Career Planning for Interns Gill Naden MSc DipTchg Clinical Education - - PowerPoint PPT Presentation

Career Planning for Interns

Gill Naden

MSc DipTchg

Clinical Education & Training Unit Auckland District Health Board

• Career Planning is a process

‐ How to help? ‐ Career Plan ‐ When – Feb to April

• Action the Career Plan with Employment Plan

‐ Clinical Attachments? ‐ Applications – college & registrar positions

April onwards

What’s it all about …?

Take Home Pack

 “Career Planning Guide”

– For Interns – For Clinical Supervisors and Education Supervisors

 Careers Fair ‐ organisation

• Advertising posters
• Programme
• Speaker guidesheets
• Evaluation sheet
• Facts at a Glance poster example

 www.careermed.co.nz  Career Tasters – Advertisement

gnaden@adhb.govt.nz

Right from medical school days I’ve wanted to do

• neurosurgery. Now that I have actually done an

attachment in it, I realise it’s not right for me. So what do I do? I definitely want to do surgery. All I need to know is what are the best runs to do and how do I get into the training programme as quickly as possible? Internal medicine sounds good but do I really want to be a medical registrar?

Increased competition for jobs & training places

• Increased number of medical school

graduates

‐ 2004 – 285 graduates ‐ 2016 – 565 graduates

• More doctors staying in NZ

Nationally…

RMO Commission (2009) found RMOs were dissatisfied . . .

• Lack of career planning
• Not getting attachments
• RMOs felt “lost” in the Intern years

Health Workforce NZ (HWNZ) responded & made it a requirement that . . .

• All junior doctors must have

1.

access to career planning

2.

a career plan

• Annual career report submitted to HWNZ
• Hospital funding will be dependent on

meeting these requirements

So… how did we respond? and where are we at now?

Hospitals NRA (Northern Regional Alliance)

Career Planning Employment Planning

Career Planning (hospitals) (February‐March) Individual Career Plan Hospitals NRA (Northern Regional Alliance)

Career Planning Employment Planning

Career Planning (hospitals) (February‐March) Individual Career Plan Career Intentions Survey (March) Continuing Employee Survey (Run preferences) (June) Application to Training Programme Optional Interview (Senior clinician) (April) Run Allocations (September) Hospitals NRA (Northern Regional Alliance)

Career Planning Employment Planning

Understanding Self Gather Information Decision & action Implement Plan

Hospitals NRA

Career Planning Pathway

Understanding Self Gather Information Decision Implement Plan

Questions?

• ?Motivates me to do my best work
• ?Greatest satisfaction
• ?Strongest skills and which do I enjoy using

most

• ?People around me – colleagues, patients
• ?Tolerance of undiagnosed problems and

multiple symptoms

• ?Range of complex problems or single

problem

Understanding Self Gather Information Decision Implement Plan

What do we do to help?

• Intern teaching sessions
• Talk with people

‐ Clinical Supervisor*

‐ Education Supervisor* ‐ Other Colleagues ‐ Friends and family

• Career Specialist
• * Handout guides

Understanding Self Gather Information Decision Implement Plan

Questions

• What particular skills do you need in this

specialty?

• Do I like the kind of people this specialty

attracts? Lifestyle?

• Workforce projections?
• Number of training places?
• Number applying for training?

Understanding Self Gather Information Decision Implement Plan

What do we do to help?

• Annual Careers Fair
• Career Website

(www.careermed.co.nz)

• Career Tasters
• Career Specialist

Careers Fair

• 2 nights
• 31 concurrent presentations
• 83 presenters
• 250 participants
• Food!

Presentation Panels

• Vocational Training Committee
• Registrar (in training)
• Private Practice/Public‐Private

mix

• Guidelines of what to cover

• Careers in Health Leadership
• Non‐clinical Careers –

Information Technology; Publishing,

• Combining family with a medical

career

• Tips for International Medical

Graduates

• Are You a Cash Flow Bunny –

Learn how to Manage your Finances

Poster Boards – Facts at a glance

• Training entry requirements
• Number of positions
• Key contacts
• Sub‐specialties available in

Auckland region

Who attended In 2016

Medical Students ‐35% Registrars ‐7% PGY2 House Officers ‐38% PGY1 House Officers ‐20%

2016

• Increased numbers of PGY2

attendees

• Increased numbers of medical

registrars

• Future …include Non‐set

registrars

Feedback

“Confirmed vocational pathway” “First hand experience from trainees in programme” “Knowing how to apply to different subspecialties” “Hearing about work‐life balance – honest opinions” “Gave me a better idea of personality of doctors in different specialties which has had a huge contribution to my current thinking and guiding my decisions” “Yes….to GP land I go”

Careers Website (www.careermed.co.nz)

• Videos of presentations
• Case studies
• FAQ
• Psychometric Test (SCI59)

Others www.aucklanddoctors.co.nz www.kiwihealthjobs.com www.healthworkforce.health.govt.nz www.nzma.org.nz

Career Tasters

Apply to CETU

• Spend time in a specialty
• Chat with the CD, attend a ward

round or day in a specialty ‐ Anaesthesia ‐ Radiology ‐ Health Management

Career Planning

Which resources did you use and found helpful?

Understanding Self Gather Information Decision Implement Plan

Putting plan in place Run Selection Apply to a college Apply for Registrar position

Career Planning (hospitals) (February‐March) Individual Career Plan Career Intentions Survey (March) Continuing Employee Survey (Run preferences) (June) Application to Training Programme Optional Interview (Senior clinician) (April) Run Allocations (September) Hospitals NRA (Northern Regional Alliance)

Career Planning Employment Planning

Understanding Self Gather Information Decision Implement Plan

Career Intentions Survey

• March – April
• Intentions for next year
• Meeting with SMO’s

Understanding Self Gather Information Decision Implement Plan

Career Intentions Survey

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%

First Preference Vocational Pathway 2011-2016

2011/12 2012/13 2013/14 2014/15 2015/16

Understanding Self Gather Information Decision Implement Plan

Continuing Employment Survey

• Information to enable planning
• Expected resignations
• Applying for registrar positions
• Flexible working options
• Run block preferences

Understanding Self Gather Information Decision Implement Plan

Run Allocations

• Rank & Preference Allocation Policy
• Interns advised in September
• 227 PGY2+ attachments for 2017

Understanding Self Gather Information Decision Implement Plan

Run Allocations

0% 10% 20% 30% 40% 50% 60% 70% 80% Run Block Assigned within Top 10 Preferences Run Block within Top 5 Preferences 1st Preference Run Block 2nd Preference Run Block

RMO Run Block Preferences

2017 %RMOs 2016 %RMOs 2015 %RMOs

Useful Resources

• “What Colour is Your Parachute?” – Richard Bole
• “How to choose Your Medical Specialty” – Anita Taylor
• “Roads to Success” – Elton & Reid, Postgraduate Deanery

Kent, Surrey & Sussex

Conclusions

1.

Career Planning is a process → Career Plan

2.

Action your Career Plan with an Employment Plan (clinical attachments, applications to colleges and registrar positions)

3.

Best careers resources/activities are those that are people focused, especially those that bring Interns and SMOs together

Take Home Pack

 “Career Planning Guide”

– For Interns – For Clinical Supervisors and Education Supervisors

 Careers Fair ‐ organisation

• Programme
• Advertising posters
• Speaker guidesheets
• Evaluation sheet
• Facts at a Glance poster example

 www.careermed.co.nz  Career Tasters – Advertisement

gnaden@adhb.govt.nz