Becoming a Master Clinician

Becoming a Master Clinician

We are committed to a culture that encourages the development and internalization of the attributes, applied knowledge, judgment and behaviors of the master clinician into one's concept of self.

  • The personal development of a new "professional" self identity
  • Creation of a new understanding of self and the world
  • Occurs in stages
  • Results from meaningful professional experiences, dialog and reflection

Stage 1: Early Entry

  • Reflex responses derived from previous non-professional life
  • Rules of the profession not clearly understood
  • Immature learner "I am smart and can beat anyone at the game"
  • Surprise and angst at adverse reactions to "usual behaviors"

Stage 2: Reward/Punishment

  • It's all about ME
  • Figuring out the "rules of the game"
  • What's on the test?
  • Cram and forget, get high grades
  • Motivation is the "system's reward/punishment"
  • Satisfaction comes from the external rewards

Stage 3: Team Membership

  • Can hold multiple points of view
  • Relationships are critical
  • Begin to integrate and apply knowledge
  • The "Profession" is a relationship
  • Motivation is the "Medicine team does it this way"
  • Satisfaction is from successful team and individual relationships

Stage 4: Physician Self

  • Integrated the Profession (values, thinking, etc) into a knew self identity
  • Professional behaviors become habitual
  • Can break away from the rules and the team when appropriate
  • Leads the team
  • Knowledge is put into effective action
  • Can be flexible and self-critical
  • Motivation "I know the right thing to do"
  • Satisfaction is internally derived (self-actualization)

Stage 5: Mentor

  • It's all about the others
  • Holds a "big picture" perspective
  • Teaches the "rules" of doctoring
  • Guides the team
  • Art and Science of Medicine are one
  • Nurtures the transformation to physician
  • Motivation is to see others succeed
  • Satisfaction derives from the accomplishments of others