I'm a physician-scientist currently on year 4 of a K23 (early career grant for physician scientists in the US), recently awarded first R01 (multi-year major research grant for biomedical science in the US) with 20% effort. Problem is that despite the 'protected' time from these awards, my division/section chief refuses to commit, and as the only non-full time clinician in the section I seem to to be the first one asked to cover the clinical scut work (calls, service, etc.). My division chief specifically said, "No one really holds to the protected time", so it doesn't matter if I get three more grants, it's not clear they'll ever actually protect my time.
It seems like the only option (other than leave) is to sacrifice myself by reporting to NIH, in which case I'd probably just lose the grants. Has anyone ever successfully managed this situation without leaving? Anyway brought in ombudsman, or other independent institutional resources?
Obviously, I'm posting this anonymously...