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Career Planning for Interns Gill Naden MSc DipTchg Clinical Education & Training Unit Auckland District Health Board
Career Planning for Interns
Gill NadenMSc DipTchg
Clinical Education & Training UnitAuckland District Health Board
Career Planning is a process‐ How to help?‐ Career Plan‐ When – Feb to April
Action the Career Plan with Employment Plan‐ Clinical Attachments?‐ Applications – college & registrar positionsApril onwards
What’s it all about …?
Take Home Pack “Career Planning Guide”
– For Interns– For Clinical Supervisors and Education Supervisors
Careers Fair ‐ organisation Advertising posters Programme Speaker guidesheets Evaluation sheet Facts at a Glance poster example
www.careermed.co.nz
Career Tasters – Advertisement
Right from medical school days I’ve wanted to do neurosurgery. Now that I have actually done an attachment in it, I realise it’s not right for me. So what do I do?
I definitely want to do surgery. All I need to know is what are the best runs to do and how do I get into the training programme as quickly as possible?
Internal medicine sounds good but do I really want to be a medical registrar?
Increased competition for jobs & training places
Increased number of medical school graduates
‐ 2004 – 285 graduates‐ 2016 – 565 graduates
More doctors staying in NZ
Nationally…
RMO Commission (2009) foundRMOs were dissatisfied . . .
Lack of career planning
Not getting attachments
RMOs felt “lost” in the Intern years
Health Workforce NZ (HWNZ) responded & made it a requirement that . . .
All junior doctors must have1. access to career planning2. a career plan
Annual career report submitted to HWNZ
Hospital funding will be dependent on meeting these requirements
So… how did we respond?and where are we at now?
Hospitals
NRA(Northern Regional Alliance)
Career Planning
Employment Planning
Career Planning(hospitals)
(February‐March)
Individual Career PlanHospitals
NRA(Northern Regional Alliance)
Career Planning
Employment Planning
Career Planning(hospitals)
(February‐March)
Individual Career Plan
Career Intentions Survey(March)
Continuing Employee Survey
(Run preferences)(June)
Application to Training Programme
Optional Interview(Senior clinician)
(April)
Run Allocations(September)
Hospitals
NRA(Northern Regional Alliance)
Career Planning
Employment Planning
Understanding Self
GatherInformation
Decision &action
Implement Plan
Hospitals
NRA
Career Planning Pathway
Understanding Self
GatherInformation
Decision
Implement Plan
Questions? ?Motivates me to do my best work
?Greatest satisfaction
?Strongest skills and which do I enjoy using most
?People around me – colleagues, patients
?Tolerance of undiagnosed problems and multiple symptoms
?Range of complex problems or single problem
Understanding Self
GatherInformation
Decision
Implement Plan
What do we do to help?
Intern teaching sessions
Talk with people ‐ Clinical Supervisor*‐ Education Supervisor*‐ Other Colleagues‐ Friends and family
Career Specialist
* Handout guides
Understanding Self
GatherInformation
Decision
Implement Plan
Questions
What particular skills do you need in this specialty?
Do I like the kind of people this specialty attracts? Lifestyle?
Workforce projections?
Number of training places?
Number applying for training?
Understanding Self
GatherInformation
Decision
Implement Plan
What do we do to help?
Annual Careers Fair
Career Website(www.careermed.co.nz)
Career Tasters
Career Specialist
Careers Fair
2 nights 31 concurrent presentations 83 presenters 250 participants Food!
Presentation Panels
Vocational Training Committee
Registrar (in training)
Private Practice/Public‐Private mix
Guidelines of what to cover
Careers in Health Leadership
Non‐clinical Careers –Information Technology; Publishing,
Combining family with a medical career
Tips for International Medical Graduates
Are You a Cash Flow Bunny –Learn how to Manage your Finances
Poster Boards –Facts at a glance
Training entry requirements
Number of positions
Key contacts
Sub‐specialties available in Auckland region
Who attendedIn 2016
Medical Students ‐35%
Registrars ‐7%
PGY2 House Officers ‐38%
PGY1 House Officers ‐20%
2016
Increased numbers of PGY2 attendees
Increased numbers of medical registrars
Future …include Non‐set registrars
Feedback“Confirmed vocational pathway”
“First hand experience from trainees in programme”
“Knowing how to apply to different subspecialties”
“Hearing about work‐life balance –honest opinions”
“Gave me a better idea of personality of doctors in different specialties which has had a huge contribution to my current thinking and guiding my decisions”
“Yes….to GP land I go”
Careers Website (www.careermed.co.nz)
Videos of presentations Case studies FAQ Psychometric Test (SCI59)
Otherswww.aucklanddoctors.co.nzwww.kiwihealthjobs.comwww.healthworkforce.health.govt.nzwww.nzma.org.nz
Career Tasters
Apply to CETU
Spend time in a specialty Chat with the CD, attend a ward
round or day in a specialty
‐ Anaesthesia‐ Radiology‐ Health Management
Career PlanningWhich resources did you use and found helpful?
Understanding Self
GatherInformation
Decision
Implement Plan
Putting plan in place
Run Selection
Apply to a college
Apply for Registrar position
Career Planning(hospitals)
(February‐March)
Individual Career Plan
Career Intentions Survey(March)
Continuing Employee Survey
(Run preferences)(June)
Application to Training Programme
Optional Interview(Senior clinician)
(April)
Run Allocations(September)
Hospitals
NRA(Northern Regional Alliance)
Career Planning
Employment Planning
Understanding Self
GatherInformation
Decision
Implement Plan
Career Intentions Survey
March – April
Intentions for next year
Meeting with SMO’s
Understanding Self
GatherInformation
Decision
Implement Plan
Career Intentions Survey
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
First Preference Vocational Pathway 2011-2016
2011/12
2012/13
2013/14
2014/15
2015/16
Understanding Self
GatherInformation
Decision
Implement Plan
Continuing Employment Survey
Information to enable planning Expected resignations Applying for registrar positions Flexible working options
Run block preferences
Understanding Self
GatherInformation
Decision
Implement Plan
Run Allocations
Rank & Preference Allocation Policy
Interns advised in September
227 PGY2+ attachments for 2017
Understanding Self
GatherInformation
Decision
Implement Plan
Run Allocations
0%
10%
20%
30%
40%
50%
60%
70%
80%
Run BlockAssigned within
Top 10Preferences
Run Block withinTop 5 Preferences
1st PreferenceRun Block
2nd PreferenceRun Block
RMO Run Block Preferences
2017 %RMOs
2016 %RMOs
2015 %RMOs
Useful Resources
“What Colour is Your Parachute?” – Richard Bole
“How to choose Your Medical Specialty” – Anita Taylor
“Roads to Success” – Elton & Reid, Postgraduate Deanery Kent, Surrey & Sussex
Conclusions
1. Career Planning is a process → Career Plan
2. Action your Career Plan with an Employment Plan (clinical attachments, applications to colleges and registrar positions)
3. Best careers resources/activities are those that are people focused, especially those that bring Interns and SMOs together
Take Home Pack “Career Planning Guide”
– For Interns– For Clinical Supervisors and Education Supervisors
Careers Fair ‐ organisation Programme Advertising posters Speaker guidesheets Evaluation sheet Facts at a Glance poster example
www.careermed.co.nz
Career Tasters – Advertisement
