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

What’s it all about …?  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

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? 

Nationally… Increased competition for jobs & training places  Increased number of medical school graduates ‐ 2004 – 285 graduates ‐ 2016 – 565 graduates  More doctors staying in NZ

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 access to career planning 1. a career plan 2.  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?

Career Planning Hospitals NRA (Northern Regional Alliance) Employment Planning

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

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

Career Planning Pathway Understanding Self Hospitals Gather Information NRA Decision & action Implement Plan

Questions? Understanding  ?Motivates me to do my best work Self  ?Greatest satisfaction  ?Strongest skills and which do I enjoy using Gather most Information  ?People around me – colleagues, patients  ?Tolerance of undiagnosed problems and multiple symptoms Decision  ?Range of complex problems or single problem Implement Plan

What do we do to help? Understanding Self  Intern teaching sessions  Talk with people ‐ Clinical Supervisor* Gather Information ‐ Education Supervisor* ‐ Other Colleagues ‐ Friends and family Career Specialist  Decision  * Handout guides Implement Plan

Questions Understanding Self  What particular skills do you need in this specialty?  Do I like the kind of people this specialty Gather Information attracts? Lifestyle?  Workforce projections?  Number of training places? Decision  Number applying for training? Implement Plan

What do we do to help? Understanding Self  Annual Careers Fair  Career Website (www.careermed.co.nz) Gather Information  Career Tasters  Career Specialist Decision Implement Plan

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?

Putting plan in place Understanding Self Run Selection Gather Apply to a college Information Apply for Registrar position Decision Implement Plan

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

Career Intentions Survey Understanding Self March – April  Intentions for next year  Gather Information Meeting with SMO’s  Decision Implement Plan

Career Intentions Survey Understanding Self First Preference Vocational Pathway 2011-2016 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 2011/12 Gather Information 2012/13 5.0% 2013/14 0.0% 2014/15 2015/16 Decision Implement Plan

Continuing Employment Survey Understanding Self Information to enable planning  Expected resignations  Applying for registrar positions  Gather Flexible working options  Information Run block preferences  Decision Implement Plan

Run Allocations Understanding Self Rank & Preference Allocation Policy  Interns advised in September  Gather Information 227 PGY2+ attachments for 2017  Decision Implement Plan

Run Allocations Understanding Self RMO Run Block Preferences 80% 70% 60% 50% Gather Information 40% 2017 %RMOs 30% 2016 %RMOs 2015 %RMOs 20% 10% 0% Run Block Run Block within 1st Preference 2nd Preference Assigned within Top 5 Preferences Run Block Run Block Decision Top 10 Preferences Implement Plan

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 Career Planning is a process → Career Plan 1. Action your Career Plan with an Employment 2. Plan (clinical attachments, applications to colleges and registrar positions) Best careers resources/activities are those that 3. 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