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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.