Professional Development Series
-
Upload
fritz-ramsey -
Category
Documents
-
view
43 -
download
0
description
Transcript of Professional Development Series
Professional Development Series
Part 1
What will I be when I grow up?
The answer is no longer just “doctor”
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.
Statistics/Job Satisfaction
• 40% of physicians report being very satisfied• 20% of physicians report complete
dissatisfaction• The rest are somewhere in between
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
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
Sample Specialty Divisions
Hospital Based Specialties:Radiology, Pathology, Emergency, Surgery
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
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.
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
Personal Values:
• Hours• Income• Intellectual Stimulation• Type of Patient Population• Generalist vs Specialist• Work Environment• Patient Contact• Social Status
Other considerations:
• Paperwork/Managed Care• Job Opportunities• Length of Training• Academic Competitiveness• Malpractice/Litigation
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
Personality: What are you like?
Results of multiple studies:Surgeons: extroverted, practical, social, less creative,
competitive, structuredControllable lifestyle specialists: withdrawn and rebelliousHospital-based specialties: low tolerance for ambiguity,
desire high structureOBGYN: warm and helpfulPrimary care: desired long term patient relationshipsAction oriented people who desire immediate gratification:
sought out ER, surgery, anesthesiology
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
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
Extraversion IntroversionInterest Orientation
E IOuter world of actions,
objects, and people
Inner world of ideas and concepts
Sensing IntuitionPerception
S NImmediate reality and
direct experience
Inferred meanings and relationships
Thinking FeelingJudgment
T FReliability of logical order –
cause and effect
Priorities based on personal
importance and values
Judgment PerceptionEnvironment Orientation
J PJudging attitude – Control of events and systematic planning
Spontaneity – Curious, awaiting
events and adapting to
them
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”
ISTJDerm, OBGYN,
FP, Urology, Ortho
ISFJAnesth,
Ophthal, FP, Peds
INFJPsych, IM,
Thoracic Sx, Gen Sx, Path
INTJPsych, Path, Neuro, IM,
Anesth
ISTPENT, Anesth,
Radio, Ophthal, FP
ISFPAnesth, Uro, FP,
Thoracic Sx
INFPPsych, Cardio, Neuro, Derm,
Path
INTPNeuro, Path,
Psych, Cardo, Thoracic Sx
ESTPOrtho, Derm,
FP, Radio, Gen Sx
ESFPOphthal,
Thoracic Sx, OBGYN, Ortho,
Gen Sx
ENFPPsych, Derm,
ENT, Peds
ENTPENT, Psych, Radio, Peds,
Path
ESTJOBGYN, FP,
Gen Sx, Ortho, Peds
ESFJPeds, Ortho, ENT, FP, IM
ENFJThoracic Sx, Derm, Psych,
Ophthal, Radio
ENTJNeuro, Cardio, Uro, Thoracic
Sx, IM
Choosing Your Specialty
• Step 1: Select specialties of interest• Step 2: Select factors important to you• Step 3: Rate your specialties
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
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 P
hysicians/ Members of Health-care Team
• Manual /Mechanical Activities
• Pressure• Responsibility• Schedule• Security• Sense of Accomplishme
nt
AAMC Careers in Medicine Program
Password protected
• 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
Year 2 * Continue self-assessment * Complete self-assessment exercises * Review completed Personal Profile with advisorExploring 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
• 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
• 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
Sources for Researching Residency Training Programs
• CiM specialty pageshttp://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 Directoryhttp://opportunities.osteopathic.org/
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
Session 2: Surviving 3rd and 4th YearClerkships
Session 3: Getting Into Residency
• Applying for residency• Writing a CV and personal statement• Getting letters of recommendation• Residency interviewing
Choosing a Career in Medicine:
Sources:1. The Ultimate Guide to Choosing a Medical Specialty,
second editionby Brian Freeman, MD
2. Ren Stinson / University of Iowa
3. Michael G. Kavan, Ph.DAssociate Dean for Student AffairsCreighton University School of Medicine