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imecon career progression and support - Copy.pptx
1. Career progression and
support.
Dr Mahwash Mansoor
Associate professor
Diagnostic radiology
Bolan medical college Quetta
Medical educationist
1
2. Objectives;
• To elicit the importance of structured career counselling
/ guidance programme in medical education.
• To emphasis on development of an inventory for
speciality selection and career preferences .
2
3. Career Preference Decision ;
• Clinical; Specialty &
Sub specialty.
• Academics
• Management
• Research
• International medical
graduate
4. Career Support
Frame work.
1. Self assessment
and development .
2. Career exploration.
3. Decision making.
4. Plan
implementation
and management.
• Personality
• Psychomotor testing /
Myers-Briggs type
indicators
• Ethnic, social, culture.
• Satisfaction/Interest.
• Income/job opportunity.
• Training period.
• Competitiveness.
• Cost.
• Dependence of Technology.
• Level of stress / working hours
• Controllable Life/ Balance life.
• Role model/ Influence.
• Physical disability.
• Diagnostic challenge.
4
5. Need
• Modernizing Medical careers.
Provision of Career support
service
• Uk,
Sci 59 specialty choice inventory.
• USA,
Medical specialty preference
inventory.
• locally Developed instrument ??
5
6. Topic ,(published article)
Role of Structured Career Counselling in Speciality
Selection among Post Graduate Trainees;
• 52 participants responded and one incongruence response discarded.
Results were divided into two groups,
1) Changed of speciality , 8(16%), M-3(37%), F-5 (62%)
2) Without changed of speciality, 43(84%), M-21(49%), F-22(51%).
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If structured career counselling programme was available for your
help than decision would be easier?
Participants who didn’t change speciality
yes No Don’t know
36(84%) 6(14%) 1(2%)
Participant who changed specialty
yes NO Don’t know
8(100%)
7.
8.
9. If structured career counselling
programme was available for your
help than which problems can be
avoided
Participants
who changed
Speciality
Participants
who didn’t
change
speciality
Total resident percentage
Stress 3 19 22 43.13%
Waste of time 14 14 27.45%
Stress + Waste of money 3 4 7 13.7%
Stress + Waste of money + waste of
time
2 5 7 13.7%
Waste of money 1 1 1.96%
10. Interest 26 51%
Family pressure 6 11%
No answer given 5 10%
Randomly 4 8%
For relax duties/ For social life 4 8%
High scope 2 4%
No idea 1 2%
To serve humanity 1 2%
Peer advise/senior advise 1 2%
Role model 1 2%
Exhaustion ,mental stress, emotional instability ,tired, hectic routine with
duty hours , unpredicted life style, no social life ,over burden
Good future and good return
Social environment, my home town need it
Change of interest
For learning opportunities
Randomly
Reasons for Speciality selection
Reasons
for change of speciality
11. Conclusion:
• Medical graduates and in training are in need of a structured career
counselling program and this demand survey can be used as evidence to
stakeholders for development of career guidance programs merged in
curriculum or develop an inventory to help them in selection of speciality
or career preferences .
• It will ease the decision making process, reduce the stress and help in
developing their professional identity with satisfaction.
11
12. It is never too late or too soon.
It is when it is supposed to be.
13. References.
• Elton C,Borges J N.career progression and support. In:Tim swanwick, understanding medical
education: evidence, Theory and practice.2nd edition. UK. wiley &sons ::2014;420-30.
• Ellis R , Hogard E. Professional Identity and Career Choice.In:John A Dent, Ronald M Harden,Dan
Hunt. A Practical Guide for Medical Teachers .6th edition. Elsevier: 2021: chapter 49.
• El Naggar MA, Mohamed RA, Almaeen AH. The effect of career guidance on undergraduate
medical students' specialty preferences. J Pak Med Assoc. 2021 ;71(7):1808-1813
• Croghan S, Baker T. Graduates' perceptions of the role and availability of career guidance at
medical school. Ir J Med Sci. 2022 ;191(2):597-602
• Howse K, Harris J, Dalgarno N. Canadian national guidelines and recommendations for integrating
career advising into medical school curricula. Academic Medicine. 2017;92(11):1543–1548.
• Hur Y, Cho A, Kim S. How to provide tailored career coaching for medical students. Korean Journal
of Medical Education. 2015;27(1):45–50.
After completion of MBBS medical graduates again face crossroad with a sign showing tough decisions ahead. Medical graduates have to decide about their professional identity which will be life long .they have to decide weather to choose clinical, acedemics etc. In Pakistan Admission in medical school is based on entry test numbers/grades with family pressure, no involvement of aptitude and career counselling. Medical school/ universities or postgraduate institutes focuses primarily on essential medical knowledge and skills, with relatively little interest in career choice and student counseling. this decision will impact the life-long duty and performance of future physicians
In literature for career support a frame work is available. career counseling program for medical students is required for promoting their self-examination of their abilities, aptitude and preferences and understanding of their abilities and providing students with information about department and career direction after training.
Previously medicine was a complete vocational training .Artificial intelligence. robotic surgery, in literature up to 120 /60 speciality and sub-specialties, Our medical universities only concentrate on skill and knowledge but with relatively little interest in career choice and student counseling. this decision will impact the life-long performance of future physicians.
In Bolan medical college a programme by Baluchistan institute of psychiatry and behavioural sciences (BIPBS) is introduced from 2018 where first year students of MBBS and BDS of Bolan Medical College and 2nd year student of Quetta Institute of Medical sciences are delivered lectures and psychologist is available at the institute for the guidance
changed of speciality CS 8(16%), M-3(37%), F-5 (62%) ,2) without changed of speciality 43(84%), M-21(49%), F-22(51%).
The availability of structured career counselling for specialty selection is needed and will lessen the burden of decision making, total participants agreed were 44(86%), not in favour were 6(12%) and one answered with don’t know (2%), { NCS (36(84%); CS (8(100%)}.
Participants strongly supported Structured career counselling at the institutional level (96%) and through a web-based structure (94%).
Problems encountered by Participants due to lack of comprehensive and trustworthy organized career guidance program; Commonest issue was stress, which was followed by waste of time and waste of money.
Majority of participants chose their specialty based on their, Interests, 26(51%), Family pressure. 6(11%) ,Not responded, 5(10%) ,Randomly, 4(8%),Life style/social life. 2(4%)
Others mentioned as no idea, high scope, for humanity, peer advise, role model
No answer given, randomly, no idea, advise, role model, in danger zone.
Randomly. Change of interest. In danger zone
Need of the day.
Career counselling/advice/guidance programme must be structured ,purposeful, sensitive and supportive.
A person must be satisfied with emotional stability ,free of internal conflicts must have self determination and self confidence to become a good professional leader.
To develop a focused and continuous career counselling and guidance programme which start from
First year sets career goals and develop a sense of career identity, Second year start collecting career information, Third year develop competency through practical experience, Fourth year should be provided the stage where they can decide on career that suits their interest, aptitudes and abilities
I think now is the time when we are suppose to Identify and develop structured, purposeful ,sensitive and supportive programme of careers guidance and take responsibilities for implementing it.