Careers Week – Wednesday Plan • This morning:

• Careers Service – career planning

• Lunch: 12.45pm – 2pm (including year photo in Royal Fort Gardens)

• This Afternoon – 2pm

• Post Graduate Speciality Q&A

This morning

• Introduction to Career Planning

• Including Values, networking, decision making, setting goals

• Break at 11am

Model for helping you make well informed realistic decisions

The MEDIC Model

• M e

• E xploring

• D ecision making

• I mplementation

• C ritical reflection

•ME •You need to understand yourself

• Your priorities

• On call – part time options – city vs village life –working in a team

• Skills

• Ask yourself – what are your strengths? Do they fit with the skills need for that specialty?

Values

• ‘Values in relation to work represent the degree to which a person regards his or her work as worthwhile.’

• ‘Worthwhileness’ includes the amount of power, autonomy, creativity, learning, altruism, security, status and money which are sought in work’.

• It’s an important component of job satisfaction, so you need to be clear about your underlying values.

• Values exercise – allow 5-10 minutes to complete

• Networking……….

• http://www.youtube.com/watch?v=THNPmhBl-8I

What is networking?

• so far?

What is your experience of networking so far?

What we wish we knew...

• “They should take time to talk to the doctors they work with/meet and ask about the work life balance, best/worst bits of the jobs etc. Arranging an informal chat with a consultant in the area they're interested in, can be really useful- you'll often end up with a mentor”

When, Where, Why?

• ‘People are people’ not targets – Not for interactions with patients

• Explore more about roles of the people you work with – What really motivates most them in their area – Challenges they encounter in their careers

– Get opportunities to build more experience

• Stay competitive • Sources of up-to-date information

What are your networking strengths?

• I can make more of my opportunities…….

• Review your strengths

• Identify where there is room to develop

• What opportunities do you have to develop these skills further?

How proactive and motivated are you at contacting new people?

1. I’m not very

2. I’m ok

3. I’m very

How confident are you of making a positive first impression?

1 2 3

0% 0%0%

1. Not very confident

2. Feel ok about it

3. I’m very confident

How clear are you on what help you need from other people?

1 2 3

0% 0%0%

1. Not very clear

2. Sometimes clear

3. Very clear

How skilful are you at asking questions and actively listening?

1 2 3

0% 0%0%

1. Not very skilful

2. I’m ok

3. Very skilful

How persistent are you at following up new contacts?

1 2 3

0% 0%0%

1. I never follow up

2. Occasionally follow up

3. Always follow up

How much help do you give other people?

1 2 3

0% 0%0%

1. Rarely offer help

2. Occasionally offer help

3. Always offer help

top tips/1 • getting to medical school is as competitive as it gets - ~7% • getting through medical school has much better odds ~ 95% • getting a foundation post on graduation is pretty much 100%

• making the next step to core training is variably competitive • making the jump to ST3 – ST7 training even more so

– depends on specialty (can be as competitive as 1:14) – depends on geography (Severn is tough) – depends on you (popular geography, competitive specialty etc)

• …. just as in the job market generally • http://www.medicalcareers.nhs.uk/specialty_pages/workforce_statist

ics/workforce_statistics_video.aspx

Competition Ratios

Foundation Programme Places Applicants receiving 1st Preference

Ratios

Coventry and Warwick 91 79 1:1

East Anglia 286 162 1: 0.6

LNR 140 88 1: 0.6

Mersey 306 246 1:1

North Central Thames 315 490 1: 1.5

North East Thames 331 294 1:1

North West Thames 263 1115 1:4

North Western 511 437 1:1

Northern 386 321 1:1

Northern Ireland 244 240 1:1

Oxford 223 331 1: 1.5

Peninsula 198 187 1:1

Scotland 787 638 1:1

Severn 273 442 1:2

South Thames 798 934 1: 1.5

Staffordshire 108 34 1: 0.3

Trent 311 196 1: 0.6

Wales 361 238 1:0.6

Wessex 296 222 1:1

West Midlands Central 430 378 1 : 1

Yorkshire and Humber 584 465 1 : 1

Model for helping you make well informed realistic decisions

The MEDIC Model

• M e

• E xploring

• D ecision making

• I mplementation

• C ritical reflection

• In order to have a fulfilled and enjoyable career, you need to make decisions that

are right for you’

• ‘At graduation, over half of new doctors do not know what specialty they want to

enter.’ The Medical Student Career Handbook

Edited: Elizabeth Cottrell, Radcliffe Publishing

Decision Making

•At some point you will need to make some important decisions

•What is your decision making style – how have you made decisions in the past? What has worked well? What didn’t?

Types of decision making… • Logical

• Talking

• Intuitive

• Hesitant

• Testing ideas

• Links to websites that help with decision-making • www.mindtools.com • www.decision-making-confidence.com

Logical • A systematic approach

• Weighing up pros and cons against each other

• This can help you become clearer about your priorities

• Prioritising your values/ work preferences/ family commitments

• Specialty profiles, job descriptions, case studies – against your

preferences

• Very individual – everyone different

Talking • Vocalising your thoughts to someone else

– begin to see things clearly

• Someone impartial

– Careers adviser

• Someone who knows you well to clarify the issues

– Friends, Family, Mentor

• Someone who has made the decision already

– Careers network, Social Media

– Placements, Elective contacts

Intuitive

• Making decisions on how you feel

• You may go with your ‘gut reaction’

• Has this been reliable in the past?

• Have you ever been wrong?

• How comfortable are you with making

mistakes sometimes

Hesitant

• It can be helpful to take your time with decisions

and to do your research

• Are you someone who mulls things over for some

time before reaching a decision?

• Perhaps collecting evidence until you can see the

way ahead?

• Make sure you don’t procrastinate!

Testing ideas • Perhaps you need to try something out before you commit to it

completely

• Getting some relevant experience such as a rotation or taster

• Talking to people in the job

• If this is your approach, you may be comfortable changing your

mind and experience could sharpen your focus and provide you

with some useful insight.

Graduated in 2000, at medical school enjoyed A&E and forensic psychiatry, did my elective in forensic pathology in the USA and also space

medicine with NASA. SHO posts included: Rheumatology, psychiatry, paediatrics and obs&

gynae…..

1 2 3 4

0% 0%0%0%

1. Obs & Gynae

2. Paeds

3. A&E

4. GP

• Dr Vicki Collinson works as a GP in Bath. Career has included: out of hours emergency care to see all the acute medicine, work as a forensic Medical Examiner out of hours, as a Prison GP. Currently working as a GP trainer and have a good work life balance, although it might be time for a change……

At medical school, I pursued my interest in international health and did an SSC at the WHO in

Geneva. I did my FT in East London, as well as my CMT there. Having gained my MRCP I felt I had a bit of flexibility as to further my career options. I did a

diploma in Tropical Medicine and Hygiene in Liverpool and went to Malawi to work as a medical Registrar…..

1 2 3 4

0% 0%0%0%

1. Genito – urinary medicine

2. Overseas voluntary

3. Staff grade A&E

4. Public Health

• Dr Megan Crofts, having never been to Bristol applied to do my specialty training here in a city centre clinic. Currently 2 years into my GUM/HIV training

3 years at Bristol studying undergraduate medicine, then transferred to Cambridge where I completed my

medical training and a PhD in Respiratory Medicine……

1 2 3 4

0% 0%0%0%

1. Taught Physiology

2. Left Medicine

3. General medical rotation

4. ITU

• Gary Crotaz- Head of UK Commercial

Analysis at Mothercare

I decided to leave medicine in 2004,

my decision driven primarily by uncertainty around job security and control of specialism and location. I worked for LEK consulting a global strategic consultancy and then have worked for various agencies included my own

I enjoyed pretty much all of the clinical specialities at medical school and embarked upon general medicine and did my MRCP exams. I was never afraid of hard work but found shift work did impact very negatively upon an enjoyable social life. At end of a six month stint in cardiology, I went for a pint with my boss. I told him I really liked cardiology but was concerned

about how competitive it was………

1 2 3 4

0% 0%0%0%

1. Psychiatry

2. Occupational Medicine

3. Staff grade in care of the elderly

4. Left medicine

• Ian Griffiths – on talking with my boss, Dr John Watkins in Portsmouth. I told him that Cardiology would not enable me to strike the work/life balance that I needed, and may leave me craving more variety. I told him what I fancied doing instead, and he said he would have done that, given a second chance. I am doing Occupational Medicine, and have no regrets at all.

Bristol Medical Alumni • ‘If you’re really unsure about career path ask

to shadow in A&E – get a quick idea of what you do/don’t like e.g. babies, psychiatry, acute trauma.’

• ‘I can’t stress enough how important it is that they keep up with sports and hobbies because you need to have stress outlet outside medicine’.

Implementation

•Don’t just think about it – do it!

•What do you need to do to make things happen?

•Tell someone, give yourself a deadline, treat yourself once you’ve done it?

Planned Happenstance

• A theory based on the idea that chance events/meetings can have a direct effect on your career

(See Mitchell, Levin and Krumboltz (1999) Planned Happenstance:

Constructing Unexpected Careers Opportunities. Journal of Counselling and Development, Spring 1999 Vol 77)

Critical Reflection

• So how’s it gone?

• Be honest with yourself

• Get feedback

Top tips/2 • be the best

• you are as good as what you have done so far • so invest - every opportunity counts

– teaching, audit, research, organisational projects – use your SSCs – internal and external – show off your self direction, team work, sense of enquiry,

workplace skills (also helps with the SJT)

• .... just as in the job market generally • critically reflecting on all that you do builds the best

doctor

Resources – GP/Specialty • Modernising Medical Careers - Specialty Training (England) www.mmc.nhs.uk

• Scottish Medical Training www.mmc.scot.nhs.uk

• Specialty Training Wales http://specialty.walesdeanery.org

• Northern Ireland Medical Training www.nimdta.gov.uk

• Academic Clinical England www.nihrtcc.nhs.uk/intetacatrain

• BMJ – Articles on medical career choices

• www.careers.bmj.com/careers/hospital-medical-healthcare-doctors-jobs.html

• GP training www.gprecruitment.org.uk

Resources – Career Planning • UK Foundation Programme – UKFPO

www.foundationprogramme.nhs.uk/pages/medical-students/your-career-path

• Foundation applications and training routes

• Planning your medical career a practical guide

• NHS medical careers www.medicalcareers.nhs.uk

– career planning – video podcasts, career options, specialty pages

• BMJ Learning module http://learning.bmj.com/learning/home.html

• Career essentials maximising your portfolio

• Medical Careers www.medicalcareers.nhs.uk

• medical careers events calendar

Resources to support you • University of Bristol Careers service – advice for medics

• bris.ac.uk/careers/careersin/for-medics.asp

• Medical resources handout

• Using social media to research medical careers

• CV basics for medics

• Useful web links

• Bristol Medical School – new careers section (goes live soon)

• bristol.ac.uk/medical-school/

• Bristol Medical School – Galenicals careers representative

Final Words • Do as much F1 shadowing as possible during final year – including nights

• Get the basic practical skills down to a ‘T’ e.g. cannulation

• ‘for women there is never a right time to have children, just get on with it when it feels right for you’

• Doing something ‘quirky and different’ and putting it on your CV will help you stand out from the crowd

– e.g. working abroad for 6-12 months; choosing an amazing elective e.g. NASA in Florida – space medicine!

• Portfolio careers becoming more popular

– 3 days clinical work, 1 day teaching, ½ day on a medical committee or radio

Careers Week – Wednesday Plan

2.00 – 2.20 Psychiatry - Vicky Thom

2.20 – 2.40

General Practice - Phil Grimmer (Associate

Postgraduate Dean for Recruitment & Programme Development) –

2.40 – 3.00 Anaesthesia - Training Programme Director

3.00 – 3.20 O&G – Dr Jo Trinder, Deputy Head of School & Jane Farey ST6 Trainee

3.20 – 4.00 Break

4.00 – 4.20 Radiology – Mark Calloway

4.20 – 4.40 Paediatrics – Rob Tulloh

4.40 – 5.00

Pathology – Richard Colling (Histopathology Trainee)

Emily MacNaughton (Medical Microbiology Trainee)

Andrew Day (Chemical Pathology) Andrew is HoS & a Chem Path Consultant