1. Residency Workshop Summer 2017
AIM
Apply
Apply
Interview
Match
June 9th
G100 Bondurant Hall
Dr. Georgette Dent
Office of Student Affairs

2. Residency Workshop Agenda
Apply
Interview
Match

3. Apply: Meet with your College Advisor!
Individualized attention
Match is new to you, but not to them
Fill out form so they will have basic info about your plan
They can read your personal statement
Is you plan realistic?
Are you applying to enough programs
Do you need a parallel plan?
Are you getting enough support from your chosen specialty’s department?
Are you torn between 2 (or more) specialties?

4. Apply: ERAS ERAS Application Big 3 MSPE Letters of recommendation
Personal Statement
Program List
MSPE

5. Apply: ERAS Residency Specialties
Anesthesiology
Dermatology
Diagnostic Radiology
Emergency Medicine
Emergency/Internal Medicine
Family Practice
Internal Medicine
Internal Med/Family Med
Internal Med/Pediatrics
Internal Med/Preventive med
Internal Medicine/PM & R
Internal Med/Psychiatry
Nuclear Medicine
Neurology & Child Neurology
Neurodevelopmental Disabilities
Neurosurgery
Obstetrics/Gynecology
Otolaryngology
Orthopedic Surgery
Pathology
Pediatrics (all tracks)
Pediatrics/Emergency Medicine
Pediatrics/PM & R
Physical Medicine & Rehabilitation (PM & R)
Plastic Surgery
Preventative Medicine
Psychiatry
Psychiatry/Family Medicine
Radiation Oncology
Surgery
Transitional Year
Urology (AUA match)
ARMY & NAVY PGY-1

6. Apply: Application Deadlines
September 1 – You need 2 photos
3x4 color jpeg file for ERAS
2x2 B&W or color for SOM file
September 15
Submit application
S0M will submit your transcript
Mid-late September – Your final MSPE review
October 1 – MSPEs released
11/15/2018

7. Costs ERAS Number of applications in same specialty Up to 10 $99 each
31 or more $26 each
11/15/2018

8. Apply: ERAS Application Documents
Faculty are responsible for :
Letters of recommendation (LORs)
You are responsible for:
Completing MyERAS application
Personal Statement
Requesting USMLE transcript
Photograph
We are responsible for:
Medical school transcript
Medical Student Performance Evaluation (MSPE/Dean’s Letter)
11/15/2018

10. Apply: LORs ERAS Application Big 3 MSPE
Letters of recommendation (LORs)
Personal Statement
Program List
MSPE

11. Apply: Letters of Recommendation (LORs)
Waive your right to read the letter
Ask faculty if they feel that they know you well enough to write letter
Give writer your CV, personal statement
Give LoR Authors letter request forms
11/15/2018

12. Apply: Letters of Recommendation (LORs)
Most programs want 3-4 letters
At least 1-2 from chosen specialty
Letters from graduate work or research mentors make great 4th letters
MSPE is not a LoR
Departmental LORs: Medicine, Ob/Gyn, Pathology, Surgery
Prelim LORs: Needed for surgery and internal medicine programs
Emergency medicine: Standardized letter of recommendation (SLOR)
11/15/2018

13. Apply: Portal for Letters of Recommendation
You need to inform your letter writers the following:
All LoRs must be uploaded to the ERAS system using the ERAS Letter of Recommendation Portal (LoRP)
LoRs must be uploaded by either the LoR Author or his/her designee.
Designees may be anyone the author chooses as long as they are not a member of the hospital (in an advising role) or medical school staff supporting students in the application process. 
Ideally LoRs should be submitted by September 15 or October 1 (at latest)
ERAS allows for a maximum of 4 letters
11/15/2018

14. Apply: Preliminary Program LORs
Need at least one general surgery LOR if applying to a prelim surgery program
Need at least one internal medicine LOR if applying to an internal medicine program
Can otherwise send the same letters that you are sending to your categorical programs
The prelim program directors know that you are applying to another specialty
11/15/2018

15. Apply: PS ERAS Application Big 3 MSPE Letters of recommendation (LORs)
Personal Statement (PS)
Program List
MSPE

16. Apply: Personal statement
Aim for words (one page max)
Have your college advisor read it!
It’s all about your narrative
Questions to consider
Why am I interested in this field?
What do I want in a residency program?
What are my professional goals?
Why should a residency choose me?
What accomplishments should I highlight?
What contributions can I make to the specialty?
What contributions can I make to the residency program?
What outside interests do I have?
11/15/2018

18. Apply: Personal statementDo
Write a statement that someone who knows you well can pick out of a stack
Provide insight into who you are and what you have achieved
Write about something you would like to discuss in an interview
Address a problem in your application if you can put a positive spin on it
Don’t
Restate your CV/application
Be too cute or out there unless you have vetted it with several people
Use the entire statement to address problems in your application—try to keep it positive
11/15/2018

19. Apply: Personal statement
You can have an infinite number of PS
Can have a few target PS, e.g.
Research PS
Community program PS
Georgraphic PS
Otolaryngology
Must write a different PS for each specific program you are applying to
Preliminary Programs
Same PS as categorical with the addition of a sentence or two about how the preliminary spot fits with your long term career goal
11/15/2018

20. Apply: Program List ERAS Application Big 3 MSPE
Letters of recommendation (LORs)
Personal Statement
Program List
MSPE

21. Apply: Program List How many programs should I apply to????
Need to assess your competitiveness Need to research programs Need to discuss with your college advisor and career goal advisor Need to decide if you are applying to two specialties i.e. a parallel plan
11/15/2018

22. Median Step 1 Scores for Matched Students in Selected Popular Specialties
Step 1M Step 1U
Family Medicine
Internal Medicine
Neurology
Pathology
PM & R
Psychiatry
Charting Outcomes of the Match, 2016
M=matched students
U=unmatched students

23. Median Step 1 Scores for Matched Students in Selected Popular Specialties
AGENDA
Step 1 M Step 1 U
Anesthesiology
Emergency Medicine
General Surgery
Med/Peds
Obstetrics/Gynecology
Pediatrics
Charting Outcomes of the Match, 2016

24. Median Step 1 Scores for Matched Students in Highly Competitive Specialties
AGENDA
Step 1M Step 1U
Dermatology
Neurosurgery
Orthopedic Surgery
Otolaryngology
Plastic Surgery
Radiation Oncology
Radiology
Charting Outcomes of the Match, 2016

27. Preliminary Programs
Typically internal medicine, surgery, or transition year
How many do you apply to?
Wide range based on strength of your credentials and which specialty
Surgery: less competitive
Transition year: most competitive
Internal Medicine: in between
Personal Statements
Can use essentially the same PS
Add a sentence about how prelim training will help with categorical specialty
Letters of Recommendation (LoRs)
Need at least one from the specialty (except for Transition programs)
Departmental letter is a good idea
11/15/2018

28. Apply: Average Number of Program
Specialty
2017
Orthopedic Surgery 80
Internal Medicine 39
Dermatology 76
Psychiatry
Neurosurgery 67
PM & R 38
Urology
Neurology 34
Radiation Oncology 62
Pediatrics 33
Plastic Surgery 58
Vascular Surgery 32
ENT
Family Medicine 31
General Surgery 54
Pathology 28
Obstetrics/Gynecology 51
Medicine/Pediatrics 26
Emergency Medicine 49
Preliminary Medicine (1 year spot) 21
Anesthesiology 42
Preliminary Surgery (1 year spot) 16
Transitional Year (1 year spot) 12
Eras

29. Researching Programs

30. Apply: Program List How many programs should I apply to????
Confirm that your number is reasonable by checking with both your college advisor and your career goal advisor Applying to programs is not the expensive part of the application—interviewing is. Err on the side of applying to too many programs and have the good fortune to decline interviews If you are a less competitive candidate for a specialty, you should apply to more than the average number of programs
11/15/2018

31. AAMC Careers in Medicine Diminishing Returns
Data on CiM website for the following specialties:
• Emergency medicine
• General surgery
• Internal medicine
• Obstetrics and gynecology
• Otolaryngology
• Pediatrics

32. Apply: MSPE Medical Student Performance Evaluation
New guidelines November 2016
Identifying Information
Noteworthy Characteristics (limited to 3)
Academic History
Academic Progress
Summary
Medical School Information
Performance levels included for Medicine, Neurology Ob/Gyn, Pediatrics, Psychiatry and Surgery
Mid-late September – Your final MSPE review
October 1 – MSPEs released
11/15/2018

33. The goal is a successful match How do we get there?
Apply
Interview
Match

34. Apply: How do programs decide who to interview???

35. Average number of applications and target # programs on ROL*
Apps ROL*
Family Medicine
Internal Medicine
Pathology
Physical Medicine & Rehabilitation
Psychiatry
*ROL=Rank order list
CiM and NRMP data
11/15/2018

36. Average number of applications and target # programs on ROL
Apps ROL
Anesthesiology
Emergency Medicine
General Surgery
Obstetrics/Gynecology
Pediatrics
CiM and NRMP data
11/15/2018

37. Average number of applications and target #programs on ROL for Highly Competitive Specialties
Dermatology
Orthopaedic Surgery
Plastic Surgery
Radiology
Radiation Oncology
Urology
CiM and NRMP data
Apps ROL
11/15/2018

38. Interview: Program Director USMLE Decision Points
Do I want to invite this applicant for an interview?
If so, then score needs to be available by September 15th
This means you need to take Step 2 CK by mid-August and take Step 2 CS by mid-July
Do I want to place this applicant on my ROL?
If so, score needs to be available by end of January
You should be ok if you follow SOM policy and your scores are available by November 1st
11/15/2018

39. Interviews Interviews typically occur October to January
We will have mock interviews in September
Some programs and specialties start offering interviews in September
Other programs and specialties don’t start offering interviews until after the MSPE is released in October
Dermatology and Orthopaedic surgery, for example
Programs make more offers than spots, so will need to check phone and regularly
11/15/2018

40. Interview: Mock Interviews
· Residency Interview Workshop – September 15, 2017 – 12-1pm in G100 Bondurant Hall       
Discuss with your advisor who knows longitudinally
Real Interview practice
·        You are videotaped in the SIMS Lab
·        Given immediate feedback from a seasoned faculty member
·        Provided access to recorded video for your review and self critique
·        Help you improve your interviewing skills
·        Dates for Mock Interviews 9/21, 9/22, 9/28 and 9/29
·        30 Minute Sessions
·        Session registration coming soon
11/15/2018

41. Interview: Participate in Survey
11/15/2018

42. Interview: Survey & Parallel Plans
Advisory College survey
Data will be sent to your advisor
Advisors can provide real time support
If you are not on track to meet your target ROL number by Halloween, then you should consider a parallel plan or you risk being unmatched
Parallel plans can include applying to a less competitive specialty or planning on doing research or going to graduate school and trying again
11/15/2018

43. Advisor College Residency Match Survey
Interview: Participate in Survey
Advisor College Residency Match Survey
Our goal is to support you in real time, but for this we need data!
Advisors will use these data to support you through the match process
Look for survey around 10/1!
11/15/2018

44. Interview: Emergency Medicine Structured Video Interview
Logistics
When applying through ERAS, you will need to indicate that you are applying in Emergency Medicine and then you will be sent a link with instructions.
The application can check your technology and you can do some practice questions so that you can become comfortable with one-way interviews.
The interview will consist of 6 questions. Three questions will be focused on interpersonal skills and 3 questions will be focused on professionalism.
The question will be on the screen for 30 seconds and you will have 3 minutes to respond to the question.
Once you click on a question, you cannot go back, you can only go forward, but you can stop between questions.
The interviews can be done 24/7.
Program directors and applicants will be sent a score for the video. The videos are being scored by a third party with lots of experience in scoring video interviews.
11/15/2018

45. Interviews: Emergency Medicine Structured Video Interview
Pointers
Do practice questions first so that you can get comfortable with one-way interviews.
Think about experiences that have shaped you, lessons learned, patients that have made an impact on you.
Think about 3 to 5 qualities that everyone should know about you.
Be sure to look into the camera when you are giving your response, not the screen.
Use a laptop, not a smartphone.
Dress professionally.
Use a background that will not be distracting.
Make sure you are not doing weird stuff with your hands.
Make sure you have a good connection.
Let your personality shine!
11/15/2018

46. Interview: LTBGQ Issues
Most program directors are primarily concerned with whether or not you can do the job and not as concerned about your personal life
You should not hide who you are
If there is a problem it is better to find it out before your match
Environment has changed for the better during the past few years
Some programs are interested in LGBT applicants for reasons of diversity
Timely information can sometime be obtained off of the web
Partner benefits may be an issue
Check out our LGBT Guide to Residency Applications
11/15/2018

47. The goal is a successful match How do we get there?
Apply
Interview
Match

48. MATCH: National Residency Matching Program (NRMP)
The NRMP provides a uniform date of appointment for residency and fellowship positions
Everyone needs to register
Registering with NRMP does not register you with ERAS and vice versa
NRMP is a binding agreement
Web address:

49. Match: National & UNC Match Overview
2011
2012
2013
2014
2015
2016
2017
UNC Match rate
96%
98%
93%
97%
National Match rate (US Seniors)
94%
95%
Number of unmatched students* 6 3 9 7
* Number of PGY1 unmatched students prior to SOAP

50. Match: NRMP Dates to Remember
09/15/2017 Registration opens ($75.00)
11/30/2017 Application deadline
($50.00 late fee after this date)
1/15/ Rank order listing opens
2/21/2018 Final rank order certification (Before 9pm EST!)
3/12/ Matched/Unmatched info posted online
3/15/ SOAP (fka Scramble) concludes
3/16/ MATCH DAY!

51. Match: NRMP Costs NRMP 20 ranks $75* 21 or more $30 each
* for couples $90/each for 30 ranks
11/15/2018

52. Match: Surgical Specialty Matches
Ophthalmology
Central Application Service (CAS) & San Francisco (SF) Match
Opens in June
Target dates to submit application: 9/6/17
SF Match
ROL certification: 1/4/18
Match results released to schools: 1/11/18
Unfilled vacancies announced: 1/12/18
Urology
ERAS and AUA Match
Important dates
Registration opens: Summer - June 2017
ROL Certification: 1/4/18
Match Day: 1/19/18

53. Match: Surgical Specialty Match Costs
SF Match/CAS $100 registration plus:
1-10 apps $60 each
$10 each
$15 each
$20 each
> 41 $35 each
AUA Match $75 no limit
NBME $80 unlimited copies
SF Match fees correct
11/15/2018

54. Match: Strategies for Couples
Target large cities
Sign up in NRMP as individual, but indicate matching as a couple
Enter partner’s NRMP code (partner enters your code)
Couple ranks the same number of programs
Computer treats couple as a linked pair only
Can mix types of programs, institutions, specialties, geographic locations in each pair of ranks
Rank acceptable programs

55. Match: Strategies for Couples
He – Internal Medicine
1. UNC-CH
2. Duke
3. Duke
4. UNC-CH
5. Mass General
6. Brigham & Women’s
7. Boston University
8. No match
She – Pediatrics
UNC-CH
Duke
Boston Children's
Boston Children’s

56. Tips for the successful match:
11/15/2018

57. Match: What puts you at risk for not matching?
Competitiveness issues: academic/professionalism problems (e.g. USMLE, grades, no research)
Apply to more programs
Apply to back up specialty
Well crafted personal statement to provide context to record
Try to enhance credentials
e.g. early Step 2, research year, do well 4th year
Away electives
Attitudinal/interpersonal issues: poor interviewer; ambivalent about medicine or specialty
Take electives to better define specialty choice
Do practice interviews
Geographical issues:
Apply to more than one specialty
Do elective and/or research in targeted location
Couples need to apply to at least one big cold city

58. Match: On-line Resources
Careers in Medicine:
Personal Career Assessment
Medical Specialties ApitudeTest
Temperament Sorter
Match
Charting outcomes of the match:
ERAS:
VSAS:
NRMP:
Selection Criteria for Residency: Results of a National Program Director’s Survey:
FREIDA:
AAMC Roadmap to Residency: From Application to the Match and Beyond
11/15/2018

59. Match Day!