1. MS2 Orientation August 8, 2014 Dr. Georgette Dent Office of Student Affairs University of NC School of Medicine

2. Presentation Agenda How do you apply to a residency? Competitiveness of various specialties Clinical curriculum scheduling issues

3. Selecting a Specialty What type of patients? »Kids, adults, elderly, women, mix »Acute, chronic &/or psychiatric disorders »Surgical or non-surgical problems What type of setting? »Clinic »Hospital »Operating room »Emergency room Thinking or doing?

4. Useful Career Choice Tool

5. Goals of Advisor Meetings Discuss suitability of Asheville/Charlotte curriculum Required meetings October/November Answer questions about the curriculum. Discuss issues related to Step 1 preparation Discuss whether or not you have an interest in a particular specialty Discuss whether or not you might want to go on leave (LOA) after 3 rd year (research, international, public health, business school, other graduate program).

6. How do You Apply to Residency? 1.Select Specialty 2.Attend Required Class Meeting December 19, 2014 3.Request 4 th year schedule Meet Career Goal Advisor (specialty specific advice) Meet with faculty advisor Set up audition (away) electives (if necessary) Schedule time to interview Schedule time to prepare for Step 2 4.Sign up for Electronic Residency Application Service (ERAS) Update CV Meet with Staff Writer for Medical Student Performance Evaluation (MSPE aka Dean’s Letter) Submit ERAS application by September 15 of 4 th year »Write personal statement »Get recommendation letters (3 or 4) »Select programs 5.Interview (typically October to December 4 th year) 6.Sign up for National Residency Matching Program (NRMP) and finalize rank order list (ROL)

7. Presentation Agenda How do you apply to a residency? Competitiveness of various specialties Clinical curriculum scheduling issues

8. Assess Competitiveness of Specialty Ratio US seniors:per position Average USMLE scores of applicants Average number of applications per student by specialty Percent of applicants who are members of AOA

9. Highly Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Orthopedic Surgery 0.8240 Radiation Oncology0.8240 Plastic Surgery0.9249 Otolaryngology0.9243 Dermatology1.0244 Radiology1.3240 Match Outcomes Data, August 2011 10/10/20159

10. Moderately Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Emergency Medicine1.0223 General Surgery1.1227 Obstetrics/Gynecology1.3220 Anesthesiology1.3226 Med/Peds1.3230 Pediatrics1.4221 Match Outcomes Data, August 2011 10/10/201510

11. Less Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 PM & R1.7214 Psychiatry1.8214 Neurology1.8225 Internal Medicine1.8226 Pathology1.9226 Family Medicine2.1213 Match Outcomes Data, August 2011 10/10/201511

12. Percent US Seniors In Honor Society (AOA) who Matched in 2011 Source: NRMP Charting Outcomes in the Match – Characteristics of Applicants Who Matched to their Preferred Specialty in the 2011 NRMP Main Residency Match

13. COS (Career Opportunities Series) 12 pm in 2204 MBRB Thursday, August 29, 2013 – Pathology/Radiation Oncology/Radiology Thursday, September 12, 2013 – Medicine (General & Subspecialties) Thursday, October 24, 2013 – Family Medicine/Pediatrics Thursday, November 21, 2013 – Anesthesiology/Emergency Medicine Thursday, January 30, 2014 –Neurology/Neurosurgery/Psychiatry Thursday, February 20, 2014 – Surgical Subspecialties (Ophthalmology, Otolaryngology, Plastic Surgery, Urology) Thursday, March 27, 2014 – General Surgery/Obstetrics & Gynecology Thursday, April 24, 2014 – Dermatology/Orthopaedic Surgery/Physical Medicine and Rehabilitation

14. Predictors of Matching Number of programs ranked Step 1 Step 2 Graduate of top 40 NIH ranked school AOA (medical honor society) Match Outcomes Data, August 2011

15. 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 4 th 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

16. MS2 Brown Bag Workshops 12pm in College Homerooms August 15, 2013 – Study Skills for a Successful Second Year September 19, 2013 – Careers in Medicine October 17, 2013 – Strategies for Preparing for Step 1 January 23, 2014 – Identity as a Medical Student, Relationships, and Developing as a Physician March 20, 2014 – Transition to 3 rd Year April 17, 2014 – Things I wish I had known…upperclassman perspective

17. Presentation Agenda How do you apply to a residency? Competitiveness of various specialties Clinical curriculum scheduling issues

18. Match Considerations 4 th year Away (audition electives) especially for surgical specialties or for geographic reasons One or two months off for interviews Taking electives in specialty area (e.g. anesthesiology, dermatology, emergency medicine, radiology, etc.) Taking Step 2 CK and/or Step 2 CS early Taking electives/selectives to get additional letters of recommendation (LORs)

19. Career Planning Time Line MS2 Year (2013-2014) Meet with College Advisor Brown Bag lunches Attend Career Opportunity Series Attend Research, MPH, and MBA lunchtime meetings June 2014 – Take USMLE Step 1 MS3 Year (2014-2015) December 19, 2014– Required Residency workshop March – deadline for 4th year schedule January – mid-July: MSPE (Dean’s Letter) appointment Meet Career Goal Advisor MS4 Year (2015-2016) July & August – rotations in specialty choice July & August – ERAS/NRMP Workshop July-October – away “Audition” electives September 15 th – deadline for residency applications October-December – residency interviews March 2016 – Match Week!

20. Dual Degree Application Deadlines MD/ MPH deadline: Dec. 15 th o (typically done between 3 rd and 4 th year) MD/MBA deadlines: o Deadline 1 (Early Action) - Oct. 18 o Deadline 2 - Dec. 9 o Deadline 3 - Jan. 13 o Deadline 4 - Mar 14

21. Advisory College Wellness Events Friday, September 27, 2013 – Evening - Hosted by Cross College Friday, November 8, 2013 – Evening – Hosted by Simkins College Friday, December 13, 2013 – Evening - Hosted by Cefalo College Monday, January 27, 2014 – Evening – Hosted by Smithies College Friday, February 14, 2014 – Evening – Hosted by Dimock College Friday, March 28, 2014 – Evening - Hosted by Williamson College Saturday, April 26, 2014 –College Cup – Hosted by Advocates & Colleges

22. On-line Resources Careers in Medicine: http://www.aamc.org/students/cimhttp://www.aamc.org/students/cim Personal Career Assessment »Medical Specialties ApitudeTest http://www.med-ed.virginia.edu/specialties/ »Temperament Sorter http://www.advisorteam.com/temperament_sorter/register.asp?partid=1 Match »Charting outcomes of the match: http://www.aamc.org/programs/cim/chartingoutcomes.pdfhttp://www.aamc.org/programs/cim/chartingoutcomes.pdf »ERAS: http://www.aamc.org/students/eras/http://www.aamc.org/students/eras/ »VSAS: http://www.aamc.org/programs/vsas/start.htmhttp://www.aamc.org/programs/vsas/start.htm »NRMP: http://www.nrmp.org/http://www.nrmp.org/ »Selection Criteria for Residency: Results of a National Program Director’s Survey: http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residen cy__Results_of_a.24.aspx http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residen cy__Results_of_a.24.aspx »FREIDA: http://www.ama-assn.org/ama/pub/education-careers/graduate-medical- education/freida-online.shtmlhttp://www.ama-assn.org/ama/pub/education-careers/graduate-medical- education/freida-online.shtml » AAMC Roadmap to Residency: From Application to the Match and Beyond www.aamc.org/publicationswww.aamc.org/publications Click “Student Affairs” 10/10/201522

23. Match Day 2013 10/10/2015 23