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How to Enjoy a Medical Career in the NHS by pursuing Secondary or Portfolio Careers

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How to Enjoy a Medical Career in the NHS by pursuing Secondary or Portfolio Careers a Personal Perspective by Dr U Ahmed Consultant Physician Introduction Career ... – PowerPoint PPT presentation

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Title: How to Enjoy a Medical Career in the NHS by pursuing Secondary or Portfolio Careers


1
How to Enjoy a Medical Career in the NHS by
pursuing Secondary or Portfolio Careers
  • a Personal Perspective
  • by Dr U Ahmed
  • Consultant Physician

2
Introduction
  • Career Options in Medicine
  • Choosing a Career in Medicine
  • Secondary or Parallel Careers
  • Portfolio Careers
  • Professionals Perspective
  • Personal Perspective
  • Conclusion

3
Career Options in Medicine
  • Accident Emergency
  • Anaesthesia Intensive Care
  • Anatomy Physiology
  • Biochemistry
  • Cardiology
  • Dermatology
  • Ear, Nose Throat

4
Career Options in Medicine cont.
  • Endocrinology Diabetes
  • Gastroenterology
  • General Medicine
  • General Surgery
  • Genetics
  • Geriatric Medicine
  • Haematology Oncology

5
Career Options in Medicine - 3
  • Microbiology Virology
  • Neurology Neurosurgery
  • Obstetrics Gynaecology
  • Ophthalmology Optometry
  • Orthopaedics
  • Pathology
  • Pharmacology Therapeutics

6
Career Options in Medicine - 4
  • Psychiatry Psychology
  • Public Health
  • Radiology Radiography
  • Respiratory Medicine
  • Rheumatology
  • Sports Medicine
  • Urology Nephrology

7
Career Options in Medicine - 5
  • General Practice
  • Others
  • Event / Expedition / Rescue Medicine
  • Audiological Medicine
  • Obstetric / Maternal Medicine
  • Occupational Health
  • Many More !

8
Critical Care Medicine
  • Advantages
  • basic sciences application
  • rapid results
  • gain expertise in Rx critically ill
  • MDT working / leader
  • growing specialty
  • greater interaction with other specialties

9
Critical Care Medicine - 2
  • Disadvantages
  • long hours
  • emotionally physically challenging
  • unpredictable work patterns
  • limited opportunity for private practice
  • often the focus of colleagues frustrations !

10
Audiological Medicine
  • Advantages
  • diversity of skills needed
  • application of scientific developments
  • plenty of patients
  • secondary career opportunity Medico-Legal
    occupational health
  • plenty of sleep nil emergency, no on-call

11
Audiological Medicine - 2
  • Disadvantages
  • less glamorous
  • limited geographical flexibility
  • less popular amongst medical colleagues
  • no overtime payments as a trainee

12
Geriatric Medicine
  • Advantages
  • challenging multiple problems
  • fun usually great fun to work with
  • rewarding grateful patients relatives
  • opportunity for professional development
    sub-specialties expanding
  • team-working

13
Geriatric Medicine - 2
  • Disadvantages
  • increasing work load
  • frustration problems in discharge
  • mortality often high
  • less glamorous
  • shifting boundary e.g. community geriatrics
  • less opportunity for private practice

14
Histopathology
  • Advantages
  • interesting and challenging work
  • joy in making a difficult diagnosis
  • scope to develop special interest and expertise
  • sociable hours
  • good opportunities flexibility, teaching,
    research, private practice, secondary career

15
Histopathology - 2
  • Disadvantages
  • limited clinical contact with patients
  • exposure to cases of unnatural death
  • relatively sedentary occupation
  • demanding in terms of decision making
  • bad press recently
  • unglamorous

16
Clinical Genetics
  • Role of the Clinical Geneticist
  • Organisation of regional genetics centres
  • Training for clinical genetics
  • Advantages
  • Disadvantages

17
Clinical Genetics - 2
  • Role of the clinical geneticist
  • diagnosis of genetic disorders all ages
  • investigation assessment of genetic risk
  • genetic counselling and surveillance
  • liaison with genetic labs
  • education training
  • research

18
Organisation of regional genetics centres
  • generally based in large cities
  • Consultant led service
  • team-based doctors, nurses, scientists
  • referrals from primary care Consultants

19
Training for clinical genetics
  • MRCP, MRCPCH or equivalent
  • previous experience in genetic (BSc/MSc)
  • four year Calman training programme
  • research and publications (MD/PhD)

  • encouraged
  • clinical training in both adult paediatric

  • genetics useful

20
Advantages
  • wide variety of issues covered
  • opportunities for sub-specialsation e.g.

  • cancer genetics
  • outpatient specialty no emergencies
  • broad understanding of whole of medicine
  • team working
  • research / publications

21
Disadvantages
  • unpopular
  • less glamorous
  • communicating bad news
  • limited choice geographically
  • research degree crucial ? to career progress
  • sedate specialty little or no drama
  • small specialty may be expanding

22
Forensic Psychotherapy
  • SpR Training
  • 5-year training schemes 2 years psychotherapy,
    2 years forensic,1 year joint
  • work involves acquiring forensic
    psychotherapeutic knowledge base
  • specific skills individual group work, risk
    assessment, team work, supervisory,
    self-reflection

23
Forensic Psychotherapy - 2
  • Consultant Forensic Psychotherapy role
  • assessing and treating patients
  • advising colleagues
  • supervising junior doctors others
  • supporting staff in forensic settings
  • court assessments of psychopathology, risk, and
    capacity for Rx

24
Forensic Psychotherapy - 3
  • Advantages
  • alleviation of suffering
  • challenging
  • fascinating
  • Disadvantages
  • can be frightening
  • less glamorous / demanding

25
General Practice
  • Advantages
  • challenging
  • good long term prospects
  • commitment to community
  • egalitarian
  • gratifying / flexible working
  • opportunities for secondary careers

26
General Practice - 2
  • Disadvantages
  • same old problems
  • front line work
  • unsociable hours
  • risk of verbal and physical abuse
  • lack of career structure
  • increasing work load

27
Non-standard grade posts - 2
  • Advantages
  • opportunity for specialisation
  • secondary career opportunity
  • job variety
  • can be rewarding
  • Consultant post, occasionally

28
Non-standard grades posts
  • Disadvantages
  • poor prospects
  • not challenging risk of de-skilling
  • very frustrating
  • lack of autonomy
  • lack of opportunities
  • low status

29
Choosing A Career in Medicine
  • Medical Career Decision Making Process
  • External / Impersonal Influence
  • Internal / Personal Influence
  • Other / Fortuitous Influence

30
External / Impersonal Influence
  • Selection criteria to medical school
  • Qualification exams
  • Jobs Design / Career structure
  • Appointments / Conditions
  • Career Progression criteria
  • Continued Professional Development
  • Retirement

31
Internal / Personal Influence
  • Idea
  • Define decision
  • Gather Information
  • Test virtual model
  • Make choice
  • Implement
  • Experience Review BMJ 2000320S2

32
Difficulties in Medical Careers - 1
  • Wrong specialty
  • Wrong place
  • Overwork burnout
  • Boredom loss of delight in work
  • Developing incapacity
  • Environmental change
  • Interpersonal strife

33
Difficulties in Medical Careers - 2
  • Trouble at home
  • Stress
  • Ill-health
  • Getting exams
  • Getting jobs
  • Uncertainty
  • Other

34
Secondary or Parallel Careers
  • Advantages
  • Disadvantages
  • Secondary career options
  • Recipe for Success

35
Secondary or Parallel Careers - 2
  • Advantages - 1
  • increased job satisfaction more variety
  • more challenges intellectual stimulation
  • development of new skills competencies
  • meeting new people
  • more experience / and distribution of it
  • reducing stress through tasks, variety etc.

36
Secondary or Parallel Careers - 3
  • Advantages - 2
  • preventing burnout
  • recognition - discretionary points or
  • distinction award
  • increased remuneration
  • personal fulfilment / development
  • increased opportunities elsewhere !

37
Secondary or Parallel Careers - 4
  • Disadvantages
  • very demanding
  • personal family inconvenience
  • reduced opportunity for local responsibility
  • impression of excessive absence from base
  • resentment by some colleagues

38
Secondary or Parallel Careers - 5
  • Examples of Secondary Careers
  • professional
  • membership (Chair) of committees
  • chairman of MSC
  • Medico-Legal work
  • work for national bodies BMA, GMC etc.
  • medical journalism, authorship

39
Secondary or Parallel Careers - 6
  • Examples of Secondary Careers - 2
  • speciality
  • specialty work for directorate, trust, HA
  • regional work adviser, chair of training
  • national duties
  • work for a specialty society e.g. ARC, CRC
  • work for a disease/patient group SA, PDS

40
Secondary or Parallel Careers - 7
  • Examples of Secondary Careers - 3
  • Education
  • undergraduate teaching
  • postgraduate teaching, organising courses
  • college / specialty / PG tutor
  • director of education / PG dean
  • Managerial Clinical / Medical Director /

  • CEO

41
Secondary or Parallel Careers - 8
  • Recipe for Success
  • Plan ahead acquire necessary skills, MA
  • Agree a workable time table
  • Work hard at all responsibilities
  • Be efficient innovate, IT etc.
  • Pay back any lost sessions
  • Maintain good relations with colleagues

42
Secondary or Parallel Careers - 9
  • Recipe for Success - 2
  • keep support staff separate
  • communicate effectively staff should all know
    your TT
  • deal with criticisms / professional jealousy
  • use PC, e-mail, business cards, records
  • seek a mentor / mentor others !

43
Portfolio Careers
  • Portfolio Career Opportunities
  • Clinical Practice PP, MO to other orgs,

  • locs
  • EducationTT, examiner, deanery,courses
  • Academic research, editing, author, chair
  • Quality Assurance audit, TQM, complaints
  • Management HoD, CD, MD, CEO, Chair
  • Medicine Law Medico-Legal, forensic,
    EW

44
Portfolio Careers - 2
  • Portfolio Career Opportunities - 2
  • Leadership / Politics BMA, GMC, RCP,
  • RSM
  • The Media writing, publishing,TV / Radio
  • Overseas medical travel, voluntary service
  • Business pharmaceuticals, consultancy etc.
  • Mens sana informatics, curator, ethics, libr
  • Others HM Forces, CS ,charities, TA, etc.

45
Professionals Perspective
  • CG author, lecturer, charity,M-L,politician
  • W-CL cons, lect, soli, M-L, author
  • RP cons, lec, media doc
  • SH SpR, entrepreneur, rescue/event/exp

  • med
  • Others onsceo,gynaesculptor,surgentre
  • Still others cc consairline ceo, consbiote

46
Personal Perspective
  • Consultant Physician
  • Management Consultant
  • Medico-Legal Consultant
  • Bioethics Consultant
  • Lecturer
  • Charity Worker professional personal
  • Entrepreneurship / Politics

47
Personal Perspective - 2
  • Plan well ahead
  • Acquire necessary qualification(s) / skills
  • Pursue your interests
  • Prepare to work hard sacrifice
  • Do not be put off by obstacles
  • Review reassess constantly
  • Keep on top of your primary career !

48
Conclusion
  • Only Change is Constant
  • One Career in a Lifetime - WHY ? ?
  • Explore your OTHER Potentials
  • Work Hard
  • PRAY HARDER !
  • Thank You
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