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Professional Development Series


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Professional Development Series

  1. 1. Professional Development Series Part 1
  2. 2. What will I be when I grow up? The answer is no longer just “doctor”
  3. 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. 4. Statistics/Job Satisfaction • 40% of physicians report being very satisfied • 20% of physicians report complete dissatisfaction • The rest are somewhere in between
  5. 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 “nitty gritty”outpatient experience • Not enough time to look at every specialty in 1 year • Lack of guidance resources/lack of time
  6. 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. 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. 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. 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. 10. Personal Values: • Hours • Income • Intellectual Stimulation • Type of Patient Population • Generalist vs Specialist • Work Environment • Patient Contact • Social Status
  11. 11. Other considerations: • Paperwork/Managed Care • Job Opportunities • Length of Training • Academic Competitiveness • Malpractice/Litigation
  12. 12. What are your interests? Anatomy Surgery, Radiology Histology Pathology, Derm Biochemistry Internal Medicine Neuroscience Neuro, Neurosx, Psych, Rehab Immunology Path, Infectious Disease Physiology Surgery, IM, Anesthesiology Behavioral Science Psychiatry Genetics Peds Molecular Biology Pathology Microbiology Infectious Disease Pathology IM, FP, Pathology Pharmacology Anesthesiology, IM
  13. 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. 14. Myer-Briggs Personality Type Indicator MBPTI • 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 • for a fee can get expert feedback
  15. 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. 16. Extraversion Introversion Interest Orientation E IOuter world of actions, objects, and people Inner world of ideas and concepts
  17. 17. Sensing Intuition Perception S NImmediate reality and direct experience Inferred meanings and relationships
  18. 18. Thinking Feeling Judgment T FReliability of logical order – cause and effect Priorities based on personal importance and values
  19. 19. Judgment Perception Environment Orientation J PJudging attitude – Control of events and systematic planning Spontaneity – Curious, awaiting events and adapting to them
  20. 20. ISTJ “Take Your Time and Do It Right” ISFJ “On My Honor, to Do My Duty…” INFJ “Catalyst for Positive Change” INTJ “Competence + Independence = Perfection” ISTP “Doing the Best I Can With What I’ve Got” ISFP “It’s the Thought That Counts” INFP “Still Waters Run Deep” INTP “Ingenious Problem Solvers” ESTP “Let’s Get Busy!” ESFP “Don’t Worry, Be Happy” ENFP “Anything’s Possible” ENTP “Life’s Entrepreneurs” ESTJ “Taking Care of Business” ESFJ “What Can I Do For You?” ENFJ “The Public Relations Specialist” ENTJ “Everything’s Fine – I’m in Charge”
  21. 21. ISTJ Derm, OBGYN, FP, Urology, Ortho ISFJ Anesth, Ophthal, FP, Peds INFJ Psych, IM, Thoracic Sx, Gen Sx, Path INTJ Psych, Path, Neuro, IM, Anesth ISTP ENT, Anesth, Radio, Ophthal, FP ISFP Anesth, Uro, FP, Thoracic Sx INFP Psych, Cardio, Neuro, Derm, Path INTP Neuro, Path, Psych, Cardo, Thoracic Sx ESTP Ortho, Derm, FP, Radio, Gen Sx ESFP Ophthal, Thoracic Sx, OBGYN, Ortho, Gen Sx ENFP Psych, Derm, ENT, Peds ENTP ENT, Psych, Radio, Peds, Path ESTJ OBGYN, FP, Gen Sx, Ortho, Peds ESFJ Peds, Ortho, ENT, FP, IM ENFJ Thoracic Sx, Derm, Psych, Ophthal, Radio ENTJ Neuro, Cardio, Uro, Thoracic Sx, IM
  22. 22. Choosing Your Specialty • Step 1: Select specialties of interest • Step 2: Select factors important to you • Step 3: Rate your specialties
  23. 23. Glaxo Pathway Evaluation Program ounseling/interior.htm?self-assessment.htm Self assessment will rate medical specialties according to compatability Co-sponsored by Duke University
  24. 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. 25. AAMC Careers in Medicine Program Password protected
  26. 26. • 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
  27. 27. 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
  28. 28. • 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
  29. 29. • Year 4: Getting into Residency • Research residency training programs through AMA's FREIDA , AMA's Graduate Medical Education Directory (Green Book), or Osteopathic Opportunities • 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
  30. 30. Sources for Researching Residency Training Programs • CiM specialty pages • AMA’s FREIDA careers/graduate-medical-education/freida- online.shtml • Graduate Medical Education Directory
  31. 31. 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: – m – 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
  32. 32. Session 2: Surviving 3rd and 4th Year Clerkships
  33. 33. Session 3: Getting Into Residency • Applying for residency • Writing a CV and personal statement • Getting letters of recommendation • Residency interviewing
  34. 34. Choosing a Career in Medicine: Sources: 1. The Ultimate Guide to Choosing a Medical Specialty, second edition by Brian Freeman, MD 2. Ren Stinson / University of Iowa 3. Michael G. Kavan, Ph.D Associate Dean for Student Affairs Creighton University School of Medicine
  35. 35. CAREER ADVISING AND RESIDENCY SELECTION ASSISTANCE PROGRAM SCHEDULE for 2008-09 Date Time Location Topic Description DECEMBER Wed, 12-10-08 4:30 pizza 5 pm mtg 452 Careers in Medicine This workshop provides students with both a process for making informed career decisions – especially regarding a specialty – and some of the information and guidelines needed to be successful in this process. JANUARY Wed, 1-14-09 5 pm 452 Meet the Specialists What do you really need to know in order to match in the various specialties? You will have an opportunity to meet with specialists in a small-group setting and to learn more about particular specialties and how to enhance your chance to match into that specialty. Bring your questions. FEBRUARY Wed, 2-11-09 5 pm 452 The Senior Year Dr. Kavan explains how to select a career mentor, assemble a tentative senior year schedule, apply for extramurals, and prioritize electives. Celeste Hubbard explains the OASIS scheduling system. MARCH Wed, 3-11-09 5 pm 452 How to Get the Right Residency Students learn how the matching process works and how to be successful. Dr. Kavan offers guidelines and insight on writing a curriculum vitae and personal statement. You will get a sample CV to help you make your own. We explain the Electronic Residency Application Service (ERAS). APRIL Wed, 4-8-09 5 pm 452 Residency Advising Program Senior students who participated in the current match lead small group sessions to advise and answer questions that pertain to the specialty area in which they matched. Juniors have the opportunity to attend two different small group sessions. JUNE Wed, 6-3-09 5 pm 452 National Resident Matching Program, MSPE Interview Students learn how to sign up for the National Resident Matching Program (NRMP) and what you need to know about the Medical Student Performance Evaluation (MSPE) - formerly called the Dean’s Letter. Students also receive mandatory refresher training in policies, OSHA, etc.
  36. 36. 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 students provide services under the supervision of a faculty member. 5 free sessions, additional sessions at $10 each. – Basis for choosing a lifelong career