1. Scheduling 4 th Year & Introduction to Residency Application Process Office of Student Affairs University of North Carolina School of Medicine December 18, 2015

2. Residency Application & Scheduling MSIII CLASS MEETING Friday, FEBRUARY 27, 2009 1:00-2:00pm G202 MBRB AGENDA 1:00 pmDr. Georgette Dent/Welcome/Course Requirements/USMLE Leanne Shook Scheduling Your 4 th Year Courses 1:15 pmDr. R. GwytherAdvanced Care Selective 1:20 pmDr. M. MeyersIntegration Selective 1:25 pmDr. Georgette Dent/Residency Application Process, Dr. Robyn StewartDean’s Letter Preparation 1:35 pmMrs. Sheila Graham McDonaldFinancial Aid, Debt Management and Funding Interviews 1:45 pmMr. Dan HillIndividual 4 th Year Disability Insurance Policy *You will have an opportunity to visit multiple specialty career goal advisors to hear about their programs and application requirements. FOURTH-YEAR SCHEDULING & INTRO TO RESIDENCY APPLICATION PROCESS MS3 CLASS MEETING AGENDA Georgette Dent, MD 8:00 am to 8:15 amWelcome, Overview, & Graduation Requirements Leanne Shook 8:15 am to 8:35 am Scheduling Your 4 th Year Courses Cheryl McNeil, MDPreparing for Step 2 CS 8:35 am to 8: 45 am Georgette Dent, MD 8:45 am to 9:15 amIntro to Residency Application Process Sheila Graham McDonald 9:20 am to 9:50 amFinancial Aid, Debt Management and Funding Interviews 9:50 am to 10:00 am Break MS4 Students 10:00 am to 10:50 amStudent Panel Benny Joyner, MDEthics Survey 10:50 am to 11:00 am Julie Byerley, MD, MPHTown Hall Meeting 11:00 am to noon

3. 4 th Year Course Requirements (Accelerated 4 th Year) 13 month calendar Begins 3/28/16 and ends 4/28/2017 http://www.med.unc.edu/md/curriculum/calendars 10 Required courses + Capstone Required Selectives AHEC Acting Internship (AI) Additional AI Advanced Practice Selective Acute Care Selective Science of Medicine Selective Electives (5 4-week electives or 20 weeks) Capstone Course (1 week)

4. 4 th Year Course Requirements (MPH, MBA, year-long research year students graduating in 2017) 7 Required courses + Capstone Required Selectives AHEC Acting Internship (AI) Acute Care Selective Science of Medicine Selective MPH & year-long research students may replace with elective Advanced Practice Selective MPH students may replace with elective Electives (3 4-week electives or 12 weeks) MPH students who complete MPH by August 2016 get credit for 1 4-week elective MBA students making good progress get credit for 2 4-week electives Capstone Course (1 week)

5. 4 th Year Considerations Finalize specialty choice Obtain letters of recommendation Meet with college advisors, career goal advisors, and staff writer (January-June) Take CPX, Step 2 CK and CS Do “audition electives” Apply and interview for residency Prepare for internship

6. Patient Data Confidentiality Reminder Do not put patient data on your laptop Use encrypted thumb drives for clinical work Thumb drives are easy to lose so don’t put patient data on them unless they are encrypted

7. 4 th Year Exam Requirements Clinical Practice Exam (CPX) Students will have a choice of dates Plan is to start late April/May and extend to August Step 2 Clinical Knowledge (CK) USMLE World Crush Step 2 or Secrets of Step 2 Step 2 Clinical Skills (CS) First Aid for Step 2 CS Tips from Dr. McNeil We must have passing Step 2 (CK & CS) results by November 1 st, 2016

8. When should you take Step 2? Step 2 CK Take in April Score typically takes 3 to 4 weeks to return Step 2 CS Take by June 30 th, if want program directors to see score Must take by September 10 th, to be in compliance with policy Can get administrative excuses from electives/selectives to take exam

9. When should you take Step 2 CK?

10. Step 2 CS 2016 Reporting Schedule

11. Step 2 CS 5 Test centers Atlanta Chicago Houston (least busy) Los Angeles Philadelphia (most busy)

12. When do you need to decide on specialty? Can take electives/selectives in April to August Need to decide on specialty by August 15 th (early match specialty) or September 15 th Ideally, you want your ERAS application submitted by September 15 th

13. Scheduling 4 th Year Forms due by February 1, 2016 Need e-mail or signature of Career Goal Advisor or Advisory College Advisor April to July grades/comments go in Dean’s Letter Separate schedule sheet for July block, AHEC AI, Acute Care, Advanced Practice and Science of Medicine selective, electives, outpatient medicine, etc. Ideally schedule one or two month(s) for interviews (depending on specialty) –October – January depending on specialty (November or December typically the best months) Schedule free period for “audition elective” Schedule time to prepare for Step 2 CK

14. Fourth Year Scheduling Leanne Shook

15. Cheryl McNeil, MD Preparation for Step 2 CS

16. Introduction to Residency Application Process Medical Student Performance Evaluation UNC SOM Match statistics Career Goal & College Advisors Letters of recommendation (LORs) Interview selection criteria NRMP Specialty specific Match data Signing up for ERAS & NRMP Photographs Humanism Society

17. Medical Student Peformance Evaluation Packet Medical Student Performance Evaluation (MSPE or Dean’s Letter) Transcript Comments from 3rd year clerkships and April to July electives/selectives 1 st and 2 nd year grade distributions 3 rd year grade distribution for past 2 years Answers to AAMC questions (appendices)

18. Dean’s Letter/Medical Student Performance Evaluation (MSPE) Identifying Information Unique Characteristics Academic History Combined degrees Remedial work Leave of Absence (research, personal, medical, etc) Academic Progress Preclinical record Clinical clerkship and elective record Summary paragraph Appendices (answers to AAMC questions) College Advisors will no longer “sign” MSPE allowing them to write letters of recommendations

19. MSPE Appointment Update curriculum vitae, submit to staff writer at staffwriter@med.unc.edu by January 5th! staffwriter@med.unc.edu Meet with Staff Writer, to review Medical Student Performance Evaluation (MSPE) Appointments available January – June If you are a student returning from a LOA and have completed third year you must schedule your MSPE appointment from January to March! After March 1 st we’ll make appointment for you Read or listen to letter in September

20. UNC School of Medicine - Match 2015 Class of 2015 Placements (183)

21. UNC SOM Match Statistics Overview 20112012201320142015 UNC Match rate 96%98%93%97% National Match rate (US Seniors) 94.1%95.1%93.7%94.4%93.9% Number of unmatched students 639*7**6 *Includes 4 partially unmatched students needing PGY1 year ** Includes 2 partially unmatched students with PGY1 year only &1 partially unmatched student needing a PGY1 year

22. 4 th Year Advising Meeting Required meeting with College Faculty Advisor from January to August to discuss Specialty choice Plan for selecting a specialty if undecided Competitiveness for specialty choice (s) 4 th year schedule Away electives Plan for letters of recommendation Number of programs applying to Career goal advisor Personal statement

23. Career Goal Advisors Provide CGA with CV, personal statement, transcript Review your permanent record in 1001 Bondurant Encourage CGA to review your permanent record May meet CGA today Stay in touch with CGA to discuss: choices of programs & priorities activities to strengthen application number of applications/interviews electives here & away interview etiquette ranking strategies List of CGAs can be found at http://www.med.unc.edu/ome/studentaffairs/academic-assistance-and- advising/career-counseling-and-careers-in-medicine-1/career-goal-advisorshttp://www.med.unc.edu/ome/studentaffairs/academic-assistance-and- advising/career-counseling-and-careers-in-medicine-1/career-goal-advisors

25. ERAS Web 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. Specifically, the Office of Student Affairs is no longer able to upload LoRs on your behalf. Ideally LoRs should be submitted by September 15 or October 1 (at latest) ERAS allows for a maximum of 4 letters 1/4/201625

26. Selection Criteria for Interviews: Results of a National Program Director’s Survey 1207 Program directors from 20 specialties responded: 1. Grades in required clerkships 2. USMLE step 1 score 3. Grades in senior electives in specialty 4. Number of honors grades in clerkships 5. USMLE Step 2 score 6. USMLE Step 2 CS pass 7. Class rank* *UNC does not put student rank on Dean’s Letter

27. Selection Criteria for Residency: continued 8. Membership in Alpha Omega Alpha (AOA) 9. Medical school reputation 10. Medical school academic awards 11. Grades in other senior electives 12. Grades in pre-clinical courses 13. Published medical school research 14. Research experience while in medical school *Importance of items differs by specialty

28. http://www.nrmp.org/wp-content/uploads/2014/09/Charting-Outcomes-2014-Final.pdf

29. Median Step 1 Scores for Matched Students in Selected Popular Specialties Step 1MStep 1U Family Medicine218201 Internal Medicine231210 Neurology230208 Pathology231217 PM & R220211 Psychiatry220205 Charting Outcomes of the Match, 2014 M=matched students U=unmatched students 1/4/201629

30. Median Step 1 Scores for Matched Students in Selected Popular Specialties Step 1 MStep 1 U Anesthesiology230208 Emergency Medicine230215 General Surgery232213 Med/Peds233223 Obstetrics/Gynecology226209 Pediatrics226206 Charting Outcomes of the Match, 2014 1/4/201630

31. Median Step 1 Scores for Matched Students in Highly Competitive Specialties Step 1MStep 1U Dermatology247239 Neurosurgery244232 Orthopedic Surgery 245231 Otolaryngology248239 Plastic Surgery245236 Radiation Oncology241237 Radiology241221 Charting Outcomes of the Match, 2014 31

32. UNC SOM Mean Step Scores by Specialty (2013-2015) (469 students) SpecialtyNMeanRangeMeanRange Anesthesiology29234.72198259250214276 Dermatology12247.92231263260246279 Emergency Medicine43233.47188259246206269 Family Medicine55222.05192263243199281 General Surgery24232.5211261247226270 Med Peds22245.14209266261229283 Medicine93234.58190276249207281 Neurology8239.88225248240219262 ObGyn46228.57200256246200270 Opthalmology10236.7218259246230271 Orthopaedics11239.45231256253237266 Otolaryngology11243.55222268251223275 Pathology6237.83197251245198266 Pediatrics47225.57190258248203272 Paychiatry16217.44190239234205262 Radiology Diag11245.27228258254234271 Radiology Onc9241.44210260249234266 Surgery Prelim12223.2191254236213264

34. Average number of applications per student from Electronic Residency Application Service (ERAS) NationalUNC  Anesthesiology3422  Dermatology7077  Emergency Med3735  Family Medicine1920  Gen Surgery4240  Internal Medicine2821  Urology5265  DX Radiology5229

35. Average number of applications per student from Electronic Residency Application Service (ERAS) NationalUNC  Ob/Gyn3432  Orthopedics6674  Pathology2217  Pediatrics2323  PM & R2430  Plastic Surgery2929  Psychiatry2419  Radiation Onc7882

36. Can your credentials be enhanced? Step 2 Research Audition electives Joint degree Spanish If your credentials cannot be enhanced, you may need a back up plan if you are applying to a highly competitive specialty.

37. Electronic Residency Application Service (ERAS) Web-based for: Application Personal statement Photograph Assignment of LoRs MSPE/Dean’s letter Transcript Selection of programs Estimated fee of $97 Opens to applicants – Spring 2016 Opens to programs – September 15, 2016

38. Central Application Service (CAS) Specialties & the San Francisco Match Specialties: Ophthalmology www.sfmatch.org Dates: Rank order lists due and results usually released in January https://www.sfmatch. org/MatchCalendar. aspx https://www.sfmatch. org/MatchCalendar. aspx

39. For the USMLE exam and the ERAS application, you will need photographs Turn in a 2x2 black and white (for transcript) to 1001 Bondurant Hall. You will need to upload an 3x4 color photo to ERAS But why do I need a new photograph? Photographs

40. First Year

41. Photographs Before After

42. The National Resident Matching Program (NRMP) All students enroll regardless of specialty! Estimated Fee of: $65 Matches applicants with programs based on preferences Not an application service Uniform dates nationally Eliminates pressure to make a decision before all of your options are known

43. Review of Residency Application Process Spring – Update CV, meet with College Advisor/Career Goal Advisor, review MSPE with staff writer, take Step 2 CK and Step 2 CS Spring/Summer – Write personal statement, request LoRs, work on ERAS application, have photo taken, attend or watch summer ERAS workshop Summer/Fall – Research programs, submit ERAS application, attend interview preparation sessions, sign up with NRMP, Fall/Winter –Interview Winter – Submit rank order list

44. Match Week – March 2017 ERAS Opens Spring 2016 ERAS Application Submission September 15, 2016 NRMP Registration November 30, 2016 (price increases on 12/1) Rank Order List opens January 2017 Rank Order List closes February 2017

45. Link to survey is: https://unc.az1.qualtrics.com/S E/?SID=SV_4ZuNUi5ySBpvB 5z

46. STONE TRAVEL FELLOWSHIPS The Kevin R. Stone, MD ‘81 Travel Fellowships or Stone Travel Fellowships will be given annually to up to four MS4 students in good academic standing interested in a personally and professionally significant four- week elective rotation outside of North Carolina. Funds can be used to cover travel, lodging and food. Approx. value $3,000. Kevin R. Stone, MD’81 in grateful appreciation for his medical education and seminal travel experiences while a student at the UNC School of Medicine established this award in 2014-15. Dr. Stone believes firmly that the opportunity for medical students to travel domestically or internationally for a four-week elective rotation during their fourth year can be transformational to their professional careers and personal lives, while providing an opportunity to enrich the collective medical experience in North Carolina, yet, most students are unable to afford the cost of an away rotation. Submission Requirements Interested candidates should apply for the Stone Travel Fellowship in writing to Dr. Julie Byerley, Vice Dean for Education by May 1, 2016 for a fall 2016 award date. The Application consists of a one page or less description of where (domestic or international) the fourth-year student wishes to travel for an elective rotation and include how the rotation will inspire their education and impact the medical community of North Carolina. · Please address and remit all applications directly to Dr. Julie Byerley, Vice Dean for Education via email at Julie_Byerley@med.unc.eduJulie_Byerley@med.unc.edu · The email subject line: Stone Travel Fellowship Selection will be made by Dr. Julie Byerley, Vice Dean for Education in consultation with Dr. Georgette Dent, Associate Dean for Student Affairs based on MS4’s proposed away rotation’s potential for significant educational experience and with consideration of financial need. Upon completion of the away rotation, each Stone Fellow will publish and/or present about their experience for the benefit of the greater Carolina medical community and the report will be posted on the Stone Fellowship webpage.

47. The North Carolina Rural Promise Scholarship We are offering $40,000 one-time scholarships, for up to 15 UNC SOM students who plan to enter the fields of Family Medicine, Pediatrics, Internal Medicine, OB/Gyn, Psychiatry, or General Surgery, who make a commitment to serve a rural county in our state.

48. On-line Resources  Careers in Medicine: https://www.aamc.org/students/medstudents/cim/https://www.aamc.org/students/medstudents/cim/  Personal Career Assessment  Medical Specialties ApitudeTest  http://www.med-ed.virginia.edu/specialties/ http://www.med-ed.virginia.edu/specialties/  Temperament Sorter  http://www.advisorteam.com/temperament_sorter/register.asp?partid=1 http://www.advisorteam.com/temperament_sorter/register.asp?partid=1  Match  Charting outcomes of the match: https://www.aamc.org/44826/search.html?q=charting+outcomes+of+the+match&x=0&y=0 https://www.aamc.org/44826/search.html?q=charting+outcomes+of+the+match&x=0&y=0  ERAS: https://www.aamc.org/students/medstudents/eras/ https://www.aamc.org/students/medstudents/eras/  VSAS: https://www.aamc.org/students/medstudents/vsas/https://www.aamc.org/students/medstudents/vsas/  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_Residency__Resul ts_of_a.24.aspx http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residency__Resul ts_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/publications Click “Student Affairs” www.aamc.org/publications 1/4/201648

49. Match Day! 1/4/201649

50. QUESTIONS

51. Financial aid, debt management, & funding interviews Sheila Graham McDonald