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Career Goal Advisor Workshop Spring 2011 Dr. Georgette Dent

Career Goal Advisor Workshop Spring 2011 Dr. Georgette Dent. Office of Student Affairs Larry Keith Advisory College University of NC School of Medicine. Objectives. Coordinate activities of Career Goal Advisors with College Advisors

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Career Goal Advisor Workshop Spring 2011 Dr. Georgette Dent

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  1. Career Goal Advisor Workshop Spring 2011Dr. Georgette Dent Office of Student Affairs Larry Keith Advisory College University of NC School of Medicine

  2. Objectives Coordinate activities of Career Goal Advisors with College Advisors Discuss career advising programs in view of increased competitiveness of match (e.g. back up plans, coordination of away electives and program lists) Review 4th year activities (curriculum, residency application, boards, interviews, etc.)

  3. Career Goal Advisors Versus College Advisors

  4. College Advisors vs Career Goals Advisors Advisors assigned at matriculation Meet each semester with each student Review strengths and weaknesses Advocate for struggling students Assist with scheduling, shadowing, summer research Miscellaneous Explain your specialty Review the students grades, Step scores, evaluations – Will they match? Suggest fourth year courses, schedules value of research year, mph +/- letter writer Point them towards programs

  5. What do students want to know? Will they match? Do they need to do away electives? How many letters do they need, and from whom? How many programs should they apply to? How important is research? When should they take Step 2 CK & CS? What are “good” programs?

  6. Career Goal Advisor(s) • Discuss with your CGA: • Your reasons for choosing the field • Your realistic ability to match • Ways to strengthen your application • Whether to do away electives • Program choices and priorities • Number of applications and interviews • Ranking strategies • Listing: http://www.med.unc.edu/md/fourthyear/career-goal-advisors

  7. Increased Competitiveness of Match

  8. “Jaws of Death”Match has become more competitive 10/21/2014 8

  9. Highly Competitive Specialties: Ratio of US Seniors to PositionMedian Step 1 Scores for Matched Students Ratio Step 1 Plastic Surgery1.5 242 Dermatology 1.3 242 Orthopedic Surgery 1.2 238 Otolaryngology 1.1 240 Radiation Oncology 1.1 238 Radiology 0.9 238 Match Outcomes Data, August 2009 10/21/2014 9

  10. Average number of applications and target #programs on ROL for Highly Competitive Specialties Apps ROL • Dermatology 55 8 • Orthopedics 47 12 • Urology 43 10-12 • Radiology 41 12 • Plastic Surgery 29 9 • Radiation Oncology 34 11 Match Outcomes Data, August 2009 10/21/2014 10

  11. Moderately Competitive Specialties: Ratio of US Seniors to PositionsMedian Step 1 Scores for Matched Students Ratio Step 1 General Surgery 0.9 224 Emergency Medicine 0.9 222 Obstetrics/Gynecology0.8 219 Anesthesiology 0.8 224 Med/Peds 0.8 225 Pediatrics 0.7 219 Match Outcomes Data, August 2009 10/21/2014 11

  12. Average number of applications and target # programs on ROL Moderately Competitive Specialties Apps ROL • Emergency Medicine 27 10 • Anesthesiology 25 12 • General Surgery 22 11 • Obstetrics/Gynecology 23 10 • Pediatrics 17 8 Match Outcomes Data, August 2009 10/21/2014 12

  13. Less Competitive Specialties: Ratio of US Seniors to PositionMedian Step 1 Scores for Matched Students Ratio Step 1 Pathology 0.6 227 Psychiatry 0.6 216 PM & R 0.6 214 Neurology 0.6 225 Internal Medicine 0.5 225 Family Medicine 0.4 214 Match Outcomes Data, August 2009 10/21/2014 13

  14. Average number of applications and target # programs on ROL Less Competitive Specialties Apps ROL • Internal Medicine 16 9 • Physical Medicine & Rehabilitation 19 10 • Psychiatry 16 7 • Pathology 16 8 • Family Medicine 12 6 Match Outcomes Data, August 2009 10/21/2014 14

  15. Choosing a specialty: How competitive am I ? • Charting the Outcomes of the Match • Compares step scores by specialty with percentages of students who have matched • Shows number of programs ranked and how many students matched • Data regarding AOA status, research projects, NIH funded school • http://www.aamc.org/programs/cim/chartingoutcomes.pdf

  16. Selection Criteria for Residency: Results of a National Program Directors Survey Green, Marianne MD; Jones, Paul MD; Thomas, John X. Jr PhDAcademic Medicine: March 2009 - Volume 84 - Issue 3 - pp 362-367 (Link at end of presentation)

  17. UNC SOM Unmatched Students • 2010 • 6 Unmatched students • Dermatology: 3 • Anesthesiology: 1 • Ob/Gyn: 1 • General surgery: 1 • 2011 • 6 Unmatched students • Orthopaedic surgery: 3 • Otolaryngology: 1 • Preliminary surgery: 1 • Neurology: 1 10/21/2014 17

  18. Predictors of Matching • Number of programs ranked!!!!!! • Applying to more programs, means more interviews, means more programs you can rank! • Step 1 • Step 2 • Graduate of top 40 NIH ranked school • AOA (medical honor society) Match Outcomes Data, August 2009

  19. 4th Year Curriculum Boards Applying for residency Letters of Recommendation Personal statement Mix and number of programs Away electives Interviewing

  20. Important Dates ERAS opens – July 2011 Program directors can review applications – September 1, 2011 Dean’s letter released – November 1, 2011 Last day to withdraw from match – February 22, 2012 Match Day – Friday, March 16th(Scramble replaced by SOAP) Early Matches outside NRMP Military: December 2011 Ophthalmology: January 2012 Urology: 2012

  21. Graduation Requirements 10/21/2014 21 • Required Selectives • AHEC Acting Internship (AI) • Advanced Practice Selective • Acute Care Selective • Integration Selective • 12 Weeks of electives • Capstone Course http://www.med.unc.edu/md/fourthyear/electives-selectives

  22. Graduation Requirements Step 1 Step 2 CK (Pass by December of 4th year) CPX (usually take July or August) Step 2 CS (Register by 3rd week February of 4th year, take by end of spring semester)

  23. Choosing a specialty: When to decide? • Can take electives/selectives in July, August and maybe September to help with specialty choice • Note: 4th year scheduling preferences due in early April! • Ideally, need to decide on specialty and apply by September 1st for competitive specialties • May decide by as late as October 15th for a specialty that’s not too competitive (Is this true?) • Can apply in more than one specialty if truly can’t decide • Still best to decide before interviewing!

  24. “The Application Big 3”Advice from Career Goal Advisors is critical! • Letters of recommendation • Personal statement • Program list

  25. Letters of Recommendation • Waive your right to read the letter • Ask faculty if they can write a “strong” letter • Give writer your CV, personal statement and ERAS cover sheet • Deadline for letters is September 1st • Most programs want 3-4 letters • At least 1-2 from chosen specialty • Letters from graduate work or research mentors make great 4th letters

  26. Personal statement • Aim for 600-650 words (one page max) • 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?

  27. Personal statement • Do • 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

  28. How many programs should I apply to? • 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 • Cancel interviews with 2 weeks notice • If you are a less competitive candidate for a specialty, you should apply to more than the average number of programs

  29. Early Transcript • Student Affairs will automatically send one in early September • Should have all of your 3rd year grades • You might not want one sent if you have had academic difficulty in the 3rd year • Consult with Dr. Dent if not sure • Contact Ann Farabee by September 1 (ann_farabee@med.unc.edu) if you do not want an early transcript sent • Contact Ann Farabee if you want a transcript sent before November 1

  30. Interview Dates: November PredominateMS 4 Survey 2009 Match (n=71) * Early match specialties

  31. Interview Dates: December PredominateMS 4 Survey 2009 Match (n=71)

  32. Interview dates: January PredominateMS 4 Survey 2009 Match (n=71)

  33. Matching 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

  34. Matching 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 • UNC-CH • Duke • Boston Children's • Boston Children's • Boston Children's • Boston Children’s

  35. On-line Resources • Careers in medicine: http://www.aamc.org/students/cim • Charting outcomes of the match: http://www.aamc.org/programs/cim/chartingoutcomes.pdf • ERAS: http://www.aamc.org/students/eras/ • VSAS: http://www.aamc.org/programs/vsas/start.htm • NRMP: 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__Results_of_a.24.aspx • FREIDA: http://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”

  36. Researching Specialties http://www.ama-assn.org/cgi-bin/freida/freida.cgi

  37. Match Day! UNC School of Medicine

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