American Society of Regional Anesthesia and Pain Medicine August 2017 - 8

these mentor/mentee relationships and faculty development, which
is a wonderful thing. The ability to find a mentor within ASRA has
always been there for those willing to seek out the opportunity, but
now the Society is taking steps to make doing so even easier.
Over the past 5 years, ASRA has also formalized the opportunity for
members to self-nominate for committees and associate faculty.
The goal is to facilitate
young faculty members
who don't yet have an
academic track record
getting their foot in the
door by letting their
interest be known. If you
look at the numbers,
the associate faculty
program has been
almost too successful-
we have had more
people volunteer than we
have room for.

J. Neal: On the acute/regional side, my opinion is the big scientific
questions revolve around improving patients' functional outcomes
and being willing to do so in ways that don't always involve placing
blocks. Part of this includes further investigation into long-acting
analgesic modalities, system improvements, and longer-term
follow-up. I find these questions much more relevant than "I just
described the seventh approach to the sciatic nerve."
On the pain medicine
side, work still
needs to be done to
determine if and under
what circumstances
various interventional
procedures are
indicated. In my
humble opinion, ASRA
can influence these
questions by continuing
to fund meaningful
research without being
overly judgmental into
the "worthiness" of the scientific question being proposed. Let's
be honest with ourselves: 25 years ago, who would have ever
thought that lipid would have anything to do with mitochondrial
metabolism, much less be an effective antidote for one of our
deadliest complications? Not every funded project will hit a
home run, but let's be careful not to overthink what we believe
will produce meaningful return on investment. As my good friend
Chris Bernards was fond of saying, "Never believe everything you
think."

"Those with the most professional
satisfaction seem to derive great pleasure
from taking good care of the people they
exist for-their patients or trainees at work
and their family at home.
-Joseph Neal, MD"

K. Schroeder: What advice would you give a resident, fellow, or
junior faculty member who is just starting to get involved with
ASRA?
J. Neal: Vincent Chan and I reminisce about the 1986 ASRA
meeting where we first met at a poster session-which turned into
many years of friendship and collaboration. I met Terre Horlocker,
Admir Hadzic, Jerry Vlodka, and many others the same way. Those
"chance meetings" developed into friendships both personal and
professional.
If you're new to ASRA, take advantage of what the society has to
offer. I believe you will find your integration into the society realized
over a series of small steps directly linked to your involvement.
If you really want to become involved, volunteer to be on the
committees, come to the meetings, present your abstracts. As you
start to know people and develop relationships and as your career
starts to grow, so will your opportunities in ASRA. Most folks who
get involved find ASRA an incredibly welcoming society.
K. Schroeder: As you look back, has there been a defining
moment in your academic career?
J. Neal: More a collage than a single accomplishment. Working on
the upper extremity review article and various practice advisories,
being appointed editor-in-chief of RAPM, and various leadership roles
within ASRA have all been wonderful and fulfilling opportunities.
K. Schroeder: What questions do you think investigators should
be focusing on now?

8

K. Schroeder: What is the secret to your academic longevity?
How have you avoided burnout?
J. Neal: If there is a secret, I argue that it's counterintuitive. That
is, nirvana is not about preserving income, getting relieved as early
as possible, or complaining about the madness of operating room
attire policies. Finding balance in one's life is always difficult, but
when it comes to the work portion of that equation, those who
seem happiest are those who continue to enjoy direct patient care
mixed with some other form of professional involvement, be it
research, teaching, or administrative duties. Those with the most
professional satisfaction seem to derive great pleasure from taking
good care of the people they exist for-their patients or trainees
at work and their family at home. There is interest and motivation
to stay involved in something beyond just themselves and simple
pleasure in their day-to-day routine that seems to energize those
who are happiest in our profession. My observation is that you
are more likely to remain stimulated and interested in the career
portion of your life if you focus on taking care of your patients and
your profession.

American Society of Regional Anesthesia and Pain Medicine
2017



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