lower than those in private practices, the salary gap is smaller than you may expect. In its Report on Medical School Faculty Salaries, the AAMC lists the 2013-2014 median faculty salaries for assistant professors, associate professors, and professors in gastroenterology at $283,000, $328,000, and $347,000, respectively.2 In addition, academic settings often offer other “hidden” benefits, including retirement plan matching and low healthcare premiums.
Another consideration is the potential for student loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). Check your eligibility for the program and research potential jobs to confirm whether the institutions are “qualifying employers.” Keep in mind that PSLF is not a sure bet—there is some political push underway to cap the amount of debt forgiveness or eliminate the program altogether.
In your job interviews, try to get a good understanding of clinical, administrative, and educational expectations. Gauge the level of control you’ll have over practice management and managing your own schedule. Know what’s important to you and envision yourself working in this environment. Is the group supportive and team-oriented? Is the geographic location one that works well for you? Are the call expectations reasonable? How manageable is the commute? Above all, do you see yourself happy working here?
Navigating the Job Market
Academic job hunting, however, requires a different approach. While academic job offers may be posted to the public, they often require a network connection to secure an interview. Networking will be critical to your job hunt success. Reach out to your faculty mentors in fellowship—their influence may be a huge help to you. Moreover, it is imperative that you make yourself marketable. Key credentials include strong proficiency in mentoring, teaching, and research. Most faculty positions will be predominantly clinical or research focused, so you’ll need to demonstrate your interest and expertise in both areas.
Taking the Next Step
Matthew Stotts, MD
© 2016 ACG Case Reports Journal. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0.