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Making Career Decisions. Learning outcomes. You will: Understand a range of career factors which can help inform your choices after Foundation training Know how to evaluate specialty preferences and options in a systematic way Have access to a range of decision-making tools and resources

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learning outcomes
Learning outcomes

You will:

  • Understand a range of career factors which can help inform your choices after Foundation training
  • Know how to evaluate specialty preferences and options in a systematic way
  • Have access to a range of decision-making tools and resources
  • Be able to use and interpret competition ratio data realistically
  • Be able to “scenario plan” for the range of decisions and choices which typically occur as part of specialty training application
  • Understand the importance of contingency plans
deanery careers ltft team
Deanery Careers/LTFT Team
  • Dr Melanie Jones

Associate Dean and Careers/LTFT Lead

  • Sally Blake

Career Development Adviser

pgmedicalcareers@cardiff.ac.uk

  • E Guidance link from www.cardiff.ac.uk/walesdeanery/careers
your career at its simplest
Your career at its simplest…
  • Go to Medical School
  • Become a Junior Doctor
  • Enter specialty training
  • Become a consultant
interactive career map
InteractiveCareer map

From hot button on Deanery homepage www.walesdeanery.org

main options after f2
Main Options after F2
  • Specialty Training programme
  • Integrated Academic Training (WCAT)
  • Specialty doctor
  • Time Out/Abroad
  • Research/teaching
  • Other use of medical training (law, finance, informatics, sales, health related)
typical decision dilemmas
Typical decision dilemmas

Which round should I apply to? Should I wait/re-apply in Round 2?

Should I accept an offer if I don’t know where my posts will be?

Dual career issues

Am I prepared to move to pursue a specialty or stay and let Plan A go?

What is my 1st, 2nd, 3rd choice?

What is my Plan B?

Should I go abroad?

Do I still want to be a doctor?

influences on career decisions
Influences on career decisions
  • Time - earlier decisions are now required!
  • Generation (Boomers, X and Y)
  • Choice left to individual – (UK norm)
  • Prior exposure to a speciality helps inform choice
  • Peer influence (what others think)
  • Role models
  • Positive and negative experiences (“horn and halo”)
  • Life style and work life balance

You need to take an evidence-based approach!

where should we be now
Where should we be now?
  • Self assessment

Exploring career values, motivators, preferences, personal strengths, limitations

  • Career exploration

Establishing options, alternatives and plan B’s, information gathering, networking, reality checking

  • Decision making (you are here!)

Evaluating options, mapping skills and attributes against actual roles, considering options and preferences, clarifying personal factors, making choices

  • Plan implementation

Applicant research, CV update and applications, preparing for assessments and interviews

still exploring
Still exploring?
  • You can organise “tasters” in F2 to look at specialties you may consider or want to find out about
  • Go to national medical careers fairs (RCP, Mersey 15 September, BMJ London 19 – 20 October)
  • For diary of all UK Careers events

http://www.medicalcareers.nhs.uk/career_planning/career_exploration/medical_careers_events_calend.aspx

  • Talk to trainees – what did they choose, why?
try sci59
Try SCI59
  • On line self assessment tool
  • Improves self awareness if questions considered
  • Gives 10 specialities most likely to enjoy
  • Gives 10 specialities which will be a challenge
  • Take it with a pinch of salt – hazard warning!!!
  • Free to BMA members via their website
  • http://www.bma.org.uk/careers/careers_service/Careersguidance.jsp
do some personal research
Do some personal research
  • Visit departments and talk to people
  • Have your questions ready
  • Have contact details to hand
  • “You’re the ideal person to ask about …”
  • “I’d really value your view on…”
  • “What’s it really like working as a ……?”
what do i need to know about particular specialties
What do I need to know about particular specialties?
  • Skills and competencies required
  • Experience needed
  • Pathways and progression
  • Competition ratios
  • Number and type of posts
  • Local and UK variation
  • Qualifications and training needed
  • Must be up to date information
have you got what they want
Have you got what they want?

What I want What the specialty 1 wants 3

What I offer 2 What the specialty offers 4

exercise
Exercise
  • Compare 2 Person Specifications
  • How do the first sections differ?
  • Look at common behavioural attributes e.g. Communication, Team work
  • How do they differ?
competition ratios a word of warning
Competition ratios – a word of warning!
  • Medical students and doctors like evidence-based approaches
  • Numbers look an attractive way of planning or justifying decisions
  • Posts are based on NHS service need; this changes from year to year
  • Everybody presents information differently (and usually not the whole story)
  • Using ratios to determine choice is like driving whilst looking in the rear view mirror
case study radiology in wales 2009 10
Case study – Radiology in Wales 2009/10

224 applications for 7 posts

Competition ratio = 32:1

39 invited to interview = 5:1

15 attended = 2:1

3 appointable candidates, 4 posts to Round 2

2010 = 28 applicants put Wales first choice in national process (but 20 interviewed and 5 offers made)

sources of information
Sources of Information
  • www.mmc.nhs.uk : on all specialty recruitment; look at person specifications and careers sections
  • www.bma.org.uk : information on recruitment rounds and procedures
  • www.medicalcareers.nhs.uk : for specialty information including workforce projections
  • www.nhscareers.nhs.uk : for outlines of specialities, pay
  • careerfocus.bmj.com/ : details of UK and other job vacancies, career advice, FAQ

Careers in Wales

  • www.walesdeanery.org : for info on specialty training rounds in Wales
  • www.medicalcareerswales.com: all vacancies in Wales
  • www.doctorstrainingwales.tv : for video clips on specialty training in Wales
gold guide
Gold Guide
  • Everything about speciality training
  • Flexible training/LTFT
  • Time out for research
  • Time out for approved clinical training or experience
  • Career breaks
  • Inter deanery transfers
  • Time out for other good reasons
  • www.mmc.nhs.uk
reality checks
Reality checks:

Even with your talent and aspiration remember that:

  • The NHS will train the workforce it requires, not create the posts you want
  • Not everyone gets their first choice
  • Think in terms of “choosing some specialties” not just “choosing a specialty”
  • There will be changes, transitions and bottlenecks to navigate from hereon in
  • Learn to live with risk and uncertainty
action plan
Action Plan
  • Weigh up all your circumstances
  • Prioritise your options and preferences
  • Think of a Plan B (and C)
  • Carry out detailed research
  • Build experience via Tasters / audit / teaching
  • Get portfolio in shape (Dops, Mini CEX etc)
  • Bookmark and browse your key information sites
  • Update your CV
  • Think about your interview skills
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