Presentation on theme: "Preparing for 4th Year and the Match"— Presentation transcript:
1Preparing for 4th Year and the Match Amber Hull, OMSIV
2SummaryLicensing Exams: timing, preparation, to USMLE or not to USMLE?Scheduling Electives and VSASRoadmap to 4th yearERAS: selection of programs and costInterviews, travel and budgetPreparing the ROLMatch Day and SOAP
3Licensing Exams COMLEX Level 1: after second year COMLEX Level 2 CE: after third yearCOMLEX Level 2 PE: in Conchahocken, PARegister early (fall of 3rd year) for best datesCOMLEX Level 3: Intern yearCOMLEX is accepted for Licensure in all 50 statesBoard Certification is a separate process: Board exams are taken at the end of residency
4To USMLE or not to USMLE?If you plan to complete your residency and fellowship within an AOA program, USMLE is not requiredIf you plan to apply for ACGME programs, check with each individual program to see if they require Step 1, Step 2 or bothIf you plan to do a fellowship which is NOT offered through the AOA:You can plan to do residency through the ACGME and then apply to the desired fellowship- USMLE requirements will be program specific but not necessarily requiredYou can do an AOA residency and attempt to enter an ACGME fellowship as an “exceptionally qualified” applicant-all steps of USMLE required under the new Common Program Requirements**This exception will be specialty dependent- specifics announced in early 2014.**
5Preparing for Licensing Exams: Level 1 Study for your classes: lots of pharmacology and pathology on Level 1/Step 1First Aid +/-Doctors in Training, Kaplan, PASS program, PathomaQuestion Banks: USMLE World, COMBANK, COMQuestMake a schedule and allow yourself some time for exercise, sleep and familySchedule Exams a few days apart if you choose to do both
6COMLEX Level 2Your COM will send you an when you are eligible to register (October of 3rd year)Cognitive Evaluation (CE)Similar format and study resources as for Level 1Material tested is less basic science and more clinicalPerformance Evaluation (PE): 12 standardized patients6 hour clinical skills exam at the NBOME testing center in PA14 min encounter + 9 min SOAP note8-10 weeks for scores to be reportedIdeally, you want passing PE scores at the time that ERAS opens (September 15th) so try to schedule your COMLEX PE during summer of 3rd year (May, June, July)
8Licensure vs Board Certification You apply for a license through the state in which you practice- Requires all 3 steps of COMLEXBoard Certification is specialty specific and requires completion of residency trainingAOA Board CertificationAmerican Board of Medical Specialties (ABMS)Dual Certification is availableCME will be based on which Board certification is obtainedaoa/development/aoa-board- certification/Pages/default.aspx
10Electives vs CoreCheck to see what requirements your school has and make sure you schedule blocks to fulfill themElectives: max number of weeks in a single specialty (ex: 16 weeks max in peds)Schedule vacation weeks that allow sufficient time to study for Level 2 and travel to PAYou may need to schedule vacation time for interviews and/or COSGP meetings
11Audition Rotations/Sub-Internships Pros“Mandatory” for some osteopathic programs: you are more likely to be ranked if you rotate thereTry out a programProve yourselfSee an area of the country that you may want to train inSome programs offer courtesy interviews to Sub-InternsAdventure!ConsNot really necessary for ACGME programsExpensive!!Double rent vs living out of suitcasesPeople will see your shortcomings in addition to your strengths so you have to perform at your peak at all timesLearning a new system (EMR, hospital layout, etc) every month is a challenge
13Away ElectivesOsteopathic Programs: call the medical student coordinator at the host siteAllopathic programs: program specific application processCheck the website of the program you’re interested in rotating atVSAS= Visiting Student Application ServiceCentralized application service: upload required documents and assign them to specific programs ($15 per application)Check application opening dates, required forms (specific immunization forms)Earliest opening date for Applications is February 1 but many programs take applications beginning in March, April or May for Fall rotations
14Helpful Resources & Ideas Vsas.aamc.orgTry to schedule in August, September and/or October (new interns in July; interview season is October-January)Housing: check with the host site about visiting student housing, Rotatingroom.com, Airbnb.com, consider rotating in places where you have generous friends/family with an extra room;-)Rental cars are MUCH cheaper if you go through Hotwire.com or a similar siteNow is a great time to apply for a credit card which gives you airline miles if you don’t already have one!
16Registration for the Match Registration for NMS and NRMP are separate from ERAS!National Matching Service: Osteopathic Match$60 Registration fee. Deadline: Nov 1, 2013 to avoid late fee.https://www.natmatch.com/aoairp/applregister.htmlNational Resident Matching Program: Allopathic Match$60 registration fee. Deadline Nov 30 to avoid late fee.Match Prism tracking App for iPhone and Android
17ERAS: Electronic Residency Application Service Documents: COMLEX/USMLE transcripts, LORs, Personal Statement(s)- assign these to programsApplication:General Info, Licenses (ACLS, etc.), Medical EducationMedical School Honors/AwardsMembership in Honorary/Professional SocietiesEducation and Prior TrainingExperience: Research, work, volunteerPublications: Peer Reviewed Articles/Abstracts, Other articles, Oral PresentationsLanguagesHobbies and InterestsOther Awards and Accomplishments
18Programs Search and Apply to MD and DO programs Assign documents to the programs you apply toYou can have multiple personal statementsMost programs require 3 LORs but will take up to 4EM may require a SLOR (standard LOR)Some programs will require a LOR form the Department ChairApplicant Document Tracking System (ADTS) allows you to see when your documents are downloadedERAS Application Fees:Programs Up to 10 - $92 Programs $9 each Programs $15 each Programs 31 or more - $26 each
19Helpful Resources and Hints Start ERAS early! It will take several hours to enter all of your amazing accomplishments.The Personal Statement might be the hardest thing you write in med school. Revise, Revise Revise!Have people proofread your application and Personal Statement.Don’t embellish your CV just to fill space but be sure to include any presentations you’ve given for your SGA or COSGP. They count!Check each program’s website for application requirements. Some want your PS to address a specific topic or have LOR specifications.Number of programs you apply to will depend on your specialty and qualifications.
20Researching Programs and Specialties Opportunities.osteopathic.orgFREIDA: https://login.ama-assn.org/account/loginOsteopathic GME Match Report:NRMP Charting Outcomes in the Match: e8560f466940e4ec38ed51af32994bc6.r6.cf1.rackcdn.com/wp- content/uploads/2013/08/resultsanddata2013.pdfNRMP Charting Outcomes in the Match: Specialties Match e8560f466940e4ec38ed51af32994bc6.r6.cf1.rackcdn.com/wp- content/uploads/2013/06/NRMP-Charting-Outcomes-in-the-Match- Specialties-Matching-Service-1st-Edition-Published-May-2013.pdf
21Interviews and Budgeting Most people do between 6-12 interviewsInterview invitations will start being issued within days of ERAS opening and continue well into December. Respond ASAP to get your choice of dates. Check your spam folder!Some programs will pay for your hotelEvent with residents the night before, Interview day usually ~8a-2p. Details in program .If you’re doing an elective at a site where you end up getting lots of interviews, try to schedule them so that you can drive.Use a spreadsheet and/or Google Calendar to keep track of logistics and program details that are important to you.
23Preparing the Rank Order List ROL opens for Osteopathic Match Participants on Jan 8, due Jan 24, 2014ROL opens for Allopathic Match Participants on Jan 15, due February 26, 2014Must certify your ROL prior to deadline but can make changes up until the deadlineRank programs in order of your training preferences, not how you think the programs will rank you.
24Match Day and SOAP (Supplemental Offer and Acceptance Program) Friday before Match week: notification of SOAP eligibility-does not mean that you didn’t match!Find out WHETHER you have matched on Monday of Match weekSOAP (the scramble): applicants apply for any unfilled spots through ERASFind out WHERE you matched on Friday of Match weekOsteopathic Match: February; Allopathic Match: MarchIf you Match in the Osteopathic match you MUST withdraw your application from the Allopathic Match!To participate in the osteopathic scramble, you must have registered for the NMS Match (even if you don’t rank any programs)**If you do the Allopathic Match you cant scramble into Osteopathic programs until after the Allopathic scramble**