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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 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) • 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 • 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) • 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…”
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
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 • 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 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 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 (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
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
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
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 • 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 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 • 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 • CiM specialty pages • AMA’s FREIDA • Graduate Medical Education Directory
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 • 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 - 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 • http://www.aamc.org/programs/cim/sisunderstandingthereport.pdf
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? • 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 • 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 • 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?