Obstacles & options in pursuing medical professional career                          Vijay Sardana                        ...
The Noble Profession of Medicine “There is no career nobler than that of thephysician. The Progress and welfare of society...
Medical professionIntellectually challengingFinancially securePersonally rewarding
Stages of careerEntryEstablishmentExplorationSpecializationMastery
Todays successful doctorClinicianAcademicianManagerFinancial ExpertCEOFamily care ProviderSelf care taker
Desirable basic qualities for        prospective Physiciansintelligencescientific interestphysical & emotional strength...
Medical professional carrier:            Potential obstaclesTough competition in PMTLong & demanding UG courseDifficult...
Doctor : FactsOne of the every three dissatisfied due to lack of time for themselves or their familiesAverage life 10 ye...
Females in medicine: problemsCarrier affected by marriageDifficulty balancing between family & carrier- one can’t be sup...
Obstacle: Initial euphoria after          admission
Obstacle: Inadequate knowledgeabout carrier options after MBBS
Carrier optionsGraduatePost graduate
Graduate optionsGPJob- State Govt      central Govt      PSUs      RMO in nursing homes, corporate Hospitals
Post graduate optionsFurther post doctoral coursesJobspractice
Carrier optionsPrivate solo practicePrivate group practiceCentral/ state Govt non teaching jobsPSUsCorporate hospital...
ABROAD OPTIONSGulfUSAUKNew Zealand/ AustraliaMauritius / African countries
Factors influencing carrier choices Inclination before starting MBBS Experience in specialty during rotation Role model...
Obstacle: Inadequate knowledge about pros & cons of different      options after MBBS
Components of a good Job•   Economic – Salary & facilities•   Job security•   Good working condition•   Status•   Growth O...
Job satisfaction among Doctors69.5% –satisfied (AIIMS)Medical doctor in Armed Force – 40%                               ...
Judge your alignment with your job• Am i passionate about what I am doing ?• Am i using my talent and strength ?• Am i hap...
Obstacle: Many of us areconfused about what is success
Doctors : Definition of success Having lots of patients New car/plot Every year/lots of money Publishing papers in jour...
Success•   Wealth•   Recognition•   Good health•   Good family•   Happiness•   Satisfaction•   Peace of mind    “Progressi...
Success- Determinants• Not determined by how we are doingCompared to others , but by how We are doingcompared with what we...
Obstacle: Belief that money is  synonymous for success
Theories of Motivation• Mosleys theory – Hierarchy of Motivational Need       - Physical Need – Food, clothing, sexual urg...
Money can buy….• Amusement, but not happiness• A Bed, but not sleep• Books, but not wisdom• Companions, but not friends• H...
Obstacle : many of us are not         motivated
MotivationMotivation – Drive that encourage action or feeling.Process of inducing and improving anyone to performmore prod...
Physician motivation“determinants that drive performance of a task, independent of the resources and knowledge available”
Motivated person• Look for the better way to do a job• More Quality Oriented• More Productive
MOTIVATION• External – Fear motivation             Incentive motivation• Internal - Comes from within- Pride, sense of    ...
Physician motivatorsIntrinsicServing peopleWork interestCareer growthAbility to support oneself & familyAutonomyEmpo...
Physician motivators               organizationalOpportunities for higher educationGood working & hygienic conditionsPe...
Obstacle: lack of positive attitude
Attitude• Way a person feels, thinks & behaves towards aparticular issue.                        12__suraj_ki_garmi_se.mp3...
Positive Attitude - Benefits• Pleasing personality• Energizing• Inspiring• Problem Solving• Increase work output
Attitude                Job/promotion/success- 85% Attitude- 15 % Intelligence & knowledge of specific facts $ figures    ...
Elements of success            AttitudeKnowledge              Skill
Attitude formation of a Physician Medical student Altruism Role models behavior Prevailing commercialism Work environ...
Attitude : Be Optimistic• Be so strong – nothing can disturb your peace ofmind• Talk health, happiness & prosperity to eve...
Obstacle : Failure to identify & avoid  draining force- negative people
Influence of Friends Our friends are not what we want but kind of              people what we are• Man is recognized by hi...
How value system change Intolerable      Constant ExposureAcceptable       Constant Exposure       Self justificationInvol...
‘Fr enemies’
Positive                 Negative• Part of the answer       • Part of the problem• Has Program              • Has excuse• ...
Positive               Negative• Firm on values,   • Firm on petty things,Compromise on       Compromise on valuespetty th...
Obstacle : we don’t use common sense            with knowledge
“ The education of the doctor which goes  on after he has his degree is the most  important part of his education”        ...
Knowledge Vs Wisdom• Common sense – 6th sense               - Ability to see things as they                 are and do the...
Who is educated ( Socrates 470 – 399 BC)Those-• First who manage well the circumstances which they  encounter day by day, ...
Who is educated ( Socrates 470 – 399 BC)• Most importantly- who are not spoiled bysuccess, hold their ground steadfastly a...
Obstacle : we are not willing To Pay The          price for our dream
Obstacle: we settle for less - become expert in the field
Obstacle: we try to take more        than we give
Give more than you get• More valuable, regardless of nature & placeof work• Give more confidence• Superiors & Colleagues s...
Obstacle: Tend to find substitute         for hard work
Hard Work• Average person - Put 25% of energy of abilityinto work.• Albert Einstein – “I think I used about 25% of myintel...
LUCK• If you want to fail, believe in luck. If you wantto succeed, believe in the principle of cause &effect, and you will...
Obstacle: lack of persistence & perseverance to retain career         commitment
Persistence• Nothing will take the place of persistence.Talent will not- nothing in more common thanunsuccessful people wi...
Obstacle: No hobbies & friends      outside medicine
Carry homeMedical profession is intellectually challenging, financially secure & personally rewardingAlways see sunny si...
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Obstacles & options in pursuing professional medical carrier

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Lecture delivered in Undergraduate professional development programme at Auditorium, Medical college, Kota on 3rd feb 2013

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Obstacles & options in pursuing professional medical carrier

  1. 1. Obstacles & options in pursuing medical professional career Vijay Sardana MD,DM( Neurology) Professor & Head of Neurology, & Chairman Medical Education Unit Govt. Medical College, Kota vsard@yahoo.com
  2. 2. The Noble Profession of Medicine “There is no career nobler than that of thephysician. The Progress and welfare of society ismore intimately bound up with the prevailing toneand influence of the medical profession that withthe status of any other class…” Elisabeth Blackwell, MD, 1889
  3. 3. Medical professionIntellectually challengingFinancially securePersonally rewarding
  4. 4. Stages of careerEntryEstablishmentExplorationSpecializationMastery
  5. 5. Todays successful doctorClinicianAcademicianManagerFinancial ExpertCEOFamily care ProviderSelf care taker
  6. 6. Desirable basic qualities for prospective Physiciansintelligencescientific interestphysical & emotional strengthGood communication skillcommitment to put service to others firstEngage in complex problem solvingLife long learningability to tolerate uncertainty & frustrationsocial awarenesscreativity
  7. 7. Medical professional carrier: Potential obstaclesTough competition in PMTLong & demanding UG courseDifficulty getting PG & choice of specialtyPost doctoral courses - bottle neck possibilityEstablishing & maintaining practiceKeeping updatedlong working hours, Stressful conditionsCoping with governmental & corporate bureaucratic obstaclesIncreasing litigations
  8. 8. Doctor : FactsOne of the every three dissatisfied due to lack of time for themselves or their familiesAverage life 10 year lessDepression 4 times higher than general populationUS- Physician suicide 3 time than general population10% - Develop drug addiction
  9. 9. Females in medicine: problemsCarrier affected by marriageDifficulty balancing between family & carrier- one can’t be superDoc, superMom and superWifeAcademic & financial achievements affectedHave to compromise in- choosing a specialty limiting the work
  10. 10. Obstacle: Initial euphoria after admission
  11. 11. Obstacle: Inadequate knowledgeabout carrier options after MBBS
  12. 12. Carrier optionsGraduatePost graduate
  13. 13. Graduate optionsGPJob- State Govt central Govt PSUs RMO in nursing homes, corporate Hospitals
  14. 14. Post graduate optionsFurther post doctoral coursesJobspractice
  15. 15. Carrier optionsPrivate solo practicePrivate group practiceCentral/ state Govt non teaching jobsPSUsCorporate hospitalsTeaching jobs Govt / private medical college full time / part time practicing / non practicingAbroad/ overseas
  16. 16. ABROAD OPTIONSGulfUSAUKNew Zealand/ AustraliaMauritius / African countries
  17. 17. Factors influencing carrier choices Inclination before starting MBBS Experience in specialty during rotation Role models in profession/ college Specialty prestige/ social appreciation Financial rewards Professional independence Response of specialty patients to treatment Parental preference
  18. 18. Obstacle: Inadequate knowledge about pros & cons of different options after MBBS
  19. 19. Components of a good Job• Economic – Salary & facilities• Job security• Good working condition• Status• Growth Opportunities• Recognition of work done• Challenges of work
  20. 20. Job satisfaction among Doctors69.5% –satisfied (AIIMS)Medical doctor in Armed Force – 40% Choudhary et al MIAFI 2004;60:329-32Initial satisfaction high , falls > 35 years, again rise laterMadan N. job satisfaction among doctor in a Tertiary Care Hospital jk science:2008,10(2)81-83
  21. 21. Judge your alignment with your job• Am i passionate about what I am doing ?• Am i using my talent and strength ?• Am i happy in my work ?• Does it bring joy & fulfillment ?• Am I Earning what I deserve ? Improve or change
  22. 22. Obstacle: Many of us areconfused about what is success
  23. 23. Doctors : Definition of success Having lots of patients New car/plot Every year/lots of money Publishing papers in journals Teaching students
  24. 24. Success• Wealth• Recognition• Good health• Good family• Happiness• Satisfaction• Peace of mind “Progressive realization of a Worthy goal” -Earl Nightingale
  25. 25. Success- Determinants• Not determined by how we are doingCompared to others , but by how We are doingcompared with what we are capable of.• Successful people compete againstthemselves.
  26. 26. Obstacle: Belief that money is synonymous for success
  27. 27. Theories of Motivation• Mosleys theory – Hierarchy of Motivational Need - Physical Need – Food, clothing, sexual urge - Safety - Shelter, security, Health - Social - Friends, family, love - Self Esteem - Recognition, Achievement - Self Actualization
  28. 28. Money can buy….• Amusement, but not happiness• A Bed, but not sleep• Books, but not wisdom• Companions, but not friends• House, but not a home• Medicines, but not health
  29. 29. Obstacle : many of us are not motivated
  30. 30. MotivationMotivation – Drive that encourage action or feeling.Process of inducing and improving anyone to performmore productively and efficiently. Catalyst
  31. 31. Physician motivation“determinants that drive performance of a task, independent of the resources and knowledge available”
  32. 32. Motivated person• Look for the better way to do a job• More Quality Oriented• More Productive
  33. 33. MOTIVATION• External – Fear motivation Incentive motivation• Internal - Comes from within- Pride, sense of achievement & fulfillment, belief & responsibility.
  34. 34. Physician motivatorsIntrinsicServing peopleWork interestCareer growthAbility to support oneself & familyAutonomyEmpowermentSocio-culturalRespectSocial rewards
  35. 35. Physician motivators organizationalOpportunities for higher educationGood working & hygienic conditionsPersonal safetyGood professional experienceGood payFinancial incentives other than pay
  36. 36. Obstacle: lack of positive attitude
  37. 37. Attitude• Way a person feels, thinks & behaves towards aparticular issue. 12__suraj_ki_garmi_se.mp3 - half full-hall empty
  38. 38. Positive Attitude - Benefits• Pleasing personality• Energizing• Inspiring• Problem Solving• Increase work output
  39. 39. Attitude Job/promotion/success- 85% Attitude- 15 % Intelligence & knowledge of specific facts $ figures 12__suraj_ki_garmi_se.mp3• Education - Almost 100% teach facts & figure
  40. 40. Elements of success AttitudeKnowledge Skill
  41. 41. Attitude formation of a Physician Medical student Altruism Role models behavior Prevailing commercialism Work environment Social and political environment
  42. 42. Attitude : Be Optimistic• Be so strong – nothing can disturb your peace ofmind• Talk health, happiness & prosperity to everybody• Look at sunny side of everything• Think best, work for best & expect best• Spend so much time improving yourself that notime left to criticize others• Be equally enthusiastic about other’s success
  43. 43. Obstacle : Failure to identify & avoid draining force- negative people
  44. 44. Influence of Friends Our friends are not what we want but kind of people what we are• Man is recognized by his friends• AVOID Negative friends
  45. 45. How value system change Intolerable Constant ExposureAcceptable Constant Exposure Self justificationInvolvement
  46. 46. ‘Fr enemies’
  47. 47. Positive Negative• Part of the answer • Part of the problem• Has Program • Has excuse• Let me do it for you • Its not my job• Difficult but possible • Possible but to difficult• I must do something • Something must be done• See the gain • See the pain• See possibilities. • See problem.• Hard arguments, • Soft arguments, HardSoft words words
  48. 48. Positive Negative• Firm on values, • Firm on petty things,Compromise on Compromise on valuespetty things• Don’t do it to • Do it to othersothers what you before they do it towould not want to youdo to you• Make it happen • Let it happen
  49. 49. Obstacle : we don’t use common sense with knowledge
  50. 50. “ The education of the doctor which goes on after he has his degree is the most important part of his education” John Shaw Billings
  51. 51. Knowledge Vs Wisdom• Common sense – 6th sense - Ability to see things as they are and do them as ought to be done.• Abundance of Common sense - Wisdom
  52. 52. Who is educated ( Socrates 470 – 399 BC)Those-• First who manage well the circumstances which they encounter day by day, judge situation appropriately as they arise & rarely miss the suitable course of action.• Next Who are honorable in their dealing with all men, reasonable with their associate as is humanly possible.• Furthermore Who hold their pleasure always undercontrol, not unduly overcome by their misfortune
  53. 53. Who is educated ( Socrates 470 – 399 BC)• Most importantly- who are not spoiled bysuccess, hold their ground steadfastly as wise &sober minded man.• who have character which is in accord with allof above- These are educated – possessed of all the virtues.
  54. 54. Obstacle : we are not willing To Pay The price for our dream
  55. 55. Obstacle: we settle for less - become expert in the field
  56. 56. Obstacle: we try to take more than we give
  57. 57. Give more than you get• More valuable, regardless of nature & placeof work• Give more confidence• Superiors & Colleagues start respecting you• Produces pride & Satisfaction.
  58. 58. Obstacle: Tend to find substitute for hard work
  59. 59. Hard Work• Average person - Put 25% of energy of abilityinto work.• Albert Einstein – “I think I used about 25% of myintelligence capacity during my life”• William James – Human being use only 10-12%of their potential.
  60. 60. LUCK• If you want to fail, believe in luck. If you wantto succeed, believe in the principle of cause &effect, and you will create your own luck.“The harder I work, the luckier I get” - Samuel Goldwyn
  61. 61. Obstacle: lack of persistence & perseverance to retain career commitment
  62. 62. Persistence• Nothing will take the place of persistence.Talent will not- nothing in more common thanunsuccessful people with talent. Genius will not – Unrewarded genius in aproverb. Education will not – The world in full ofeducated derelicts Persistence and determination alone areomnipotent. Clavin goolidge
  63. 63. Obstacle: No hobbies & friends outside medicine
  64. 64. Carry homeMedical profession is intellectually challenging, financially secure & personally rewardingAlways see sunny side of medicineAlways follow role models & successful people in professionStrong commitment & perseverance are key to successBelieve in reasoning and scientific cause & effect relationship
  65. 65. Thanks

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