Marjorie Stiegler MD Profile picture
Aug 23, 2019 23 tweets 7 min read Read on X
A few considerations about getting paid to speak for #medtwitter, #womeninmedicine, and #SoMeDocs in response to recent thread from @arghavan_salles.

1/
Sometimes speaking and earning those lines on your CV are actually part of your job. In that case, you should have a clear understanding about protected time from your clinical/academic responsibilities.

2/
Also, depending on your institution and possibly your topic, you might be limited in your ability to accept external payment for speaking, or it might be owed to your department. Do your homework!

3/
Assuming you don't have those limitations, there are still many reasons you may want to speak for free or very little. Passion for a cause, boost in your visibility/credibility, just for practice, travel/vacation to a place you want to go, prestige of venue, etc

4/
Beyond that, simple professionalism is the backbone of any contract/payment negotiation. Ask about budget, and be ready to state your fee. Take time and travel into account. But generally, as with any job interview, make sure it's a good match before you talk money.

5/
Know the industry standard. True, unless you're the headliner, many academic conferences don't pay speakers. Grand Rounds and similar honoraria probably don't even cover the cost for you to be out of clinical duty those days.

6/
On the other hand, plenty of CME and #professionaldevelopment events have considerable budget. 5 figures is not at all uncommon.

Industry and business are another story entirely, again with considerable budget.

'Non-profit' doesn't = 'no budget'.

7/
Figure out if what you're doing has value to you as part of your regular job, or otherwise for your own interests and development. If not, approach your speaking as any other business.

Have a fee structure and contract terms that YOU set (vs what is 'offered' to you)

8/
Have flexibility in your fee and let organizations know the circumstances under which you're willing to donate your professional speaking services for a reduced fee.

Use business language. They are 'booking' you or 'hiring' you to do a job, not 'inviting' you to a party.

9/
Be gracious about the opportunity.

It's wonderful to be asked to speak and to be recognized as an expert with value to add.

But being on stage isn't about you. It's about the audience. It's about giving them something useful- a new skill or understanding or perspective.

10/
🎤 Professional speaking is a fabulous way to travel, connect, learn, grow, and have an impact.

It's also specialized work.

Whether via your regular salary, a paycheck, or something else you value, it's worthy of compensation.

Never feel like you don't deserve it.

11/
Having said that, there's a level of excellence that's expected when you get paid to speak.

Lots of people can 'give a talk'.

Highly polished professional speaking is worth tens of thousands of dollars. Most 'talks' are not.

Know the difference. Deliver it. You can!

12/
It helps to have benchmarks and contract essentials, which we address in detail in The Speaking Rx and at the upcoming @WomenSurgeons Signature Speaker Series.

In the meantime, this post offers some guidance: wp.me/p4MeGD-YA
Oh WOW!

My DMs are blowing up with Qs.

How about this? Leave your questions right here on this thread and I will pull together my best answers. Plus, hopefully others will answer here too and you'll get more than one perspective on #speaking.

14/
And to answer 4 Qs at once:the live @WomenSurgeons Speaker Series is by application only (AWS selects)but I'll run a special class of The Speaking Rx to coincide w/ the mtg open to anyone, not just #womeninmedicine.

You can get on the list now. RxSeries.Live/Courses

15/ Image
Here are some of the questions that I have received so far. Let me know which ones matter to you!

For organization, I'll put each one in its own tweet...

16/

#medtwitter #WomenInMedicine #professionaldevelopment #healthcarespeakers Image
🌀 Are meetings/planners dishonest about their budgets?

(I'm not sure if 'dishonest' is the word, but many will not be forthcoming about the best deal they could offer unless you are assertive)

17/
🌀How do you find venues/groups that pay well? How do they find speakers?

18/
🌀Do you need a bureau to represent you? How much do they charge/take as a cut? How do you get one to want to represent you?

19/
🌀 How do you start/continue conversations about money without sounding awkward, losing the opportunity, feeling guilty, sounding greedy?

(Spoiler - if you feel like this, you have a much bigger problem to solve in your professional life)

20/
🌀Do you (me) still speak for free/very little? How did you first start getting paid speaking engagements?

21/
🌀 What do you mean, you might not be able to accept payment, or you might owe the money to your organization? (Yes, this is a real thing)

@22/
🌀 How can a person tell if they even should/could be paid? Meaning, are there events that are clearly part of your 'day job' and no one gets paid to do? (Hint: in academics, yes!)

23/

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More from @DrMStiegler

Sep 6, 2021
#COVID19 has disproportionately affected careers of women in healthcare and science.

As I reflect on my own experience at work as a woman, a physician, and a leader, here are some things that make a big difference, to me and to the teams I lead:

[#GiveHerAReasonToStay 🧵]
➡️ Flexibility on when, where, and how we work
➡️ Professional development activities protected as part of the job – not “on your own time” extras
➡️ Supportive culture that is committed to employee wellbeing, and employees being themselves
➡️ Private spaces for meditation, massage, and exercise - and YES, we use them!
➡️ Paid parental leave and private rooms for lactating moms
➡️ Financial and time support to level up our skills and competencies
Read 11 tweets
Jan 1, 2021
#NewYear2021 reflections - a 🧵

Had an unintentionally profound moment with an executive coach recently.

She said “maybe you should just stop thinking about what's next and enjoy that you’ve arrived."

What? I almost 😢. ♥️ stopped. But wait - there's important context...
I was telling her my life story, the professional twists and turns.

The part where my husband got cancer.

The part when I left academic clinical medicine- my love, and my identity.

Would I still "be" a doctor?

Would my accomplishments and work matter? Or be nothing...
I had, after all, pretty much achieved all the "important" things.

Invited speaker around the 🌏
Academic rank/promotion
Examiner for my specialty’s Board
Board of Directors for multiple orgs
Many national committees
Teaching residents/students
Successful separate businesses
Read 10 tweets
Dec 30, 2020
We all know lots of people on Twitter we have yet to meet IRL.

What about someone you DO know from real life that probably doesn’t recognize/remember you on Twitter?

Got any of those? Go ahead and tag them...
For example, I met awesome people like @arghavan_salles @EMARIANOMD @TomVargheseJr @Ron_George @ChrisCarrollMD @susieQP8 on Twitter first, then IRL.

I want to meet @DrJenGunter @choo_ek @JulieSilverMD @meganranney @ddale8 @Bob_Wachter someday.

But...
I met IRL but they probably don’t remember:
@Doctor_V at the @doximity BOA mtg (2018?)

@sapinker at the @BXconference where we were both speakers (2015?)

@CarlosdelRio7 who was my professor at @EmoryMedicine 1999-2003

So who else wants to try...
Read 4 tweets
Dec 30, 2020
Social media is where people often put a selective best on display. But #medtwitter - this is what I'm hearing behind the scenes.

I'm posting this thread so you know you're not alone, and you deserve better than this:

[1/🧵]
I'm reading comments on a registration form re: an upcoming session about nonclinical physician careers.

I asked why they were interested in attending.

They said:

[2/]
😕 Exhausted. All the time.
🙁 Work is more demanding without the same feeling of satisfaction
😕 I feel replaceable. Expendable.
🙁 Need better life-work balance. Have been...

[3/]
Read 10 tweets
Oct 4, 2020
Early on Day 3 of #ANES20 - you may need to zoom in! Our virtual community has grown! Who do you see? Do you see yourself?

(a visual conference 🧵/)
A metrics update - fewer users than prior years, to be sure, but very respectable engagement and activity. Over 13 million impressions :) This speaks to the collective followers of the users who are #tweetingthemeeting
#ANES20
What's getting the most engagement? Here are some of the top conversations and images shared. Did you attend those sessions? What was the best part? #ANES20
Read 9 tweets
Aug 11, 2020
Walking before our daily late afternoon thunderstorm 🌩 and so glad I did!

Someone in my neighborhood has been busy spreading #GoodVibes today 💕 ImageImageImageImage
Image
Reminds me of @Docbasia 🙂 Image
Read 7 tweets

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