1. ERAS Workshop: Nut & Bolts for Applying to Residency
Office of Admissions & Student Affairs
2019

2. Objectives Review key steps and timelines
Identify responsibilities of advisees/advisors
Discuss trends that will impact your match strategy
Risk self-assessment
MSPE Preparation
Information and resources you need for success

3. Timeline ERAS Opens 2019 2020 6/5/2019 Begin Applying 9/6/2019
Today
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Feb
Mar
ERAS Opens
6/5/2019
Begin Applying
9/6/2019
Available to Programs
9/15/2019
MSPE Release
10/1/2019
NRMP Registration
11/29/2019
Step 2 CK/CS Deadline
12/15/2019
Rank Order List Due
2/22/2020
Match Day
3/20/20
Maintain contact with Student Affairs and Clinical Advisors
EM Video Interview Prep
Study/Take Step 2
MSPE Meetings
Interviews
SOAP
3/16/ /20/2020
Interview Workshops
345 days
60 days
198 days
93 days
93 days
5 days
2019

4. AUA Match/San Francisco Match
Earlier deadlines than ERAS and results announced Early-Mid January
Selected residency programs for
Urology – due early Sept
Ophthalmology – due mid-August
Notify Student Affairs/Advisors if you are applying
Will need to use ERAS for preliminary programs and for some urology programs
Ann and Brandi

5. Your Responsibilities as an Advisee
Be proactive in communicating with your advisor and Student Affairs
Meeting scheduling to review 4th year, CV personal statement, application strategy, interview prep/feedback
Follow up scheduling
Be prepared for ALL meetings
Send documents in advance if possible/requested

6. Your Responsibilities as an Advisee
Submit timely requests for Letters of Recommendation – one month is ideal
Follow through on recommendations for interview prep, parallel applications or SOAP plans 
Listen to discussions regarding realistic strategies

7. Responsibilities of your Advisor
Be available to meet with each student multiple times (3+)
Respond in a timely manner to student requests/questions
Attend workshops/trainings
Assist with specialty exploration/selection
Review of 4th year schedules for interests/balance
Residency program specifics based on your experiences
Write letters of recommendation/provide advice
Personal statement/CV review
Skills preparation & interview tips
Rank order list questions
Communicate with Student Affairs

8. Who is here to help you in Student Affairs?
Application strategy/review Dr. Etezadi, Dr. Singer
Specialty-Specific Data Jodi, Sam
Program Data and Comparisons (Limited) Jodi, Sam
ERAS Questions Brandi, Dr. Singer
Transcripts Brandi
MSPE Scheduling Jodi
$$ To Pay for It All Leonard

9. Who else is here to help you?
Advising Steering Committee/Match Risk-Assessment Team
Melissa Piasecki
Neda Etezadi-Amoli (OB/Gyn)
Timothy Baker
Lacy Fettic (FM)
Karin Klove
Lisa Calvo (IM)
Kirk Bronander
Steve Zuchowski(Psych)
David Howard
Mark Baier (EM)
Ranna Nash
Kathryn Eckert (Peds)
Cherie Singer
Ucelli/Miller (Surgery)
Other advisors, as needed

10. Match Trends – The Good Match Rates
*US Senior Match rate = 94.9% in 2019
UNR Med’s 12-yr Match rate (after SOAP) = 98.6%
*Couples Match rate = 95% in 2019
UNR Med’s 7-yr Couples Match rate = 95.8%
*Source: NRMP

11. Match Trends – The Good *Source: NRMP
The Match is getting bigger with >1000 more positions in 2018
US Seniors make up the majority of successful applicants
In 2018, 77.3% of US Seniors matched to their top 3 programs and 51.1 % into their top choice
*Source: NRMP

12. Match Trends – The Good *Source: NRMP
The Match is getting bigger with >1000 more positions in 2018
US Seniors make up the majority of successful applicants
In 2018, 77.3% of US Seniors matched to their top 3 programs and 51.1 % into their top choice
*Source: NRMP

13. Match Trends – The Good *Source: NRMP
The Match is getting bigger with >1000 more positions in 2018
US Seniors make up the majority of successful applicants
In 2018, 77.3% of US Seniors matched to their top 3 programs and 51.1 % into their top choice
*Source: NRMP

14. Match Trends – The Not So Good
All positions filled in:
ENT
Interventional radiology
PM&R
Categorical general surgery, Plastic surgery
99% of positions filled in:
Orthopedic surgery EM
OB/Gyn
Psychiatry
Anesthesiology
Diagnostic radiology

15. Match Trends – The Not So Good
Very few open positions (<20) in the Western Region across all specialties except
Internal Medicine (prelim)
Family Medicine
Pediatrics
General Surgery (prelim)

16. Match Trends – SOAP: A Cautionary Tale
In ~90 positions available in the SOAP on the West Coast
In ~75% of the SOAP positions available on the West Coast were preliminary/transitional years

17. Top 5 Reasons US Seniors DID NOT Match
Did not listen to advice of advisor and Student Affairs
One or more appearances before the SPCC
Step 1 failure
Weak letter(s) of recommendation
Poor interviewing skills
*Source: AAMC Group on Student Affairs Survey

18. How do Program Directors Screen Applicants for Interviews?
Step 1 Score (94%)
Letters of Recommendation (LoRs) in SPECIALTY (86%)
MSPE (81%)
Step 2 Score (80%)
Personal Statement (78%)
Grades in Required Clerkships (76%)
Class ranking/quartile (70%)
Any failed USMLE attempt (70%)
Perceived commitment to specialty (69%)
Personal knowledge of applicant (69)
Source: NRMP, Residency Program Directors Survey, 2018
Dr. Kuhls

19. How do Program Directors Rank Applicants?
Interactions with faculty and house staff during interview day (96%)
Interpersonal skills (95%)
Feedback from residents (86%)
Step 1 Score (78%)
Letters of Recommendation from specialty (72%)
Step 2 Score (70%)
Evidence of Professionalism/Ethics (65%)
MSPE (65%)
Perceived commitment to specialty (64%)
Perceived interest in program (63%)
Source: NRMP, Residency Program Directors Survey, 2018
Dr. Kuhls

20. Residency Match Risk Assessment
No academic difficulties
Metrics aligned with specialty choice
Good interview skills
Well-prepared for application process
Minimal academic difficulties
Professionalism/behavioral concerns
Competitive specialty choice or misaligned metrics
Needs interview preparation
Couples matching
Academic difficulties (remediation, Step 1 failure)
Professionalism/behavioral concerns
Competitive specialty choice or misaligned metrics
Needs interview preparation
Not prepared, communicative or open
feedback from faculty and student affairs

21. Impact on Class of 2020 Assess your risk for NOT matching Be strategic
Be realistic
Consider range of program types (Academic, community, etc.)
Interview/rank more programs
Pursue a parallel plan if advised to do so with as much dedication as your primary specialty choice
Close communication with your advisor and with Student Affairs
Prepare for SOAP if advised to do so

22. MSPE Timeline June 1 – June 30 Late June – Sept. 10 September 17-30
Students schedule their MSPE appointment using online system
Prepare documents for MSPE meeting
Meet with advisor(s)
Late June – Sept. 10
Students prepare for and complete MSPE appointments
September 17-30
Students proofread individual MSPE before Oct. 1.

23. MSPE Meeting Preparation
Complete Self-Assessment Questions
Draft Noteworthy Characteristics
Complete/Update CV
Draft Personal Statement for Review
Letters of Recommendation Requests
Draft Application Strategy Reviewed with Advisor
Prepare to Answer Mock Interview Qs

24. MSPE Meeting Review of Specialty Choice
Summarize competitiveness for specialty
Any recommendations for development of a parallel plan
Recap of your meetings with advisor(s)
Recommendations for CV and Personal Statement
Review Letters of Recommendation Strategy
Review of Draft MSPE including Tentative Evaluative Level
Interview Preparedness Assessment with Mock Interview
Match Risk Assessment

25. MSPE Sections

26. MSPE Sections

27. MSPE Sections

28. MSPE Sections

29. MSPE Sections SUMMARY SUMMARY
The MSPE process at the University of Nevada, Reno School of Medicine assigns an evaluative level to each student based on a rubric which includes assessment of pre-clerkship and clerkship grades, USMLE Step 1 and Step 2 scores (if available), leadership, research, service, and any applicable remediation activities. Additional information on the nature of this ranking can be found on the next page. 

30. MSPE Sections
Based on this assessment, I am pleased to present STUDENT X as a distinguished candidate for residency. STUDENT X exhibited excellence in pre-clerkship academics and clerkship activities demonstrated by honors grades and evaluations. His USMLE performance was in the top quartile of scores compared to his peers. Additional considerations were given for research activities that led to presentations and publications, as well as leadership and longitudinal service activities. 
Based on this assessment, I am pleased to present STUDENT Y as an excellent candidate for residency. STUDENT X exhibited success in pre-clerkship academics and clerkship activities demonstrated by a majority of high pass grades and evaluations. His USMLE performance was at or below the median of scores compared to his peers. Additional considerations for were given for participation in research activities and longitudinal service.  
Based on this assessment, I am pleased to present STUDENT Z as a very good candidate for residency.  STUDENT X completed pre-clerkship academics and clerkship activities with a majority of passing grades and exhibited USMLE performance within the lower quartile compared to his peers. Additional considerations were given for limited leadership and service, as well as longitudinal research activities.  

31. 2020 MSPE Evaluative Rubric - Draft

32. MSPE Review
Last week of September
Class rankings and graphs will not be finalized until Sept 27th
MSPEs will be available for review the week of Sept 17th-24th
Be prepared to review and turn around within 24 hrs if possible
Final MSPE and notes from MSPE meeting will be shared with your advisor

33. MSPE Appeal Process
Students may submit a written appeal of their evaluative level to the Associate Dean of Student Affairs.
Required to provide evidence based on the rubric.
The Associate Dean will make a determination regarding the appeal.
If an agreement is not reached, students may then submit a final appeal to the Senior Associate Dean for Academic Affairs.

34. ERAS ERAS 2020 Opens in June ERAS ‘tokens’ have been issued by Brandi
Applicants
Complete application
Input CV info
Upload personal statement/photo
Select programs
Assign supporting documents (LoRs, USMLE, Personal Statement)
Transmit application to programs
Student Affairs (Dean's Workstation)
Upload ordered UNR transcripts
Upload MSPE
Track status
We can only see your application is you give us permission

35. Programs Per Specialty
ERAS & NRMP Fees
Programs Per Specialty
ERAS Fees
Up to 10
$99
$13 each
$17 each
31 or more
$26 each
USMLE Transcript
$80
NRMP Fees
Standard Registration (20 ranks)
$75
Late Registration (after Nov 30)
Additional $50
Couples
$15 per partner
Additional programs ranked
$30 per program

36. ERAS – Avoid These Frequent Mistakes
Submit your application by Sept 15th
Make sure you order your UNR Med transcript
Confirm that you have individually assigned your USMLE transcripts to each program
Remember to send links to your letter writers and follow-up with them to make sure they can write your letter in time
If you change your address, remember to check your med.unr.edu one too!
Explain any potential red flags in your application – we can help you!
Note from Brandi: Brandi will let you know when it is ok to order your transcript (once all clerkship grades are posted)

37. Personal Statement Priorities in a personal statement:
Tells people WHO you are and why your specialty choice is right for you.
Don’t use your personal statement from admissions to medical school.
Priorities in a personal statement:
Commitment to specialty
Pathway to specialty, try to focus on medical school experiences
Confirming experiences for specialty decision
Brief information about you - this is a match for student and programs
What will you contribute to the program?
Have several people read it
Dr. Singer
Note from Deb: I have added the last dot point – important that they have a few people read their personal statement. My thoughts would be their advisor, a PD and a resident who they respect in their area of specialty if available.

38. Drafting your CV What to Include (In this order):
Contact Information
Education
Honors and Awards
Work Experience (Clinical & Teaching Experience)
Volunteer Experience (Extracurricular Activities, Service & Leadership)
Research
Presentations & Publications
Professional Memberships
Language Skills, Hobbies & Interests
Dr. Singer

39. Letters of Recommendation
All LoRs uploaded through ERAS LoRP
Choose your letter writers well, make sure they commit to writing a strong letter
Meet with them; give them all your information (CV, Statement)
Use the ERAS generated LoR Request and Waiver
Waive your right to see the letter!
Consider backup letter writers
Deadlines
Oct. 1 is the priority deadline for LORs

40. Resources
Careers in Medicine - Residency and Fellowship Program Search
Careers in Medicine – Residency Preference Exercise
Charting Outcomes of the Match (NRMP)
ERAS tutorials (AAMC)
Specialty-specific data (Internal Medicine, Surgery, etc.)

41. Questions???