M3 Meeting: Overview

1. M3 Meeting: Overview Michael G. Kavan, Ph.D Associate Dean for Student Affairs Creighton University School of Medicine

2. CAREER ADVISING AND RESIDENCY SELECTION ASSISTANCE PROGRAM SCHEDULE for 2008-09

3. 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

4. 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 and do well

5. 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…”

6. PVIPS • 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

7. 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?

8. 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

9. MSPI • 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

10. MSPI • 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

11. 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

12. 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

13. 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

14. 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 year 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

16. Researching Residency Training Programs • CiM specialty pages • AMA’s FREIDA • Graduate Medical Education Directory

17. Choosing Your Specialty • Step 1: Select specialties of interest • Step 2: Select factors important to you • Step 3: Rate your specialties

18. Factors to Consider When Choosing a Specialty • Nature of work • What systems, diseases, patient types, and procedures are related to this specialty? • In what settings is this specialty practices? • What quality of life issues do these specialists face? • Characteristics of physicians in this specialty • What values, interests, skills, and personality types are common to physicians in this specialty?

19. Factors to Consider When Choosing a Specialty • Training/residency requirements • How long is training? • How competitive is specialty? • What are the options for fellowship/specialty training? • Salary and workforce information • What can I expect in terms of salary? • Is there an expectation of growth or decline in the need for physicians in this specialty area?

20. Factors to Consider When Choosing a Specialty • Issues facing professionals in the field • What are the hot topics? • How interesting are these issues to me? • Contacts, leads, and other resources • With whom do I speak to get more information? • Associations and organizations • Within CiM and their Specialty Pages, Go to Links and Readings

21. 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

22. 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

23. Understanding the Report • http://www.aamc.org/programs/cim/sisunderstandingthereport.pdf

24. 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

25. 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

26. 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

27. 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=183&prv_id=222&cfid=1&cftoken=772D1AF6-CB6A-42F1-B71300856C03E35B or at www.aamc.org Extramural information: • http://www.aamc.org/students/medstudents/electives/start.htm • Questions?