EMIG: What You Need to Maximize Potential Jonathan S. Jones, MD FAAEM FACEP Program Director...
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Transcript of EMIG: What You Need to Maximize Potential Jonathan S. Jones, MD FAAEM FACEP Program Director...
EMIG: What You Need to Maximize Potential
Jonathan S. Jones, MD FAAEM FACEPProgram Director
Assistant ProfessorDepartment of Emergency Medicine
University of Mississippi Medical Center
Conflicts of Interest• None…but am actively looking
• All pictures are either from public domain websites or with patient consent
• Email me: [email protected]
Objectives• Learn strategies to increase interest in
Emergency Medicine• Identify those students truly interested
in EM (as opposed to just interested in free pizza)
• Successfully recruit the best students• Manage students who are not a good fit
for EM
Not-Objectives• Distribute an exhaustive list of
components necessary for a successful EMIG
• Tell you how you should organize your EMIG
• Pretend that our EMIG is perfect
Increase Interest in EM• Effort: 2• Effectiveness: 5
• Evaluated on a multi-cultural, language non-specific, visual-analog, Likert-scale using the polytomous Rasch model
Increase Interest in EM• Undergraduates
– Is this too early to start?– Very impressionable and excitable– Many will not actually attend medical school– Much time to rethink specialty– Great job for a resident
Increase Interest in EM• M1/M2
– Very impressionable and excitable– What aspects of medicine are “cool”
Wilderness, disaster, toxicology Trauma Procedures Riding in a helicopter Foreign bodies
Increase Interest in EM• M1/M2
– Lectures in regular curriculum ICM or equivalent
– Large EMIG meetings (invite the whole class) Residents are best ambassadors
– Volunteering/shadowing in the ED Must have interested and dedicated
faculty/residents Have a formal system
– Consider goals/checklists/recognition/awards
– Research in the ED Get their name on an abstract/manuscript
Increase Interest in EM• M3
– When do students rotate in the ED?– Is M3 year appropriate for an EM elective?
Maybe– Are there other options?
BLS/ACLS/PALS/ATLS Simulation Other
Increase Interest in EM• M4
– More appropriate time for a core EM clerkship?
– The M4 year is not too late to get students interested in EM
– Other EM related electives Typical EM Sub-specialties
– But don’t limit the options to these Don’t be afraid to “step on some toes”
– EKG, ultrasound, research, sports medicine
Increase Interest in EM• Social Media
– Effort: 5– Effectiveness: 1
• Not really that useful• Too much out there/overload• Who does this appeal to and would we
want that person
Identify those truly interested• EMIG Membership
– Be approachable (free, friendly, and open to everyone) but require a little initiative on their part
– Keep a list of members Some events can be open to all medical students But make sure some are exclusive to EMIG
members– A reason to commit
Keep a role of who attends meetings– Consider recognition
Identify those truly interested• Does attending meetings or being an
EMIG officer mean the student is committed to EM?– Maybe
• Does spending time in the ED mean the student is committed to EM?– Yes
Identify those truly interested• Mentors!
– Don’t force anyone to be a mentor– The best mentors may be residents– Create a list of mentors and their interests
All students will want to have the PD, CD, Chair as their mentor
– Be careful
– Standardized expectations For both mentors and mentees
Recruit the best
• The EMIG Meeting– Need separate meetings for M1/2 and M3/4– The M3/4 meetings are really for recruiting
Recruit the best
• Sample EMIG M3/4 meeting schedule– March/April: Planning for the M4 year,
externships?– May: Welcome/going away party– June: How to be an M4– July: Residency application basics and LORs– August: Personal statements– September/October: Mock interviews– January: Rank list
Recruit the best
• Most everything used to get students interested is also great to use for recruiting
• The most important thing you can do to recruit a great student:
Recruit the best
• Personal attention– Why should they be interested in us if we
aren't interested in them– Honesty
What about students you don’t want• Effort: 12• Effectiveness: 12
• Evaluated on the “fibromyalgia-acting-up-allergic-to-everything-but-demerol” scale
What about students you don’t want• Are they not a good fit for EM, or are
there other issues involved?• Remember what EMIG stands for
– Ideally we can help all members of EMIG, even those we don’t want as residents
– It’s good for them and for us
What about students you don’t want• Demand specifics• Be honest
– A reality check now is better than on match day
• Should you interview all of your own students?
• Should you interview everyone who did an externship with you?
Take Home Point #1
• EMIG is not just about meetings– Don’t let EMIG be totally student run – Take
control of it– Expand the scope to include all recruiting
efforts– Clinical experiences, research, curriculum
changes– Be organized, keep records, track student
involvement
Take Home Point #2
• Start early– The earlier the better (and easier)– Get residents involved (heavily)– Get senior students involved– Remember why you chose EM– Shock and awe