Let’s Talk a Little Pre-Med Heresy

1. Let’s Talk a Little Pre-Med Heresy Keith Bradley, MD CEO/CMO National Alliance of Research Associates Programs (NARAP)

2. Why Listen to this Guy?

3. Why Listen to this Guy? • West Point

5. Why Listen to this Guy? • West Point • Notre Dame

6. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital (Hell’s Kitchen)

7. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital (Hell’s Kitchen) • Tulane University School of Medicine

8. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital (Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM

9. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital (Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM • Norwalk Hospital

10. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital(Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM • Norwalk Hospital • Lincoln Med and Mental Health Center (S. Bronx)

11. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital(Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM • Norwalk Hospital • Lincoln Med and Mental Health Center (S. Bronx) • Bridgeport Hospital / Yale Emergency Medicine

12. Why Listen to this Guy? • West Point • Notre Dame • St. Clare’s Hospital(Hell’s Kitchen) • Tulane University School of Medicine • Medical College of Pennsylvania – EM • Norwalk Hospital • Lincoln Med and Mental Health Center (S. Bronx) • Bridgeport Hospital / Yale Emergency Medicine • St. Vincent’s Medical Center

13. Why Listen to this Guy? • > 30 years as an academic emergency physician

14. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents

15. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents • 7 years as a Health Professions Adviser

16. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents • 7 years as a Health Professions Adviser • hundreds of pre-health professional students

17. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents • 7 years as a Health Professions Adviser • hundreds of pre-health professional students • Research Associates Programs x 20 years

18. Why Listen to this Guy? • > 30 years as an academic emergency physician • hundreds of medical students and residents • 7 years as a Health Professions Adviser • hundreds of pre-health professional students • Research Associates (RA) Programs x 20 years • thousands of RAs

19. Agenda • Help you see the process of preparing for a career in the health professions from a different perspective

20. Agenda • Help you see the process of preparing for a career in the health professions from a different perspective • Recruit you

21. Agenda • Help you see the process of preparing for a career in the health professions from a different perspective • Recruit you • Line RA as a college undergrad

22. Agenda • Help you see the process of preparing for a career in the health professions from a different perspective • Recruit you • Line RA as a college undergrad • Chief RA as a college graduate

23. Heresies • “Pre- Med” • Why do you go to medical school ? • Research is very important, but … • Significant clinical experience not optional • Post-Bac is the preferable option

24. Heresies • “Pre- Med”

25. “Pre-Med” • No “Pre- anything”

26. “Pre-Med” • No “Pre- anything” • Career begins with “I think I might want to be a ____.”

27. “Pre-Med” • No “Pre- anything” • Career begins with “I think I might want to be a ____.” • you want to be in control of for how long or short

28. “Pre-Med” • No “Pre- anything” • Career begins with “I think I might want to be a ____.” • you want to be in control of for how long or short • Career Building ≠ just getting into medical school

29. “Pre-Med” • No “Pre- anything” • Career begins with “I think I might want to be a ____.” • you want to be in control of how long or short • Career Building ≠ just getting into medical school • medical school is a means not an end

30. Heresies • “Pre- Med” • Why do you go to medical school ?

31. Why You Go to Medical School? • Do you want to go to medical school to become a physician?

33. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident;

34. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician

36. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine

38. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine • Medical training ≈ a medieval craft

39. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine • Medical training ≈ a medieval craft • medical student = apprentice

40. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine • Medical training ≈ a medieval craft • medical student = apprentice • resident = journeyman/woman

41. Why You Go to Medical School? • Do you want to go to medical school to become a physician? • Go to medical school to become a resident; finish a residency to become a physician • Only a physician can practice medicine • Medical training ≈ a medieval craft • medical student = apprentice • resident = journeyman/woman • physician = master craftsman/woman

42. Getting a Residency = Immediate Goal

43. Getting a Residency = Immediate Goal • PG training for 3, 5, 7 years … to “forever”

44. Getting a Residency = Immediate Goal • PG training for 3, 5, 7 years … to “forever” • Competitive Residencies: A RODEO

45. Getting a Residency = Immediate Goal • PG training for 3, 5, 7 years … to “forever” • Competitive Residencies: A RODEO • Anesthesiology • Radiology • Dermatology • Emergency Medicine • Orthopedics, Ophthalmology, Otolaryngology

46. Getting a Residency = Immediate Goal • PG training for 3, 5, 7 years … to “forever” • Competitive Residencies: A RODEO • The Residency Dilemma

47. Residency Dilemma – 30% by ‘15 AAMC Statement on the Physician Workforce

48. Residency Dilemma – 30% by ‘15 AAMC Statement on the Physician Workforce ↓ Supply

49. Residency Dilemma – 30% by ‘15 AAMC Statement on the Physician Workforce ↓ Supply • aging work force

50. Residency Dilemma – 30% by ‘15 AAMC Statement on the Physician Workforce ↓ Supply • aging work force • retiring