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Introduction to the Career Support Role 23 rd February 2009

Introduction to the Career Support Role 23 rd February 2009. Aims. To understand the bigger picture of medical careers To share understanding of career lead role and its place in the Wales Career strategy To recognise what kind of career support is needed along the pathway

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Introduction to the Career Support Role 23 rd February 2009

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  1. Introduction to the Career Support Role 23rd February 2009

  2. Aims • To understand the bigger picture of medical careers • To share understanding of career lead role and its place in the Wales Career strategy • To recognise what kind of career support is needed along the pathway • To develop understanding and skills to promote “good career help” • To identify next steps – and where we need your help

  3. Then… …and now Shift from a recognisable career pathway to a less predictable journey, requiring frequent regeneration

  4. Discuss: • Who you are, your career lead role • What you find most rewarding about your role in the career development of Foundation doctors/specialty trainees • What do you find most worrying or challenging?

  5. The context we work in Reality of medical careers means: • More UK medical graduates • No patronage / bias in selection • NHS will train the workforce it requires • Unpredictable applicant tactics • Feminisation of workforce • Work-life balance more important for all • Medical Unemployment • Historically poor retention in Wales

  6. UK careers developments • Tooke , Darzi • Career pathways changing • Recruitment processes evolving • Improving access to LTFT training • UK careers group formalised • Workforce Planning • MEE – exploring future change

  7. UKFPO • Careers workstream established • UK scoping exercise • Careers questions in PMETB survey • Feedback from medical students forum • New Curriculum and reference Guide • Careers skills in curriculum Guidance on tasters in F1 and F2

  8. Workforce Planning • More Academic posts in early years • Experience assists decision making • Careers in research and/or medical education promoted • More entering academic medicine

  9. Wales Career Strategy • Approved May 2008 • Twice yearly Steering group meetings • Membership: Swansea & Cardiff UG Careers and Curriculum leads, BMA representatives, Workforce Planning, Med. Ed. And E-learning, PGOs • Identifies actions needed and implementation projects • Career Lead role defined & embedded in the Strategy

  10. Emerging themes – July 2008 • Provision of careers information; undergraduate and postgraduate • Integrating career support with learning • Methods of support: fairs, events, services • Systemic issues e.g. workforce planning, geography

  11. Early tasks • Promoting specialties through careers fairs/events (BMJ, MCID,URDD) • Improving links between Undergraduate and Foundation competencies (MCAN, UKFPO) • Embedding careers education (F1/2, SpR, Educational Supervisors, e-learning) • Improving access to information (hard and online resources, web development)

  12. Foundation – embedded modules F1 start – Career Planning (298) F1 end – Making Decisions (c70) F2 start – Specialty Applications (300+)

  13. Current issues...discuss

  14. Early thoughts – student mindsets

  15. Challenges for medical students • 76% increase 1996-2006 • Two thirds now female • Careers advice at school – medicine a “safe bet” for an A* student (from F2 workshop – Morriston) • Choices start to fluctuate early (60% by Semester 3 - Manchester) • Reduction in Foundation programme headroom • FtP – not enough just to get the exams, must demonstrate employability (ASME June 08)

  16. Cardiff medical student soundbites: “I think we don’t know enough about the system to be energised to learn about it” “The future is blur as to what happens after F2…there’s so may different routes to get to a particular specialty but what happens in the interim, nobody really knows” “There’s a lot of things changing at the moment, a lot, and more than half of us don’t know what the hells going on” “I’ve heard so much about FP1/2/ST…but I can honestly say if someone said what is the form, how do you fill it in, when is the due day…I feels like no-ones actually sat us down as a year group and have been like, you’ve got to apply for jobs” “I do admit that I’ve just kind of bumbled along…perhaps it would be useful for future years to put some early thought in”

  17. Into Foundation and beyond…

  18. At its simplest… The reality?

  19. Wales F1 soundbites – confidence crisis “I don’t think we get long enough to decide and that’s the thing that’s bothering me now” “All of our consultants know that we’re not going to be as good as they are…as they’ll all probably have double the experience that we have” “The problem with the selection process…is how you look on a piece of paper”

  20. Challenges for Foundation doctors • MMC needs early decisions • Still changing; challenge for local helpers • First experience of competitive selection • 48 hour rule for decisions • May not get first choice – no guarantees • Some get no offers • Future ratio of CCT holders to trainees • Future of consultant role/posts

  21. Foundation doctors: • Largely undecided at the outset about future choice • Feel rushed into specialty applications • Perceive the system as inflexible • Perception of “failure” – poor coping strategies/Plan B • Feel information from their educational supervisors is uncertain or inconsistent • Are influencing our medical students!

  22. Myths about specialty choice • You only get one chance a year to apply for specialty training • Working in a fixed term specialty post will count against me in the future • Once in a specialty it is well nigh impossible to change • Applications to change specialty will be unfavourably viewed • If I apply to more than one Deanery/specialty the others will find out • If a consultant expresses a view on a career route it is the absolute truth

  23. Messages we need to get out there • The choice is yours • There is plenty of opportunity in Wales and it’s a sellers market in some specialties • There are options where you can explore choices further if you need more time • There is some flexibility within the system but aim to do the groundwork early • Things change all the time!

  24. Challenges for ST/CT and above • Health / disability • Life events and changing WLB needs • Training / career not progressing • Wrong speciality choice • Academic interests • Desire for overseas experience • Wrong location • Wrong career??!!

  25. Common themes we encounter • Early Foundation – is this right for me? • Flawed decisions when originally applying for specialty • MTAS effect feeding into ST3+ thinking • Later change of pathway (or even career) • Academic posts stimulating thoughts of change • Worklife balance, changing circumstances and priorities • “I’m finding it just harder than I thought” • Core trainees – future options • Sudden or planned resignation

  26. NICEC Research findings • Around half of all work-based career discussions are not part of a formal process • Many are spontaneous and unplanned But the best conversations are structured and involve preparation and reflection. A common framework is a predictor of effectiveness NICEC/CIPD Research findings

  27. ROADS safety check: To what extent: • Is your goalRealistic? • Have you considered allOpportunities? • Have you built in theAnchors that will provide personal support in the background to your career? • Will your choice Develop your potential? • Can you work with or minimise the Stress factors in your career choice?

  28. Four stages to encourage: • Self assessment (taking a history) Exploring career values, motivators, preferences, personal strengths, limitations • Career exploration (investigations) Establishing options, alternatives and plan B’s, information gathering, networking, reality checking • Decision making (diagnosis) Evaluating options, mapping skills and attributes against actual roles, considering preferred work environments, clarifying personal factors • Plan implementation (treatment plan) Applicant research, CV update and applications, preparing for assessments

  29. This model is featured in: • Deanery Careers website www.cardiff.ac.uk/pgmde/careersandrecruitment • National Careers website www.medicalcareers@nhs.uk • Other Deanery Careers Services • Foundation Year 1 resources (they have the book) • F1/F2 curriculum based careers sessions

  30. Step 1 - Work Values • Work Values – 4 dimensions • Sort pieces of paper under the headings • Try to rank the “very important” • Any surprises? • Any which might be very important in 10 years time? • Will you find outlet for all the v important in your current career choices?

  31. Self-assessment • Psychometric tools: e.g.MBTI – can be remotely administered but only by qualified practitioner. Feedback essential. • More general open access self-assessment tools e.g. www.windmillsonline.co.uk, www.teamtechnology.co.uk

  32. 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

  33. Sources of Careers Information • Peers • Professional network contacts • University – tutors, careers services • Web based – MMC, Deaneries, Royal Colleges, BMJ, social network sites • Local NHS – Ed. Supvrs, College tutors, PGO, HR • Deaneries • Libraries (see PG Centre) • Careers fairs • Independent sources

  34. Web based information www.medicalcareers.nhs.uk • A one stop shop single site for use by students, trainees and supporters • New Deanery Careers pages now live! www.cardiff/ac/uk/pgmde/careersandrecruitment

  35. www.medicalcareers.nhs.uk

  36. Information for Postgraduate Doctors

  37. Specialty Pages

  38. External sources of information • www.mmc.nhs.uk : person specifications and specialty recruitment info • www.bma.org.uk : guidance on recruitment rounds and current procedures • www.nhscareers.nhs.uk : for outlines of specialities, pay • careerfocus.bmj.com/ : details of UK and other job vacancies, career advice, FAQ

  39. On-line Resources • www.doctorstrainingwales.tv • 1100 – 1500 viewers a month since December 2008 • Lots of non-UK visitors • Promotional information cards for trainees/applicants • New chapters being added

  40. Decisions, decisions…

  41. 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 Doctors need to take an evidence-based approach!

  42. Typical decision dilemmas • Which round am I aiming for? • What are my main specialty options and preferences? • What about any dual career issues? • Core vs run-through programme implications • What evidence do I have ? • Where should I apply? • What is my 1st, 2nd, 3rd choice? • What is my Plan B? • Should I go abroad?

  43. Information – for specialty choices • 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!

  44. Wales competition ratios 2009

  45. Speciality Competition Ratios • Powerful set of information • Many interpretations • No UK agreed format • May distort application process year on year • Guidance on interpretation

  46. Useful models • Egan – 3 stages (now, next, how?) • Schein – Career anchors • More of/less of analysis • Kitbags – what to take, what to leave • Force fields – push and pull • Decision timeline • 5- and 10-year plans

  47. Supporting applications • Cardiff Uni Careers support for Year 5 FP applications • Downloadable handouts on Applications, CVs and Interviews • F2 workshop on Applying for Specialty Training – F2F and online • Practice interview sessions at PGCs • Generic Curriculum module on applying for consultant posts

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