m3 meeting: overview michael g. kavan, ph.d associate dean for student affairs creighton university...
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M3 Meeting: M3 Meeting: OverviewOverviewMichael G. Kavan, Ph.DMichael G. Kavan, Ph.D
Associate Dean for Student AffairsAssociate Dean for Student AffairsCreighton University School of Creighton University School of
MedicineMedicine
December 15, 2009December 15, 2009
CAREER ADVISING AND RESIDENCY SELECTION ASSISTANCE PROGRAMSCHEDULE for 2009-10
Date Time Location Topic Description
DECEMBER
Tues, 12-8-2009
4:30 pizza 5 pm mtg
452
Careers in Medicine This workshop provides students with both a process for making informed career decisions – especially regarding a specialty – and some of the information and guidelines needed to be successful in this process.
JANUARY
Wed, 1-13-2010
5 pm
452
Meet the Specialists
What do you really need to know in order to match in the various specialties? You will have an opportunity to meet with specialists in a small-group setting and to learn more about particular specialties and how to enhance your chance to match into that specialty. Bring your questions.
FEBRUARY
Wed, 2-10-2010
5 pm
452
The Senior Year
Dr. Kavan explains how to select a career mentor, assemble a tentative senior year schedule, apply for extramurals, and prioritize electives. Celeste Hubbard explains the OASIS scheduling system.
MARCH
Thurs, 3-4-2010
5 pm
452
How to Get the Right Residency
Students learn how the matching process works and how to be successful. Dr. Kavan offers guidelines and insight on writing a curriculum vitae and personal statement. You will get a sample CV to help you make your own. We explain the Electronic Residency Application Service (ERAS).
APRIL
Wed, 4-7-2010
5 pm
452
Residency Advising Program
Senior students who participated in the current match lead small group sessions to advise and answer questions that pertain to the specialty area in which they matched. Juniors have the opportunity to attend two different small group sessions.
JUNE
Wed, 6-2-2010
5 pm
452
National Resident Matching Program, MSPE Interview, Step 2 Study Skills Resources
Students learn how to sign up for the National Resident Matching Program (NRMP) and what you need to know about the Medical Student Performance Evaluation (MSPE) - formerly called the Dean’s Letter. Students also receive mandatory refresher training in policies, OSHA, etc.
Careers in Medicine Careers in Medicine OverviewOverview
(www.aamc.org/students/ci(www.aamc.org/students/cim)m) Phase One: Understanding yourselfPhase One: Understanding yourself
Personal influencesPersonal influences InterestsInterests ValuesValues Environmental factors and practice needsEnvironmental factors and practice needs Personality type and learning stylesPersonality type and learning styles Skills Skills Educational experiencesEducational experiences
Four Domains of Career Four Domains of Career AssessmentAssessment
Values – what is important to youValues – what is important to you Physician Values in Practice ScalePhysician Values in Practice Scale
Interests – what you likeInterests – what you like Medical Specialty Preference Inventory-Medical Specialty Preference Inventory-
RevisedRevised Personality – what are you like?Personality – what are you like?
Myers-Briggs Type IndicatorMyers-Briggs Type Indicator Skills – what you can do and do wellSkills – what you can do and do well
Physician Values in Physician Values in Practice Scale (PVIPS)Practice Scale (PVIPS)
Importance of knowing personal values Importance of knowing personal values and what you see as important about and what you see as important about your future career in medicineyour future career in medicine Values predict satisfaction with specialty Values predict satisfaction with specialty
choicechoice PVIPS is a quick and reliable measure of PVIPS is a quick and reliable measure of
values related to the practice of medicinevalues related to the practice of medicine 60-item scale with the stem:60-item scale with the stem:
““In my medical practice it will be important In my medical practice it will be important that I…”that I…”
PVIPSPVIPS Responses summed to yield measures of six Responses summed to yield measures of six
core values found to be common among core values found to be common among samples of medical students:samples of medical students: PrestigePrestige ServiceService AutonomyAutonomy LifestyleLifestyle ManagementManagement Scholarly pursuitsScholarly pursuits
These are then related to particular specialty These are then related to particular specialty areasareas
Key -Key - Will the medical specialty you are looking Will the medical specialty you are looking at allow fulfillment of your core values?at allow fulfillment of your core values?
Medical Specialty Medical Specialty Preference Inventory-Preference Inventory-
Revised EditionRevised Edition An assessment instrument that measures An assessment instrument that measures
your interest in various activities, tasks, your interest in various activities, tasks, and experiences found in the field of and experiences found in the field of medicine. medicine.
Your MSPI-R results provide a Your MSPI-R results provide a comprehensive overview of your medical comprehensive overview of your medical and specialty interests by comparing your and specialty interests by comparing your responses to those of medical students responses to those of medical students who have now entered residency in their who have now entered residency in their chosen specialtychosen specialty
An interest inventory that provides An interest inventory that provides overall preference scores for 16 overall preference scores for 16
major specialtiesmajor specialties
AnesthesiologyAnesthesiology DermatologyDermatology Emergency Emergency
MedicineMedicine Family MedicineFamily Medicine Internal MedicineInternal Medicine NeurologyNeurology Obstetrics and Obstetrics and
GynecologyGynecology Orthopedic SurgeryOrthopedic Surgery
OtolaryngologyOtolaryngology PathologyPathology PediatricsPediatrics Physical Medicine and Physical Medicine and
RehabilitationRehabilitation PsychiatryPsychiatry Radiology – DiagnosticRadiology – Diagnostic SurgerySurgery UrologyUrology
Also determines your interests in Also determines your interests in the context of 18 areas in the field the context of 18 areas in the field
of medicineof medicine
Complex problemsComplex problems Comprehensive careComprehensive care Diagnostic precisionDiagnostic precision Emergency –CCEmergency –CC History takingHistory taking Home health careHome health care Immediate resultsImmediate results Knowledge ANAKnowledge ANA Knowledge of Organ Knowledge of Organ
SysSys
Laboratory resultsLaboratory results Palliative carePalliative care Patient counselingPatient counseling Prevention/educationPrevention/education Procedural careProcedural care Psychological carePsychological care Reproductive careReproductive care Social contextSocial context Technology in medTechnology in med
Phase Two: Exploring Phase Two: Exploring OptionsOptions
Researching specialtiesResearching specialties Conducting in-depth specialty Conducting in-depth specialty
explorationexploration USMLE – see NRMP Data in CiMUSMLE – see NRMP Data in CiM
Charting Outcomes in the MatchCharting Outcomes in the Match Alternatives to clinical practiceAlternatives to clinical practice Academic medicineAcademic medicine Budgeting and financial informationBudgeting and financial information Narrowing your choicesNarrowing your choices
Phase Three: Choosing a Phase Three: Choosing a SpecialtySpecialty
Once you have collected enough Once you have collected enough information on all of the possibilities, information on all of the possibilities, the goal for this phase is to:the goal for this phase is to: Compare what you have learned about Compare what you have learned about
yourself in the first phase with the yourself in the first phase with the information you’ve gathered about the information you’ve gathered about the specialties and other medical career specialties and other medical career options you’re consideringoptions you’re considering
CiM will then assist you in selecting a CiM will then assist you in selecting a specialty you will pursue during residencyspecialty you will pursue during residency
Phase Three: Choosing a Phase Three: Choosing a SpecialtySpecialty
Making good decisionsMaking good decisions What do you truly like to do?What do you truly like to do? Talk it over with others (e.g., peers, Talk it over with others (e.g., peers,
faculty, family, friends, etc.)faculty, family, friends, etc.) Other considerations (e.g., family, Other considerations (e.g., family,
location, $, etc.)location, $, etc.) CiM Specialty PagesCiM Specialty Pages
Residency Training PathsResidency Training Paths CategoricalCategorical
Programs that begin in PGY 1 (e.g., IM, FM, Peds, Surgery, Programs that begin in PGY 1 (e.g., IM, FM, Peds, Surgery, etc.)etc.)
AdvancedAdvanced Programs that begin in PGY2 after a prerequisite year in a Programs that begin in PGY2 after a prerequisite year in a
preliminary/transitional program (e.g., Anesthesiology, preliminary/transitional program (e.g., Anesthesiology, Ophthalmology, Neurology, Diagnostic Radiology, etc.)Ophthalmology, Neurology, Diagnostic Radiology, etc.)
PreliminaryPreliminary One year programs that provide prerequisite training for One year programs that provide prerequisite training for
advanced programs; typically in Internal Medicine and advanced programs; typically in Internal Medicine and SurgerySurgery
TransitionalTransitional One year programs that allow the resident to rotate through One year programs that allow the resident to rotate through
a number of specialty areas in preparation for further a number of specialty areas in preparation for further specialty trainingspecialty training
1 2 3 4 5 6-7
EMERGENCY MEDICINE SUBSPECIALTIES
FAMILY MEDICINE SUBSPECIALTIES
INTERNAL MEDICINE SUBSPECIALTIES
PEDIATRICS SUBSPECIALTIES
PREVENTIVE MEDICINE SUBSPECIALTY
OBSTETRICS/GYNECOLOGY
PSYCHIATRY SUBSPECIALTIES
PATHOLOGY SUBSPECIALTIES
GENERAL SURGERY SUBSPECIALTIES
NEUROLOGICAL SURGERY
ORTHOPAEDIC SURGERY SUBSPECIALTIES
OTOLARYNGOLOGY SUBSPECIALTIES
UROLOGY SUBSPECIALTY
TRANSITIONALorPRELIM MEDICINEorPRELIM SURGERY
ANESTHESIOLOGY SUBSPECIALTIES
DERMATOLOGY SUBSPECIALTY
NEUROLOGY SUBSPECIALTIES
NUCLEAR MEDICINE
OPHTHALMOLOGY
PHYSICAL MEDICINE SUBSPECIALTIES
RADIOLOGY - DIAGNOSTIC SUBSPECIALTIES
RADIATION ONCOLOGY
Researching Residency Researching Residency Training ProgramsTraining Programs
CiM specialty pagesCiM specialty pages AMA’s FREIDAAMA’s FREIDA Graduate Medical Education Graduate Medical Education
DirectoryDirectory
Choosing Your SpecialtyChoosing Your Specialty
Step 1: Select specialties of interestStep 1: Select specialties of interest Step 2: Select factors important to Step 2: Select factors important to
youyou Step 3: Rate your specialtiesStep 3: Rate your specialties
Factors to Consider Factors to Consider When Choosing a When Choosing a
SpecialtySpecialty Nature of workNature of work
What systems, diseases, patient types, and What systems, diseases, patient types, and procedures are related to this specialty?procedures are related to this specialty?
In what settings is this specialty practicesdIn what settings is this specialty practicesd What quality of life issues do these specialists What quality of life issues do these specialists
face?face? Characteristics of physicians in this Characteristics of physicians in this
specialtyspecialty What values, interests, skills, and personality What values, interests, skills, and personality
types are common to physicians in this types are common to physicians in this specialty?specialty?
Factors to Consider Factors to Consider When Choosing a When Choosing a
SpecialtySpecialty Training/residency requirementsTraining/residency requirements
How long is training?How long is training? How competitive is specialty?How competitive is specialty? What are the options for What are the options for
fellowship/specialty training?fellowship/specialty training? Salary and workforce informationSalary and workforce information
What can I expect in terms of salary?What can I expect in terms of salary? Is there an expectation of growth or decline Is there an expectation of growth or decline
in the need for physicians in this specialty in the need for physicians in this specialty area?area?
Factors to Consider Factors to Consider When Choosing a When Choosing a
SpecialtySpecialty Issues facing professionals in the fieldIssues facing professionals in the field
What are the hot topics?What are the hot topics? How interesting are these issues to me?How interesting are these issues to me?
Contacts, leads, and other resourcesContacts, leads, and other resources With whom do I speak to get more With whom do I speak to get more
information?information? Associations and organizationsAssociations and organizations Within CiM and their Specialty Pages, Go Within CiM and their Specialty Pages, Go
to to Links and ReadingsLinks and Readings
Selecting Residency Selecting Residency Training ProgramsTraining Programs
Step 1: Determine what is important to youStep 1: Determine what is important to you Academic versus community basedAcademic versus community based LocationLocation TeachingTeaching Fellowship opportunitiesFellowship opportunities Resident satisfaction, etc.Resident satisfaction, etc.
Step 2: Look at FRIEDA, program websites, Step 2: Look at FRIEDA, program websites, and so forthand so forth
Step 3: Develop a list of programs that may Step 3: Develop a list of programs that may meet these needsmeet these needs
Step 4: Rate your programsStep 4: Rate your programs Residency Preference Exercise (CiM Website)Residency Preference Exercise (CiM Website)
Specialty Indecision Scale - Specialty Indecision Scale - 22ndnd Edition Edition
Measures difficulty in selecting a specialty Measures difficulty in selecting a specialty including:including: ReadinessReadiness – need to begin the process of specialty – need to begin the process of specialty
choicechoice InformationInformation – need to locate sources of information – need to locate sources of information
and guidanceand guidance IdentityIdentity – need to identify one’s interest, values, – need to identify one’s interest, values,
personality, and career goalspersonality, and career goals BarriersBarriers – need to resolve external conflicts – need to resolve external conflicts IndecisivenessIndecisiveness – need to reduce internal conflicts – need to reduce internal conflicts Self-DoubtSelf-Doubt – need to increase decision-making – need to increase decision-making
confidenceconfidence
Understanding the Understanding the ReportReport
http://www.aamc.org/programs/http://www.aamc.org/programs/cim/sisunderstandingthereport.pdfcim/sisunderstandingthereport.pdf
Phase Four: Getting Into Phase Four: Getting Into ResidencyResidency
Planning your M4 year – February Planning your M4 year – February MeetingMeeting
Applying for residencyApplying for residency ERAS, NRMP, CAS, etc.ERAS, NRMP, CAS, etc.
Writing a CV and personal statementWriting a CV and personal statement Getting letters of recommendationGetting letters of recommendation Residency interviewingResidency interviewing Going through the matchGoing through the match
What Do I do Now?What Do I do Now? Excel in your clinical clerkshipsExcel in your clinical clerkships
Program directors like to see as many clerkships with Program directors like to see as many clerkships with Honors as possible – especially in specialty of choiceHonors as possible – especially in specialty of choice
MSPE content taken directly from clerkship MSPE content taken directly from clerkship evaluationsevaluations
Maintain professionalism in all you do!Maintain professionalism in all you do! Explore extramural elective opportunities:Explore extramural elective opportunities:
http://www.aamc.org/students/medstudents/electives/http://www.aamc.org/students/medstudents/electives/start.htmstart.htm
Participate in CiM self-assessmentParticipate in CiM self-assessment Explore specialties through personal experience, Explore specialties through personal experience,
talking to others, CiM, and other resourcestalking to others, CiM, and other resources
Additional InformationAdditional Information
ResourcesResources http://www.ama-assn.org/amednews/http://www.ama-assn.org/amednews/
site/free/prsa0620.htmsite/free/prsa0620.htm CiM Specialty PagesCiM Specialty Pages
Additional M3 IssuesAdditional M3 Issues Timeline (see handout)Timeline (see handout) Schedule of M3 Meetings (see handout)Schedule of M3 Meetings (see handout) Roadmap to Residency: From Application to the Roadmap to Residency: From Application to the
Match and BeyondMatch and Beyond https://services.aamc.org/Publications/index.cfm?https://services.aamc.org/Publications/index.cfm?
fuseaction=Product.displayForm&prd_id=183&prv_id=fuseaction=Product.displayForm&prd_id=183&prv_id=222&cfid=1&cftoken=772D1AF6-CB6A-42F1-222&cfid=1&cftoken=772D1AF6-CB6A-42F1-B71300856C03E35B or at www.aamc.orgB71300856C03E35B or at www.aamc.org
Extramural information:Extramural information: http://www.aamc.org/students/medstudents/electives/http://www.aamc.org/students/medstudents/electives/
start.htmstart.htm Questions?Questions?
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