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Securing Your Top Residency

Securing Your Top Residency. Michael A Herion, M.D. Saint Louis University School of Medicine. Definitions. Internship Residency Fellowship Categorical Preliminary Transitional The Match/Early Match. Definitions. Fact vs. Fiction.

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Securing Your Top Residency

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  1. Securing Your Top Residency Michael A Herion, M.D. Saint Louis University School of Medicine

  2. Definitions • Internship • Residency • Fellowship • Categorical • Preliminary • Transitional • The Match/Early Match

  3. Definitions

  4. Fact vs. Fiction • “ There’s no way to get a categorical surgical residency as a FMG.”-SGU student • “The only residencies that you can get as a foreign grad are internal medicine or primary care positions.”-SGU student • “FMG’s can’t get university affiliated residencies.”-SGU student

  5. Fact vs. Fiction • “Those guys that got the good residency spots knew somebody at the program.”-SGU student

  6. Fact vs. Fiction • “Your colleagues are some of the most intelligent, well rounded students I have been around.” – IM Residency Director • “Your school’s board scores are better than ours.”- Residency Director • “I have been consistently impressed with the quality of your students.”- Residency Director

  7. Fact vs. Fiction • “Hell, I wouldn’t be able to tell the slightest difference.”- JHSOM Attending • “…some of the finest medical students I have been around.”-Residency Director

  8. Personal Factors That Should Influence Your Residency Choice • YOUR own interest • YOUR desired quality of life • What YOU love

  9. Do Not Choose A Residency Based Upon… • What your family wants • What friends tell you • Income • TV • “The cool residency” • Prestige

  10. How Do I Know If I Chose The Right Residency?

  11. “I can’t believe their paying me to do this.”

  12. “I don’t mind paying my $100.00 a day for this rotation.”

  13. There is not a residency out there that you can not match in!

  14. General Factors That Affect Your Residency Direction • Basic Science Grades • Clinical Grades • LOR • Board Scores • Applications…CV, Personal Statement

  15. Individual Factors That Affect Your Residency Direction • Personality • Work Ethic • Integrity • Honesty • Punctuality • Attendance

  16. Basic Science Pearls • 1. You are learning the exact same material and having the exact same difficulties as the U.S. medical students. • 2. You can’t master it all. • 3. Know when to take a break. • 4. Don’t be afraid to ask for help.

  17. Medicine 16 weeks Pediatrics 6 weeks Psychiatry 6 weeks OB/GYN 6 weeks Surgery 12 weeks Med Sub-I 8 weeks Peds Sub-I 6 weeks Electives 20 weeks Clinical GradesRotation Breakdown

  18. Clinical Grades 3rd Year 4th Year 52-56 weeks for EMP!!!! 60-64 weeks for RMP!!!

  19. Clinical Grades • Schedule your core rotations based on your anticipated residency interests. This will enable you to…. 1. See if you like the rotation 2. Secure early LOR 3. Early start on application material

  20. Template For Clinical Scheduling

  21. Scheduling Clinical Rotations • Make a two year calendar • Try to schedule as far in advance as possible • Refer to your residency template • Be sure to document “total weeks”

  22. Clinical Grades • Explore your electives • Remember Early Match electives • Electives are a great source for LOR because of one on one

  23. Clinical Rotation Pearls • Assume responsibility for your patients • Do patient based reading every night • Participate with the teams • Arrive early and stay late

  24. Letters of Recommendation • Great LOR discuss personal attributes more than grades • Get a LOR from every rotation • Waiver

  25. Letters of Recommendation • “Don’t read it, see it.” • Correspond your LOR with your desired residency • A great letter takes precedence over residency relevance

  26. Board Scores • Level the playing field • Exact test, exact grading • Course vs. No course • EMP only uses Step I scores • YOU SHOULD BEGIN YOUR STUDIES AT LEAST 3 MONTHS BEFORE YOUR TEST DATE

  27. Applications • YOU need to call for match registration, applications, and program information • Always be congenial to the residency coordinator • Keep a copy of EVERYTHING you send and review it before your interview

  28. Applications • Send via FedEx on the FIRST day applications are accepted!!!!! • Have your applications professionally proofread. • No Typos

  29. Curriculum Vitae • Tailor your CV to the individual residency program • Join professional organizations • Should not exceed 2 pages • Use good linen paper • Professional proofing

  30. Personal Statement • Be unique…not weird • Have a professional editor help with your statement • Do not exceed one page • Personal Statements are scrutinized for those candidates on the bubble

  31. Photographs • Do not take them yourself • Do not clip out a photo of yourself • Do not send a drawing yourself • Have professional head-shoulder shots taken • Wear a dark coat, light shirt, and a dark tie

  32. Applying to Programs • Play the numbers game • More competitive = apply to more programs • Be ready to spend some money • Remember the EMP

  33. The Interview • Prepare, prepare, prepare • Anticipate questions and practice your replies • Have at least 5 questions to ask at the interview • Two or three should be program targeted

  34. The Interview • Do not ask inflammatory questions • Look up faculty interests and areas of research • Have a joke • Look over the local paper • Know which sports team won or lost

  35. The Interview • Don’t arrive late • Practice the route and know where to go • Buy a new suit, socks, and shoes • Don’t check your suit on the airline • Don’t order anything messy at lunch or dinner

  36. The Interview • Count on traffic • SEND THANK YOU NOTES TO EVERY INTERVIEWER AND RESIDENCY COORDINATOR!!!!

  37. The Interview • Make notes of specific interests of each interviewer so that you can include a hand written note at the bottom of your thank you letter • Write your thank you notes on the plane, type them at home and send within one day

  38. Generating Your Rank List • Rank the programs that you like in order • Don’t play the numbers game • Don’t rank a program that you do not want to be at

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