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Billy Terrell MS-4 3/02/09. Goals for YOU -- the MS3 Develop knowledge and skills to be a great Clinician Perform AWESOME your 3 rd year Get into your.

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Presentation on theme: "Billy Terrell MS-4 3/02/09. Goals for YOU -- the MS3 Develop knowledge and skills to be a great Clinician Perform AWESOME your 3 rd year Get into your."— Presentation transcript:

1 Billy Terrell MS-4 3/02/09

2 Goals for YOU -- the MS3 Develop knowledge and skills to be a great Clinician Perform AWESOME your 3 rd year Get into your dream Residency Program Go to where you’ll be the happiest, best for your career. Have average to high average GPA and Step Scores Have an attractive application Have letters that are truly personal Be genuine

3 Start Now Do NOT procrastinate Start Career planning NOW, begin work on application in late Spring. Your Application takes weeks of solid work to assemble Personal Statement – 2 weeks Letters of Recommendation - could take a month or more Compiling Extracurricular activities Research Community Service Medical School Sponsored Activities Hobbies (be genuine)

4 Choose your specialty Yes, it is hard! Requires soul searching and realistic appraisal of yourself. 3 rd year rotations Interested in the common patient complaint? Does your personality fit? Patient population Clinician, Clinician-Surgeon, Academia Lifestyle Iserson’s Getting Into a Residency (copies in library) **NRMP Charting Outcomes in the Match

5 Away Rotations Gain exposure to complicated scenarios. Get to know inner workings of the program. Allow the faculty to evaluate you. Get to know the city. Can really make/break interview experience. Get Letters of Recommendation from faculty. Visiting Student Application Service (VSAS) Other Institutions – Apply through Med school Website

6 Mentor Guide you to away rotations. Help guide/review your personal statement. Write you an awesome letter of recommendation. Develop contacts for you in the field. This is VITAL! Ask MS-4s going into field! Learn from us! Find out which faculty are connected.

7 Applying Decide on a general geographic area. Apply to all schools in that area. Use ERAS Program List (includes program website links) https://services.aamc.org/eras/erasstats/par/index.cfm Schools are viewed on arbitrary Tiers. Apply based on your qualifications Ex: Apply to a few top Tier, many middle, and a few low tier. If needed, apply to institutions in a “backup” field. Consider especially for high competitive fields. Use NRMP Charting Outcomes.pdf to know if your field is competitive. Double the work!

8 What makes a good program Ask Faculty who went there! Expect some Bias See Linda Holmes for list of graduates in a specialty. Ask MS-4s going into that specialty! Freida Specialty Training Statistics StudentDoctor.net US News Best Hospitals

9 Residency Positions Categorical: Resident enters a program with the objective to complete the entire program. Length varies with specialty. Preliminary: Positions for residents who have already been accepted into another specialty, but who are completing pre-requisites for that specialty. Transitional: 1 st year of residency designed to provide a program of multiple clinical disciplines. Typically used to fulfill pre-requisite for a specialty. Fellow: Post residency sub-specialty training.

10 ERAS Transmits Your Application to Residency Programs Electronic Residency Application Service Karen Bledsoe will give you your login “Token” Electronic Form that is basically your med school CV. Type ALL sections in Word then copy/paste into form boxes. Select Schools to apply to through your personal application page. Uses Application Document Tracking Tab within your ERAS site that allows you to see which schools have received/viewed/downloaded your application. Receiving interview notification via this website Message tab and . Fee: 60$ for 10 schools, 8$/school

11 ERAS Timeline July 1 st – Application website Opens September – Applicants may begin applying. Send Karen Bledsoe a digital photo of yourself. Acquire transcripts from undergrad / med school. Interviews – Begin in November, continue through January November 1 st – Dean’s Letters (MSPEs) are released to programs. ERAS automatically distributes this. 2 nd Look opportunity– December, January NRMP: January/February – Programs assimilate RANK lists Mid February – Rank lists due

12 NRMP Matches You to your Dream Residency Provides a uniform date of appointment to Residency. Provides uniform rules for appointment. Historically, recruitment occurred even as a MS-2! Applicant’s / Program Rank lists compared via computer algorithm. Applicant Registration Fee: 40$ (2009) In Summary: ERAS helps you set up interviews with programs, NRMP helps you match with a program via a fair process. You MUST register for both!

13 San Francisco Match The “Early” Match 3 Specialties Participate via SF Match Ophthalmology Plastic Surgery (However most participate in ERAS instead) Child Neurology Not electronic service! Centralized Application Service (CAS) Every Document must be in print. (Type app in Word first ) Letters of Rec. – Sealed Envelopes w/ writer Signature on Seal Original Transcripts – Notarized, in envelope. Gather ALL required docs – mail Next Day Air as one package. 100$ Registration Fee (2009), 60$ first 10, 10$/school Is the combined ERAS/NRMP equivalent for these specialties. Still must apply for PGY-1 via ERAS/NRMP

14 SF Timeline June 1 st – Application Process open August 1 st – Few school deadlines (Mayo, Bascom Palmer) September 1 st – Application Deadline Interview Offers start – End of September, all by mid October. Rank List Due – early January Match – mid January

15 The Urology Match Hosted by the American Urological Association match.cfm Applicants apply for interviews via ERAS. Similar to service provided by NRMP. Some programs require NRMP for PGY-1 Surgery. Registration Fee: 75$ (2009) Timeline: Rank list submission: Beginning of January Match: End of January

16 Medical Student Performance Evaluation An assessment of a student’s performance relative to his or her peers throughout the first three years of medical school. An assessment of the student’s academic performance AND professional attributes. It is NOT a letter of recommendation. Standardized format since ~ Release date of November 1.

17 How is the MSPE Prepared? Each student completes a Dean’s Letter Questionnaire to be available on the Student Affairs webpage. Each student has a meeting with Dr. Veitia in July or August. Students review their MSPE to correct factual information. Students cannot revise evaluative statements.

18 The Six Sections of the MSPE Identifying Information Unique Characteristics Academic History (matriculation dates, explanation of gaps in educational program, information about repeats or remediations, information about adverse actions) Academic Progress Pre-clinical/ basic science course work Performance in clinical clerkships (grade, narrative) Summary Summative assessment of the student as compared to his or her peers School-specific categories to differentiate students Professionalism Appendices

19 What Residency Directors Want Be yourself! Impossible to be the perfect applicant. NRMP Program Director Survey Step Scores – Predict performance on Specialty Board Exam. Characteristics of Ideal Candidates (from MSPE Comments) Knowledge Teamwork Strong Motivation Working at intern level Genuine Interest Patient advocacy Great communication skills Owning Problems Integrity Honesty No Personality Issues

20 Letters of Recommendation Goal: Attain PERSONAL letters that exude what RDs want to see! Plan and do a rotation with someone. Ask them EARLY in rotation. Start asking EARLY! Pick people with contacts. ASK them if they can write you a great letter. Do not submit one that you think is lukewarm. Ask their office staff/MS-4s if they are quick on getting letters out. (this can be important). Typically one is from the dept. Chair of the field of interest. One letter is from a separate but related field. One is from a physician in your field who knows you well.

21 Personal Statement Have a faculty member who reads personal statements as part of the residency committee read your final draft. Depending on specialty – some programs spend 12 minutes per ENTIRE application, 1° care may spend an hour per application. Take Home Point: You must craft your application to describe your strong points across various sections of the application.

22 Personal Statement Do’s/Don’ts Do’s Be honest and Genuine! Present yourself as a mature professional. Make it easy to read (excellent flow, flawless grammar). Convey: What makes you unique (makes you stand out) What makes you a good fit for the specialty. Both what motivates you, and your future goals. If necessary, only negatives that can be positively explained. Don’ts Don’t rehash your curriculum vita. Don’t use quotes. Don’t waste space (i.e. Why I wanted to become a Dr…).

23 Advice Be aware of BAD advice! Talk with program directors here. They read 100’s of applications every season. Use people who went to the school of your interest! Talk with FACULTY in your field of interest Talk with MS-4s going into that field! Rule of Thumb: You do not want your personal statement or interview attire to “stand out.” You want the total package to “stand out.”

24 Something to Remember… Program Directors or Residents of programs to which you are applying may “Google” you or look you up on Facebook or MySpace. Clean it up, or keep your profile Private! Google will find you Blog! In Summary: Give them nothing other than you application / interview to judge you by.

25 Scheduling Interviews Significantly better Interviewee with experience Schedule your dream schools after a “trial run” Available interview dates Depend on when you receive interview offer Depend on competitiveness of program Respond to interview offers IMMEDIATELY. (24hrs) Competitive fields are first come first serve for spots. Re-schedule/ Cancel Goal: Notify at least 1 wk prior.

26 What to Wear Men Black or Grey Suit – this is not the time to be cheap! White Shirt Windsor Tie – Yellow, Red, Blue – Power colors Black dress shoes – CLEAN, NO SCUFFS! (cited by RDs) Buy Chap stick (also cited by RDs—interview season is winter time!). Women More variable – Black or Grey skirted suit still most common Blouse – nothing flashy. No flashy jewelry – use your judgment on nose piercing. Natural hair colors only. Carry black leather folder w/ case presentation, CV, spare photos, and your list of questions to ask! (You’ll be nervous and forget them!) Carry a nice pen, do NOT use a drug pen or another institution's pen (d’oh). Photo: Wear your interview attire for photo, mid-chest up. (passport size)

27 Questions to Expect Part 1 Research Programs before Interview! Use Program Website – Read Everything YOU MUST SELL YOURSELF! Be prepared for 3-on-1 & Panel (8+) interviews (Relax) Tip: Scan room periodically while speaking to engage all interviewers. Be prepared to explain ANY areas of your record. Some suggest pre-emptive discussion of weaknesses. Be prepared to discuss current events! Read Wall Street Journal in airport/plane. Tell me about yourself? (Difficult ice breaker) Variant Question: What are your strengths/weaknesses? Answer: Explain what motivates you and include strengths. What accomplishment are you most proud? What is the most difficult thing you have done? Not mentioning family, who are your heroes?

28 Questions to Expect Part 2 What do you do in your spare time? Why should I choose you over the other applicants here today? Where do you see yourself in 10 years? Describe something unethical that has happened in your career. Which patients do you find difficult to deal with? Why do you want to go into this specialty? Why did you apply to this program? Tell us about a patient you learned to most from? (BE prepared for a case presentation!) (Competitive- absolutely necessary) Where else have you interviewed? Can you think of anything else you would like to add? Be prepared to discuss common patient complaints/diseases! Competitive Surg Field - Do NOT get flustered by Dexterity tests.

29 Questions to ASK Faculty ALWAYS ask Questions- This conveys your interest in the program Faculty: Strengths/Weaknesses of Program? Changes do you anticipate in next few years? What do most of your graduates pursue p/ graduation? How are the residents evaluated? How do your graduates perform on the board exam? Opportunity for research? Is attendance to national conferences encouraged? What is the Lecture schedule? Local VA Hospital? Location of all clinic sites? Is there a Resident run Clinic? If so, is there an attending on staff? What aspect of the program do residents find most difficult? Finally, ask for contact information (for p/interview)

30 Questions to ASK Residents Residents: Strengths/Weaknesses of the Program Call Schedule, who is my backup? Is there initial buddy Call? What is the patient load? What attracted you to the program? Would you come here again? Do the residents get together outside of work? How often? How are the lecture series? Do you feel the program prepares you for the boards? Any initial lecture series/ training? Fellows helpful? Do they teach? Do they share cases? Local Housing? Specialty Exposure? Equipment provided (Books, surgical tools i.e. Loupes) How much time off do you have? What is the relationship between faculty and residents?

31 Illegal Questions Any questions concerning childbearing! What are your family plans? – “Answer that you plan to have children at the end of your residency. My training comes first.” What is your corrected vision? What medications do you use? How much EtOH do you drink/wk? How many days were you sick last year? Any specific rank order questions!

32 Post Interview Write down info about each program immediately! Try to Rank programs as you go. Send Thank You Note/ within a few days. Thank ALL faculty with ONE letter to Program Director 2 nd look Interview – scheduled with program personally Allows you to further narrow down your top 3. Common among certain specialties Do not expect to be with program director (i.e. no re- interview) Residents p/ interview with new questions/criteria as you mature along the trail.

33 Writing the Thank-you Note Thank the PD (obviously) for the opportunity Be Flattering Ask the PD to thank the other faculty for you Convey your interest in the program List specific factors (their strong points) State your specific reasons for wanting to be at that program Re-iterate your strong points Why you are a better choice over other applicants! Be concise!

34 Questions you need to answer Will this Residency Program provide me with strong training? **Does this program offer an environment that will allow me to reach my full potential? How did I feel when I visited the program? Will I feel comfortable at this program? Will I enjoy working with the faculty/staff there? Could I live and work in this city for the next several years?

35 Making your Rank List National Resident Match Program (NRMP) Both Residency and Fellowship Match Register on-site before December (discount price) Certify Your List (Green) –Confirmation SF Match – PDF form fill in, submit electronically Confirmation In general, Rank at least 6 schools Use whatever criteria you feel is important Always trust your gut feeling! Do NOT Rank a program because they told you they would rank you High!

36 How the Rank Works NRMP: It is not that complicated. Just Rank IN ORDER OF YOUR PREFERENCE! Basically, the system is in your favor if you rank a program 1! A program’s Rank list is used as a tie breaker between 2 students that have Program X ranked #1. The un-matched student goes to 2 nd choice, process repeats as if that school is their #1. Summary: There is NO reason to not Rank a competitive program as #1, if you do not match there it is as if that program was never on your list!

37 Common Errors Made Not giving enough thought to your Rank List Creating too Short a Rank list Ranking a program you have serious doubts about You are committing yourself if you rank them! Ranking programs based on where you will get accepted. You will only match to the program you want if you put it at the top of your list!!!! Do NOT reciprocate because a program told you they would Rank you High.

38 Criteria I used to Vet Programs I Literally had all categories on a spreadsheet Gut Feeling Interview Geographic Location Faculty Size Specialty Exposure Fellows Resident Clinic Clinic Locations (1 site) Local Housing Facilities (New) Happy Residents Call Didactics Family factors Equipment provided

39 Match! NRMP: Occurs in middle of March NRMP: Outcome announced via / Web on Monday Informed of un-match status same day. List of un-filled programs posted Tuesday at Noon. NRMP Results: Disclosed at Match Day, posted NRMP website at 1pm ET. SF Match: Occurs in middle of January SF Match: Disclosed on Match date to you and residency program.

40 Avoid the Scramble! The “scramble” for unfilled positions occurs p/ Match. Scramble version of ERAS available on Tuesday of Match Week. This is not your opportunity to get into a competitive specialty. 2,000 US Graduates PLUS 7,000 FMGs use the scramble **Factors that often lead to Scramble: Poor candidate interviews Did not Rank enough Institutions Revise your application Alter Personal Statement if needed, Update CV to present. Application Document Tracking – same as traditional ERAS.

41 But if you Scramble… Process lasts 2 Days Tuesday Noon- NRMP Dynamic List available Use program ID code to search for program on ERAS. During Scramble, you can apply to a maximum of 30 new programs and 15 programs to which you’ve already applied free of charge via ERAS Scramble edition. Have all App Documents Ready to Fax to non-ERAS programs. Contact Program Directors DIRECTLY! There will be a phone Interview. Some programs will accept you on phone, others wait. Find A Resident Service (Post-Match AAMC Service) For unsuccessful Match via NRMP and Scramble

42 Good Luck! Know this! Programs are as terrified as you are! They want you to like them! You determine your success in the Match. Take Initiative, this is your future career! Medical School was just a stepping stone. The Odds are in your favor! Around 95% Match in their preferred specialty! PLEASE fill out the Survey!


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