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to JoMo, the Program Director

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1 to JoMo, the Program Director
Everything You Ever Wanted to Know About the Match* (*But Were Afraid to Ask) Or, the World According to JoMo, the Program Director Jon B. Morris, M.D. Associate Dean for Student Affairs The Ernest F. Rosato - William Maul Measey Professor in Surgical Education

2 The Process (April-Nov. 2016)
Letters of Recommendation MSPE Crafted by OSA April May June July Aug. Sept. Oct. Nov. JoMo Meetings – Reality Therapy Class Meeting #1 Class Meeting #2 Interview Workshop Class Meeting MSPE Released Oct. 1 The Process (April-Nov. 2016)

3 The Process (Nov. – March 2017)
October November December January February March Interviews Advocacy Call Rank List Deadline (Applicants & Programs) Match Day The Process (Nov. – March 2017)

4 Anatomy of the MSPE Identifying Information
Unique Characteristics (Two 125 word paragraphs) Academic History (matriculation, graduation, combined degree, repeat/remediate, adverse actions, gaps, leaves of absence) Academic Progress (the “cut and paste”) Preclinical Basic Science Core Clinical Electives Combined Degree Summary MD/PhD Summary Masters Degree Summary Summary Paragraph Bottom Line

5 MSPE Bottom Line Distribution
Class of 2013 Class of 2014 Class of 2015 Class of 2016 Top of the Class 5% 9% 7% 6% Outstanding 38% 55% 53% 50% Excellent-Outstanding 22% - 3% Excellent 32% 34% 43% Very Good to Excellent 2% 1%  Very Good Good

6 AOA Criteria/Selection Selection Process
Alpha Omega Alpha Honor Medical Society Criteria/Selection 1/6th of Class Eligible Academics Research Extra Curricular Selection Process Students Notified by Sept. 1 (in time to update ERAS application) Will be Mentioned in MSPE

7 JoMo’s Rules Everything is Discoverable Nothing is Off the Record
Everything Gets Back to the Program Director

8 High Contact Areas: Applicants and Programs
Phone Conversations Receptions Tours Interviews

9 The Interview – The Basics
Are You a Human Being? Did You Do Your Homework?

10 Post-Interview Strategy: Rules of Engagement
PD/Applicants may volunteer information but cannot coerce or pressure each other.

11 Required Readings #1 Manipulation and the Match
By Carl Erik Fisher, MD JAMA, September 23/30, 2009 – Vol No. 12 #2 How to Put Your Best Self Forward in Plastic Surgery Residency Interviews By Rod J. Rohrick MD Eduardo D. Rodriguez, MD, DDS Jacob G. Unger, MD PLASTIC AND RECONSTRUCTIVE SURGERY 137(1) NOVEMBER 2015 

12 The Goal of Coercion PDs – want to convince all applicants that they are takes. Applicants – want to convince all programs they are coming.

13 The Tools of Coercion Letters Phone Calls Second Visits

14 The Language of Coercion
Applicants: I loved your program. I will be ranking you highly. You are at the top of my list. I would be honored and thrilled to train at your program.

15 The Language of Coercion
Program Directors: How are your other interviews going? If you want to match with us, let us know. How seriously are you considering our program? Why would you want to come to our program?

16 Rising on a Rank Order List
Be a Superstar Passive Osmotic Ascent Advocacy Call

17 Rank Order List Strategy: Getting to the Top
10 20 30 40 50 60 70 80 90 100 Ranked to Match Take Group (3 cycles) Bubble DNR Assume a program takes 10 categorical residents Assume the program interviews 100 applicants The advocacy call has its greatest impact on the bubble group

18 Why Would a PD Respond to an Advocacy Call?
PD is a human being PDs want applicants that want their program The selection process is not infallible

19 Why Some Don’t Match Applied to inadequate number of programs
Disconnect between academic record and career choice Interview Performance Bad luck

20 The Golden Rule of ROL Creation
Only rank programs where you would be willing to train. Do not rank any program that you do not wish to attend.

21 Penn Med Residency Match Data
2015 2016 Total graduates 167 140 Total residency placements 165 132 Matching at University Program 158/167 = 95% 128/140 = 91%

22 Specialty Match Data 2016 Total 132 100% Specialty # of Students
% of Students Matching Internal Medicine 32 24.24 Pediatrics 17 12.88 Emergency Medicine 10 7.58 Neurology 9 6.82 Orthopaedic Surgery Ophthalmology 7 5.3 Dermatology 6 4.55 Surgery Pathology 5 3.79 Psychiatry Medicine-Pediatrics 4 3.03 Family Medicine 3 2.27 Obstetrics and Gynecology Oral Maxillo Facial Surgery Radiation Oncology Radiology-Diagnostic Anesthesiology 2 1.52 Otolaryngology Neurological Surgery 1 0.76 Plastic Surgery Thoracic Surgery Urology Total 132 100%

23 Matching at Penn, 2016 Total 37 28% HUP 30 23% CHOP 6 4% Scheie 1 1%
Number of Students % of Students Matching Total 37 28% HUP 30 23% CHOP 6 4% Scheie 1 1%

24 Matches at Other Premier Institutions: Class of 2016
# of Students Matched Harvard Brigham & Women’s Hospital Massachusetts's General Hospital Children’s Hospital of Boston Beth Israel Deaconess Mass Eye and Ear Infirmary 20 Total (7) (6) (5) (1) University of California San Francisco (UCSF) 9 Barnes Jewish/Washington University University of Washington 6 NYU School of Medicine 4 Weill Cornell Medical Center 3 Stanford Johns Hopkins 2 Columbia University Medical Center Yale New Haven Hospital Duke University Vanderbilt University University of Chicago

25

26 What You Need to Do Meet with JoMo before Sept. 1st
Tuesdays and Friday mornings or call YOU MUST MAKE AN APPOINTMENT BEFORE MAY 15, 2016! No JoMo = No MSPE Remember Early Match Programs - Ophthalmology, Urology Two Required Readings (must read before JoMo meeting): Manipulation and the Match How to Put Your Best Self Forward in Plastic Surgery Interviews – tips that apply to all specialties Unique Characteristics Paragraphs Submit to OSA by June 1st

27 Unique Characteristics Paragraphs
Due to by June 1, 2016 These paragraphs should be no more than 250 words total. An additional paragraph may be added for time spent doing a year out. Each paragraph is to be written in the third person. See the Student Portal for samples. Paragraph 1: The introduction is a succinct chronology of a student’s entry and progress through medical school. Pre-matriculation academic, social or employment background characteristics may be included. Paragraph should include: College, degree date, major, minor Advanced Degrees Membership in honors societies, graduation honors, significant extra-curricular activities If you did not enter med school immediately after graduation, describe your activities Paragraph 2: Employment, extra-curricular activities (e.g. triathlon, raised quintuplets, etc..), committees, class officer Fellowships, awards, accomplishments If you took a year off, please include your activities

28 Next Steps Student Portal: Solicit Letters of Recommendation to be uploaded by writers Personal Statement CV MyERAS opens; students may begin working on application – May Next class meeting – late June/early July ERAS Opens to Programs – Sept. 15th

29 Letters of Recommendation
LORs are requested and uploaded through ERAS Register Token Finalize LOR authors in ERAS Give authors unique link and instructions LOR authors upload letters Unlimited amount of letters may be requested and uploaded - maximum 4 assigned to each program Taking a year out? You can ask for letters now. Authors may hold the letter until the 2018 season opens and upload it then, or they can send it to and it will be sent back to them to upload when you apply (you may use the waiver on Student Portal).

30 Letters of Recommendation
You can submit up to four letters through ERAS The MSPE (Dean’s Letter) does not count as one of the four letters The Departmental or Chairman’s Letter does count as one of the four You do not have to send the same four letters to each program

31 Letters of Recommendation
Departmental Letters Required for: Anesthesiology Urology Emergency Medicine Pediatrics Otolaryngology General Surgery Internal Medicine Orthopaedics Plastic Surgery Neurosurgery Obstetrics and Gynecology

32 Letters of Recommendation
No Departmental Letters for: Dermatology Pathology Family Medicine Psychiatry Neurology Radiology Ophthalmology Radiation Oncology

33 Specialty Recommendation Forms
Plastic Surgery Residency Recommendation Form Otorhinolaryngology Residency Recommendation Form Emergency Medicine Standard Letter of Evaluation (SLOE) Orthopaedic Surgery

34 Letters of Recommendation
Tracking your letters: In your ERAS application find the “Letters of Recommendation” tab “Confirmed for Upload” - you have successfully finalized the author “Uploaded” - author has uploaded the letter and you can assign to programs Confirming a letter for upload creates the link that you will give to your letter writers to upload their letters for you.

35 Application Fees Averages without travel cost
Approximate Minimum Cost for Residency Application in 2016: - ERAS Application Fee: ≈ $300 (based on example average) - USMLE Online Transcript Fee: $80 - NRMP Match Fee: $70 - Travel, lodging, food: varies TOTAL (without travel/lodging):$450 Approximate Minimum Cost for SF Match Ophthalmology Application in 2016: - ERAS total for Prelim year: $450 - SF CAS Program ≈ $60 (applying for 10 programs) - USMLE Paper Transcript Fee: $65 - SF Match Fee: $100 - Undergrad transcript/mailing fees: $25 - Travel, lodging, food: varies TOTAL (without travel/lodging): $700

36 Careers in Medicine Website http://www.aamc.org/students/cim/
Specialty selection assistance, program research Log in with your AAMC ID

37 Questions and Help Office of Student Affairs Barbara Wagner Dr. Jon Morris Carrie Barjenbruch Nancy Murphy


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