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Career Mapping for Primary Care Physicians

Nicole Redmond, MD, PhD, MPH Chief Fellow Harvard Fellowships in General Medicine and Primary Care December 13, 2010. Career Mapping for Primary Care Physicians. Medical Student/Resident. Fellowship. Non-Academic Mission. Academic Mission. HMO/Large Group. Non-clinical. Public Health.

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Career Mapping for Primary Care Physicians

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  1. Nicole Redmond, MD, PhD, MPH Chief Fellow Harvard Fellowships in General Medicine and Primary Care December 13, 2010 Career Mapping for Primary Care Physicians

  2. Medical Student/Resident Fellowship Non-Academic Mission Academic Mission HMO/Large Group Non-clinical Public Health Pvt Practice/ Small Group Master Consulting Physician Clinician Educator Clinician Researcher Gov’t Translational Research Consulting Funder Agency Clinical Research Bench Research Clin Devpt Pharma/Biotech Business Non-profit VC NIH Prod Devpt Inv Bank Courtesy of UCSF Faculty: Mary-Ann Shafer, MD; Bill Lindstaedt Nannette Nemenzo FDA/Reg Med Sci Liaison Insurance Sci/Tech/Health Policy

  3. Medical Student/Resident Fellowship Non-Academic Mission Academic Mission Too many options!! HMO/Large Group Non-clinical Public Health Pvt Practice/ Small Group Master Consulting Physician Clinician Educator Clinician Researcher Gov’t Translational Research Consulting Funder Agency Clinical Research Bench Research Clin Devpt Pharma/Biotech Business Non-profit VC NIH Prod Devpt Inv Bank Courtesy of UCSF Faculty: Mary-Ann Shafer, MD; Bill Lindstaedt Nannette Nemenzo FDA/Reg Med Sci Liaison Insurance Sci/Tech/Health Policy

  4. Key Steps in Career Development Today’s Session • Experiences and Expectations • Self Assessment (SKINventories) • Career Mapping • Mentor Shopping • Other stuff (if time permits)

  5. Key Steps in Career Development • Self assessment • Self promotion • Identifying Opportunities • Interviewing • Negotiating Job Offers

  6. Key Steps in Career Development • Self assessment • Self promotion • Identifying Opportunities • Interviewing • Negotiating Job Offers MENTOR MENTOR MENTOR MENTOR MENTOR

  7. Key Steps in Career Development • Self assessment • Self promotion • Identifying Opportunities • Interviewing • Negotiating Job Offers

  8. Key Steps in Career Development Self assessment Get comfortable in your own SKIN • Skills: What can I do? What do I want to do? • Knowledge: What do I know? What do I want to know? • Interests: What do I like? • Needs (Values): What is important to me?

  9. Key Steps in Career Development • Skills: What can I do? What do I want to do? • Research Skills • Identifying novel/feasible ?s • Study design • Analytic methods • Grant writing • Leadership/Mgmt Skills • Oral/Written presentation • Project Management • Financial Management • Personnel Management • Time management • Clinical Skills • Procedures • Diagnostic skill • Teaching Skills • Precepting • Small group facilitation • Curriculum/course development • Effective feedback/evaluation

  10. Key Steps in Career Development • Knowledge: What do I know? What do I want to know? • Diseases (e.g., diabetes, infectious disease) • Populations (e.g., women, minorities) • Settings (e.g., ambulatory, hospital medicine, community)

  11. Key Steps in Career Development • Interests: What do I like? Where is my passion? • Being creative • Solving problems • Communicating new ideas (writing, speaking) • Teaching and mentoring • Leading and managing

  12. Key Steps in Career Development • Needs (Values): What is important to me? • Autonomy • Money • Legacy • Service • Innovation • Reputation/status • Stability • Flexibility • Location • Lifestyle • Relationships • Professional • Personal

  13. Key Steps in Career Development Putting it Together • Are you developing SKILLS and/or KNOWLEDGE in the areas that INTEREST you? • Do your VALUES seem consistent with your SKILLS, KNOWLEDGE, and INTERESTS? • Where are the gaps and/or inconsistencies?

  14. Key Steps in Career Development Getting to the next step: Plan your trip!! • Map • Milestones • Mentors

  15. Key Steps in Career Development Getting to the next step: Plan your trip!! • Map • StartDestination • Alternate routes? • Potential hazards and detours?

  16. Medical Student/Resident Fellowship Non-Academic Mission Academic Mission HMO/Large Group Non-clinical Public Health Pvt Practice/ Small Group Master Consulting Physician Clinician Educator Clinician Researcher Gov’t Translational Research Consulting Funder Agency Clinical Research Bench Research Clin Devpt Pharma/Biotech Business Non-profit VC NIH Prod Devpt Inv Bank Courtesy of UCSF Faculty: Mary-Ann Shafer, MD; Bill Lindstaedt Nannette Nemenzo FDA/Reg Med Sci Liaison Insurance Sci/Tech/Health Policy

  17. Key Steps in Career Development Check for Progress • Milestones • Short-term: Coursework, training • Intermediate/Long-term: Licensure, grant award • SMART goals (http://www.projectsmart.co.uk/pdf/smart-goals.pdf) • S - specific, significant, stretching • M - measurable, meaningful, motivational • A - agreed upon, attainable, achievable, acceptable, action-oriented • R - realistic, relevant, reasonable, rewarding, results-oriented • T - time-based, timely, tangible, trackable

  18. Key Steps in Career Development Guides on the Journey: Mentors • Key features • Dynamic (i.e., subject to change) • collaborative, reciprocal relationship • focused on a mentee’s personal and professional development Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med. 2009 Jan;84(1):140-4

  19. Key Steps in Career Development Guides on the Journey: Mentors • Finding a mentor . . . or two • Meet with people you know • Get recommendations • Ask people you meet with who else they recommend • Be persistent • Find multiple mentors, both junior and senior people • Consider individuals outside your institution • Professional Societies/Meetings Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med. 2009 Jan;84(1):140-4

  20. Key Steps in Career Development Guides on the Journey: Mentors • Things to look for in a mentor • Is available and accessible • Provides opportunities and encourages mentee to take risks • Helps mentee develop own agenda • Has prior mentoring experience Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med. 2009 Jan;84(1):140-4

  21. Key Steps in Career Development Guides on the Journey: Mentors • Cultivating the mentor–mentee relationship • Agree on structure and objectives of relationship • Plan and set the meeting agendas • Ask questions and Actively listen • Follow through on assigned tasks • Ask for feedback • Manage up: • Set goals and expectations • Be responsive and flexible • Direct the flow of information • Follow a regular meeting schedule with agenda Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med. 2009 Jan;84(1):140-4

  22. Key Steps in Career Development • Self assessment • Self promotion • Identifying Opportunities • Interviewing • Negotiating Job Offers

  23. Key Steps in Career Development Self Promotion • Identify your niche/area(s) of expertise • Identify your “target market” • Develop Mission Statement for your career • “The elevator pitch” • Prepare your supporting documents • Curriculum Vitae • Cover Letter • Teaching Philosophy/Teaching portfolio • Job Talk

  24. Key Steps in Career Development Identifying Opportunities • Goals: • Understanding current landscape • Evaluate potential for growth • Reality check for desired vs. available jobs • Tools: • Networking • Recruiters • Job postings

  25. Key Steps in Career Development Interviewing • Preparation • Review and perfect self-promotion strategy/materials • Use available resources (web, personal contacts) to learn about company/institution • Determine what remains to be learned • The Visit • Follow-up

  26. Key Steps in Career Development Negotiations • Revisit self-assessment • Needs vs. wants/ short-term vs. long-term • Negotiables vs. Non-negotiables • BATNA (Best Alternative to No Agreement) • Understand the Market • What does the “average” offer look like • Understand Legal/Financial details

  27. Key Steps in Career Development References and Resources 1: Detsky AS, Baerlocher MO. Academic mentoring--how to give it and how to get it. JAMA. 2007 May 16;297(19):2134-6. 2: Saha S, Christakis DA, Saint S, Whooley MA, Simon SR. A survival guide for generalist physicians in academic fellowships part 1: getting started. J Gen Intern Med. 1999 Dec;14(12):745-9. 3: Saha S, Saint S, Christakis DA, Simon SR, Fihn SD. A survival guide for generalist physicians in academic fellowships part 2: preparing for the transition to junior faculty. J Gen Intern Med. 1999 Dec;14(12):750-5. 4: Zerzan JT, Hess R, Schur E, Phillips RS, Rigotti N. Making the most of mentors: a guide for mentees. Acad Med. 2009 Jan;84(1):140-4. HMS Format CV instructions: http://cv.hms.harvard.edu

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