exploring gem
TRANSCRIPT
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Exploring Graduate Entry into
Medicine
University of London Feb 2012
Dr Paul Siklos
Consultant Physician, West SuffolkHospital, Bury St Edmunds
Associate Clinical Dean, University of
CambridgeEx-Director of Cambridge Graduate
Course in Medicine, Admissions Lead
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The Use of the Personal
Statement in Selection for
Medicine
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The Personal Statement
as a Guide to Presenting
Non-academic Qualities in the
Selection for Medicine
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Selection? (to identify the best)
What is best?
How can the best be identified?
The Personal Statement
How can you maximise its effect?
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Selection?
Quota places England
(workforce planning NHS)
6000
Applicants14000 (HEFCE 2007)
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What is best?
The UniversityExam success with graduation in minimum time
Those whose careers reflect well on the Institution
The CommunityGood doctors
The NHS/employer
Safe doctors
High quality workforce
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What is best?
What makes a good doctor?
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Tomorrows Doctors (TD09)
GMC
Outcomes for Graduates
The ability to analyse complex and
uncertain situations, provide leadershipand apply knowledge in a practical and
ethical manner in the interests of
patients in accordance withGood
Medical Practice.
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A High Quality Workforce
Within the team approach which is
essential for the delivery of modern
healthcare, clinicians first and primaryduty as practitioners will always be to
deliver high quality care for patients
based on their individual needs.
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A High Quality Workforce
To do this they must be partnersin care
delivery, with individual and collective
accountability for the performance ofhealth services and for the appropriate
use of resources in the delivery of
care.
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A High Quality Workforce
Clinicians are expected to offer
leadershipand, where they have
appropriate skills, take seniorleadership and management posts in
research, education and service
delivery.
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What should we select for?
High level cognitive skills
Certain positive attitudes / personality factors
EmpathyConscientiousness, self-motivation, initiative
Ethical orientation
Communication skills, literacy; teamwork skills
Organisational and administrative skillsAbility to cope with stress; performance under
pressure
Realism, commitment
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What should we select out?
Psychological vulnerability (inability to
handle stress appropriately)
Low levels of empathy / emotional overinvolvement
Extreme ethical orientation
Extreme conscientiousness / lack of
organisation
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Sources of Information
for making selection decisions
Academic record
Referees reports, testimonials
self-reports, personal statement
Written psychometric tests
Structured task
Observed group activity
Personal interview
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Content knowledge, memory skills
Motivation (to study; to succeed)
Conscientiousness; positive work habitsStudy habits; learning style
What does an academic achievement score
indicate?
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Why assess non-academic qualities?
They cannot be taught effectively
They are stable traitsThey are consistently identified as being
essential in the repertoire of a good
doctorLack is the usual cause of a struggling
student or failing doctor
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Sources of Information
for making selection decisions
academic record
Referees reports, testimonials
self-reports, personal statement
written psychometric tests
structured task
observed group activity
personal interview
indirect
measures
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Personal Statement
Has it been written by the applicant?
Is what is written true, or accurate?
Does its assessment predict success?
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Personal statement
Who uses it?
Why?
ShortlistingScore domains
Overview
Basis for interviewContent? (health care experience)
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Personal Statement
Practical IssuesPlagiarism
Arresting/interesting - not too whacky
Well written
Literatespelling, grammar
Legible
Evidence
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Personal Statement
ContentWhy medicine?Healthcare experience, caring role, voluntary
work
Breadth, depth, lengthSkills / insight / realism
Commitment
Team working, persistence with task
Achievements in arts, music, sport
Communication / empathy / qualities
Conclusion
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Convince the panel that you are:
Motivated to help people
Community / patient orientated
Informed about career demands
Realistic about yourself and your commitment
Fit to practice
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Avoid:
Any subject that you don't want to talk about at
interview
Hero-worship of doctors
Rewards of medical career
Mention of curing peopleMedical family
Always wanted to be a doctor
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Personal statement
Your opportunity to give the selection
panel evidence that you have the
attributes to be a good doctor and thatyou deserve to be one of the quota.
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Summary
in three questions What makes a good doctor?
Do I have what it takes to be a good
doctor?
How can I prove it?
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Thank you
Questions?
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The end result
Academically able studentsWith good cognitive skills
Who have balanced ethical orientation
And who express appropriate empathy.They have demonstrated the ability to work in a
team and have leadership skills
They are conscientious, self-regulated and have
mental stamina
And they are good communicators.
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Common descriptors of inappropriate
medical student behaviours and attitudes
arrogant
power-seeking
inflexible
defensive
dishonest
patronising
brash
egocentricisolated
insensitive
self-centred
uncaring
indifferent
selfish
antisocial
amoral
deviousprejudiced
flippant
rude
aggressivecondescending
rigid attitudes
judgemental
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Convince the panel that you are:
Motivated to help people, community orientatedInformed about career demandsRealistic about yourself and your commitment
HonestA good judgeA natural leaderA problem solver (good common sense)
CreativeA rounded personalityResilientFit to practice
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Professionalism
A set of values, behaviours, and
relationships that underpins the trust
the publichas in doctors.
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The wise doctor
The subtleties of sensitivity, imagination,
wisdom, judgement and moral
awareness whichbring together thecontext, professionalism, knowledge,
clinical thinking and professional
judgement for the best interests of theindividual patient.
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Reflective practitioner
Careful consideration of one's own
practice by means of systematic critical
inquiry.