Senior Resident
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The PGY3/4 years are times to continue your involvement in research through local projects or projects funded by resident grants. Each of these projects furthers your research knowledge and helps you build your curriculum vitae (CV) for application for future endeavors, including funding, fellowships, and jobs. Consider starting a National Institutes of Health (NIH) Biosketch as this is required for many grant applications and can help identify areas of strength and weaknesses that may influence your next steps.
This is also an important time to think about areas of interest to you and research questions in these areas. These answers will help you decide what the next step will be after residency when there are countless opportunities and no two research careers will be the same. Based on your current level of research knowledge/education, consider what the best next step for you will be.