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Professional Development Series

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  • 1. Professional Development Series
    Part 1
  • 2. What will I be when I grow up?
    The answer is no longer just “doctor”
  • 3. 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.
  • 4. Statistics/Job Satisfaction
    40% of physicians report being very satisfied
    20% of physicians report complete dissatisfaction
    The rest are somewhere in between
  • 5. 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
  • 6. 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
  • 7. 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
  • 8. 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.
  • 9. 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
  • 10. Personal Values:
    Hours
    Income
    Intellectual Stimulation
    Type of Patient Population
    Generalist vs Specialist
    Work Environment
    Patient Contact
    Social Status
  • 11. Other considerations:
    Paperwork/Managed Care
    Job Opportunities
    Length of Training
    Academic Competitiveness
    Malpractice/Litigation
  • 12. What are your interests?
  • 13. 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
  • 14. 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
  • 15. 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
  • 16. Extraversion
    Introversion
    Interest Orientation
    E
    I
    Outer world of actions, objects, and people
    Inner world of ideas and concepts
  • 17. Sensing
    Intuition
    Perception
    S
    N
    Immediate reality and direct experience
    Inferred meanings and relationships
  • 18. Thinking
    Feeling
    Judgment
    T
    F
    Reliability of logical order – cause and effect
    Priorities based on personal importance and values
  • 19. Judgment
    Perception
    Environment Orientation
    J
    P
    Judging attitude – Control of events and systematic planning
    Spontaneity – Curious, awaiting events and adapting to them
  • 20.
  • 21.
  • 22. Choosing Your Specialty
    Step 1: Select specialties of interest
    Step 2: Select factors important to you
    Step 3: Rate your specialties
  • 23. 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
  • 24. 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
  • 25.
  • 26.
  • 27. AAMC Careers in Medicine Program
    Password protected
  • 28. 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
  • 29. 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
  • 30. 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
  • 31. 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
  • 32. 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/
  • 33. 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
  • 34. Session 2: Surviving 3rd and 4th YearClerkships
  • 35. Session 3: Getting Into Residency
    Applying for residency
    Writing a CV and personal statement
    Getting letters of recommendation
    Residency interviewing
  • 36. 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
  • 37. CAREER ADVISING AND RESIDENCY SELECTION ASSISTANCE PROGRAM
    SCHEDULE for 2008-09
     
     
  • 38. 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