Career Transition Questionnaire Name: Please place an X in the box next to the answer(s) that are most accurate for you. For some questions, more than one answer can be selected. 1. Career Transition Decision I have recently started considering a career transition. I have been thinking about a career transition for 1-2 years. I have been thinking about a career transition for 3-5 years. I have been thinking about a career transition for 6 or more years. 2. Current Job Satisfaction I am very dissatisfied in my current job. I am moderately dissatisfied in my current job. I feel neutral about my current job. I feel fairly positive about my current job. I am not currently working. 3. Reasons for Seeking a Transition I want to enjoy my work again and find satisfaction in what I do. I want to have more time for family and self. I want to have a life that is not so stressful and demanding. I want to have more control over my schedule and work hours. I want to avoid the risk of a malpractice suit. Other: 4. Time Frame for Transition I want to make a career change immediately. I want to make a career change within the next year. I want to make a career change in the next 2-5 years. I want to make a career change in the 6-10 years. I am uncertain about changing careers. 5. Motivation I feel excited about the process of transitioning to a non-clinical career. I have mixed feelings about the process of transitioning to a nonclinical career. I am not very motivated about the process of transitioning to a nonclinical career. 6. Commitment I don’t feel I have very much time or energy to put into a career transition. I can commit some time and energy to the career transition process. I am willing to put in significant time and energy into my career transition. I am still in the thinking stage regarding a career transition. 7. Clinical Versus Non-clinical I would like to transition out of clinical practice entirely. I would like to have a blended career: clinical and non-clinical. I would like to take a break from clinical practice and possibly return. I am uncertain whether or not I still want to practice medicine. 8. License and Board Certification I am going to keep my license as long as possible. I am planning on keeping my certification current. I am planning on retiring my license. I do not want to have to re-certify for my board specialty. 9. Restrictive Covenant/Notification I do not have a restrictive covenant. I have a restrictive covenant. I have a contract where I need to give notice prior to leaving. I need to give more than 3 months notice prior to leaving my job. 10. Spouse/Partner Support My spouse/partner does not know I am considering a career change. My spouse/partner does not want me to change careers. My spouse /partner is neutral about my career change plans. My spouse/partner is supportive of my career change plans. N/A 11. Travel I do not want to travel as part of my job. I would not mind traveling 10-25% of the time. I would not mind traveling 30-50% of the time. Traveling most of the time would be acceptable to me. 12. Relocation I am not willing or interested in relocating. I am neutral about relocating. I would like to relocate. 13. Income Requirements I am unwilling to take a decrease in income. If necessary, I am willing to take a moderate reduction in income. If necessary, I am willing to take a significant reduction in income. I would be willing to take a reduction in income if I knew there was a good potential for income growth. I want/need a job where my income will be greater than it is now. 14. Work Structure I would like to spend most of my time at work in an office setting. I would like to only work in an office part of the time. I would like to spend most of my work time outside an office (eg. making calls on clients, traveling, etc.) I would like to be able to work from home. 15. Income Structure I would like to have a guaranteed paycheck. I would be OK working as a consultant, or in some other capacity and not having a guaranteed income. I would be OK having my own business with all of the potential risks and rewards. 16. Which of these areas are of interest to you? Writing Speaking Teaching/Academics Research Consulting Expert Witness Informatics/Electronic Medical Records Leadership Pharma Chart Review Clinical Skills and/or Surgical Skills Expert Witness Public Health/Government Entrepreneur/Business Owner Finance/Venture Capitalism Biotech/Medical Device Counseling/Coaching Copyright 2010. The Doctor’s Crossing. All rights reserved.