1. Careers In Medicine@VCU: Find Your Fit Match 101: Summer Experiences Session Chris Woleben, MD Associate Dean for Student Affairs November 4, 2014

2. Basics of The National Residency Matching Program Prior to 1951, appalling hiring practices were often used to attract students to residency programs. The National Residency Matching Program (NRMP, aka the Match) is a national system by which students are paired with residency training programs using a standard algorithm.

3. Participating Specialties O Most residency positions are offered through the NRMP using ERAS: O Ophthalmology and Urology programs have separate matching process – will be discussed later in more detail O Some military programs require use of ERAS for applications O Neurosurgery first used NRMP in 2009 O Child Neurology first used NRMP in 2011

4. Intern (PGY-1) Positions O Intern positions, also known as Post- Graduate Year-1 (PGY-1) include the following types of programs: O Categorical O Preliminary O Transitional

5. Categorical Positions Designed for broad specialty training – can last anywhere from 3-8 years depending on the specialty Do not require a separate year of preliminary training Optimal for those who wish to remain in the same program throughout their residency Examples include:  Family Medicine  Internal Medicine  Pediatrics  Emergency Medicine  Obstetrics and Gynecology  General Surgery  Pathology

6. Advanced Programs O Programs available to senior medical students starting at the PGY-2 level O Students must also match separately into a PGY-1 program – you must check with each individual program to determine its individual requirements O Examples of programs that may require a preliminary year include: O Anesthesiology, Diagnostic Radiology, Neurology O Dermatology, Ophthalmology, Radiation Oncology O Physical Medicine and Rehabilitation

7. Preliminary Programs O Designed for students needing a single year of clinical experience prior to completing another specialty (PGY-1) O Available in two program types: O Internal Medicine O General Surgery O If you apply to an advanced program, you must also apply separately for a PGY-1 position

8. Transitional Positions O Originally designed for students who could not decide upon a medical specialty O Year closely resembles the M3 Clerkship requirements except you function at the intern level O May serve as a PGY-1 program for some advanced programs

9. NRMP Algorithm O Designed to favor students O All applicants are treated equally (U.S. allopathic and osteopathic students; physicians; international medical graduates) O Computer matches students into a residency program based on student and residency training program Rank Order Lists (ROL’s) O The Match is complete when all applicants have either been matched with one of their choices or all the programs listed by the applicants have filled their positions

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11. How Competitive is the Match?

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14. Extremely and Highly Competitive Specialties O Extremely Competitive O Plastic Surgery O Ophthalmology O Urology O Radiation Oncology O Dermatology O Highly Competitive O Neurosurgery O Otolaryngology O Orthopedic Surgery O Radiology O Emergency Medicine

15. Very Competitive and Competitive Specialties O Very Competitive O General Surgery O Anesthesiology O OB/Gyn O Internal Medicine O Pathology O Competitive O Psychiatry O PM&R O Family Medicine O Neurology O Pediatrics

16. Resources for Specialty Information O AAMC Careers in Medicine Website O Use your AAMC username and password in order to access the content reserved for medical students O Comprehensive website to help you better understand your specialty preferences, research various specialties O https://www.aamc.org/cim/ https://www.aamc.org/cim/

17. Resources for Specialty Information O National Residency Match Program O Good source for data and statistics on residency programs O Charting Outcomes in the Match published every other year O Detailed analysis of that year’s match O Board scores, importance of research, number of programs needed on rank list for successful match O Yearly Match Statistics O http://www.nrmp.org/match-data/main- residency-match-data/ http://www.nrmp.org/match-data/main- residency-match-data/

18. Planning Your M1 Summer O Use your M1 summer wisely! O If you are considering an extremely or highly competitive specialty: O Seriously consider research experiences O If you are not considering a competitive specialty: O Seek informal shadowing of physicians and/or volunteer opportunities

19. Summer Experiences Website O As the Student Affairs Office receives notifications about external summer opportunities for students, they will be posted in the following places: O Student Affairs Announcements section of eBoard on eCurriculum O Visit Dr. Woleben’s Career Advising Blog for the Class of 2018: O http://wp.vcu.edu/cimvcu2018 http://wp.vcu.edu/cimvcu2018

20. Summer Experiences Website O Variety of experiences include: O Clinical / basic science / translational research experiences O Cultural immersion experiences O Clinical shadowing / observation programs O Volunteer / service opportunities O Essay / poetry contests

21. VCU Summer Research Fellowships O Students in the School of Medicine may do research with any faculty member in the School. O Students can receive a stipend ($2,500) funded by the Dean’s office. O Fellowships are for a period of two months and are offered between the M1 and M2 years. O Application process is competitive. O Must apply to the Senior Associate Dean for Research and Research Training by March 31, 2015 by using the application found on the following website: O http://www.medschool.vcu.edu/research/summer/i ndex.html http://www.medschool.vcu.edu/research/summer/i ndex.html

22. Ideal Summer Research Project O Clinically related to the field in which you have an interest O Research preceptor has experience working with medical students O You are actually interested in the project O The project could potentially yield a publication and/or presentation

23. Shadowing Experiences O Student Affairs Office annually surveys VCUHS physicians to determine who would be interested in having students shadow them O Comprehensive list of specialties compiled and posted on the Student Affairs website and is updated periodically O Contact schools / residency programs / offices in your hometown

24. Shadowing Experiences O Best recommendation is to spend time in a variety of settings to help you better decide which specialty may be your best fit O Inpatient versus outpatient O Procedural based specialties / exposure to OR setting O Patient populations (pediatric to geriatrics)

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26. Careers in Medicine@VCU: How We Help You “ Find Your Fit ” O M1 and M2 Project H.E.A.R.T. sessions O Individual Career Advising O M2 Careers in Medicine Course & Elective O Career Development Sessions O Myers Briggs O Match 101/Summer Experience O Effective Decision-Making O ERAS/NRMP workshops O Debriefing the Match

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28. CiM@VCU Resources O Chris Woleben, M.D Associate Dean for Student Affairs 828-9791 (cwoleben@vcu.edu) O Heather Davison Student Services Specialist 828-9791 (hcdavison@vcu.edu) O KatyBeth Lee Associate Director, Health Sciences Career and Professional Development 827-0411 (kelee@vcu.edu)