Jon+Karnes+IEP

Resident Individual Education Plan 1. What do you see yourself doing post-graduation? What can we do to support you? The vision is cloudy. I see myself in one of three very different areas—micropractice with some type of academic connection, working in the ED in this area and developing ER competency, or attempting to enter a dermatology residency. (VERY DIFFERENT). I guess I’ve been overwhelmed and somewhat put off with the outpatient experience that I’ve had—It’s difficult to see the fruits of my labor and feel that at the end of the day I’ve done any more than push against an wall. I need to see practice in a different way—or in several different ways. In our experience, we see family medicine under a singular lens of our residency practice. I’d love to work with someone much like myself—whatever that means—who is very passionate and happy with their career choice and the practice they are building. Dermatology and the ER I have found to be areas that I really enjoy and find myself very happy when working in those setting. I have a visual and hands on mind and learning process. Really only in the last year have I let myself consider something other than family medicine and these are the areas that sort of bubbled to the top of my interest. A decision to go in either direction would significantly change my curriculum. 2. What curricular areas/competencies are your weakest? How can we help you with these areas? I think with regard to medical knowledge, I have yet to really formulate my own curriculum of study—whether that be reading a couple journals regularly, going to conferences, or listening to lectures. I would love to see how some do this particularly well. 3. What curricular areas/competencies are your strengths? How can we help you build on these strengths? I’d say I’m fairly curious in general, stay pretty cool headed, and can read people pretty well. I’d love to build on my interest in procedures—developing skills in line placement, endoscopy, colonscopy, complex skin excisions/repairs. I think this really leverages a lot of medical knowledge including anatomy, pathology, and work-up even if I never use these procedural skill in the future. 4. What electives do you want/need? I’d like to do an elective surveying different family medicine practices—particularly those with an innovative mission or business model. I’d also like to do some credentialing in ALSO, ATLS, and PALS before graduation. Perhaps even wilderness medicine. Dermatology in a residency environment. Possibly trauma/ED procedural training/Airway course. 5. How do you maintain a healthy life balance between the professional and personal? The thing I’ve been able to do most in fitting with the concept of balance is explore Maine a little bit. However, I wouldn’t call this balance. There is always more work hanging over me. My wife would tell you that I sleep poorly, don’t exercise, and every vacation is a trip to be with family a thousand miles away. What I do now is not sustainable for much of a length of time. No amount of money would make it so. 6. On what one or two competency areas do you want to focus this year? Set a goal and describe a couple of strategies you will use to reach it. Goal 1: explore practice options. Plan: survey various clinical settings including family practice, derm residency, ED work inc possible moonlighting. Goal 2: Develop procedural skills: including line, airway, endoscopy/colonoscopy, ? plastics. Plan: colonoscopy training with Farmington docs, airway course, ? trauma rotation. Type in the content of your page here.