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Careers In Careers In MedicineMedicine
The “Vigilant” Decision Making The “Vigilant” Decision Making ProcessProcess
Phase IIPhase II
CiM Four Year Timeline
M-1 August CiM Intro
March Phase I Self Assessment
Summer Shadowing
Research
Volunteer
M-2 February Phase II Career Exploration
M-3 Fall Alumni Panel Discussion
Clerkships
Student AMA lunches
December Phase III Career Day
April Phase IV Strolling thru Match
M-4 Fall ERAS
Dean’s Letter
Today, we’re going to . . .
• Review your efforts in Self Assessment
• Begin the process of Career Exploration
Did you do your homework?
• Visit the Careers in Medicine website?
• www.aamc.org/careersinmedicine
• www.aamc.org/students/cim
• Did you get to know yourself by completing the self-assessment sections on the site?
Objectives
• Today’s session will provide you with:– A process that will help you in selecting your
specialty– Resources to help you make an informed
decision
Gathering Information
• Now that you know what you want in life and in medicine, it’s time to find what specialty will fit your needs
• Go to the Specialty Profiles in the CiM website
• This is a great place to start exploring your many choices.
CiM Specialty Profiles
• Nature of the Work
• Personality Characteristics
• Residency Requirements
• Match Data
• Workforce Statistics
• Compensation
Specialty Profiles
• Take your top 5 Critical Factors that you determined during your Self-Assessment and compare them in detail to the factors described in one of the profiles on the CiM website.
Critical Factors Checklist
• Autonomy
• Caring for Patients
• Continuity of Care
• Diversity
• Focus of Expertise
• Innovative thinking
• Intellectual Content
• Interacting with other Physicians
• Manual/Mechanical Activities
• Pressure
• Responsibility
• Security
• Sense of Accomplishment
• Status among Colleagues
• Patient Characteristics
• Types of Illnesses
Disclaimer
• If you seem not to match a specialty in which you were really interested, don’t despair
• Remember that the information in the profiles is merely a screening device.
• You should do more research on your own on the specialty of your choice.
• It maybe that there is something else about the specialty that is important to you but that you haven’t identified. Restart the process and think carefully.
• Don’t be inflexible – don’t try to fit a square peg into a round hole.
Example
• You really like peds but you also like procedures as well.
• The specialty profile shows that procedures are very low in peds
• But this profile doesn’t take into account neonatology, Peds cardiology, Peds ER and Peds GI which all are very high in procedures.
Expand
• Don’t just evaluate one profile - do the same exercise with other similar profiles.
• You may learn that you are a closer match to similar specialty than the one you first considered.
• Also, make comparisons in specialties you never considered – you may be surprised.
Other Online Resources
• AMA-Freida- AMA’s Fellowship and Residency Electronic Interactive Database Access
• Provides statistical information about each specialty, information about GME programs, and institutional offerings by specialty and geographic location.
Experiential Activities
• Attend workshops on different specialties, in the form of individual presentations, specialty interest groups, or panel programs.
• Career Day• Alumni Panel Discussion• Strolling Through the Match• Student AMA Lunches• Other resources - local medical societies, your
school's alumni organization, and other first and second year medical school clinical activities- Master Clinician Program.
CiM Four Year Timeline
M-1 August CiM Intro
March Phase I Self Assessment
Summer Shadowing
Research
Volunteer
M-2 February Phase II Career Exploration
M-3 Fall Alumni Panel Discussion
Clerkships
Student AMA lunches
December Phase III Career Day
April Phase IV Strolling thru Match
M-4 Fall ERAS
Dean’s Letter
Specialty Associations
• Join the academies at reduced student rates
• Visit specialty Web Sites – AAP, AAOS, etc.
Personal Contact
• Clerkships• Informational Interviews• Summer Experience• Faculty• Private Practitioners• Residents• Friends• Be aware of the variable reliability of each
source• There are many misconceptions out there!
Surveying the Alternatives
• Canvas and wide range of alternatives
• Be open to new alternatives
• Gather information from many sources
Summary for Evaluating Alternatives
• Test your facts and reactions by talking to others
• Follow up actively with potential role models
• Take ownership of the process
Pause
• Do not announce your decision prematurely
• It could make it more difficult to change your mind later for fear of seeming indecisive
Intuition
• Gather opinions from others and consider their needs, but it’s your decision, your career
• Contemplate all the fact “in stillness”
• Consult your heart/gut
Inoculate yourself
• After you’ve made your decision, review the negatives
• This will inoculate you against overreaction and criticism to your decision
• It will help you during negative experiences during residency
Consider Alternatives
• In case you don’t match
• In case the army has other plans
• In case family obligations force changes
Commitment
• This all takes time
• Make a calendar to specifically set aside time to perform this important task
• Anticipate barriers to getting this done– Exams, work, sleep, study, life, etc.