Skills for life

OBJECTIVES
 Why doctors need career skills
 To understand what a career is and some theory
 Career management cycle
 Make it easier to help trainees manage their career
 Understand recent changes to training and recruitment
 Plan and look to future with trainees
 Information sources and a bit of personal help!

WHY CAREERS ADVICE IN MEDICINE
 Identified as real need in all recent reports on training-Took ,Collins and Temple
 GMC recommendations
 Work stream in Better training Better Care
 Changing profile of medical employment-white paper, private employers, redundancy ,increasing mobility of consultant workforce
 Greenway report-shape of medical training
 Appraisal and revalidation
 Key leadership skill

WHY DOCTORS NEED CAREER SKILLS
 Identify satisfying career
 Maximise opportunities
 Take advantage of changing environment
 Avoid burnout and stress
 Work and lifestyle management
 To be resilient in a rapidly changing environment

WHY STUDENTS NEED CAREER SKILLS
 Understanding self
 Active career exploration
 Active career preparation
 Developing competitive edge/portfolio
 Easy to like all specialities
 Acknowledging lifestyle drivers

And Mr Jobs http://youtu.be/UF8uR6Z6KLc?t=6m3
0s

FOR THE CYNICS
 How many people do you know who do the same job 5 years after appointment as a consultant or GP?
 So even doctors need career development skills!
 7 year cycle
 Careers of the Successful

WHEN DOCTORS NEED SUPPORT
 Key transition points for trainees
 Changes in circumstances- domestic, health, wrong choices
 Development beyond training- opportunities in consultant role
 Change from public to private providers - remaining saleable
 Student to retiring staff

WHAT IS A CAREER
 What is your definition?

CAREER DEFINITION
“Work has to be framed within the larger context of a life worth living!
”
Take control of your career ’ John Lees
“The sequence of a person’s life and work experiences over time ”

WHY PLAN
 Seizing opportunities
 Increased awareness and networking
 Acquiring skills and qualifications
 Focus and supporting others careers

THEORIES 1 DECISION MAKING
 Person environment fit Parsons1908
 Rodgers seven point plan 1952 e.g.s physical makeup
,attainments, aptitudes, interests
 Holland 1997 6 types interest
 Supporting evidence poor doesn’t take account of desirability of jobs

HOLLAND’S TYPES

DECISION MAKING
 Super 1957 Developmental theory -takes account of influences leading to decision(role models)
 Super 1988 Exploration, Establishment, maintenance
,disengagement concepts of career maturity
 First framework-focus, information, realism, scope, tactics(UCAS)

MORE DECISION MAKING
 Structural theories-people do what is available
 Social influence
 Rebels and medical families!
 Social cognitive Lent 1994 concept of self efficiency.

HAPPENSTANCE MODIFIED CHAOS THEORY
 Social learning theory -triadic reciprocal interaction ( of learning,environment and genetics)
 Happenstance- taking advantage of the unexpected- stuff happens

WHY DOCTORS CHOOSE WHAT THEIR
SPECIALITY
 Enjoyment/interest 49%
 Variety/pace/challenge40%
 Patients-interaction-19%
 Work life balance19%
 Suits skills/personality14%
 Chance to make a difference10%
BMA 2006 cohort study 2012

OTHER INFLUENCES
 Role models
 Clinical experiences-good and bad
 Peer pressure

Application
CAREER CYCLE
Self assessment
Preparation
Decision making
Career exploration

CAREERS CYCLE 2
Stage 1: Self assessment
Stage 2: Career Exploration
Stage 3: Decision making
Stage 4: Plan implementation

Self assessment
 Who am I ?
 What do I enjoy?
 What am I good at?
 What do I value
 What do I want out of life as a whole?
 How do I view myself?
 What is out there that will give it all to me?

INTERVIEW-CAREER DRIVERS
 When you leave work to go home and it is a really good day what did you do that day? Teams, patients, clinics, theatre,
MDT, teaching, research ,planning
 How do you feel about taking the lead/responsibility
 What do you feel energised by at work?
 Is passing on knowledge important to you?
 Do you enjoy planning education programme, rotas??
 Do I enjoy research?
 Do I enjoy Managing/Developing new services
 What makes you passionate at work
 What plans have you made
 What have you done to support them

A WORD ABOUT PSYCHOMETRICS!
“ Early in their training medical students should be disabused of the idea that there is one perfect specialty choice for each person. Instead they should be helped to understand how they could use different specialties to construct satisfying and successful careers”
Borges et al 2004

TOOLS FOR SELF ASSESSMENT
Websites
NHS careers website
BMA website
NW deanery website
Windmills i-resilience
Psychometric tests
SCI 59
Holland’s self directed search
Workbooks
NW deanery
Roads to Success

USE OF SKILLS ANALYSIS
 job applications and CV
 appraisal and PDPs
 identify own strengths
 identify areas of development
 help for discussion
 starting point if struggling with career

Career exploration
 Do I know what is out there?
 Would I enjoy the speciality
 Would it fit my life style?
 Does it satisfy my career drivers?
 What is the competition like?
 How committed am I and can I show it?
 What are the training programmes like?

STRUCTURE OF TRAINING

STRUCTURE OF TRAINING (ACADEMIC)
The UKFPO Rough Guide to the Academic Foundation Programme

THE FUTURE (SHAPE OF TRAINING)

Career exploration
HOW TO EXPLORE SUB -SPECIALITIES AND OPPORTUNITIES
 Placements/tasters
 What does consultant /trainee do
 Talk to those in the job
 Do you like the job content and style
 Competition
 Colleges-lectures, summer schools, websites
 Length of training/rewards
 Potential changes in future- shape of training, community or commercial focus

Decision making
 Personal
 Decision making tools/lifelines
 ROADS-realistic –self/job demands
 opportunities-what is out there

 anchors- does it fulfil your drivers development-are you using your full
 potential
 Formal decision making tools: Wales and Mersey deaneries/NHS Careers and BMA sites

OR LIKE THIS?

LIFELINE
 Draw your life line
 Where and when were high spots and the lows?
 Explain

Preparation
 Are you competitive? Do I stand out-roles held?
 Committed?
 Specialist societies?
 Prizes?
 Fellowships?
 Research?
 Know and understand area of interest well?
 Networking?
 Extra qualifications?

Application- general advice
 Watching for adverts
 Details of application system
 Referees
 Ready on day-portfolio/interview practice/exam revision
 Abroad-how will you manage

APPLICATION-SPECIFIC
 Foundation-SJTs/ academic scores/role of UKFPO/ academic posts/Tracks and Deaneries/FPAS application via UKFPO site
 Time out /abroad/clinical fellows

FOUNDATION

APPLICATION PROCESSES-NEW
ALL VIA speciality selection website and Oriel
Core and GP
 Specialty -Oriel
 Academic-Oriel
 Oriel users guide
 Values assessment-personal spec.
 SST-Clinical judgement not in 2015-except GP
 Accreditation of transferable competencies AoMRC website
 Competition ratios
 Application dates different every year-mostly Autumn/early new year-Starts 11/11/14 core 2/15-ST3

SPECIALITY

IMPLEMENTATION-APPLICATION FORMS
 Preparation, preparation, preparation!
 Understand what the recruiters are looking for
 Check, check and check again
 Plagiarism!

INTERVIEW-ASSESSMENT CENTRE
 OSCE like-defined by speciality?
 Practice?
 What was it like last year?

IN POST/PLACEMENT
 Fulfil requirements
 Portfolio up to date
 Take all opportunities
 Enthusiastic
 Prepare for next steps
 Keeping Career on education radar

EMBRACING THE CAREER CYCLE
 Know self be honest
 Have clear direction
 Stay prepared
 Be aware of opportunities
 Re evaluate regularly
 It’s OK to change.
 5 year plan

CAREER CONVERSATION
 What do they want from this
 Explore
 Clarify
 Plan
 Follow up
 Information, advice, counselling
 Referral

TRAINEE INTERVIEW
 Early-rule ins and outs
 Ideas fixed/totally uncertain
 Explore –themselves-how-skills, lifestyle ,values
 Exploring options during placements
 Detailed focus towards definite speciality -audits, placements, research, intercalated, publications.
 Explore specific career pathway -websites, application process, developing competitive advantage, networking

FIRST STEPS TODAY AND ALWAYS
FOR YOU AND OTHERS
 Make time
 Start planning
 Review progress regularly
 No shame in changing direction

GOLDEN TICKET

FOUNDATION SUPPORT
 Trainers
 ES and Trust career leads
 Trust foundation educational programme
 Career fairs

ADDITIONAL INFORMATION
 NHS careers website
 BMA careers website
 UKFPO
 College sites
 Deanery sites
 Speciality selection site

‘If you enjoy what you do you never work another day in your life’ Daosist
Proverb’