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?