CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL

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CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

              CAREER PLANNING-NOW,
              DURING THE FOUNDATION
              PROGRAMME AND BEYOND

              Elaine Denniss
              Careers Consultant
CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

       What we will look at

    Introduce four part career management cycle
    Encourage reflection on your existing preferences and
    priorities
    Look at ways to maximise your Foundation
    Programme from a specialty choice perspective
    Start thinking beyond the Foundation Programme
CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

   Four part Careers Management Cycle

  Self Awareness – What’s important to me?

  Option Generation – What’s available to me?

  Decision Making – How do I choose?

  Implementation – How do I make it happen?
CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

 Making the parallel
 Clinical Decision Making        Career Decision Making
     Taking patient history        Self understanding

     Examination/investigation     Exploring options

     Differential diagnosis        Making a career decision

     Treatment plan                Implementing actions
CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

      Think about yourself

     What do you know about yourself already?
     How can you find out more?
CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

      Building the picture
     Values / Priorities
     Skills
     Strengths / Energisers
     Stressors
     Personality traits
     Self report, feedback from others
CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

    Your Priorities
  Working in a well known hospital
  Community based
  Hospital based
  Opportunity to carry out research
  Continuity of care
  Geographical location
  Work/life balance, regular hours
  Variety
  Clinical autonomy
  Working with technology
  Acute settings
And ....?
CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

      Different Roles of a Doctor
   Investigator
   Counsellor
   Researcher
   Organiser
   Decision maker
   Leader / Manager
   Entrepreneur
   Technician
   Strategist
   Social Worker
   and more!
CAREER PLANNING-NOW, DURING THE FOUNDATION PROGRAMME AND BEYOND - Elaine Denniss Careers Consultant - UCL
UCL CAREERS

      Option Generation and Research
     How many specialities do you know?
     Which ones appeal to you and why?
     Which ones do not attract you and why?
     Which ones are you just clueless about?
UCL CAREERS

What drives trainees to choose general   What stops trainees from becoming
practice?                                GPs?
UCL CAREERS

      Option Exploration
     Challenges – What makes the job exciting or stimulating?
     Demands       – What does it take to be successful?
     Rewards       – What do people enjoy or get out of the job?
     Prospects      – What are the chances for future development?
     Limitations – What restrictions will this job place on you?
     Conditions – What kind of working conditions are typical?
     Downsides – What are the toughest bits of the job?
     Personalities – What are the people like?
     Alternatives – What other options have similar characteristics?
UCL CAREERS

      How can you find out more?
     On line resources eg healthcareers.nhs.uk, LETBs, BMJ Careers
     Engage with Royal Colleges
     Voluntary work
     Work shadowing
     Using your network (information interviewing)
UCL CAREERS

      Frame your questions in the right way

    Why do you like being a         How much autonomy do
    Paediatrician?                  you get in your work as a
                                    Paediatrician?

    = A potentially limited       = A focused question which
    question which is linked to     is linked to YOUR self
    THEIR self                      awareness/bias/needs
    awareness/bias/needs
UCL CAREERS

      Decision Making
 Ask yourself
   Do I have enough information?
   Have I tested my assumptions (image vs reality!)
   Have I played devil’s advocate with my choice?
   Are there any factors that I’m giving too much/too
   little weight to?
UCL CAREERS

      Implementation

        Anticipate
        Prepare
        Practice
        Stand out!
UCL CAREERS

      Maximise your Foundation Programme
     Use your rotations as a chance to network with a range of fellow
     clinicians, at all stages of training
     Explore taster courses and work shadowing opportunities if possible
     Keep in touch with relevant Royal Colleges
     Many LETB’s offer careers support workshops for F1/F2s
     Complete clinical audit(s) (including re-audit, presentation) ideally
     resulting in service change
     Seek out opportunities to make presentations (local, regional, national,
     international)
     Seek out opportunities for teaching, gain a teaching qualification
     Publications
UCL CAREERS

    ‘Commitment to specialty’
    Relevant clinical work experience, e.g. rotations
    Additional work experience – electives, voluntary work
    Illustration of interests and preferences – SSCs,
    supplementary reading, research
    Any involvement in relevant research – journal clubs,
    poster presentations, IBSc research, previous degrees,
    papers
    Additional achievements - Prizes/Awards/exams
    Royal College involvement - events/conferences,
    presentations/networking events
    Extra-curricular activities – clubs and societies
UCL CAREERS

      Personal qualities – gather examples

– Managing others &         – Working under
  teamwork                    pressure
– Communication skills      – Empathy & sensitivity
– Vigilance & situational   – Decision making
  awareness                 – Problem solving &
– Organisation &              conceptual thinking
  planning
UCL CAREERS

      Working with personal qualities
     Understand and unpack skills
     Observe others in action
     Ask for examples/anecdotes
     Review and reflect on your own experiences
     Compile examples
     Fill gaps by gaining relevant experience
     Record learning
UCL CAREERS

      Your Portfolio – What does it say about
      you as a doctor?
                                Researcher
    Systematic
                                Teacher
    Organised
                                Scientist
    Logical thinker
                                Clinician
    Good decision maker
                                Mentor
    Reflective
                                Leader
    Proactive
               Commitment to speciality
UCL CAREERS

      Wider NHS issues
     Clinical governance
     Evidence-based medicine
     NHS Constitution – NHS Values
     GP commissioning
     Public health / public policy
     Integration of social and health care to meet demands of an ageing
     population
     Five Years Forward (NHS strategic priorities)
     24 service
UCL CAREERS

              www.medicalcareers.nhs.uk
UCL CAREERS

      Medical Careers Post Foundation
UCL CAREERS SERVICE

 Basic Medical Career Structure
                                       MBBS Degree

                              Foundation Programme (2 years)            Other
Less than FT training,
 non-training careers

                          Academic Foundation Programme (2 years)      Options:
  time out, LAT, LAS

                                 GMC registration after F1

                                                                       Academic
                         Specialty training – uncoupled, run-through   Medicine
                                   Core specialty training
                                  Higher specialty training             Medical
                                          GP Training                  Education
                             Academic Fellowship Programme              Work
                                            CCT                         Abroad

                                                                       Research
                                      Senior medical posts
UCL CAREERS

      Core Specialty Training
      Core Medical Training (2 years)
      Core Surgical Training (2 years)
      Psychiatry (CT1 – CT3)
              (Acute Care Common Stem – ACCS)
                            (3 years)
      Acute Medicine (from ACCS and CMT)
      Anaesthesia
      Emergency Medicine
      Intensive Care Medicine (from ACCS, CMT, Anaesthesia
      core training)
UCL CAREERS

      Run Through Specialities
     Chemical pathology
     Clinical radiology
     Emergency Medicine (new initiative)
     General Practice
     Histopathology
     Medical microbiology/virology – microbiology
     Medical microbiology/virology – virology
     Neurosurgery
     Obstetrics & Gynaecology
     Paediatrics
     Public Health
UCL CAREERS

      Specialty recruitment – the process
Most specialties
                                  Interview/      Offer/
    Register       Application   assessment      clearing
  (November)       (December)    (December/    (by beginning
                                  January)        March)

GP recruitment and Broad Based Training

                                 Assessment        Offer
    Register          Test
                                   centre      (by beginning
  (November)        (January)
                                 (February)       March)
UCL CAREERS

      Specialty recruitment
    Each specialty run by a Royal College, LETB or National
    Organisation (Units of Application)
    Slightly different logistics for each pathway
    Most applications open late Nov, but some are earlier (ACF & GP)
    Details from the Oriel website
 !! TIP: Start familiarising yourself in your F1 year (or before)!
UCL CAREERS

      What can you boost?
     Academic qualifications   Can do very
     Awards and prizes         little about by F2 year
     Achievements
     Presentations
     Publications              Might do
     Teaching                  something
     Audit                     about
     Commitment to specialty
UCL CAREERS

                             Maximum points CMT(max 64)
Additional undergraduate degrees and qualifications -10 pts
Degree obtained during medical course or prior to starting medicine – 1st class honours
Postgraduate degrees and qualifications – 10 pts
PhD or DPhil
Additional Achievements – 10 pts
National prize related to medicine
Presentations – 6 pts
Have made an oral presentation or shown more than one poster at a national or international
    meeting
Publications – 8 pts
First author or joint first author in more than one PubMed-cited research publication (or in press)
Teaching Experience – 10 pts
Have designed and organised a regional medical teaching programme consisting of at least two
    sessions and I have undergone formal training in teaching methods lasting between 5 and 20
    days
Clinical Audit- 10 pts
Have designed and led an audit or quality improvement project leading to a documented change in
    practice and I have presented it at a meeting
                                                           Source: CMT shortlisting criteria
UCL CAREERS

      Academic Clinical Fellowship
     Targeted at doctors in the early years of specialty
     training (ST1 onwards).
     Provides a clinical and academic training environment to
     help the trainee in post prepare a competitive application
     for a training fellowship for a higher degree (e.g. from
     NIHR, Wellcome Trust, Medical Research Council) or, if
     applicable a postdoctoral fellowship.
     NIHR ACF posts are profiled for a maximum of three
     years, or up to four years for GP posts.
UCL CAREERS
UCL CAREERS

      Specialty Training - Resources

              www.oriel.nhs.uk
              www.specialtytraining.hee.nhs.uk
              www.medicalcareers.nhs.uk
              www.gprecruitment.hee.nhs.uk/
              www.nihrtcc.nhs.uk
              (for academic clinical fellowships)
UCL CAREERS

       Where we are
          4th Floor, ULU
          Building, Malet Street
          Mon – Thu 9:30 – 5
          pm; Fri – 11 am – 5
          pm
          careers@ucl.ac.uk
          020 7866 3600
UCL CAREERS

 Medical School Careers and Foundation
 Training website

      https://www.ucl.ac.uk/medicalschool/staff-students/careers-
      foundation-training
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