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Also I would advise you to aim higher than an assistant position. I understand you're being humble by looking to start from the entry level positions but your MD degree should not be taken lightly (i always consider my time in school as professional experience) PLUS the years of experience you have. I am happy to serve as a referral for you if needed. I believe in you!
So would I. CRA as minimum entry point.
Check out MSC https://careers-mscweb.icims.com/jobs/search?ss=1 careers! Lots of clinical research goverment contractor opportunities especially with the NIH and having an MD with years of experience, you should stand out!
For Novartis roles referral dm me
For Novartis roles I can provide referral, dm me if nee
Go for MM, Clinical Scientist, my PhD have me a fast track to PM, diplomas are worth a fair bit