M3 Meeting: Overview Michael G. Kavan, Ph.D Associate Dean for Student Affairs Creighton University School of Medicine December 15, 2009

CAREER ADVISING AND RESIDENCY SELECTION ASSISTANCE PROGRAM SCHEDULE for DateTime Location TopicDescription DECEMBER Tues, :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, 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, 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, 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, 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, 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 Overview ( Phase One: Understanding yourself Phase One: Understanding yourself Personal influences Personal influences Interests Interests Values Values Environmental factors and practice needs Environmental factors and practice needs Personality type and learning styles Personality type and learning styles Skills Skills Educational experiences Educational experiences

Four Domains of Career Assessment Values – what is important to you Values – what is important to you Physician Values in Practice Scale Physician Values in Practice Scale Interests – what you like Interests – what you like Medical Specialty Preference Inventory-Revised Medical Specialty Preference Inventory-Revised Personality – what are you like? Personality – what are you like? Myers-Briggs Type Indicator Myers-Briggs Type Indicator Skills – what you can do and do well Skills – what you can do and do well

Physician Values in Practice Scale (PVIPS) Importance of knowing personal values and what you see as important about your future career in medicine Importance of knowing personal values and what you see as important about your future career in medicine Values predict satisfaction with specialty choice Values predict satisfaction with specialty choice PVIPS is a quick and reliable measure of values related to the practice of medicine PVIPS is a quick and reliable measure of values 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 that I…” “In my medical practice it will be important that I…”

PVIPS Responses summed to yield measures of six core values found to be common among samples of medical students: Responses summed to yield measures of six core values found to be common among samples of medical students: Prestige Prestige Service Service Autonomy Autonomy Lifestyle Lifestyle Management Management Scholarly pursuits Scholarly pursuits These are then related to particular specialty areas These are then related to particular specialty areas Key - Will the medical specialty you are looking at allow fulfillment of your core values? Key - Will the medical specialty you are looking at allow fulfillment of your core values?

Medical Specialty Preference Inventory-Revised Edition An assessment instrument that measures your interest in various activities, tasks, and experiences found in the field of medicine. An assessment instrument that measures your interest in various activities, tasks, and experiences found in the field of medicine. Your MSPI-R results provide a comprehensive overview of your medical and specialty interests by comparing your responses to those of medical students who have now entered residency in their chosen specialty Your MSPI-R results provide a comprehensive overview of your medical and specialty interests by comparing your responses to those of medical students who have now entered residency in their chosen specialty

An interest inventory that provides overall preference scores for 16 major specialties Anesthesiology Anesthesiology Dermatology Dermatology Emergency Medicine Emergency Medicine Family Medicine Family Medicine Internal Medicine Internal Medicine Neurology Neurology Obstetrics and Gynecology Obstetrics and Gynecology Orthopedic Surgery Orthopedic Surgery Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Psychiatry Radiology – Diagnostic Surgery Urology

Also determines your interests in the context of 18 areas in the field of medicine Complex problems Complex problems Comprehensive care Comprehensive care Diagnostic precision Diagnostic precision Emergency –CC Emergency –CC History taking History taking Home health care Home health care Immediate results Immediate results Knowledge ANA Knowledge ANA Knowledge of Organ Sys Knowledge of Organ Sys Laboratory results Palliative care Patient counseling Prevention/education Procedural care Psychological care Reproductive care Social context Technology in med

Phase Two: Exploring Options Researching specialties Researching specialties Conducting in-depth specialty exploration Conducting in-depth specialty exploration USMLE – see NRMP Data in CiM USMLE – see NRMP Data in CiM Charting Outcomes in the Match Charting Outcomes in the Match Alternatives to clinical practice Alternatives to clinical practice Academic medicine Academic medicine Budgeting and financial information Budgeting and financial information Narrowing your choices Narrowing your choices

Phase Three: Choosing a Specialty Once you have collected enough information on all of the possibilities, the goal for this phase is to: Once you have collected enough information on all of the possibilities, the goal for this phase is to: Compare what you have learned about yourself in the first phase with the information you’ve gathered about the specialties and other medical career options you’re considering Compare what you have learned about yourself in the first phase with the information you’ve gathered about the specialties and other medical career options you’re considering CiM will then assist you in selecting a specialty you will pursue during residency CiM will then assist you in selecting a specialty you will pursue during residency

Phase Three: Choosing a Specialty Making good decisions Making good decisions What do you truly like to do? What do you truly like to do? Talk it over with others (e.g., peers, faculty, family, friends, etc.) Talk it over with others (e.g., peers, faculty, family, friends, etc.) Other considerations (e.g., family, location, $, etc.) Other considerations (e.g., family, location, $, etc.) CiM Specialty Pages CiM Specialty Pages

Residency Training Paths Categorical Categorical Programs that begin in PGY 1 (e.g., IM, FM, Peds, Surgery, etc.) Programs that begin in PGY 1 (e.g., IM, FM, Peds, Surgery, etc.) Advanced Advanced Programs that begin in PGY2 after a prerequisite year in a preliminary/transitional program (e.g., Anesthesiology, Ophthalmology, Neurology, Diagnostic Radiology, etc.) Programs that begin in PGY2 after a prerequisite year in a preliminary/transitional program (e.g., Anesthesiology, Ophthalmology, Neurology, Diagnostic Radiology, etc.) Preliminary Preliminary One year programs that provide prerequisite training for advanced programs; typically in Internal Medicine and Surgery One year programs that provide prerequisite training for advanced programs; typically in Internal Medicine and Surgery Transitional Transitional One year programs that allow the resident to rotate through a number of specialty areas in preparation for further specialty training One year programs that allow the resident to rotate through a number of specialty areas in preparation for further specialty training

EMERGENCY MEDICINESUBSPECIALTIES FAMILY MEDICINESUBSPECIALTIES INTERNAL MEDICINESUBSPECIALTIES PEDIATRICSSUBSPECIALTIES PREVENTIVE MEDICINESUBSPECIALTY OBSTETRICS/GYNECOLOGY PSYCHIATRYSUBSPECIALTIES PATHOLOGYSUBSPECIALTIES GENERAL SURGERY SUBSPECIALTIES NEUROLOGICAL SURGERY ORTHOPAEDIC SURGERYSUBSPECIALTIES OTOLARYNGOLOGYSUBSPECIALTIES UROLOGYSUBSPECIALTY TRANSITIONAL or PRELIM MEDICINE or PRELIM SURGERY ANESTHESIOLOGYSUBSPECIALTIES DERMATOLOGYSUBSPECIALTY NEUROLOGYSUBSPECIALTIES NUCLEAR MEDICINE OPHTHALMOLOGY PHYSICAL MEDICINESUBSPECIALTIES RADIOLOGY - DIAGNOSTICSUBSPECIALTIES RADIATION ONCOLOGY

Researching Residency Training Programs CiM specialty pages CiM specialty pages AMA’s FREIDA AMA’s FREIDA Graduate Medical Education Directory Graduate Medical Education Directory

Choosing Your Specialty Step 1: Select specialties of interest Step 1: Select specialties of interest Step 2: Select factors important to you Step 2: Select factors important to you Step 3: Rate your specialties Step 3: Rate your specialties

Factors to Consider When Choosing a Specialty Nature of work Nature of work What systems, diseases, patient types, and procedures are related to this specialty? What systems, diseases, patient types, and procedures are related to this specialty? In what settings is this specialty practicesd In what settings is this specialty practicesd What quality of life issues do these specialists face? What quality of life issues do these specialists face? Characteristics of physicians in this specialty Characteristics of physicians in this specialty What values, interests, skills, and personality types are common to physicians in this specialty? What values, interests, skills, and personality types are common to physicians in this specialty?

Factors to Consider When Choosing a Specialty Training/residency requirements Training/residency requirements How long is training? How long is training? How competitive is specialty? How competitive is specialty? What are the options for fellowship/specialty training? What are the options for fellowship/specialty training? Salary and workforce information Salary 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 in the need for physicians in this specialty area? Is there an expectation of growth or decline in the need for physicians in this specialty area?

Factors to Consider When Choosing a Specialty Issues facing professionals in the field Issues 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 resources Contacts, leads, and other resources With whom do I speak to get more information? With whom do I speak to get more information? Associations and organizations Associations and organizations Within CiM and their Specialty Pages, Go to Links and Readings Within CiM and their Specialty Pages, Go to Links and Readings

Selecting Residency Training Programs Step 1: Determine what is important to you Step 1: Determine what is important to you Academic versus community based Academic versus community based Location Location Teaching Teaching Fellowship opportunities Fellowship opportunities Resident satisfaction, etc. Resident satisfaction, etc. Step 2: Look at FRIEDA, program websites, and so forth Step 2: Look at FRIEDA, program websites, and so forth Step 3: Develop a list of programs that may meet these needs Step 3: Develop a list of programs that may meet these needs Step 4: Rate your programs Step 4: Rate your programs Residency Preference Exercise (CiM Website) Residency Preference Exercise (CiM Website)

Specialty Indecision Scale - 2 nd Edition Measures difficulty in selecting a specialty including: Measures difficulty in selecting a specialty including: Readiness – need to begin the process of specialty choice Readiness – need to begin the process of specialty choice Information – need to locate sources of information and guidance Information – need to locate sources of information and guidance Identity – need to identify one’s interest, values, personality, and career goals Identity – need to identify one’s interest, values, personality, and career goals Barriers – need to resolve external conflicts Barriers – need to resolve external conflicts Indecisiveness – need to reduce internal conflicts Indecisiveness – need to reduce internal conflicts Self-Doubt – need to increase decision-making confidence Self-Doubt – need to increase decision-making confidence

Understanding the Report tandingthereport.pdf tandingthereport.pdf tandingthereport.pdf tandingthereport.pdf

Phase Four: Getting Into Residency Planning your M4 year – February Meeting Planning your M4 year – February Meeting Applying for residency Applying for residency ERAS, NRMP, CAS, etc. ERAS, NRMP, CAS, etc. Writing a CV and personal statement Writing a CV and personal statement Getting letters of recommendation Getting letters of recommendation Residency interviewing Residency interviewing Going through the match Going through the match

What Do I do Now? Excel in your clinical clerkships Excel in your clinical clerkships Program directors like to see as many clerkships with Honors as possible – especially in specialty of choice Program directors like to see as many clerkships with Honors as possible – especially in specialty of choice MSPE content taken directly from clerkship evaluations MSPE content taken directly from clerkship evaluations Maintain professionalism in all you do! Maintain professionalism in all you do! Explore extramural elective opportunities: Explore extramural elective opportunities: htm htm htm htm Participate in CiM self-assessment Participate in CiM self-assessment Explore specialties through personal experience, talking to others, CiM, and other resources Explore specialties through personal experience, talking to others, CiM, and other resources

Additional Information Resources Resources assn.org/amednews/site/free/prsa0620.htm assn.org/amednews/site/free/prsa0620.htm assn.org/amednews/site/free/prsa0620.htm assn.org/amednews/site/free/prsa0620.htm CiM Specialty Pages CiM Specialty Pages

Additional 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 Match and Beyond Roadmap to Residency: From Application to the Match and Beyond splayForm&prd_id=183&prv_id=222&cfid=1&cftoken=772D1AF6- CB6A-42F1-B C03E35B or at splayForm&prd_id=183&prv_id=222&cfid=1&cftoken=772D1AF6- CB6A-42F1-B C03E35B or at splayForm&prd_id=183&prv_id=222&cfid=1&cftoken=772D1AF6- CB6A-42F1-B C03E35B splayForm&prd_id=183&prv_id=222&cfid=1&cftoken=772D1AF6- CB6A-42F1-B C03E35B Extramural information: Questions? Questions?