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MS2 Orientation August 8, 2014 Dr. Georgette Dent. Office of Student Affairs University of NC School of Medicine. Presentation Agenda. How do you apply to a residency? Competitiveness of various specialties Clinical curriculum scheduling issues. Selecting a Specialty.
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MS2 Orientation August 8, 2014Dr. Georgette Dent Office of Student Affairs University of NC School of Medicine
Presentation Agenda • How do you apply to a residency? • Competitiveness of various specialties • Clinical curriculum scheduling issues
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?
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 3rd year (research, international, public health, business school, other graduate program).
How do You Apply to Residency? • Select Specialty • Attend Required Class Meeting December 19, 2014 • Request 4th 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 • 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 4th year • Write personal statement • Get recommendation letters (3 or 4) • Select programs • Interview (typically October to December 4thyear) • Sign up for National Residency Matching Program (NRMP) and finalize rank order list (ROL)
Presentation Agenda • How do you apply to a residency? • Competitiveness of various specialties • Clinical curriculum scheduling issues
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
Highly Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students Ratio Step 1 • Orthopedic Surgery 0.8 240 • Radiation Oncology 0.8 240 • Plastic Surgery0.9 249 • Otolaryngology 0.9 243 • Dermatology 1.0 244 • Radiology 1.3 240 Match Outcomes Data, August 2011
Moderately Competitive Specialties: Ratio of Positions to US SeniorsMedian Step 1 Scores for Matched Students Ratio Step 1 • Emergency Medicine 1.0 223 • General Surgery 1.1 227 • Obstetrics/Gynecology 1.3 220 • Anesthesiology 1.3 226 • Med/Peds 1.3 230 • Pediatrics 1.4 221 Match Outcomes Data, August 2011
Less Competitive Specialties: Ratio of Positions to US SeniorsMedian Step 1 Scores for Matched Students Ratio Step 1 • PM & R 1.7 214 • Psychiatry 1.8 214 • Neurology 1.8 225 • Internal Medicine 1.8 226 • Pathology 1.9 226 • Family Medicine 2.1 213 Match Outcomes Data, August 2011
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
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
Predictors of Matching Match Outcomes Data, August 2011 Number of programs ranked Step 1 Step 2 Graduate of top 40 NIH ranked school AOA (medical honor society)
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
MS2 Brown Bag Workshops12pm 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 3rd Year April 17, 2014 – Things I wish I had known…upperclassman perspective
Presentation Agenda • How do you apply to a residency? • Competitiveness of various specialties • Clinical curriculum scheduling issues
Match Considerations 4th 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)
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 15th – deadline for residency applications • October-December – residency interviews • March 2016 – Match Week!
Dual Degree Application Deadlines • MD/ MPH deadline: Dec. 15th • (typically done between 3rd and 4th year) • MD/MBA deadlines: • Deadline 1 (Early Action) - Oct. 18 • Deadline 2 - Dec. 9 • Deadline 3 - Jan. 13 • Deadline 4 - Mar 14
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
On-line Resources • Careers in Medicine: http://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.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”