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How to make a successful transition from fellowship to faculty in an academic medical center.

The completion of fellowship is an exciting milestone for a physician. Medical training is among the longest professional pathways, encompassing more than a decade to navigate the journey from undergraduate education to medical school, residency, fellowship, and in some cases, advanced fellowship. Although it is satisfying to have completed training, there is great anxiety about the first real job and how to navigate this transition successfully. In reality, this transition to new faculty member should be cause for celebration. Although it is the end of formal training, it is not the end of learning, as faculty will always require mentorship and experiential education. As an instructor (SJM) and an assistant professor (KAF) at the University of Pennsylvania, we have recently made this transition. Based on these experiences, we hope to provide some useful advice and highlight what may be necessary to ensure a successful foundation for a thriving academic career. We first introduce a framework for career success that focuses on the identification of both extrinsic and intrinsic metrics of achievement. Then, we discuss a few key decision points: (1) Choosing academic medicine; (2) Identifying career opportunities; and (3) Negotiating a faculty position. Finally, we discuss 3 aspects of career development to consider when starting as new faculty. We acknowledge that not all academic positions are the same; there are different career tracks with a heterogeneous mix of clinical, research, teaching, and administrative responsibilities. However, there are common bridges to success and promotion in gastroenterology divisions, and the concepts outlined herein should be applicable to all new faculty.