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Objectives. To identify strategies for career development in academic medicine.To discuss issues related to negotiations of contracts, salaries and working conditions.To develop plans that include diversity and cultural differences.To demonstrate areas where health advocacy plays an influential r
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1. Career Decisions for Medical Students and Residents:Focus on Women’s Health Nereida Correa, MD, MPH
Medical Director MIC Women’s Services of Public Health Solutions
Associate Clinical Professor OB/GYN and Family Medicine, Albert Einstein College of Medicine
NHMA National Conference
March 2010
2. Objectives To identify strategies for career development in academic medicine.
To discuss issues related to negotiations of contracts, salaries and working conditions.
To develop plans that include diversity and cultural differences.
To demonstrate areas where health advocacy plays an influential role
Promote the idea of leadership regardless of specialty chosen
3. My Current Roles Medical Director of a city-wide system of health centers that offer prenatal and family planning services in the poorest communities in New York
Faculty member at Einstein with responsibilities in the Hispanic Center of Excellence, Bronx center to Eliminate Disparities and the Ob/GYN & Women’s Health Department
Private practice in gynecology including ambulatory and surgical care of patients
Teacher and lecturer on health disparities, cultural competency, electronic medical record and women’s health
Research in obesity prevention and neuroendocrinology
4. Women’s Health More than 50% of the population is women
More than 80% of your patients will be women regardless of specialty choice
Latinas are one of the highest risk populations with the lowest wages, less likely to be uninsured and more likely to have problems with access to health care unless they are pregnant
6. Hispanic Women Median age: 26
Education: 45% < high school
Life expectancy: 77 yrs vs. 79 for White and 74 for Non Hispanic Black
Birth rate: Highest in US
Comprise 56% if Hispanic labor force
Lowest paid: 46% , 10,000/yr; 30% head of household
8. Births and Deaths US by Race/Ethnicity: CDC Data deaths ’99 births ‘00
Non-Hispanic
White 1,953,197 2,362,968
Black 281,979 604,346
Hispanic
Puerto Rican 13,909 58,124
Mexican 57,425 581,914
Cuban 11,209 13,429
Other Hispanic 21,377 162,400
12. Infant Mortality by Race/EthnicityNew York City, 1990-2000
14. Public Health Importance cannot be underplayed
Prevention is the key to eliminating health disparities
Populations that have the greatest disparity are the Black and Hispanic with higher rates of obesity, infant mortality, prematurity and maternal mortality
Health care policy and planning needs you at the table
15. Homo adipositus
16. Obesity Prevalence in NYC2002, by UHF District
17. Advocacy Opportunities In any specialty there is the opportunity to be an advocate for your patients and communities
Serve on committees in your institution
Involve yourself in quality improvement activities
Offer your comments and opinions even if not asked
18. Negotiation Do’s
Know what you want
Prepare Outline of what you want to discuss
Decide what is most important
Decide what you can live without
Think BIG Don’t
Assume that you are powerless
Quote below what you are willing to accept
Be shy about describing your strengths and abilities
Volunteer information
19. Academic Medicine During residency talk to your faculty and see the many roles that can be part of your work
Negotiate time in your contract to pursue work that interests you in your field
Volunteer to run a program in your department that others may not readily accept such as coordinating students or making lecture arrangements
20. Institutional Development DELIVERIES FROM NETWORK SITES BROUGHT TO EINSTEIN HOSPITAL
INTEGRATED SERVICES OF FAMILY PRACTICE, OBSTETRICS, MIDWIFERY AND NURSE PRACTITIONERS
21. Academic Medicine Involve yourself in all departmental activities
Serve on committees
Attend conferences and stay active in professional groups
Get involved in projects, research grants and pick mentors to advise you
Document ALL of your activities
22. Developing a Portfolio From day #1 start to save all calendars with teaching dates and information on lectures given
Save all letters, evaluations, schedules and brochures in a separate file under your name
Give copies to your administrator of CME attended, letters and lectures given outside the department
Once yearly look through the file and update your curriculum vitae
23. Cultural Humility Training outcomes that incorporate a lifelong commitment to self-evaluation and critique
Redress of power imbalances in the physician-patient relationship
Partnerships with communities on behalf of individuals and defined populations
24. Conclusions We can make a difference… to ourselves, our families, our institutions, our communities and our country by keeping ADVOCACY and LEADERSHIP in our career choices