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Millennials in Medicine: A New Generation Comes to Medical School

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Loyal and patriotic. Conforming. Idealistic and competitive. Generational Cohorts ... Appreciate cultural differences with individuals from diverse backgrounds ... – PowerPoint PPT presentation

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Title: Millennials in Medicine: A New Generation Comes to Medical School


1
Millennials in Medicine A New Generation Comes
to Medical School
  • Carol Elam, Ed.D.
  • Associate Dean for Admissions and Institutional
    Advancement
  • Professor, Department of Behavioral Science
  • Director of Medical Education Research
  • University of Kentucky College of Medicine
  • Nicole Borges, Ph.D.
  • Associate Professor, Department of Community
    Health
  • Director, Medical Education Research
  • Boonshoft School of Medicine Wright State
    University

2
Impressions of Current Medical Students Questions
to Ponder
  • Name 3 positive qualities, attributes, or
    attitudes you see in current medical students.
  • Name 3 negative qualities, attributes, or
    attitudes you see in current medical students.
  • Have medical students changed over the past few
    years?

3
A Generation Is
  • Born over a 20 year time period
  • Shaped by common history
  • -Icons
  • -Events and Conditions
  • Known for its persona

4
Generational Cohorts
  • G.I. Generation (1901-1924)

Loyal and patriotic
Silent Generation (1925-1942)
Conforming
Boom Generation (1943-1960)
Idealistic and competitive
5
Generational Cohorts
  • Generation X (1961-1981)

Skeptical and independent
The Millennials (1982-2002)
Realistic and collaborative
6
Who are the Millennial Students?
  • Born from 1982-2002

Children of the Baby Boomers
Included in family decision-making
Accustomed to standing up for themselves Have
developed problem-solving ability
Told they are special
Confident and bred for success
7
Who are the Millennial Students?
Sheltered
Used to following the rules
Pressured to excel
Balance school, hobbies, sports, service
activities
Most educated generation
May work to resolve societal problems Next
Greatest Generation
8
Other Defining Positive Qualities
  • Techno-savvy
  • -Internet
  • -Personal Pagers
  • -Cell phones
  • -Computers
  • Team-oriented with strong team instincts and peer
    bonds
  • Polite and respectful of others

9
Potential Twists
  • Trust in institutions at local level

Expectations for accountability consumerist
attitudes
  • Trust in parents

Strong parental influence / interference
  • Have lived with diversity

Appreciate cultural differences with individuals
from diverse backgrounds
May feel problems associated with race/diversity
have been addressed and resolved
10
Potential Twists
  • Reliance on technology in communication with
    friends

Less skill in one-to-one communication
  • Multi-taskers

Shortened attention span Lack of introspective
ability
11
Previous Educational Experiences
  • Structured curriculum with emphasis on basics
  • Rote teaching and learning
  • Measures of objective progress, computer scored
    examinations
  • Prefer math and science to humanities, art, and
    history
  • Emphasis on educational achievement, good
    grades

12
Questions to Consider
  • What consideration is given to factors such as
    race, socioeconomic status, or country of birth?
  • To what extent do presentations such as this
    overgeneralize group characteristics and
    perpetuate stereotyping?
  • What data are available to document the
    differences between Generation X and Millennial
    students?

13
Medical School Millennial Students A Comparison
with Generation Xers(Borges, Manuel, Jones and
Elam, 2006)
  • 16 Personality Factor Questionnaire
  • Compared responses of 399 females and 410 males
    enrolled between 1989 and 2004 (n809)
  • 68 were Generation X students
  • 32 were Millennial students

14
Sixteen Personality Factors
15
HypothesisHigher Scoring Patterns
  • Millennials will score higher on
  • Warmth
  • Rule Consciousness
  • Sensitivity
  • Emotional Stability
  • Perfectionism
  • Generation X will score higher on
  • Dominance
  • Vigilance
  • Privateness
  • Openness to Change
  • Self-Reliance

16
FindingsHigher Scoring Patterns
  • Millennials did score higher on
  • Warmth
  • Rule Consciousness
  • Sensitivity
  • Emotional Stability
  • Perfectionism
  • Generation X did score higher on
  • Dominance
  • Vigilance
  • Privateness
  • Openness to Change
  • Self-Reliance

17
Other FactorsNot included in the Hypotheses
  • Millennials also scored higher on
  • Reasoning
  • Social Boldness
  • Apprehension
  • No differences
  • Liveliness
  • Abstractedness
  • Tension

18
Findings and Implications
  • Millennials scored higher on scales as expected
    Generation X students did not...Why?
  • No real differences
  • Need to refine aspects of the theories
  • Students in medical school are different
  • Effect of cuspars

19
Questions to Consider
  • What are the millennials needs in the learning
    environment?
  • What are the implications for changing the
    teaching-learning relationship?
  • What should our institutions do to prepare for
    and respond to these students?

20
Challenges when Communicating with Millennial
Generation
  • Sense of entitlement
  • -want value, accountability
  • Complaining to the top, not going through proper
    channels
  • -want suggestions/concerns to be heard
  • Unrealistic expectations about how to achieve
    goals
  • -may need guidance from mentors/senior
    students may not seek help
  • Pressured overachievers
  • -want balance in life yet are overextended
    and overwhelmed

21
Challenges in Educating the Millennial Generation
  • Not inclined to self-explore
  • - May need help with reflective
    exercises/practices
  • Susceptible to academic dishonesty
  • - Be clear about policies, and consistent in
    application of student progress/ honor code rules
  • Technology (cell calls, email, instant messaging)
    may have stunted communication skills
    particularly in confrontational situations
  • - Monitor development of communication skills

22
Factors that May Contribute to Attitudes/Behaviors
of Millennial Students
  • Parental Involvement
  • Increasing Tuition and Debt
  • Contact with Other Medical Students
  • Internet
  • Service and Service Learning Exposure
  • Selection Factors

23
Opportunities for Curriculum Development
  • Team learning
  • Promote cooperative and interprofessional
  • learning opportunities
  • Real world applications
  • Technology innovations
  • Promote new applications of technology
  • Diversity experts
  • Tap into understanding of culture, ethnicity
  • Community and civic spirit
  • Support and empower community service and
  • real world problem solving

24
References
  • Neil Howe William Strauss, Millennials Rising
    The Next Great Generation. Vintage Books New
    York, 2000.
  • Lynne Lancaster David Stillman, When
    Generations Collide Who They Are. Why They
    Clash. How to Solve the Generational Puzzle at
    Work. Harper Business New York, 2002.
  • R Zemke, C. Raines, B. Filipczak, Generations at
    Work Managing the Class of Veterans, Boomers,
    Xers, and Nexters in Your Workplace. New York
    American Management Assoc., 2000.
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