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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.

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What will i be when i grow up
What will I be when I grow up?

The answer is no longer just “doctor”


The big decision
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
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
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 “nittygritty”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
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
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
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
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
Personal Values:

  • Hours

  • Income

  • Intellectual Stimulation

  • Type of Patient Population

  • Generalist vs Specialist

  • Work Environment

  • Patient Contact

  • Social Status


Other considerations
Other considerations:

  • Paperwork/Managed Care

  • Job Opportunities

  • Length of Training

  • Academic Competitiveness

  • Malpractice/Litigation



Personality what are you like
Personality: What are you like?

Results of multiple studies:

Surgeons: extroverted, practical, social, less creative, competitive, structured

Controllable lifestyle specialists: withdrawn and rebellious

Hospital-based specialties: low tolerance for ambiguity, desire high structure

OBGYN: warm and helpful

Primary care: desired long term patient relationships

Action oriented people who desire immediate gratification: sought out ER, surgery, anesthesiology


Myer briggs personality type indicator mbpti
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
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 personality types

Introversion

Interest Orientation

E

I

Outer world of actions, objects, and people

Inner world of ideas and concepts


Sensing personality types

Intuition

Perception

S

N

Immediate reality and direct experience

Inferred meanings and relationships


Thinking personality types

Feeling

Judgment

T

F

Reliability of logical order – cause and effect

Priorities based on personal importance and values


Judgment personality types

Perception

Environment Orientation

J

P

Judging attitude – Control of events and systematic planning

Spontaneity – Curious, awaiting events and adapting to them


Choosing your specialty
Choosing Your Specialty personality types

  • Step 1: Select specialties of interest

  • Step 2: Select factors important to you

  • Step 3: Rate your specialties


Glaxo pathway evaluation program
Glaxo Pathway Evaluation Program personality types

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
Glaxo Critical Factors personality types

  • 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 Physicians/ Members of Health-care Team

  • Manual /Mechanical Activities

  • Pressure

  • Responsibility

  • Schedule

  • Security

  • Sense of Accomplishment


AAMC Careers in Medicine Program personality types

Password protected


  • Year 1 personality types

  •   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 personality types

* Continue self-assessment

* Complete self-assessment exercises

* Review completed Personal Profile with advisor

Exploring 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 personality types

  • 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: personality typesGetting 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
Sources for Researching personality typesResidency Training Programs

  • CiM specialty pages

    http://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 Directory

    http://opportunities.osteopathic.org/


What do i do now
What Do I personality types 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 3 rd and 4 th year clerkships
Session 2: Surviving 3 personality typesrd and 4th YearClerkships


Session 3 getting into residency
Session 3: personality typesGetting Into Residency

  • Applying for residency

  • Writing a CV and personal statement

  • Getting letters of recommendation

  • Residency interviewing


Choosing a career in medicine
Choosing a Career in Medicine: personality types

Sources:

1. The Ultimate Guide to Choosing a Medical Specialty, second edition

by Brian Freeman, MD

  • Ren Stinson / University of Iowa

    3. Michael G. Kavan, Ph.D

    Associate Dean for Student Affairs

    Creighton University School of Medicine


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