UW Medicine Town Hall 2 – Motivation

Hi. Welcome to our second town hall meeting. Last age we spoke about application in general, and specially about MCATs, evaluates, and symbols of recommendation. Tonight we are going to talk about your experiences that you schedule in your MCATs application, shadowing, and writing your personal evidence. And the whole point of all this is to help you realize whether you’re interested in medication, as a job, for the right reasons and clarify for yourself and for us what your motivation is. So let’s talk about experiences a little. First of all the value of experience is finding out what the career is all about, to clarify and support your initial impress, and learn about the dark side of remedy. And what we mean by that are things that are things that are stymie to physicians, things that are difficult for physicians, it’s not all as easy as it looks or princely as you might think. Experience will help you test your level of commitment to the field. If you find that you are really not enjoying yourself as you have knows then you may want to change your memory. So, clearly, events help you discover what you like and scorn, they help you improve the articulation of your own points, and intensify your motive. And clearly the more ordeals you have the better you understand other people and other cultures. And when we say other cultures you should realize that other cultures can be a few blocks away from where you live. You don’t have to go to Botswana or some place like that to appreciate other cultures. But the more parties you’ve had linked with and the more outside your own comfort zone you can get and outside your own neighborhood, the better you will be able to relate to your patients.We don’t want you to choose an experience to get into medical institution. Beings always invite us the question … “Should I work in a nursing home … or should I work in an emergency room … or should I volunteer for this or voluntary for that? ” You certainly should be choosing an experience because it petitions to you or it was essential to to you, not because you think it is going to help you get in.The other thing that it is important to consider is you should be choosing know-hows that are consistent with what your present goals are. So if you think that you want to be a surgeon, you should be choosing suffers that they are able to get you some exposure to surgery. Either volunteer at a convalescence chamber or shadowing a surgeon or even is currently working on a table in a surgery middle, something like that. One of the things that we tell the committee to look for in an lotion, and also in an interrogation is, that somebody’s experiences are consistent with their goals. So if someone comes in and they’ve shadowed a radiologist, and they’ve shadowed a neurosurgeon and they come in and tell us that they want to be a primary care doctor, we are a little questionable they are just saying that because, for some reason, they think that is what we want to hear. And remember that our school is looking for primary care doctors as well as experts and future academicians. So there is room for everybody. And you should be choosing an experience that is something you want to explore for yourself.When I “ve been thinking about” the type of knows you could have, in my sentiment I segmented them up into these three areas. One are busines type experiences, where you’re in different situations where basically, you are going to meet other families needs. And they don’t have to be medical service experiences. A mint of our applicants have have worked in eateries, which have a lot of things in common with the field of drug, in that you have a wide run clientele, they can be moderately expecting, or not, you have to deal with unhappy people who don’t think they are getting what they should be getting, and things like that, so there is a lot of transfer there and that’s fine.A second type of experience might be working on some sort of team that has a common goal, and this could be a research team, or it could be a boasts team, but again only getting a feel for what it’s like to work with other people toward a common goal because that’s what you will be doing. You will definitely be working in a medical crew with other specialists, registered nurse, physicians auxiliaries, wet-nurses, medical assistants, all kinds of different parties. So you have to see how you feel about working on a unit. There are other types of suffers where the main goal of the experience is for the greater good and these, typically, are community kind events and again they don’t have to be health pertained but certainly can be health related.The key thing from all knowledge is to not only figure out, for yourself, what did you learn from each experience, but to let us know what you learned. You need to realize your lotion, I meditate I said this last week, you need to determine your work clear enough that it’s easy for the person or persons, screening the application or planning to interview you, to find what they’re looking for, and what we want to know is what did you learn from all your experiences. That’s, essentially, a signaling of maturity that you can reflect on what you learned from everything you did whether it was positive or negative. So we want you to be thinking about what you did and what you assured, and it’s a good idea to write things down as soon after a committed event as you can, whether it is the end of the working day, or the end of the week. I would strongly inspire you to try journaling. If you do that as you go along, first of all you will see your own personal rise, hopefully, and second of all it will be easier for you to go back and develop the little mini essays that you put in your experience boxes.The experience boxes can be like miniature personal proclamations mostly. So we want to know for each experience, how did the experience clarify your hand-picked to go into medicine and to be a doctor? And the key thing, in all these little boxes that you fill out on your MCATs application, is to be reflecting on your experience rather than simply describing your experience. In some lawsuits “youve got to” do a very little bit of description, so that people who aren’t as familiar with the type of experience that you had can understand the surrounding in which you were, in which you were, but in many cases we are familiar … we know, for example, frequently, what goes on in emergency rooms, and things like that. So here are some examples … um, and the little drawings are sort of an increasing … um, levels of a better know-how container. So the first one, these are all three from real lotions, and they’re all from people who worked in emergency rooms.So, the first one says “I folded towels, stalked saline, gave rugs to patients” and this really doesn’t tell us anything about what was learned, or how it help me out here make a decision to go into medicine. The second one is a little bit better it’s sort of a germinate intuition which is why I exploited the particular smiley face that I use and says “Although I was mainly are in place to stock and distribute needed gives, I felt good just knowing I was helping someone.” So that’s got some thoughtfulnes in it that lets us know that this is a somewhat philanthropic person. The third one says “While working in the ER, I noticed that even when physicians were hectic, the time they took to explain what was happening to a patient relieved a great deal of the patient’s anxiety.” So this again is somebody making an watching about how specialists purpose and how it affects the patients and that’s a good reflection in an experience box.Here are two more that are actually don’t tell us a lot about the applicant at all. So the first one describes a summer research activity I won’t read you the whole thing basically, “My project focused on the use of a tranposon mutagenesis method to generate tumors in mice, etc.” And again, it’s perfectly OK to say that but we also want to know what you learned from that suffer, what was it like to have parts of your project not go well which is pretty normal, how did you feel when something did been going on and came up with something new or a key find or even not such a key encounter but something that helped mean the next one of the purposes of that investigate campaign? How did you feel working in the lab with other researchers? What were the interesting parts about interpersonal relationships that you learned working in the lab and all those kinds of things? The second one is about somebody who works at the Bailey-Boushay House and its a good mind to describe as this person did what the Bailey-Boushay House is for people who don’t know that. This applicant went on to say “I volunteered 4 hours a week in the Adult Day Program taking orders for and dishing a hot breakfast. During my hour there I interacted and improved relationships with participants, organization, and other volunteers.” So we again don’t learn anything about the applicant from this. We would have adoration to hear what it was like getting to know people with HIV/ AIDS What were their problems? What were their concerns? How did you as an applicant feel about that? Did it conclude you think about death? Did it deepen any of your thinking with regards to HIV/ AIDS? That would be all really really nice to know.Here is 2 examples of some really good experience containers that are actually tell us know a little about the applicant. So the first one says “What I find pleasing about pediatrics is the ability to shape a child’s life early on so they can start out health and hopefully make good decisions later on in animation. One must also be able to gain the mothers trust in medical treatments as one is dealing with their most precious object. I too affection are concerned with teenagers and am very interested in pursuing pediatrics someday.” That tells us a lot. Another one from a future surgeon who is a student who is shadowing a surgeon. “Later, I would scrub into the surgeries” No, actually this is not from a student shadowing this is somebody who is working in a surgeon’s research lab, but made the decision to do a little of shadowing as well.So the initial part of that description carton has spoken about the research project and then said “Later, I would scrub into the surgeries and witness the design that was discussed in rounds. I procured this very interesting to be able to see a patient in the morning, try using your plan of action during the day, and almost immediately see the results.” So again this person was in the lab and then also shadowed the surgeon and then went to some of their rounds and also went into surgery. So really made a lot out of that investigate event and likewise was able to reflect on it in such a way to show that what is often attractive to surgeons is that you recognize person, “youre planning to” out the action and then you get to see what happens pretty quickly. So this has to do with a little bit of kind of stereotypical surgeon personality of relatively immediate delight. And I think that’s … we recognize a bit of that when we read this and see that this person is saying they almost immediately see the results. These are quotations that we see in experience containers that are actually leave us hanging and we don’t know what to do with them.One is I did such and such experience and it certainly expanded my show and it stops there and we would like to know how did it increased your showing? The second is you know working with so and so or in this environment helped me understand the field of prescription. Well, helped you understand what? Again we want you to be reflective enough to be specific and let us know how you changed from this experience. The third is an merely another example attained me realise usually it doesn’t end with anything specific regrettably. So if you are going to use those statements or those utterances be sure to keep going and establish us more detailed information. A heap of you have asked how do you fit all of your experiences onto your MCATs application and I would encourage you to group some things together. We sometimes examine employments in which someone was on the Dean’s List in the Fall Quarter, the Dean’s List in the Winter quarter, and the Dean’s List in the Spring quarter and they are all listed seperately which takes up a lot of chests which you could have used to tell us something else. We also consider people who describe their study campaign in one box and then they describe presenting it at an annual see of an organization in another box and the fact that they got reputations for doing it and then the fact that it was published and all of these are incredibly important and we do need to know them and they show us the quality of your work but they can easily be put into one casket. They don’t need to be seperated so I would encourage you to group academic honors together. You could also group plays together. You don’t have to have swim squad in one carton and enjoying playing tennis in another box and I don’t know … something recreational that you like to do in a third casket you were able to lean those together and again not just introduced them together but tell us what you learned from doing these boasts whether they were team sports or individual sports? Did you learn how to cooperate with other people, did you experience helping a group of parties get to a final objective were you able to beat your own personal best things like that? And how did you feel about those things? Moving on to shadowing.Shadowing is not there as a band for you to jump through. We are putting out that we think you should have about 40 hours of shadowing and I’ll is coming to that in a minute. But mostly if you are not interested in shadowing then you’re probably not interested in becoming a physician and so it surprises us that people don’t do this you really need to find out what the career is all about some of our applicants are children of physicians and they feel like they understand the field of medicine, but what you heard at the dinner table is not necessarily what it was like for your parent or parents is in conformity with the gutters during the day. You don’t know how they dealt with a difficult question from a patient. How they acquainted bad news to the patient. You know you might hear some of these storeys at the dinner table, but it’s not the same as is in accordance with the area and watching it happen. So it certainly gives you a good feel for whether again you’re planning for the right busines for yourself, you likewise sometimes develop a relationship with the person you are shadowing and they act as a role model for you which is nice we recommend a minimum of 40 hours we don’t think that’s so difficult to get that could be one hour a week for most of a year it could be a couple of half eras here there are still during a year and so over a period of 2 to three years in college you should be able to get 40 hours in without too much difficulty. I will say that we understand people have to work and we look for that in an employment if we don’t see a good deal of shadowing. And again you can positioned all of your shadowing in one box or if you learn different things from different shadowing know-hows then spread them out. We is a well-known fact that shadowing is not always easy to find and what we have suggested and some of this is on our website is first of all the Washington Academy of Family Practice has a site that will match you up with mentors. We likewise have compiled a number of specifies of specialists who are willing to be shadowed that are not in primary care and we have those in our power. You can contact us and ask for that. You should ask your own personal physician premising you have one if you can shadow him or her or friends if you have friends whose parents are specialists that’s a good way to start and just do some networking watch what you can find out and you probably want to shadow in the power, maybe on rounds, maybe in surgery, maybe on call, etc. Other good experiences that got to get shadowing are emergency room scribe, form suffer, are present in the sporting civilize office if you are here at the University of Washington participating in the Summer Medical/ Dental education through the part of Multicultural Affairs. And again at the U alternative spring break where you go to an under sufficed society for a week and these last-place four things that I’ve mentioned are things that you understanding of when you sign onto or connect the prehealth radicals that are on campus here at colleges and universities. AED for example there are about 50 prehealth radicals they are all a little bit different, but they all have managed to get a lot of resources together to get parties more revelation to the field of drug which is great.So I promote you to contact your fellow undergrad students and feel free to contact our place as well. So again why should you shadow these are some things I scaped to a few minutes ago but you just wanted to on a day-to-day basis what seems to be represent the doctor happy, what seemed forestalling, how did the doctor adapt his or her style, communication wording, to the patient? When you were observing this relationship with the doctor and individual patients how did the patient react to the doctor’s behavior? Was that something you liked? Was it something you think you would have done differently, and if so how? And it is perfectly OK to situate some of this in your reflection of your experience.So again, how did the doctor handle a tough statu when they couldn’t solve a problem, they couldn’t make a diagnosis, they couldn’t come up with a dry? How did they allow for patient autonomy if the physician you are shadowing indicated something to the patient and the patient didn’t want to do it. How did the physician react to that? Were they able to work with the patient to come to a common understanding? How do they deal with a patient who for instance is a smoker and just won’t utter it up? All those sorts of things again, how do you deal with not having enough time to give the patient the time you think they need? All those things are not things you learn from just talking to doctors or sitting round the dinner table with them.This slide is a little more oriented to people who are already in medical institution and are trying to figure out what kind of doctor they want to be and I will say that we have data that are demonstrating that where reference is compare what students tell us on day 1 medical academy with where they lastly coincide at the end of medical clas, about 80% of students modified their intellect while they are in school. So this isn’t even what they said at interrogations so we don’t put a good deal of store into what you say at interrogation what you want to be. What we are mainly looking for again are your experiences consistent with what you think you want to be. That’s what we are looking for at that time. But that being so, you should know that there are differences as you are trying to form some preliminary proposal of what kind of doctor you just wanted to shadow for example, you might think about these things. So what are the ages and genders of the patients that are seen in a sacrificed type of office, and what various kinds of troubles are they? Are they straight forward questions? Are they very complex problems? And what’s more request to you? Is there a predominance of chronic problems or of acute problems? Which anatomic components are involved? Is there a great deal of motley or are you hanging out with a specialist that is fairly focused on one anatomic role? For example, a urologist, different fields of medicine also deal with a large body of knowledge with modern understanding of each area and that might be a primary care type of physician, or a limited body of knowledge with an in depth understanding and that would be any sort of specialist.Some beings feel digested with the first, and some people feel bored with the second and so again it’s a good idea to get disclosed and be seen to what extent your personality fits best. There are sort of corporate identities of individual studies. so I can speak for orthopedics including because I am an orthopedic surgeon and just say that most orthopedists stereotypically are pretty friendly. They certainly have a addictive inclination because they are surgeons and the classic stereotype is that they’re big-hearted foolish jocks so here I am to tell you that we can’t ever fit the stereotype. There are exceptions. You might also want to be giving some believe that that possible life-styles that you might lead as a physician. Whether you demand be in a solo practice which those are probably not going to exist much longer but there certainly are solo practises particularly in rural environments and you have to decide whether you are willing to be a physician 24/7 or not. On the one handwriting, you really develop amazing relationships with your patients.On the other hand, you are pretty much on all the time. Or do you want to be in a group practice? Do you want the group to be small or big? Do you want it to be a multi-specialty group? And again, some of this you won’t know until you’ve had more exposure but it is a good thing to think about this in advance. Are you interested fairly in research and teaching that you want to consider a busines in academic prescription? Do you think you want to be rural or metropolitan? Do you want to work with under-served patients all of the time or some of the time? In other names, do you want to spend a month or two overseas in every yielded time and can you find a practice that would allow that? What’s interesting, the reason I even wreaking this up … is that we have had applicants who say that they are interested in doing workbench experiment and they want to practice in a rural environment, and they just don’t go together And so when we hear you say that, we generally will send you a symbol saying you are not ready yet, that you haven’t really reviewed this through.You actually should consider what would compile you happy, rather than reimbursement and hour and that sort of thing. And we realize that you are going to graduate with some debt but at the end of the day, you want to pick a vocation that you’re going to adore doing for the next 30 -4 0 years. And if the career itself is challenging and interesting, maybe you don’t like challenge but I like challenge, so if it’s difficult and interesting and at the end of the day you’re happy all the rest of this gonna is sort itself out. Going to personal affirmation, again the personal statement is meant to show us what your motivation is, why you are interested in medicine and then how are you in particular suited for medicine based on what you’ve discovered through your experiences. So we really want you to show us that you know this is the right busines for you. So we expect you to change your intellect again but you should have some lore and conception of the opportunities presented by who you might become and why you are suited for that.So one of its most important things is to self assess. This is incredibly important for a physician because we are often in a situation where we are presented with something we don’t know and so we have to recognize that. We have to be self-aware enough that we can say, “Boy, I’ve never seen this before. I am not sure what this is. What am I going to do about that? ” And we will go into more detail about that next time when we talk about problem solving. It’s also important that you recognize your own subconscious reaction to a patient, and how that may influence how you interact with that case. And that’s what I meant by biases. So, if for instance…Let me use myself as two examples. I have allergies to perfume, and if I walk into a patient room and somebody is heavily smelt I frequently want to get out of that room as fast as I can. And at the same time I don’t want to short modification individual patients so I have to decide whether to time do the very best I is possible and get out of there swiftly or explain the situation to the patient, go out and get a mask, come back in and try again. But again that will influence really that little, it’s not even a bias, its an allergy. But it influences my willingness to stay in the room and interact with that patient. And other parties have biases against certain appearances, specific stenches … any number of things of things that you are not able even be aware you have. So the more you can self assess the better.It’s a good idea to be able to assess your own strongs and areas for improvement and also what your own learning style is because to be a physician you have to enjoy lifelong learning and self spurred lifelong learning. People are not going to be telling you what period to read and what record to look up. You are going to have to do that yourself. So if you need to be directed this may not be the right field for you. So here is an exercise you can do, and this comes from, a variant of this comes from, a diary written by Harvel Hendricks and we posted some of his ego assessment questions on the website. So one of the ways to do this is to make a circle, or an ellipse in the case of the one on the left, or you can do this in a inventory way and basically you want to list all the things that you are really good at in the positive section.You want to list things that acquire you happy and bring you joy. In the minus slouse you want to list things that drive you crazy, that frustrate you, that you’re not so good at and that beings tell you you need to work on. And that’s a good idea to do the same thing about medication. Clearly medicine is not all positive, there are some negatives, there are frustrations, there are things like paperwork beings find disheartening, or not enough time to spend with your patient, or many of the things we’ve already mentioned. Not being able to cure an illness, etc. And the more exposure you’ve had, the more balanced your perspective on drug is going to be. So you either obligate registers or fill out these haloes and then you determining whether the negatives of medication are things that don’t parallel well with you or your own negatives. So for example if you scheduled a number of most frustrating things on the negative side of prescription and in your own personality you’ve discovered that you baffle quite easily and you don’t tolerate foiling well then this is not the claim career for you. On the other hand if it turns out that you really rise to a challenge and that you consider these negatives of medicine as challenges rather than annoyances then you are on the right track. I too merely want to make a comment on the side. I’ve been using this little symbol with the thumbs up in many of my slides.And I know that in different cultures hand signals entail different things so hopefully I is certainly not offending anybody. If I am please excuse me. These are just readily available on the web so I use them quite a bit. So here in the area let’s just talk about another rehearsal. Call out to me some characteristics you think a good physician should have. Anything. Yeah. Patience. With a c e you represent. Yeah. P a t i e n c e yeah. Yes that’s a good one. OK. Patience. Yes over there. Good listening talents. That’s good. Not being judgmental is another one. OK. So you could do this yourself at home. You could do this with your friends. You might lose a few friends. I am sure your friends are kind of tired of having you being so haunted with getting into medical school. But at any rate it can be something that you can do with your friends so time sit around or with your family and see how many characteristics you can tick off that you would like to have in your own doctor. And then look back at your own experiences and see how they might show that you have these characteristics. And again make sure that you fix that obvious to the person reading your application. So we hope that you will incorporate all these procures from these practices and from your experiences into your personal statement. Pick a few of these and show us samples and tell us how you are suited to medicine. Which events or people have had positive affects or even negative affects. The third thing I want to talk about a little bit in a personal statement and I alluded to this last-place age is don’t realise us feel like we’re the fourth being you asked to the prom. And let me explain that a little bit. A bunch of people do a chronological announcement and I’m gonna appearance you some examples, but what I imply by this…When you were in high school maybe or something, you may have known somebody that asked your best friend to the prom which was not to smart but your friend said no and then they asked you to the prom next or perhaps they even asked somebody else in between and then they asked you and by the time they got to get you, you knew, because utterance gets around, that you were the third or fourth party they’d invited and so you were a little pestered, disappointed, but you know you might have gone to the dance anyway because you really wanted to go. But in the case of vehicles of your medical school application you want to let the book know that you are aroused about going to see medical clas and that this is a awareness, purposeful decision.It is not just the next best alternative to something that “youre gonna” doing before but it didn’t work out for you. Now I am going to show you some examples. It’s also important in your personal evidence to let us know why you think you will be a good doctor not why you think you will be a good medical student. They are a little bit different. When sometimes we have people say I’m going to be a good student because I cure other beings in class and I work hard and that sort of thing. Generally you want to start off with why you are evoked about prescription and then if you need to tell us some negative ordeals you have had it is fine to do that but you should start off with the positive and then go into the compare and contrast mode So here is an example of the fourth appointment to the prom illustration I tried engineering but the applicability seemed too distant.I tried investigate but I missed working with beings. Medicine will allow me to combine problem solving and discovery with are concerned with beings. the next one, also from somebody’s work, says pretty much the same thing, but in a more positive way. “Medicine appeals to me because helping people and solving baffles are both stimulating to me.” A few more specimen. These are all real. The first one “I have spent my entire life training to be a doctor. All of my playthings and friends have been treated by me I am a doctor at heart, that is why I want to go to medical school.” Well that really doesn’t really tell us anything about the person or what their dimensions are or why they think they’re gonna be good at it. Now is another very chronological description that again does not tell us anything about the applicant. And I’ll sort of paraphrase it “I entered the university with the intent of seeking a degree in mathematics, my main interest in high school. My first math class was Linear Algebra. It was interesting, etc ., etc ., etc. This led me through a number of inspiring directions from Physiology to Advanced Organic Chemistry and eventually to my major in biochemistry which compounds both my interests in biology, etc ., etc. We can get this list of world-class from the record and again it really doesn’t tell us anything about why medicine it just tells us about the courses that this person took in college. So here’s some better ones. And these are excerpted again from real lotions. “The prospect of extinction and the praise of living appear daily before the final identifications. Unshakably moving forward in such slippery preconditions, I learned, is a doctor’s gift.So this person has done some reflecting and again indicates this in the personal statement. Here’s another one “Reflecting on my college ordeals as well as my current ones. I found that my life seemed most meaningful … when I was working to help a person overcome something beyond his or her restraint. And another one “Through confronting such a stern, unforgiving world. I received a late desire to both better understand nature’s wars and to assist in medical problems like Alice’s. After learning that current medical experiment has acquired no medicine for countless healths such as Alice’s, I noticed myself on PubMed for hours learning about the research.” And what this showed us, this last-place one, is here is somebody who is very much a self-propelled learner who has curiosity. This person was just shadowing someone and happened to get to see a patient that was had a terminal illness that was a little bit of an unusual illness and so this person decided to do some more research into that time to learn more about the disease.So that told us a lot about such person or persons. Which was very helpful. And I think that’s all for tonight and so the next session is gonna be specifically about the interview And we’ll now open it up to questions. Feel free to raise your hand and/ or write something down and pass it down ..

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