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Millennials in Medicine: A New Generation Comes to Medical School. Carol Elam, Ed.D. Associate Dean for Admissions and Institutional Advancement Professor, Department of Behavioral Science Director of Medical Education Research University of Kentucky College of Medicine

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Millennials in medicine a new generation comes to medical school

Millennials in Medicine: A New Generation Comes to Medical School

Carol Elam, Ed.D.

Associate Dean for Admissions and Institutional Advancement

Professor, Department of Behavioral Science

Director of Medical Education Research

University of Kentucky College of Medicine

Nicole Borges, Ph.D.

Associate Professor, Department of Community Health

Director, Medical Education Research

Boonshoft School of Medicine Wright State University


Impressions of current medical students questions to ponder
Impressions of Current Medical StudentsQuestions to Ponder:

  • Name 3 positive qualities, attributes, orattitudes you see in current medical students.

  • Name 3 negative qualities, attributes, or attitudes you see in current medical students.

  • Have medical students changed over the past few years?


A generation is
A Generation Is…

  • Born over a 20 year time period

  • Shaped by common history

    -Icons

    -Events and Conditions

  • Known for its persona


Generational cohorts
Generational Cohorts

G.I. Generation (1901-1924)

Loyal and patriotic

Silent Generation (1925-1942)

Conforming

Boom Generation (1943-1960)

Idealistic and competitive


Generational cohorts1
Generational Cohorts

Generation X (1961-1981)

Skeptical and independent

The Millennials (1982-2002)

Realistic and collaborative


Who are the millennial students
Who are the Millennial Students?

Born from 1982-2002

Children of the Baby Boomers

Included in family decision-making

Accustomed to standing up for themselves

Have developed problem-solving ability

Told they are special

Confident and “bred for success”


Who are the millennial students1
Who are the Millennial Students?

Sheltered

Used to following the rules

Pressured to excel

Balance school, hobbies, sports, & service activities

Most educated generation

May work to resolve societal problems

Next “Greatest Generation”


Other defining positive qualities
Other Defining Positive Qualities

  • Techno-savvy

    -Internet

    -Personal Pagers

    -Cell phones

    -Computers

  • Team-oriented with strong team instincts and peer bonds

  • Polite and respectful of others


Potential twists
Potential Twists

  • Trust in institutions at local level

Expectations for accountability;

consumerist attitudes

  • Trust in parents

Strong parental influence / interference

  • Have lived with diversity

Appreciate cultural differences with individuals from diverse backgrounds

May feel problems associated with race/diversity have been addressed and resolved


Potential twists1
Potential Twists

  • Reliance on technology in communication with friends

Less skill in one-to-one communication

  • Multi-taskers

Shortened attention span

Lack of introspective ability


Previous educational experiences
Previous Educational Experiences

  • Structured curriculum with emphasis on basics

  • Rote teaching and learning

  • Measures of objective progress, computer scored examinations

  • Prefer math and science to humanities, art, and history

  • Emphasis on educational achievement, good grades


Questions to consider
Questions to Consider:

  • What consideration is given to factors such as race, socioeconomic status, or country of birth?

  • To what extent do presentations such as this overgeneralize group characteristics and perpetuate stereotyping?

  • What data are available to document the differences between Generation X and Millennial students?


Medical School Millennial Students: A Comparison with Generation X’ers(Borges, Manuel, Jones and Elam, 2006)

  • 16 Personality Factor Questionnaire

  • Compared responses of 399 females and 410 males enrolled between 1989 and 2004 (n=809)

  • 68% were Generation X students

  • 32% were Millennial students


Sixteen personality factors
Sixteen Personality Factors Generation X’ers


Hypothesis higher scoring patterns

Millennials will score higher on: Generation X’ers

Warmth

Rule Consciousness

Sensitivity

Emotional Stability

Perfectionism

Generation X will score higher on:

Dominance

Vigilance

Privateness

Openness to Change

Self-Reliance

Hypothesis:Higher Scoring Patterns


Findings higher scoring patterns

Millennials Generation X’ersdid score higher on:

Warmth

Rule Consciousness

Sensitivity

Emotional Stability

Perfectionism

Generation X did score higher on:

Dominance

Vigilance

Privateness

Openness to Change

Self-Reliance

Findings:Higher Scoring Patterns


Other factors not included in the hypotheses

Millennials also scored higher on: Generation X’ers

Reasoning

Social Boldness

Apprehension

No differences:

Liveliness

Abstractedness

Tension

Other Factors:Not included in the Hypotheses


Findings and implications
Findings and Implications Generation X’ers

Millennials scored higher on scales as expected; Generation X students did not...Why?

  • No real differences

  • Need to refine aspects of the theories

  • Students in medical school are different

  • Effect of “cuspars”


Questions to consider1
Questions to Consider: Generation X’ers

  • What are the millennials’ needs in the learning environment?

  • What are the implications for changing the teaching-learning relationship?

  • What should our institutions do to prepare for and respond to these students?


Challenges when communicating with millennial generation
Challenges when Communicating with Millennial Generation Generation X’ers

  • Sense of entitlement

    -want value, accountability

  • Complaining to the top, not going through proper channels

    -want suggestions/concerns to be heard

  • Unrealistic expectations about how to achieve goals

    -may need guidance from mentors/senior students; may not seek help

  • Pressured overachievers…

    -want balance in life yet are overextended and overwhelmed


Challenges in educating the millennial generation
Challenges in Educating the Millennial Generation Generation X’ers

  • Not inclined to self-explore

    - May need help with reflective exercises/practices

  • Susceptible to academic dishonesty

    - Be clear about policies, and consistent in application of student progress/ honor code rules

  • Technology (cell calls, email, instant messaging) may have stunted communication skills – particularly in confrontational situations

    - Monitor development of communication skills


Factors that may contribute to attitudes behaviors of millennial students
Factors that May Contribute to Attitudes/Behaviors of Generation X’ers Millennial Students

  • Parental Involvement

  • Increasing Tuition and Debt

  • Contact with Other Medical Students

  • Internet

  • Service and Service Learning Exposure

  • Selection Factors


Opportunities for curriculum development
Opportunities for Generation X’ersCurriculum Development

  • Team learning

    • Promote cooperative and interprofessional

      learning opportunities

    • Real world applications

  • Technology innovations

    • Promote new applications of technology

  • Diversity experts

    • Tap into understanding of culture, ethnicity

  • Community and civic spirit

    • Support and empower community service and

      real world problem solving


References
References Generation X’ers

  • Neil Howe & William Strauss, Millennials Rising: The Next Great Generation. Vintage Books: New York, 2000.

  • Lynne Lancaster & David Stillman, When Generations Collide: Who They Are. Why They Clash. How to Solve the Generational Puzzle at Work. Harper Business: New York, 2002.

  • R Zemke, C. Raines, B. Filipczak, Generations at Work: Managing the Class of Veterans, Boomers, Xers, and Nexters in Your Workplace. New York: American Management Assoc., 2000.


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