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M3 Meeting: Overview. Michael G. Kavan, Ph.D Associate Dean for Student Affairs Creighton University School of Medicine. CAREER ADVISING AND RESIDENCY SELECTION ASSISTANCE PROGRAM SCHEDULE for 2007-08. Careers in Medicine Overview (www.aamc.org/students/cim).

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M3 meeting overview

M3 Meeting: Overview

Michael G. Kavan, Ph.D

Associate Dean for Student Affairs

Creighton University School of Medicine


M3 meeting overview

CAREER ADVISING AND RESIDENCY SELECTION ASSISTANCE PROGRAM

SCHEDULE for 2007-08


Careers in medicine overview www aamc org students cim

Careers in Medicine Overview(www.aamc.org/students/cim)

  • Phase One: Understanding yourself

    • Personal influences

    • Interests

    • Values

    • Environmental factors and practice needs

    • Personality type and learning styles

    • Skills

    • Educational experiences


Four domains of career assessment

Four Domains of Career Assessment

  • 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


Physician values in practice scale pvips

Physician Values in Practice Scale (PVIPS)

  • Importance of knowing personal values and what you see as important about your future career in medicine

    • Values predict satisfaction with specialty choice

    • PVIPS is a quick and reliable measure of values related to the practice of medicine

  • 60-item scale with the stem:

    • “In my medical practice it will be important that I…”


Pvips

PVIPS

  • Responses summed to yield measures of six core values found to be common among samples of medical students:

    • Prestige

    • Service

    • Autonomy

    • Lifestyle

    • Management

    • Scholarly pursuits

  • These are then related to particular specialty areas


Interpretation of the pvips

Interpretation of the PVIPS

  • Scale(s) with the highest scores represent what the person considers most important in his/her career as a physician

  • May look at specific items within each scale to see which specific values are most important

  • Key -Will the medical specialty you are looking at allow fulfillment of your core values?


Interpretation of pvips

Interpretation of PVIPS

  • Prestige

    • Desire to be recognized by others as a top physician

    • Power, stature in the community/among peers, and achievement

    • For example, surgery

  • Service

    • Desire to care for others regardless of financial gains or other rewards

    • Help others for the sake of helping

    • For example, Primary Care


Interpretation of pvips1

Interpretation of PVIPS

  • Autonomy

    • Desire for freedom, independence, and control over clinical decision making

    • Doing things your own way, creativity, little constraint

    • For example, pathology and radiology

  • Lifestyle

    • Desire for a controllable lifestyle and not wanting a lot of change, responsibility, or demands place on you

    • For example, _________________


Interpretation of pvips2

Interpretation of PVIPS

  • Management

    • Desire to supervise and have responsibility for others

    • Seek administrative responsibilities and find meaning in planning the work of other people on the health-care team

  • Scholarly Pursuits

    • Desires research and scholarship activities

    • Academic medicine, clinical or basic research, and teaching activities


M3 meeting overview

  • www.aamc.org/students/cim for the PVIPS results


Medical specialty preference inventory 2 nd edition

Medical Specialty Preference Inventory (2nd Edition)

  • Assists students in choosing a medical specialty appropriate to their interests and skills; in essence, what is desirable for you in the practice of medicine

  • An interest inventory that provides overall preference scores for six major specialties:

    • Family Medicine

    • Internal Medicine

    • Obstetrics and Gynecology

    • Pediatrics

    • Psychiatry

    • Surgery


M3 meeting overview

MSPI

  • 150-item inventory in which each item has the stem: “A practice in which I…”

  • 38 factor scores covering five major categories of medical practice:

    • Diseases and problems

    • Patients

    • Care and treatment

    • Knowledge

    • Procedures and services


M3 meeting overview

MSPI

  • Examine specialty scores/comparisons

    • Scores 73 or higher indicate a preference for a specialty

    • However, keep in mind, everything is relative

  • Examine factor scores

    • Compare with each of six specialties – endorsed by practicing physicians as factors characteristic with the specialty area


M3 meeting overview

  • www.aamc.org/students/cim for the MSPI results


Phase two exploring options

Phase Two: Exploring Options

  • Researching specialties

  • Conducting in-depth specialty exploration

  • USMLE – see NRMP Data in CiM

    • Charting Outcomes in the Match

  • Alternatives to clinical practice

  • Academic medicine

  • Budgeting and financial information

  • Narrowing your choices


Phase three choosing a specialty

Phase Three: Choosing a Specialty

  • Once you have collected enough information on all of the possibilities, the goal for this phase is to:

    • Compare what you have learned about yourself in the first phase with the information you’ve gathered about the specialties and other medical career options you’re considering

    • CiM will then assist you in selecting a specialty you will pursue during residency


Phase three choosing a specialty1

Phase Three: Choosing a Specialty

  • Making good decisions

    • What do you truly like to do?

    • Talk it over with others (e.g., peers, faculty, family, friends, etc.)

    • Other considerations (e.g., family, location, $, etc.)

  • CiM Specialty Pages


Residency training paths

Residency Training Paths

  • Categorical

    • Programs that begin in PGY 1 (e.g., IM, FM, Peds, Surgery, etc.)

  • Advanced

    • Programs that begin in PGY2 after a prerequisite in a preliminary/transitional program (e.g., Anesthesiology, Ophthalmology, Neurology, Diagnostic Radiology, etc.)

  • Preliminary

    • One year programs that provide prerequisite training for advanced programs; typically in Internal Medicine and Surgery

  • Transitional

    • One year programs that allow the resident to rotate through a number of specialty areas in preparation for further specialty training


Researching residency training programs

Researching Residency Training Programs

  • CiM specialty pages

  • AMA’s FREIDA

  • Graduate Medical Education Directory


Choosing your specialty

Choosing Your Specialty

  • Step 1: Select specialties of interest

  • Step 2: Select factors important to you

  • Step 3: Rate your specialties


Selecting residency training programs

Selecting Residency Training Programs

  • Step 1: Determine what is important to you

    • Academic versus community based

    • Location

    • Teaching

    • Fellowship opportunities

    • Resident satisfaction, etc.

  • Step 2: Look at FRIEDA, program websites, and so forth

  • Step 3: Develop a list of programs that may meet these needs

  • Step 4: Rate your programs


Specialty indecision scale 2 nd edition

Specialty Indecision Scale - 2nd Edition

  • Measures difficulty in the following areas:

    • Readiness – need to begin the process of specialty choice

    • Information – need to locate sources of information and guidance

    • Identity – need to identify one’s interest, values, personality, and career goals

    • Barriers – need to resolve external conflicts

    • Indecisiveness – need to reduce internal conflicts

    • Self-Doubt – need to increase decision-making confidence


Understanding the report

Understanding the Report

  • http://www.aamc.org/programs/cim/sisunderstandingthereport.pdf


Phase four getting into residency

Phase Four: Getting Into Residency

  • Planning your M4 year – February Meeting

  • Applying for residency

  • Writing a CV and personal statement

  • Getting letters of recommendation

  • Residency interviewing

  • Going through the match


What do i do now

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

    • MSPE content taken directly from clerkship evaluations

  • Explore extramural elective opportunities:

    • http://www.aamc.org/students/medstudents/electives/start.htm

  • Participate in CiM self-assessment

  • Explore specialties through personal experience, talking to others, CiM, and other resources


Additional information

Additional Information

  • Resources

    • http://www.ama-assn.org/amednews/site/free/prsa0620.htm

    • http://www.im.org/AAIM/PublicPolicy/Docs/Workforce/finaldallpresentation.pdf

    • CiM Specialty Pages


Additional m3 issues

Additional M3 Issues

  • Timeline (see handout)

  • Schedule of M3 Meetings (see handout)

  • Roadmap to Residency: From Application to the Match and Beyond

    • https://services.aamc.org/Publications/index.cfm?fuseaction=Product.displayForm&prd_id=146&prv_id=172&cfid=1&cftoken=81D79B8D-E90C-4FA6-AA7E4E421E097A3F or at www.aamc.org

      Extramural information:

    • http://www.aamc.org/students/medstudents/electives/start.htm

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