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7/27/2019 Physician's Guide to Transitioning from Training to Practice
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Vbysgogh`'s Mugde tn
Trh`sgtgn`g`m arni
Trhg`g`m tn Vrhotgoe
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Vreahoe
Vbysgogh`s u`dermn n`e na tbe inst drhstgo trh`sgtgn`s na h`y noouphtgn` wbe` mrhduhtg`m arni
tbegr ag`hc yehr g` trhg`g`m h`d g`tn tbegr agrst yehr na prhotgoe !bgs trh`sgtgn` re"ugres mreht
prephrhtgn` #ntb persn`hccy h`d prnaessgn`hccy !bnse wbn trh`sgtgn` wecc wgcc bhve tbe h#gcgty
tn reduoe tbegr persn`hc h`d ohreer rgs$s wbgce th$g`m hdvh`thme na nppnrtu`gtges haanrded tn veryaew !bnse wbn dn `nt trh`sgtgn` wecc ag`d ih`y n#sthoces bg`derg`m tbegr nppnrtu`gtges h`d
puttg`m tbegr ohreers h`d ahigcges g` u``eoesshry %enphrdy !be purpnse na tbgs mugde gs tn becp
resgde`ts h`d aeccnws prephre anr, h`d ih$e, h suooessauc trh`sgtgn` arni trhg`g`m g`tn prhotgoe
Nverhcc Trh`sgtgn` Vch`
&grst, we wgcc cnn$ ht tbe nverhcc pch` na
trh`sgtgn` #eanre decvg`m deeper g`tn gt's
vhrgnus onipn`e`ts Cg$e h rnhdihp, h
trhg`g`m tn prhotgoe trh`sgtgn` pch` wgcc
mugde ynu arni ynur ourre`t destg`htgn` g`
trhg`g`m, tn ynur eve`tuhc destg`htgn` na h
suooessauc htte`dg`m ohreer !be ihg
eceie`ts na suob h pch` g`ocude tbe
anccnwg`m(
8 Vrephrg`m nr hie`dg`m na ynur O)
7/27/2019 Physician's Guide to Transitioning from Training to Practice
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Vrephrg`m nr Updhtg`m Wnur OQ
/nst pbysgogh`s devecnp tbegr O) #etwee` iedgohc sobnnc h`d resgde`oy Na onurse, tbere hre
ih`y s$gccs h`d eperge`oes ho"ugred durg m resgde`oy h`d h`y su#se"ue`t aeccnwsbgp Hcc na
tbese updhtes iust #e ihde tn ynur O) #eanre ynu se`d gt tn h`y pnte`tghc eipcnyers h`d tbey
iust anccnw very strgot ruces na ogthtgn` h`d anriht hs wecc hs g`onrpnrhte tbe ourre`t #estprhotgoes na O) wrgtg`m 4nie na tbe ruces g`ocude(
&nccnwg`m H/H anrihttg`m anr ogthtgn`s
Vrnper mrhiihtgohc struotures h`d se`te`oes
n igsspeccg`ms
n igscehdg`m nr nver#cnw` g`anrihtgn` nr desorgptgn`s na eperge`oes
4nie na tbe #est prhotgoes g`ocude(
5eepg`m hcc dhtes tn tbe ceat h`d tet desorgptgn`s tn tbe rgmbt
Vchog`m tbe inst pertg`e`t nr gipressgve gteis tnwhrds tbe tnp na tbe phme
On`de`sg`m ynur O) tn twn phmes ihgiui 1n`e phme ga pnssg#ce=
Cehvg`m wbgte sphoe #etwee` gteis g nrder tn #e inre ehsgcy soh``ed
4g`oe ynur O) wgcc inst cg$ecy #e n`e na ih`y on`sgdered, gt iust `nt sth`d nut `emhtgvecy h`d
hccnw tbe rehder tn soh` gt "ugo$cy h`d stgcc pgo$ up tbe gipnrth`t g`anrihtgn`
Knl _ehrob
N`e na tbe #gmmest aehrs on`veyed tn us #y resgde`ts h`d aeccnws tbrnumb tbe yehrs gs tbht tbeywgcc sniebnw cehve trhg`g`m wgtbnut h %n# nr wgcc e`d up g` h agrst prhotgog`m pnsgtgn` tbht gs cess
tbh` desgrh#ce !bgs gs `nt h`
u`anu`ded aehr hs we bhve see` gt
bhppe` `uiernus tgies tn pbysgogh`s na
hcc speoghctges h`d menmrhpbgo hrehs
2nwever, we've `ntgoed tbht pbysgogh`s
wbn eipcny tbe anccnwg`m %n# sehrob
thotgos te`d tn bhve `n prn#ceis g`
ag`dg`m shtgsayg`m agrst %n# nutsgde na
trhg`g`m(
N#thg` iuctgpce naaers 7 hccnws
ynu tn use tbe stre`mtbs na ehob
naaer tn ih$e tbe ntber naaers #etter
?
7/27/2019 Physician's Guide to Transitioning from Training to Practice
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Cehr` hs iuob hs ynu oh` h#nut tbe ntber pbysgogh`s h`d wnr$g`m e`vgrn`ie`t !be
`ui#er 8 rehsn` pbysgogh`s cehve h prhotgoe gstbe ntber pbysgogh`s; N` tnp na h`y
g`tervgews, sehrob tbe eipcnyer h`d pbysgogh`s n`cg`e anr revgews:oniie`ts h`d hs$ ga
ynu oh` g`tervgew h onupce na eipcnyer7hpprnved eipcnyees Vbysgogh`s instcy dn`'t
onipchg` h#nut tbegr obngoe na noouphtgn`, #ut tbegr eipcnyie`t sgtuhtgn`
3n`'t hooept h` naaer #hsed n` onipe`shtgn` hcn`e Hs$ us h#nut !be 2hiptn`s
4urmen` snietgie anr h buinrnus ehipce
Cnohtgn`, cnohtgn`, cnohtgn` a ynu hre cnn$g`m tn ch`d h cn`mer teri pnsgtgn`, #e sure tn
on`sgder cnohtgn` h`d obnnse sniewbere ynu wgcc wh`t tn cgve /h`y resgde`ts h`d
aeccnws anccnw tbe bgmber shchry tn h cess desgrh#ce cnohtgn` h`d remret gt chter a ynu
obnnse tbgs hpprnhob, ih$e sure ynu pch`s hre sbnrter7teri
9se h %n# sehrob hme`t cg$e Oe%$h 4ehrob, VrhotgoeCg`$, Cehp3notnr, eto
Hcsn, u`dersth`d tbht tbere ihy #e dgaaere`oes #etwee` wbht h reorugter teccs ynu h`d wbht tbe
eipcnyer ihy shy nr dn 0e sure tn vergay h`y h`d hcc teris oniiu`gohted tn ynu #y h reorugter
wgtb tbe hotuhc represe`thtgve na tbe eipcnyer wbn gs g` obhrme na bgrg`m ynu
On`trhot \evgew
H chrme peroe`thme na pbysgogh`s arni prevgnus me`erhtgn`s we`t wgtbnut eipcnyie`t on`trhot
revgews anr tbegr agrst prhotgog`m %n# hater trhg`g`m /h`y ntbers sgipcy cet h` ncder pbysgogh`, h
arge`d, nr snie type na `n`7on`trhot httnr`ey revgew tbegr hmreeie`ts Hater deohdes na tbese
igsth$es h`d onu`tcess stnrges na #hd on`trhots h`d tbegr on`se"ue`oes, tndhy's resgde`ts h`daeccnws hre tre`dg`m wgsecy tnwhrds usg`m pbysgogh` on`trhot speoghcgst httnr`eys !bese
httnr`eys bhve #ee` trhg`ed g` on`trhot chw h`d bhve h mreht dehc na eperge`oe wgtb pbysgogh`
on`trhots g` phrtgouchr >be` obnnsg`m h` httnr`ey, gt gs gipnrth`t tn hs$ tbe anccnwg`m
"uestgn`s(
4
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3n ynu speoghcgFe g` pbysgogh` on`trhot revgews
>bht peroe`thme na ynur tgie gs devnted tn pbysgogh` on`trhots
2nw cn`m bhve ynu #ee` revgewg`m pbysgogh` on`trhots
2nw ih`y pbysgogh` on`trhots dn ynu revgew per yehr
2hve ynu reoe`tcy revgewed h on`trhot g` iy sthte h`d speoghcty 1t gs `nt gipnrth`t anr
h` httnr`ey tn #e cgoe`sed g` ynur eipcnyer's sthte 7 u`cess ynu `eed represe`thtgn` g`
onurt 7 #ut gt gs gipnrth`t tbht tbe httnr`ey gs
wecc7versed g` tbht sthte's speogago chws h`d
remuchtgn`s=
>bht hre ynur cevecs na servgoe h`d
onrrespn`dg`m aees
3n met tn g`terhot wgtb ynu ht hcc servgoe
cevecs
3n ynu prnvgde h`y ag`h`oghc epertgse wgtb
remhrd tn tbe onipe`shtgn` h`d #e`eagts
t gs hcsn very gipnrth`t tn vgsgt tbegr we#sgte /h`y wgcc tecc ynu tbht tbey hre pbysgogh` on`trhot
eperts #ut n`e vgsgt tn tbegr we#sgte ihy on`vg`oe ynu ntberwgse a pbysgogh` on`trhot revgew
servgoes hre `nt prnig`e`tcy nr eocusgvecy aehtured, ynu ihy `nt wh`t tn use tbht phrtgouchr
httnr`ey
On`trhot @emntghtgn`s
emntghtg`m ynur agrst eipcnyie`t on`trhot oh` #e g`tgigdhtg m h`d ih`y pbysgogh`s sgipcy
hooept tbegr on`trhots hs tbey hre agrst naaered tn hvngd onig`m hornss hs mreedy nr hrmuie`thtgve
Hcsn, ih`y na tbei hre tncd tbht tbe eipcnyer wgcc `nt `emntghte tbegr on`trhot 2nwever, ga dn`e
onrreotcy, hcinst hcc eipcnyers wgcc `emntghte snie png`ts h`d ahgcg`m tn dn sn onucd #e h bume
5
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igsth$e; ` nrder tn bhve tbe #est obh`oes na suooess, eipcny tbe anccnwg`m tgps anr `emntghtg m
wgtb ynur prnspeotgve eipcnyer(
3eogde #eanre tbe ieetg`m wbht hre png`ts ynu oh` oniprnigse h`d wbht hre tbe `n`7
`emntgh#ce anr ynu h`d ynur ahigcy
0e respeotauc, onnperhtgve, h`d nptgigstgo !be nppnsgte wnucd #e tn onie hornss hs
hrmuie`thtgve, secagsb, h`d s$eptgohc Leiei#er, on`trhot `emntghtgn`s nate` represe`t
tbe agrst tgie ynu wgcc wnr$ wgtb ynur eipcnyer n` snietbg`m h`d onucd hotuhccy #e very
becpauc g` chyg`m tbe anu`dhtgn` na h mnnd wnr$g`m rechtgn`sbgp
Hcsn, inst pbysgogh` on`trhot revgew httnr`eys wgcc naaer tn onhob ynu g` ynur `emntghtgn`s nr
hmree tn `emntghte n` ynur #ebhca Lesgde`ts h`d aeccnws typgohccy repnrt tbht h`y hdded onst anr
tbgs servgoe wecc wnrtb gt hs tbe httnr`ey gs iuob inre trhg`ed h`d eperge`oed g` suob ihtters
g`h`oghc Vch``g`m
N`oe ynu bhve sgm`ed ynur on`trhot, gt gs gipnrth`t tn met h behd sthrt n` devecnpg`m ynur agrst
ag`h`oghc pch` H igsth$e tbht ih`y pbysgogh`s ihde g` tbe phst whs tn tbg`$ tbht tbey sbnucd
whgt u`tgc tbey were ih$g`m tbegr htte`dg`m shchry tn #emg` ag`h`oghc pch``g`m !n tbe on`trhry,
tbere gs cess stress h`d h bgmber cg$ecgbnnd na ag`h`oghc pch`s #eg`m onipceted ga tbey hre ihde
#eanre ynu #emg` ynur agrst htte`dg`m %n# a tbgs gs `nt hoonipcgsbed, ih`y pbysgogh`s hot
gipucsgvecy nut na aehr nr eogteie`t wbe` tbey reoegve tbegr agrst htte`dg`m phyobeo$ h`d ihy
devecnp #hd ag`h`oghc bh#gts tbht chst anr yehrs h`d prnve bhrd tn #reh$
!be ihg` onipn`e`ts na h mnnd ag`h`oghc pch` g`ocude(
8 0udmetg`m
h Hcc snuroes na g`onie
# Hcc epe`dgtures
o Ourre t Hssets h`d Cgh#gcgtges
7/27/2019 Physician's Guide to Transitioning from Training to Practice
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+ 3evecnpg`m Cgae: &g`h`oghc Dnhcs
h !rhvec
# Obhrgth#ce mgvg`m
o Lesehrob
d 4thrtg m h prhotgoe
- Orhatg`m h 3e#t Lephyie`t 4trhtemy
h 4nuroes
# Lhtes
o On`sncgdhtgn` nppnrtu`gtges
d /g`giuis
e 4obeduce
. 4hvg`ms:`vestie`t Vch``g`m
h 2nw iuob tn shve:g vest
# Lgs$ prnagce
E Letgreie`t Vch``g`mh >be` ynu wnucd cg$e tn retgre
# 2nw iuob wnucd ynu cg$e tn cgve n`
A Ohthstrnpbe Vch``g`m
h Cgae g`surh`oe
# 3gsh#gcgty g`surh`oe
M Orehtg`m Hotgn` 4teps tn Lehob nur Dnhcs
!be pbysgogh`s wbn devecnp h ag`h`oghc pch` #eanre tbey reoegve tbegr agrst htte`dg`m phyobeo$
wgcc inst cg$ecy whste cess in`ey h`d inve inre eaaeotgvecy h`d eaagoge`tcy tnwhrds tbegr mnhcs
In`gtnrg`m
nw tbht ynu bhve th$e` tbe `eoesshry steps tnwhrds ch`dg`m tbe #est %n# h`d #eg`m ag`h`oghccy
prephred anr ynur agrst htte`dg`m pnsgtgn`, gt gs gipnrth`t tn in`gtnr #ntb ynur on`trhot h`d
ag`h`oghc pch` >be` $eepg`m trho$ na ynur on`trhot, #e sure tn on`sgder tbe anccnwg`m "uestgn`s(
8 Hre tbe dutges h`d n#cgmhtgn`s hi hotuhccy eperge`og`m g` iy everydhy %n# cg`e up wgtb
wbht gs g` iy on`trhot
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. s ohcc #eg`m bh`dced hs oniiu gohted g` iy on`trhot
>be` trho$g`m ynur ag`h`oghc pch`, #e sure tn on`sgder tbe anccnwg`m "uestgn`s(
8 Hre iy g`vestie`ts peranrig`m hs epeoted
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8. Ierrgtt Bhwjg`s, H @ew, Bnspgthc-_peogago Indec anr Hssessg`m Vbysgogh` _thaa \e!gre"e`ts,# $%8$
$. Iedsohpe.on", $%8&
_eo!rgtges naaered tbrn!mb _eo!rgtges H"ergoh, '`o., "e"(er )'@\H*_'V+. Hdgsnry sergoes naaered tbrn!mb _eo!rgtges H"ergoh
Hdgsnrs, '`o. `+hcc Hdgsnrs h`d _eo!rgtges H"ergoh hre !`haagcghted.
7