Video Text Alternative: How to Negotiate a Job in Academic Medicine by Dr. Fady Hannah-Shmouni

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How to Negotiate a Job in Academic Medicine

Fady Hannah-Shmouni, M.D., DABIM FRCPC
Chief, Outpatient Endocrinology & 5NW Inpatient Ward
Principal Investigator, Endocrine Genetics & Hypertension
Associate Director, NIH Endocrinology Fellowship (IETP) Section on Endocrinology & Genetics
NICHD, National Institutes of Health

NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development logo

(Edit/camera cut) Dr. Fady Hannah-Shmouni on camera.
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Dr. Fady Hannah-Shmouni: My name is Fady Hannah-Shmouni, I am an internist adult endocrinologist and biochemical geneticist. I work with NICHD. Well, you know job offer negotiations are rarely easy. There are certain rules to follow, and I will list 15 rules that may help you in finding the right job for you. And these are as follows: Don't underestimate the importance of likability, I mean this sounds basic but it's so crucial for any organization. Make it clear that that they can get you, help them understand why you deserve what you are requesting. Understand the person across the table, be it the CEO, or the person that is interviewing you at whatever level of leadership they are in. Understand their constraints, you may want to add so many things in the job offer which they may not be able to offer, so be reasonable. Focus on the questions, and focus on the intent of the questions that they are going to ask you. Be prepared for really tough questions such as, you know, tell me some of the things that you don't feel comfortable with, or some of the experiences or scenarios that made you feel uncomfortable. Negotiate multiple issues simultaneously, not serially. Consider the whole deal. Remember this is your dream job, so you may want to consider the area, the geography, the pay, your colleagues, the resources that are available, and whether you could use this opportunity to leverage the next.
Camera view of Dr. Hannah-Shmouni. Dr. Hannah-Shmouni: Don’t be a bad negotiator. And think through the timing of the offers. Remember they are not out to get you; they are out because they are looking for someone exceptional to partake in their mission. Maintain a sense of perspective. Avoid, ignore, or downplay ultimatums of any kind, and stay at the table. Don’t accept the offer straight away. Some offers go through rounds of negotiations. So, if you accept the offer straight away, you may show a sign of inexperience or weakness.
Camera view of Dr. Hannah-Shmouni. Dr. Hannah-Shmouni: So, there are different job descriptions in academia. For instance, some of the job descriptions may entail only doing research in the context of a staff scientist, or a clinician investigator, where individuals spend 50 percent of their time in clinical research and the remaining 50 percent of their time in clinical care. So, it is important to find a balance between your clinical care, patient care delivery, and your research. It is also very important to understand what the organization or the department that you're going to be a part of is willing to give in terms of resources. Oftentimes, you're going to have to go and look for grants and resources to grow your research portfolio.
Camera view of Dr. Hannah-Shmouni.

Dr. Hannah-Shmouni: What is really important is that you're walking into this job offer without a lot of experience, so seek expertise from people around you. This could be your mentors or could be individuals in the business field, or even job lawyers. These lawyers will charge you for their service, but it is probably the best return on investment you will ever have because they will be able to tailor your contract according to your needs and make you get the best out of it.

Camera view of Dr. Hannah-Shmouni. Dr. Hannah-Shmouni: I really hope that all of you will find the right opportunity for you.
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