==== Success in Medicine ====

Source: Ch 18. Katherine Woolf, Chris McManus: Predicting and guiding career success in medicine.  (Read: 2017-10-24, 2019-04-10)


=== What is success? === 

‘Each of them - as is often the way with men who have selected careers of
different kinds - though in discussion he would even justify the other's career,
in his heart despised it.’
Leo Tolstoy (Anna Karenina 1877)

== Difficult to define success ==
  - People are different, so notions of success are also different
  - "Medicine" as a vocation is "often treated as an entity"; while training is quite uniform, practice is not

== One definition (Woolf and McManus) ==
  - Broadly: "Career success can be defined as the **positive work-related** and positive **psychological** //outcomes// of an individual's experiences over the course of their working life. It can be extrinsic, measured objectively in terms of material rewards such as pay and promotion to high-status and prestigious jobs. It can also be intrinsic, measured subjectively in terms of the psychological rewards received such as inherent enjoyment of one's work, attainment of personal goals, and satisfaction of personal values."
  - correlation between intrinsic and extrinsic success is only moderate

:: autonomy, motivation

=== Self-determination theory ===

  - 3 universal **psychological needs**: Autonomy (have choice), Relatedness (have friends), Competence (is good)

=== int vs ext success ===

=== intrinsic vs extrinsic goals ===
  - knowledge of self, job & career path (know)
    - self efficacy - [[personality]] type?
  - ability to reflect on & plan around knowledge (do)
    - personality big 5
       - OCEAN: Openness to experience, conscientiousness, extraversion, agreeableness, neuroticism

=== Socio-cognitive career theory SCCT ===

  - based on Bandura's Socio-Cognitive Theory of Behaviour: the reciprocal influences of behaviour and thought on each other
  - depends on **self-efficacy**, outcome expectations and goals

=== Sponsored mobility ===
  - those with potential are identified by elite and given support to progress
  - [[https://en.wikipedia.org/wiki/Sponsored_mobility|Wikipedia definition]] vs contest mobility

=== See also ===

  * [[https://www.ucl.ac.uk/medical-education/sites/medical-education/files/2011-WoolfMcManusCareersChapter0FinalPreProof.pdf|Link to pdf]]