Learn, network, influence change

The best way to predict the future is to create it” Anne Marland, Advance Nurse Practitioner.

Committees have an integral role in guiding the Society – they aim to ensure that members’ interests are served in the best possible way, within the Society and beyond. Dedicated endocrinologists from different career stages and disciplines serve on these Committees, but what drives them to volunteer their valuable time?

Sherwin

Sherwin Criseno, of the Nurse Committee, considered it a matter of career progression. “Being part of a nurse expert group opens up opportunities to exchange knowledge in endocrinology”, he says. ”It also provides a platform for networking among endocrine nurses and endocrine centres, and gives you a chance to contribute in developing educational frameworks and programmes for the nurse community.”

Jeremy

Clinical Committee member, Jeremy Tomlinson, was driven to join a committee by a desire to become more involved with the Society. ”I wanted to highlight specific aspects of patient care, and work together with other endocrinologists to make a difference,” says Jeremy.

Channa

Channa Jayasena, from the Public Engagement Committee, wanted to develop his career whilst playing an active, relevant role in the Society too. ”Committee participation enabled me to establish relationships with scientists and clinicians from endocrine units across the UK, and I got to be involved in the redesign of You and Your Hormones*, the public engagement website.” *New website launching soon

Anne

 

Anne Marland joined the Nurse Committee to challenge herself and become a future-shaping, vision-creating voice for the endocrine nurse community. ”The best way to predict the future is to create it, and being part of a committee offers plenty of exposure and leadership opportunities”, Anne states. ”My favourite part of the experience has been receiving so much peer support, which has been very motivational.”

 

Why do these Committee members think you should get involved?

  • “To share your expertise, offer new perspectives and ideas, and to influence change, as this is vital in every dynamic organisation. It’s an opportunity every nurse should work and aspire for.” Sherwin Criseno
  • “To work towards implementing initiatives that can improve patient care.” Jeremy Tomlinson
  • “To be the voice of your peers and to contribute to the growth of the Society – which means a success for its members and for endocrinology.” Anne Marland
  • “To help promote endocrinology sensibly and responsibly, for example when dealing with the media.” Channa Jayasena

It is now time to submit your nominations – whether this is to put your own name forward, or that of another clinician, nurse, or scientist member, you have until 30 June 2017 to make a difference for your fellow endocrinologists by shaping the future of the Society.

 

Wondering whether there is a place for you?

There is definitely a committee for you, regardless of your previous experience and professional trajectory within endocrinology. Currently, the Society has openings on five of its committees – Clinical, Nurse, Programme, Public Engagement and Science – as well as in the Early-Career steering group and the Corporate Liaison Board sub-committee.

If you want even more insight on the value of being part of a committee, members Stephanie Baldeweg, Kim Jonas and Kate Lines told us about their committee journeys in the spring issue of The Endocrinologist.

Learning new techniques and expanding horizons in South Africa

The Society of Endocrinology is eager to help you drive your career forward and, in line with this, the Practical Skills Grant is an opportunity not to be missed. This grant enables scientists in training to visit other labs to learn new techniques, so that they can return home with an improved skill-set and plenty of research collaboration potential!

Here is the story of Dr Naomi Brooks, Senior Lecturer at the University of Stirling, who is interested in exercise physiology, muscle biology and nutrition. In 2015, she was one of the Practical Skills Awardees and travelled to South Africa to learn a challenging lab technique from world-leading experts…

Naomi Brooks blog
Dr Naomi Brooks, Senior Lecturer at Stirling University

“My application to the Society for Endocrinology Practical Skills grant was inspired by my previous success in winning a Society Early Career Grant. I chose Prof Kathy Myburgh’s lab, in the Physiological Sciences Muscle Group in Stellenbosch University, South Africa. I was aware that the particular technique I wished to learn was difficult and that the Myburgh Laboratory had detailed knowledge and success with it. I had previously worked with the Myburgh group as a post-doctoral fellow. Since I knew the group and identified the potential for collaboration, the choice to return to Stellenbosch was key for my career at that stage.

Stellenbosch is a beautiful town surrounded by mountains and vineyards. I was there during the spring and the weather was kind, not too hot, which allowed me to walk to work every day from my local accommodation. During my work week I would spend time in the lab, either with colleagues or writing and reflecting by myself. When away from the busyness of academia, I visited local areas and enjoyed the beautiful African outdoors and hospitality, and I still had time to write papers and put ideas together for grant applications!

The Practical Skills Grant enabled me to investigate a number of different methods for stem cell isolation and primary cell growth. I was able to see the technique demonstrated, trouble-shoot and have discussions about the procedure and its applications. As a result of this, the cell culture laboratory at my home institution is currently considering building collaborations with molecular investigators to apply the technique in our labs. I continue to build my personal and laboratory group skill-set to enhance our work, and thanks to this grant I was able to improve my academic opportunities as a researcher able to integrate both applied and basic research. The experience provided me with an integrated understanding of the technique, which will hopefully translate into more research opportunities and encourage my transition into an established researcher in the field.

When I lived in Stellenbosch as a post-doctoral fellow, I volunteered at an orphanage in Kayamandi, the local township.  I also started a community exercise programme, which was both a research and a community engagement and development programme. Returning to these places was very special. The exercise programme was still running 5 years later, and was coordinated by those working in the community garden project.

Creating and fostering networks and collaborations, both within the UK and overseas, is very important in the world of academia.  I would encourage those wishing to expand their horizons and learn new techniques to apply for the Practical Skills grant; especially amongst those early career researchers, as having “many strings to one’s bow” is important to establish a career.”  Naomi Brooks, Senior Lecturer at the University of Stirling.

What would you do with a Practical Skills Grant? Applications close on 31 October 2017, so better start thinking about it!

Embracing excellence in endocrinology

How can you encourage undergraduate students to specialise and continue in endocrinology? The Society’s Undergraduate Achievement Award enables departments to reward and recognise the outstanding, endocrine-related work of undergraduate students. Successful departments receive £300 per year for three years, to award to students in any way they decide is most effective.

Director of Learning and Teaching at Kingston University Nigel Page tells us about the value of the award to his department, and his former student Nirun Hewawasam talks about how the experience set her off on a career in endocrinology.

“Recognising the talents of our students is vital, and the Society for Endocrinology Undergraduate Achievement Award gives us the perfect opportunity to do just that! This prestigious award has been a great way of encouraging academic excellence and bringing the field of endocrinology to the forefront of our students’ study. We have been able to offer the award to outstanding performances in our final year projects that have a specific endocrine theme. All of our winners from the last three years have felt the award has impacted on their decisions and confidence in being able to go on and successfully develop their careers in endocrinology, and have decided to undertake endocrinology related postgraduate research studies.

At Kingston University, this award has allowed us to recognise our most talented students and has helped in getting them to where they are today. In addition, it has been a fantastic way to advertise the work of the Society to our students and many of our undergraduates have taken the initiative to become members.

Each year we have been able to announce the award at our graduation ceremony to parents and guests, which is a real honour! The impact of receiving the award has been very positive to all parties, and is certainly something our students will always take away with them.”  Dr Nigel Page, Kingston University.

Nirun Hewawasam joined Kingston University as an undergraduate pharmacology student. As she had a particular interest in type 2 diabetes, her final year project focused on investigating the role of the novel protein SMOC-2 in beta cell growth factor signalling. She received her Undergraduate Achievement Award in July 2014.

Endocrinology Prize
Nirun, receiving her award with Drs Nigel Page and Natasha Hill

“I have always been interested in the field of diabetes, and although my project required a lot of effort and commitment, winning a Society for Endocrinology Undergraduate Achievement Award was highly rewarding and encouraged me to continue in the field of endocrinology. Currently, I am doing a PhD entitled “Intercellular communication and pancreatic islet function in type 2 diabetes” at the University of Roehampton, where I am investigating how two pancreatic islet hormones can modulate islet function and survival in type 2 diabetes. Being a research student has given me a lot of confidence, and being part of life changing research is exciting and fulfilling. So far it has been a great journey full of exciting experiences, including successful moments and hardships, but with rewarding outcomes.

I believe that the Undergraduate Achievement Award contributed to my being awarded my PhD studentship, thereby increasing my career prospects. The award constitutes a great opportunity to encourage any student to undertake a career in the field of endocrinology.” Nirun Hewawasam, Kingston University 2014 Awardee.

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Nirun, working in the lab at the University of Roehampton

Applications for the Undergraduate Achievement Award are open from 14 June 2017 until 12 July 2017. In the meantime, find out more about how to encourage excellence in your students!

Why should you vote for the new ESE President Elect?

A great opportunity for all endocrinologists is coming up, as it will soon be time to vote for the President Elect of the European Society of Endocrinology (ESE). Professor John Wass, former EFES (now ESE) President and past Society for Endocrinology (SfE) Chairman, urges all SfE members not to miss this opportunity to influence the future of the organisation and endocrinology in Europe:

John wass large shot“I write to encourage all SfE members to vote. SfE has always played a major role in supporting ESE and gains greatly from this collaboration; therefore it is important that SfE members who are also ESE members vote in the upcoming ESE elections. SfE is an affiliated society member of ESE and an active member of the ESE Council of Affiliated Societies (ECAS). ESE runs excellent educational meetings across Europe -including its yearly congress-, provides numerous grants for basic and clinical researchers, produces guidelines, and brings together researchers across Europe and beyond as evidenced by the recent successful application for the Endocrine European Reference Network (ERN). ESE is much bigger than the EU, with members from over 90 countries and affiliated societies from over 45 countries. With Brexit on the horizon, there is no more important time to strengthen our academic and clinical links across Europe through supporting ESE. Please vote – it is important for endocrinology.”

The candidates for ESE President Elect are SfE member Prof Richard Ross (UK) and President of the Pituitary Society Prof Andrea Giustina (Italy).

E-vote submissions open until 19 April 2017. Eligible ESE members will be contacted by e-mail with further instructions on how to submit their votes.

Find out more about ESE and the election on the website.

Did you know that SfE members enjoy discounted membership of the European Society of Endocrinology?

 

Happy International Women’s Day!

This year, in celebration of International Women’s Day, we reached out to some of the female members who are an integral part of our Society (44% of our membership base!) to find out know what motivates, drives and inspires them, and what their proudest moments are. Notepad in hand, we interrupted their busy schedules to ask them some questions. Here’s what they said:

Dr Anna Crown and Dr Helen Simpson both completed their PhDs whilst starting a family and value the career support they received:

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“I think this is an example of how it is possible to achieve a ‘work life balance’ and a reminder to senior colleagues of how important and influential their backing and encouragement can be”, says Anna.

Helen adds, “I frequently thought I would never finish my PhD. I will be eternally grateful for the support received”. Despite the challenges, Helen’s research achieved a citation for Excellence in Published Clinical Research in the Journal of Clinical Endocrinology & Metabolism.

Louise Hunter agrees that support is one of the essential ingredients for career success:

“My biggest achievement has been securing my MRC Clinical Research Training Fellowship. It made me value the faith others had in me, and taught me the importance of persevering towards a goal!”

Other members value being mentors or good role models. Lisa Shepherd’s proudest moment was becoming SfE Chair of the Nurse Committee, “representing, supporting and educating Endocrine Nurses in the UK. This also led to my becoming one of the founding members of the Federation of International Nurses in Endocrinology.”

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Professor Karen Chapman has several proud moments: “They have all been every time one of my PhD students or RAs have won a prize or recognition for their research. That’s a wonderful feeling.”

Dr Antonia Brooke was proud to be told by one of her male trainees that she was his role model, and likes to think that she leads by example: “I’m training programme director and Clinical Lead whilst running a household and a family (and being the major breadwinner).”

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And acknowledgement never goes amiss – For Professor Maralyn Druce, “my proudest career moment was the first time that anyone sent me a party invitation addressed to ‘Professor Druce’. – That was pretty cool.”

Maralyn updated

Anna Crown and Karen Chapman have previously contributed to The Endocrinologist, submitting some of their thoughts about women in science. Anna also shared some tips on how to survive endocrinology as a woman with The Endocrine Post.

Be Bold for Change

This year’s International Women’s Day campaign tag line, ‘Be Bold For Change’ prompts all of us to continue to push the agenda for gender parity. So what are our members doing to ‘be bold’?

Here’s some tips on following their example: 

    • Act as a mentor for men and women
    • Share tips on how to juggle responsibilities to achieve a work-life balance (e.g. challenge out of hours career-related meetings)
    • Promote women’s networking or leadership events
    • Create opportunities for women to discuss the challenges they face in their careers
    • Attend inspirational talks or events by successful women in any career path
    • Raise the issue of equal representation in boards or committees.
    • Recommend or nominate women for committees, talks or chair sessions.

Do you know an amazing endocrinologist you’d like to nominate for a Society Committee? We’d love to hear about them! Find out how to nominate them. 

12 endocrine news stories that you may have missed in 2016 – Part 3

In the final blog post in our series looking back over the endocrinology news you may have missed in 2016, we explore news on the effects of the contraceptive pill, drug pricing and more.

Find Part 1 and Part 2 here.

September: Contraceptive pill explains falls in ovarian cancer

It’s generally agreed that the pill offers protection against ovarian cancer. In September we got a better idea of just how strong this effect is, as a study published in Annals of Oncology looked back at the potential cases prevented since the pill was introduced in the 1960s. Between 2002 and 2012, the rate of ovarian cancer fell dramatically in the EU, US and Oceania, with deaths falling 10% in 28 EU countries.

The declines were particularly marked in countries such as the UK (22%), Denmark (24%) and the USA (18%), where the pill was more widely used after its introduction in the early 60’s.

“There are noticeable differences between countries such as Britain, Sweden and Denmark, where more women started to take oral contraceptives earlier – from the 1960s onwards – and countries in Eastern Europe, but also in some other Western and Southern European countries such as Spain, Italy and Greece, where oral contraceptive use started much later and was less widespread,” said lead researcher Professor La Vecchia.

The effects were also more pronounced in younger and middle aged women compared to older women. “This is possibly due to the fact that women who are middle-aged or elderly now were less likely to use oral contraceptives when they were young,” he added.

 Media headlines causing a buzz:

Making babies without eggs may be possible, say scientists (BBC)

Testosterone could treat prostate cancer (The Times)

Common contraceptive hormone could protect women from flu (The Telegraph)

First ‘three person baby’ born using new method (BBC)

 

October: The pill and depression

October was a busy month for reproductive endocrinology. Scientists found evidence that ovaries can grow new eggs and we came a step closer to a male contraceptive injection. However, the story causing the biggest stir was an association between use of hormonal contraceptives and depression. Published in JAMA Psychiatry, the study showed that women who used hormonal contraception were more likely to be prescribed an antidepressant, and to be diagnosed with depression.

pill

In a statement widely covered by the media, Society member Dr Channa Jayasena said: “This study raises important questions about the pill. In over a million Danish women, depression was associated with contraceptive pill use. The study does not prove (and does not claim) that the pill plays any role in the development of depression. However, we know hormones play a hugely important role in regulating human behaviour.”

“Given the enormous size of this study, further work is needed to see if these results can be repeated in other populations, and to determine possible biological mechanisms which might underlie any possible link between the pill and depression. Until then, women should not be deterred from taking the pill,” he added.

 

Media headlines causing a buzz:

Evidence suggests women’s ovaries can grow new eggs (The Guardian)

Male contraceptive jab ‘effective’, but side effects are common (NHS Choices, Bazian)

Zika virus could cause infertility in men, new study suggests (The Telegraph)

Prostate cancer sufferers who have hormone treatment ‘double’ their risk of dementia ( Daily Mirror)

Researchers discover the role of hormone in ‘creating fat’ (NHS Choices)

Boys conceived through IVF technique have lower than average fertility (The Guardian)

 

November: Yoyo dieting might not be your fault

While you were at the Society’s 70th annual conference in Brighton, you may have missed a study in Nature that provides some understanding into why people often regain weight after weight loss, and why yo-yo dieting is so ineffective. It appears that stubborn gut bacteria may retain a “memory” of obesity.

Scientists created a yo-yo dieting mouse model, which was cycled from high fat chow to low fat chow continuously, leading to cycles of weight gain and weight loss in the mice.

“As observed in recurrently dieting humans, a preceding obesity-weight loss cycle rendered mice susceptible to accelerated secondary weight gain, even after fully returning to baseline weight,”

The mice which had been on the “yo-yo” diet gained even more weight than mice which had eaten the high fat food the entire time. When the altered “yo-yo” gut microbiome was transferred into healthy mice on a normal diet the mice showed accelerated weight gain, which suggests the altered gut microbiome is causing the accelerated weight gain. So unfortunately, even if you lose weight, your guy microbiome might make it more difficult to keep the weight off – but it is possible! The researchers said that eventually, the microbiome goes back to normal, but this could take months, even years in humans.

 

Media headlines causing a buzz:

Infections not antibiotics may be tied to childhood obesity (New York Times)

Zika virus — concerns for male fertility (Nature)

Discovery of alcohol-regulating hormone could lead to pill which prevents cravings (The Telegraph)

 

December: Hydrocortisone price hike

This new story really got endocrinologists talking. Actavis, producer of hydrocortisone tablets, has been accused of overcharging the NHS after hiking prices from 70p per pack to £88. The accusation comes one week after Pfizer was given an £84.2m fine for similar price hikes for an epilepsy drug.

In 2008 Actavis gained the right to make generic hydrocortisone tablets which are not subject to price regulation.

“We allege that the company has taken advantage of this situation and the removal of the drug from price regulation, leaving the NHS – and ultimately the taxpayer – footing the bill for the substantial price rises,” said the Competition and Markets Authority senior responsible officer Andrew Groves.

Hydrocortisone is a life-saving drug for patients with Addison’s disease, where the body does not produce enough steroid hormone.

Normally only patent drugs are subject to price regulation. When patents expire, and other companies can create generic versions, the competition between competitors keeps prices low. In this case, lack of competitors meant prices could be elevated.

“This is a lifesaving drug relied on by thousands of patients, which the NHS has no choice but to continue purchasing,” said Andrew Groves.

 

Media headlines causing a buzz:

Pregnancy alters woman’s brain ‘for at least two years’ (BBC)

Some baby teething toys may contain hormone-disrupting chemicals (Washington Post)

Prostate cancer sufferer ‘cured’ by blasting tumours with testosterone (The Independent)

Exercise boosts men’s sperm count (BBC)

Babies made from three people approved in UK (BBC)

Autism linked to vitamin D deficiency during pregnancy, researchers find (The Guardian)

Man, I feel like a woman

The Journal of Molecular Endocrinology is the only Society-owned basic science journal dedicated to looking at hormones at the cellular and molecular level. In a series of blog posts, we look back at some of the most cutting-edge research published by our members in our journals. This first piece was written by Douglas Gibson (@douglasagibson), a postdoctoral research at University of Edinburgh.

Remember that members can now publish in JOE, JME and ERC free of charge!

We often think of hormones as ‘male’ or ‘female’ because of how they shape the features we associate with each sex. So androgens – the ‘male’ hormones – might make you think of ‘manly’ things like body hair, muscles and deep voices, but what if I told you that they play an important role in women becoming pregnant too?

It’s difficult to separate androgens from their macho reputation, particularly when examples of androgen excess in women, such as in athletic doping, also produce masculinizing effects. Despite this, androgens have long been known to be important in controlling many processes in female physiology. Indeed, androgens can be detected at significant concentrations in the blood of women and in some cases may even exceed those of men! However, although androgens are abundant in the blood they are usually only activated in specific tissues when they are needed. In this clever way they don’t have widespread and uncontrolled effects.

One surprising place where androgens were recently found to be activated is inside the womb. Every month, the structure of the womb lining – known as the endometrium – is reorganised to create an environment that can support and sustain pregnancy. However, without the right hormonal signals, the endometrium will not provide the conditions required for a fertilised egg to implant.

Recent studies have found that hormones produced inside the womb play a pivotal role in the early stages of pregnancy. It was previously thought this vital role was carried out solely by hormone signals from the ovary but new research has found that ‘male’ hormones (androgens) help to prepare the womb lining to encourage a successful pregnancy.

In our study, we wanted to understand how the signals inside the womb lining affected the early stages of pregnancy. In fact, we found that androgens can act in two key ways; by acting as a direct signal in the womb but also by being converted into ‘female’ hormones (estrogens) in the early stages of pregnancy. We found that estrogens within the womb signal to cells that control blood vessel development which is essential for promoting exchange of nutrients between mother and baby.

So amazingly, androgens seem to provide a delicate balance to control key changes in the womb in pregnancy. However as fewer of these key hormones are produced as women age, this could partly explain why some older women find it difficult to conceive. Our research is now focussing on how changes in the availability of androgens can affect the way the womb lining prepares for pregnancy. We hope to be able to apply this new understanding to improve fertility treatments which in the future may mean that older women seeking motherhood may have a better chance of successfully conceiving.

Life as a young lab head

Earlier this year, the Endocrine Society and the Endocrine Society of Australia published a paper titled ‘Career advancement: Meeting the challenges confronting the next generation of endocrinologists and endocrine scientists‘. Endocrinologists are facing challenges in reduced funding, competing responsibilities and gender issues. Giving us the personal side of the story, Australian prostate cancer researcher Luke Selth tells us about the ups and downs of life as a young lab head…


“As I sit down to write this, there is a foul odour permeating my cancer research lab. I know what you’re thinking: one of the PhD students has left a Bunsen burner on and I’m on butane high. I wish it was so simple.

No, the stench is a heady mixture of stress and worry. I am expecting the outcomes of two National Health and Medical Research Council (NHMRC) Project Grant applications this week. We also have two research papers currently under review at a prominent journal in the field of cancer biology (seriously, how can it take 62 days to review a paper?).

It feels as though the next week could literally make or break my career. Is this an exaggeration? Well, no, actually. Let me break it down for you…

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The grant applications

My lab’s research is focused on identifying the molecular mechanisms underlying prostate cancer progression, and developing new therapeutic strategies for this important disease. Both of my Project Grant applications are in this field and, realistically, there’s every chance neither will be funded.

I’d like to stress that this isn’t because they are bad applications. ‘You’re biased’, I hear you muttering, and I can’t argue with that – of course everyone thinks their own research is the most novel and exciting. However, I have evidence to back this notion up: both have made it through the dreaded ‘Not for further consideration’ cut, which means they were ranked in the top 50% of applications.

So we are through the first hurdle. However, given that last year’s success rate was 13.7%, this means that both grants still only have around a 1 in 4 chance of being funded. Of course, that’s if the success rate doesn’t decrease even further this year – there’s every indication that it will. When I started writing NHRMC grant applications 5 years ago, 22.9% of applications were being funded. This worrying trend, largely due to the lack of real increase in the overall NHMRC budget, has caused a lot of scientists to change professions or leave the country – a “brain drain” that will be difficult to recover from.

The low success rate means the outcomes often feel like a bit of a lottery. All of the applications still in the hunt are strong; it’s extremely difficult for a review panel to choose the best. In a perfect world (or, more accurately, a perfect Australian economy), most of them would be funded. But this isn’t a perfect world, and so some randomness ensues. This process of assessing applications in this type of funding scheme has been studied: Fang and colleagues provided evidence that the peer review process used by the National Institute of Health (USA) does not necessarily fund the best science – and that using a lottery-style system to awards grants would actually yield equivalent, if not better, research outcomes.

In short, a bit of bad luck could see both of my applications – which collectively took around 2 months of full-time work to prepare – down the drain.

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The papers

The old mantra of “publish or perish” is stronger than ever in Australian science. Consistently publishing in high quality journals is required for grant success, which in turn is required to keep consistently publishing in high quality journals; it’s a feedback loop that sadly consumes much of my attention.

The two papers that are currently under review are both strong bodies of work. But, again, there’s every chance they will be rejected – the current acceptance rate at the journal I have submitted to is around 20-25%.

The possible outcomes

OK, so what happens if my grant applications and research papers are both tossed out like old agar plates? Well, I will have just enough funding to keep my small research group going next year, but virtually nothing for the following year (not even my salary). The stench of worry in my lab will become even more pungent. I’m a passionate guy, and in such a situation I’d like to allow myself the release of smashing a glass beaker or two – but I couldn’t afford the cost of replacements…

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Alternatively, there is the possibility that I win the lottery. Sure, there’s been a lot of work done by my group, but in the end I truly believe there is a significant amount of luck involved. If the papers are accepted and grants are funded, suddenly the lab’s future and finances will look flush again. There will be no need to let anyone go, and I can cancel that online barista course I signed up for!

This roller-coaster we call a science career

Of course I’ve simplified things. There is a whole spectrum of possibilities between total failure and total success. But what I’m hoping to convey is the reality of life for a young lab head trying to make his or her way in the world of biomedical research. This job is a bloody roller-coaster, and it seems perverse that I spend up to half of my time applying for money so that I can simply do my job.

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I’m often asked by my close friends and family why I stick with it. One response is that I’m not sure any café would want a washed-up scientist as their barista! Seriously though, I love my job for many reasons, the most important being that I have a scientific curiosity that can probably only be sated by this type of research and a vision to improve outcomes for cancer patients. Fortunately, the satisfaction of discovery, coupled with a real chance to improve the health of our society, far outweigh my grant- and paper-related pessimism.

So, even if the grants and papers don’t come through this week, I’m going to persist – and I have many inspirational colleagues and mentors who do the same, year in and year out.

References:

  1. Fang FC, Bowen A, & Casadevall A (2016) NIH peer review percentile scores are poorly predictive of grant productivity. Elife 5.