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Let’s Talk a Little Pre-Med Heresy

Let’s Talk a Little Pre-Med Heresy . Keith Bradley, MD CEO/CMO National Alliance of Research Associates Programs (NARAP). Why Listen to this Guy?. Why Listen to this Guy?. West Point. Why Listen to this Guy?. West Point Notre Dame. Why Listen to this Guy?. West Point Notre Dame

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Let’s Talk a Little Pre-Med Heresy

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  1. Let’s Talk a Little Pre-Med Heresy Keith Bradley, MD CEO/CMO National Alliance of Research Associates Programs (NARAP)

  2. Why Listen to this Guy?

  3. Why Listen to this Guy? • West Point

  4. Why Listen to this Guy? • West Point • Notre Dame

  5. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital (Hell’s Kitchen)

  6. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital (Hell’s Kitchen) • Tulane University School of Medicine

  7. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital (Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM

  8. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital (Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM • Norwalk Hospital

  9. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital(Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM • Norwalk Hospital • Lincoln Med and Mental Health Center (S. Bronx)

  10. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital(Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM • Norwalk Hospital • Lincoln Med and Mental Health Center (S. Bronx) • Bridgeport Hospital / Yale Emergency Medicine

  11. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital(Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM • Norwalk Hospital • Lincoln Med and Mental Health Center (S. Bronx) • Bridgeport Hospital / Yale Emergency Medicine • St. Vincent’s Medical Center

  12. Why Listen to this Guy? • > 30 years as an academic emergency physician

  13. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents

  14. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents • 7 years as a Health Professions Adviser

  15. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents • 7 years as a Health Professions Adviser • hundreds of pre-health professional students

  16. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents • 7 years as a Health Professions Adviser • hundreds of pre-health professional students • Research Associates Programs x 20 years

  17. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents • 7 years as a Health Professions Adviser • hundreds of pre-health professional students • Research Associates (RA) Programs x 20 years • thousands of RAs

  18. Agenda • Help you see the process of preparing for a career in the health professions from a different perspective

  19. Agenda • Help you see the process of preparing for a career in the health professions from a different perspective • Recruit you

  20. Agenda • Help you see the process of preparing for a career in the health professions from a different perspective • Recruit you • Line RA as a college undergrad

  21. Agenda • Help you see the process of preparing for a career in the health professions from a different perspective • Recruit you • Line RA as a college undergrad • Chief RA as a college graduate

  22. Heresies • “Pre- Med” • Why do you go to medical school ? • Research is very important, but … • Significant clinical experience not optional • Post-Bac is the preferable option

  23. Heresies • “Pre- Med”

  24. “Pre-Med” • No “Pre- anything”

  25. “Pre-Med” • No “Pre- anything” • Career begins with “I think I might want to be a ____.”

  26. “Pre-Med” • No “Pre- anything” • Career begins with “I think I might want to be a ____.” • you want to be in control of for how long or short

  27. “Pre-Med” • No “Pre- anything” • Career begins with “I think I might want to be a ____.” • you want to be in control of for how long or short • Career Building ≠ just getting into medical school

  28. “Pre-Med” • No “Pre- anything” • Career begins with “I think I might want to be a ____.” • you want to be in control of how long or short • Career Building ≠ just getting into medical school • medical school is a means not an end

  29. Heresies • “Pre- Med” • Why do you go to medical school ?

  30. Why You Go to Medical School? • Do you want to go to medical school to become a physician?

  31. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident;

  32. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician

  33. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine

  34. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine • Medical training ≈ a medieval craft

  35. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine • Medical training ≈ a medieval craft • medical student = apprentice

  36. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine • Medical training ≈ a medieval craft • medical student = apprentice • resident = journeyman/woman

  37. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine • Medical training ≈ a medieval craft • medical student = apprentice • resident = journeyman/woman • physician = master craftsman/woman

  38. Getting a Residency = Immediate Goal

  39. Getting a Residency = Immediate Goal • PG training for 3, 5, 7 years … to “forever”

  40. Getting a Residency = Immediate Goal • PG training for 3, 5, 7 years … to “forever” • Competitive Residencies: A RODEO

  41. Getting a Residency = Immediate Goal • PG training for 3, 5, 7 years … to “forever” • Competitive Residencies: A RODEO • Anesthesiology • Radiology • Dermatology • Emergency Medicine • Orthopedics, Ophthalmology, Otolaryngology

  42. Getting a Residency = Immediate Goal • PG training for 3, 5, 7 years … to “forever” • Competitive Residencies: A RODEO • The Residency Dilemma

  43. Residency Dilemma – 30% by ‘15 AAMC Statement on the Physician Workforce

  44. Residency Dilemma – 30% by ‘15 AAMC Statement on the Physician Workforce ↓ Supply

  45. Residency Dilemma – 30% by ‘15 AAMC Statement on the Physician Workforce ↓ Supply • aging work force

  46. Residency Dilemma – 30% by ‘15 AAMC Statement on the Physician Workforce ↓ Supply • aging work force • retiring

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