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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

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…”
  • 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
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
  • 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
  • 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
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
  • 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
  • Questions?