LAUSR

The standard National Institute of Health (NIH) biosketch provides a snapshot of an academic’s achievements, but mine, like most, lists only the highpoints and not many of the other major factors that influenced my career in academic medicine. A review of some notable omissions may provide some useful insights. A molecular biology major in college, my several summers of bench research on cyanobacteria probably helped get me into medical school by offsetting the Cs in physics and organic chemistry (Wellesley didn’t do grade inflation). I did not appreciate that all those pathways require rote memorization, a skill I picked up later, which is now made unnecessary by Wikipedia. Nor does my biosketch include the hours I spent poring over the writings of Peter Kropotkin and Emma Goldman while struggling with my own personal involvement in the turbulent political scene of the ‘70s. That was simply listed as “honors research in political philosophy.” Once in medical school, also amidst a background of political upheaval, I sought out a summer research position in a lab, which in retrospect provided a setting in which I had some control. Bench research provided a sense of rationality and order: testable hypotheses, controls, and tangible outcomes, some of which were actually publishable. The social and political issues then, as now, seemed insurmountable. This part of my biosketch that delineates postgraduate training omits all of the distractions of ongoing political turmoil and suggests I learned molecular biology skills as well as clinical infectious diseases. It fails to mention the most notable achievement of my fellowships, namely the births of my sons. The next portion of my biosketch is remarkably unidimensional as I have remained at one institution for virtually all of my academic career. Although this is considered “undesirable”, it was expedient. When trying to juggle two professional careers, stable day care, a strong public school system, room for a dog, and the requirement to live east of the Hudson River and north of 165th street, the options become limited. The support of family and friends is a high priority for two-career couples, particularly when there are so many arbitrary external constraints. I was able to find ample diversity and inspiration among willing collaborators in cell biology, immunology, and pharmacology. My biosketch does reflect the multidisciplinary nature of my research, which was launched by a local colleague who offered to share his bovine tracheal epithelial cells freshly obtained from Max the kosher butcher for our studies to identify Pseudomonas aeruginosa receptors in the airway. Research funding is also listed on a standard biosketch, and again I look fine, now. It does not list the innumerable failed attempts or the close misses at grant funding. The critique suggesting that my central hypothesis (long since published in highly esteemed journals) was “fundamentally flawed” is not mentioned, nor are the comments noting that I was a “lady pediatrician” who should perhaps return to weighing babies. My colleagues, at least some of them, will confess to similarly devastating reviews. However, we are all driven by our fundamental belief that our work is important and by varying degrees of arrogance that spur us to try again, and again, and again.