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Behind the night, the surgery podcast, relevant and engaging content designed to help you

dominate the day. Welcome back to Behind the Night. Today, we're continuing our financial series,

and we're lucky enough to have Dr. Jill Streams, who's going to talk to us today about

finding and negotiating your first job. Dr. Jill Streams is a trauma and acute care surgeon and

assistant professor of surgery at Vanderbilt University. She has a passion for personal finance,

and we're lucky to have her here to share her wisdom as it comes to finding the job and

negotiating your first contract. Welcome Dr. Streams to Behind the Night.

Well, it's wonderful to be here. Thank you for having me.

So Dr. Streams, why are surgery trainees so ill-prepared at evaluating future jobs and negotiating

their contracts? I think first and foremost, medicine and surgery are very different from the

business world. And so many surgical residents have never had a job that required any kind of

business skills or negotiation skills. And really, they were never, for the most part, advanced

in the business world, whether we're negotiating contracts for bodies of work. And so, even though most

of our residents come through relatively straight through, there are a few that have had different

kinds of jobs, but get in, again, most of them not in the business world. So when they enter

residency, a lot of the terms of their employment are very tightly regulated by the ACGME. So things

like duty hours and benefits and all of those kinds of things, they're basically given a contract

assigned. When you match into residency, there's no negotiation. You assign it and you start working.

And those regulations are great because they protect trainees. But at the same time,

...