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Professional Development Series

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    Professional Development Series Professional Development Series Presentation Transcript

    • Professional Development Series
      Part 1
    • What will I be when I grow up?
      The answer is no longer just “doctor”
    • The Big Decision
      Most med students spend more time deciding what car to buy than on selecting a career.
      Little thought goes into a lifelong decision.
      Hasty decisions can lead to burnout, changing residency programs, an unhappy career.
    • Statistics/Job Satisfaction
      40% of physicians report being very satisfied
      20% of physicians report complete dissatisfaction
      The rest are somewhere in between
    • Pitfalls to Choosing a Specialty:
      Anxiety over exams/grades detracts from focusing on the merits of the specialty
      Subjective grades can influence final impressions
      Bitter residents and attendings/personality conflicts
      One bad rotation does not preclude one from choosing that specialty
      Lack of participation
      Lack of “nittygritty”outpatient experience
      Not enough time to look at every specialty in 1 year
      Lack of guidance resources/lack of time
    • Over 60 Specialties and Subspecialties
      Allergy and Immunology Anesthesiology
      Cardiology Colon and Rectal Sx
      Dermatology Emergency Med
      Family Practice General Sx
      Genetics Infectious Disease
      Internal Medicine Neurology
      Neurosurgery Nuclear Medicine
      OBGYN Oncology
      Ophthalmology Orthopedic Surgery
      Otolaryngology Pain Management
      Pathology Pediatrics
      Physical Med/Rehab Plastic Sx
      Preventive Med Psychiatry
      Radiology Rheumatology
      Thoracic/CV Sx Urology
    • Sample Specialty Divisions
      Hospital Based Specialties:
      Radiology, Pathology, Emergency
      Comprehensive care for one population:
      Pediatrics, OBGYN
      Primary Care:
      Family Practice, Internal Medicine, Pediatrics
      Tertiary Care/Referral-Based/One Organ System:
      GI, Dermatology, Urology, Neurology, Cardiology
    • Myths and folklore or truth??
      All orthopods are jocks.
      Gynecologists have the worst sex lives of all doctors
      Pathologists are socially inept.
      You should be a surgeon like your father.
      Psychiatrists are crazy!
      Dermatology is good money and short hours.
      General surgeons do all the work with little pay.
      ER docs are adrenaline addicts.
      Internists are nerds.
    • Four Domains of Career Assessment
      Personal Values – what is important to you
      Physician Values in Practice Scale
      Interests – what you like
      Medical Specialty Preference Inventory
      Personality – what are you like?
      Myers-Briggs Type Indicator
      Skills – what you can do and do well
      Experience on clinical rotations
    • Personal Values:
      Hours
      Income
      Intellectual Stimulation
      Type of Patient Population
      Generalist vs Specialist
      Work Environment
      Patient Contact
      Social Status
    • Other considerations:
      Paperwork/Managed Care
      Job Opportunities
      Length of Training
      Academic Competitiveness
      Malpractice/Litigation
    • What are your interests?
    • Personality: What are you like?
      Results of multiple studies:
      Surgeons: extroverted, practical, social, less creative, competitive, structured
      Controllable lifestyle specialists: withdrawn and rebellious
      Hospital-based specialties: low tolerance for ambiguity, desire high structure
      OBGYN: warm and helpful
      Primary care: desired long term patient relationships
      Action oriented people who desire immediate gratification: sought out ER, surgery, anesthesiology
    • Myer-Briggs Personality Type IndicatorMBPTI
      Developed in the 1950’s
      Used in medical schools across the country
      Helps guide specialty selection by determining personality and temperament
      Identify strengths and weaknesses
      Take each year for best results
      www.capt.org for a fee can get expert feedback
    • MBTI: Four dimensions of personality yield 16 different personality types
      Extroversion (E) vs Introversion (I): How we interact with the world and where we direct our energy
      Sensing (S) vs Intuition (I): The kind of information we naturally notice
      Thinking (T) vs Feeling (F): How we make decisions
      Judgment (J) vs Perception (P): Whether we prefer to live in a more structured way or a more spontaneous way
    • Extraversion
      Introversion
      Interest Orientation
      E
      I
      Outer world of actions, objects, and people
      Inner world of ideas and concepts
    • Sensing
      Intuition
      Perception
      S
      N
      Immediate reality and direct experience
      Inferred meanings and relationships
    • Thinking
      Feeling
      Judgment
      T
      F
      Reliability of logical order – cause and effect
      Priorities based on personal importance and values
    • Judgment
      Perception
      Environment Orientation
      J
      P
      Judging attitude – Control of events and systematic planning
      Spontaneity – Curious, awaiting events and adapting to them
    • Choosing Your Specialty
      Step 1: Select specialties of interest
      Step 2: Select factors important to you
      Step 3: Rate your specialties
    • Glaxo Pathway Evaluation Program
      http://www.smbs.buffalo.edu/RESIDENT/CareerCounseling/interior.htm?self-assessment.htm
      Self assessment will rate medical specialties according to compatability
      Co-sponsored by Duke University
    • Glaxo Critical Factors
      Caring for Patients
      Continuity of Care
      Autonomy
      Diversity
      Personal Time
      Expertise
      Income Satisfaction
      Creativity
      Certainty of Outcomes
      Clinical Decision Making
      Patient Decision Making
      Interacting with Other Physicians/ Members of Health-care Team
      Manual /Mechanical Activities
      Pressure
      Responsibility
      Schedule
      Security
      Sense of Accomplishment
    • AAMC Careers in Medicine Program
      Password protected
    • Year 1
        Orientation to Careers in Medicine
      Seek out an advisor or mentor
      Understanding Yourself
      Complete the Specialty Indecision Scale for personalized guidance on your career concerns.
      Attend CiM workshops
      Begin completing self-assessment exercises
    • Year 2
      * Continue self-assessment
      * Complete self-assessment exercises
      * Review completed Personal Profile with advisor
      Exploring Options
      * Begin gathering basic information about specialties of interest through CiM Specialty Pages, other online sites, and library research
      * Attend Specialty Panel and Information Group sessions provided by your school
      * Compare your self-assessment information to the information you have gathered about specialties. Narrow down your specialty interests to 3-4 top choices
      * Plan your 3rd year schedule
      * Take Boards Step 1
    • Year 3
      Begin clinical rotations
      Review the Charting Outcomes in the Match report to assess qualifications and competitiveness for different specialties 
      Conduct informational interviews and/or participate in preceptorships
      Contact associations and specialty organizations
      Meet with your advisor to discuss your top choices
      Complete the "Choosing Your Specialty" exercise
    • Year 4: Getting into Residency
      Research residency training programs through AMA's FREIDA, AMA's Graduate Medical Education Directory (Green Book), or Osteopathic Opportunities http://opportunities.osteopathic.org/
      Complete the Residency Preference Exercise
      Begin reviewing and comparing residency programs
      Begin preparing residency applications.
      Complete applications and designate programs to which your materials will be submitted
      Take Boards Step 2
      Interview with residency programs
      Complete the Residency Program Evaluation Guide
    • Sources for Researching Residency Training Programs
      CiM specialty pages
      http://www.aamc.org/students/cim/start.htm
      AMA’s FREIDA
      http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.shtml
      Graduate Medical Education Directory
      http://opportunities.osteopathic.org/
    • What Do I Do Now?
      Excel in your clinical clerkships
      Program directors like to see as many clerkships with Honors as possible – especially in specialty of choice
      Explore extramural elective opportunities:
      http://www.aamc.org/students/medstudents/electives/start.htm
      Shadow drs on breaks and holidays, engage in research projects
      Summer between 1st and 2nd year: National Health Service Corps, AMSA/SALUD
      Participate in CiM self-assessment and Glaxo Pathway Program
      Explore specialties through personal experience, talking to others, CiM, Glaxo, and other resources
    • Session 2: Surviving 3rd and 4th YearClerkships
    • Session 3: Getting Into Residency
      Applying for residency
      Writing a CV and personal statement
      Getting letters of recommendation
      Residency interviewing
    • Choosing a Career in Medicine:
      Sources:
      1. The Ultimate Guide to Choosing a Medical Specialty, second edition
      by Brian Freeman, MD
      Ren Stinson / University of Iowa
      3. Michael G. Kavan, Ph.D
      Associate Dean for Student Affairs
      Creighton University School of Medicine
    • CAREER ADVISING AND RESIDENCY SELECTION ASSISTANCE PROGRAM
      SCHEDULE for 2008-09
       
       
    • What to Expect
      From the 3rd and 4th year clerkships:
      Long hours, lots of standing, system of hierarchy
      Rewarding, exhilarating experiences
      Clinical education/Learn! You’re still paying for it!
      Sources of support: OSU-Tulsa graduate studentsprovide services under the supervision of a faculty member.  5 free sessions, additional sessions at $10 each. 
      Basis for choosing a lifelong career