ne of the foundations of modern medicine is academic output, which is part of the mission to advance biomedical science. This is accomplished through 3 different tracks: clinical practice, research, and education. 1 Career advancement and tenure are structured around scholarly work in these 3 domains. Some have noted that research activities are considered the most influential for promotion, and the merits and drawbacks of research-focused versus education-focused career tracks have been discussed in the literature. 2,3