Medical Careers Career Support Resources Andrew

Medical Careers Career Support Resources. . ? Andrew Long Associate Dean Head of School of Paediatrics London Deanery

Medical Careers Workshop outline • Background • Career challenges – personal experiences • • Resources – who? Resources – what? Potential Risks Significant benefits

Medical Careers Career Advice - MMC “…rigorous counselling and career advice should be available throughout training” “…underpinned by practical career advice and coaching, there should be opportunities to change direction later on” “…they should match the choices of individuals with career advice, assessed potential and, importantly, the demands of the NHS for particular specialists and for GPs. ” Modernising Medical Careers: The Next Steps, 2004

Medical Careers • all four Departments of Health in the UK (plus CMOs) must be involved in any moves to change medical career structures • DH should have a coherent model of medical workforce supply • DH should urgently review its medical workforce advisory machinery • content of higher specialty training and the numbers will be informed by dialogue between the Colleges, Deaneries, employers, and medical workforce advisory machinery • career aspirations and choices should be informed by accurate data. Medical schools should play a greater role in careers advice Implementing the Tooke Report: Department of Health Update, November 2008

Medical Careers Postgraduate training – Inquiry recommendations Postgraduate trainee Medical student Provisionally Registered doctor Medical Degree Medical School Full GMC registration Registered Doctor Specialty assessments at selection centres Core Speciality Training F 1 ‘Graduate’ school Competitive selection process with limits Specialist Registrar ‘Stand Alone’ Practitioner Optional higher credentialling/subspecialty exams CCT Specialist ‘Higher specialist Training’ • 1 year • Attends Specialist Registrar PMETB CESR • ~ 4 Core Specialty stems • 3 years (fixed term) • Guaranteed • 4 - 6 month positions place for UKMG • Integrated ‘Masters’ ‘Staff Grade’ programmes available - Research - Education - Management - Global health * stems include for example Medicine, Surgery, Acute Common Stem and GP training. NB the term ‘specialty’ has no formal legal significance in these examples GP Specialist Registrar GP Consultant

Medical Careers • trainees must be involved in the decision-making and implementation of training innovations that affect their present and future careers • support to assist the individual in day-to-day activities and decisions. . . should be carried out by someone with whom the individual works and who can be a positive role model for them. • Mentoring could be undertaken by someone outside the specialty or even profession, the purpose being to provide an individual with career guidance and expertise. Time for Training Sir John Temple, 2010

Medical Careers Issue 6: Perceived deficiencies in careers information and advice 11. All of the appropriate organisations must work together to define good practice for the provision of careers information and advice. Such information must be easily accessible, simple to understand contain transparent data on each specialty, including competition ratios and a potential applicant’s “likelihood of success”. Foundation for Excellence: An Evaluation of the Foundation Programme. Professor John Collins October 2010

Medical Careers “Although extensive careers information is available it would appear that the quality of careers advice may be lacking. Those in established medical practice often tend to support their own specialty area or, through the “hidden curriculum”, deter trainees from pursuing certain careers in medicine, such as general practice. " “The optimal timing of careers decisions remains the subject of debate. Of those doctors who in their first year after graduation were definite about their specialty choice, 74% were in this specialty ten years later. ” Foundation for Excellence: An Evaluation of the Foundation Programme. Professor John Collins October 2010

Medical Careers ‘Informing Choices’

Medical Careers Personal experiences • discuss with your neighbour – your most challenging experience in career guidance – what was the outcome – were expectations realistic – what resources would you/trainee have found most valuable • other people • information

Medical Careers Who is/might be involved? • undergraduate – personal tutor, careers service, undergraduate Dean • postgraduate – Educational Supervisor – College Tutor/Specialty Programme Director – Clinical Tutor (Do. ME) – Training Programme Director – Deanery Careers Adviser

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Medical Careers Stage 1 Self-help materials Workshops Stage 2 ES Guide ES e-learning Workshops

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Medical Careers Shared career planning framework an extensive survey of the components of effective career discussions in the workplace identified the importance of preparation (of both parties) and of having a simple shared framework to structure the discussion. Hirsh, W. , Jackson, C. and Kidd, J. M. , (2001). Straight talking: Effective Career Discussions at Work. Cambridge. National Institute for Careers Education and Counselling (NICEC). (Hirsh et al, 2001)

Medical Careers Four stage career planning framework

Psychometric Tools Medical Careers

Medical Careers www. mmc. nhs. uk

Medical Careers

Competition Ratios Application ratios for ST 1 in 2010 Programme Neurosurgery* Clinical radiology Core Medical Training Posts 17 179 1171 Apps 117 1251 2455 Ratio 6. 8 7. 0 2. 1 Obstetrics and Gynaecology* Histopathology* Paediatrics* General practice* 249 62 340 2, 783 1, 252 165 1, 386 4850 6. 02 3. 0 4. 0 1. 74 www. mmc. nhs. uk * Are competition ratios as 1 application made per applicant

Competition Ratios Application ratios for ST 1 in 2011 Programme Neurosurgery* Psychiatry Clinical radiology Core Medical Training Posts 16 481 177 1201 Apps 175 357 587 2475 Ratio 10. 9 0. 7 3. 3 2. 1 Obstetrics and Gynaecology* Histopathology* Paediatrics* General practice* 265 60 407 3251 597 137 753 5541 2. 3 1. 9 1. 7 www. mmc. nhs. uk * Are competition ratios as 1 application made per applicant

Medical Careers

Medical Careers www. medicalcareers. nhs. uk

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Medical Careers Stage 3 Training Faculty Postgraduate Certificate Stage 4 Interview Skills/cv workshops Individual careers support

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Medical Careers Potential Risks • no guarantees • relies on self-awareness, motivation, performance etc • role of the ego! • honesty can hurt! • mis-direction • current inflexibility • time commitment

Medical Careers Significant benefits • • better workforce planning* contented workforce full rotas* scheduled migration no panic in Foundation training* fewer trainees in wrong specialty fewer trainees in difficulty * mythical

Medical Careers Any questions?