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Doody's Review ServiceReviewer: Isaac Kleinman, MD (Baylor College of Medicine)
Description: This is a monograph of 180 pages structured largely in the form of commonly asked questions and answers about nonclinical medical careers.
Purpose: The book is structured to help the physician with a step-by-step concrete approach to making a change in occupation. It is all text without illustrations or graphs.
Audience: It is designed for the physician thinking of leaving clinical medicine but whose ideas are nebulous.
Features: The first section explores the changing medical practice environment and its impact on private clinical practice. It then asks the reader to examine his motives for leaving clinical practice and to clarify as much as possible what it is that he is looking for in an alternative occupation. Finally, it discusses the potential impact of occupational change on the family. The second part deals with the nonclinical universe of physician occupations; the matter of salaries, the need for possible retraining, and the special risks that might be present in some new occupation. Part 3 contains worksheets related to clarifying the physician's ideas and feeling about things such as location, amount of job responsibility desired, financial goals, work environment, and resources needed to make the change. It then deals with practical mechanics such as updating the CV, preparing references, seeking out and dealing with appropriate consultants, the workings of search firms, preparing for interviews, and looking at contracts. A bibliography and a long list illustrating the variety of nonpractitioner positions held by medical school graduates are appended.
Assessment: A wide range of medical practitioners could find this monograph useful, not only those currently in active clinical practice but also those who are already doing part-time administrative work and academics. The book is recommended.