Publications Update # 24

Non-Medical Article of the Week

As many of our senior fellows prepare to look for a job and some among you begin to contemplate a career transition, it's essential to recognize the value of preparation. Harvard Business Review provides a roadmap that's widely regarded as one of the finest guides for job offer negotiations. Remember that the process of a job offer doesn't solely revolve around salary negotiations; it's much more nuanced.

When I was seeking employment after my fellowship, I found clarity and direction by initially delineating what I didn't want. I began by outlining geographical constraints and specific job types that were unappealing to me. Subsequently, I identified the essential intangibles in my desired role, classifying them into two distinct categories: aspects I might be willing to compromise on and those that were non-negotiable. With a clear understanding of my preferences and a list of suitable programs in hand, I actively reached out to division directors, even if there were no job postings. When the time comes for you to sit for an interview, take a moment to study the 15 essential insights discussed in this article. These insights can shape your approach and give you a substantial advantage.

15 Rules for Negotiating a Job Offer

In some industries, a weak labor market has left candidates with fewer options and less leverage, and employers better positioned to dictate terms. Those who are unemployed, or whose current job seems shaky, have seen their bargaining power further reduced. But the complexity of the job market creat…

Harvard Business ReviewDeepak Malhotra

Question of the Week

A 65-year-old female is referred to you after her gynecologist discovers an ulcerated dark-colored lesion on the right vulva approximately 2.5 cm from the midline. A punch biopsy of the lesion revealed a melanoma to a depth of invasion of 1.5 mm. A thorough history and physical exam revealed no evidence of any distant metastatic disease other than a palpable node in the right groin. There are no contraindications to surgical intervention for this otherwise healthy patient. What is the next best step in the management?

• Start Immune checkpoint inhibitor therapy for 18 months and repeat scans periodically to assess efficacy.
• Start Immune checkpoint inhibitor followed by surgical resection of the primary tumor and the groin node and adjuvant immune checkpoint therapy.
• Surgical resection of the primary tumor and resection of the enlarged node followed by immune checkpoint inhibitor therapy
• Surgical resection of the primary tumor, bilateral full groin dissection, and immune checkpoint therapy
• Surgical resection of the primary tumor, bilateral full groin dissection, and immune checkpoint therapy only if additional nodal metastasis is found.

Correct Answers:

• Start Immune checkpoint inhibitor followed by surgical resection of the primary tumor and the groin node and adjuvant immune checkpoint therapy.
• Surgical resection of the primary tumor and resection of the enlarged node followed by immune checkpoint inhibitor therapy