ERAS Workshop: Nut & Bolts for Applying to Residency

1. ERAS Workshop:Nut & Bolts for Applying to Residency Office of Admissions & Student Affairs 2019

2. Objectives • Review key steps and timelines • Identify responsibilities of advisees/advisors • Discuss trends that will impact your match strategy • Risk self-assessment • MSPE Preparation • Information and resources you need for success

3. Timeline 345 days Maintain contact with Student Affairs and Clinical Advisors 60 days EM Video Interview Prep Interview Workshops 12/15/2019 198 days Study/Take Step 2 93 days MSPE Meetings 93 days Interviews 3/16/2020 - 3/20/2020 5 days SOAP Begin Applying 9/6/2019 Available to Programs 9/15/2019 Rank Order List Due NRMP Registration 2/22/2020 11/29/2019 Step 2 CK/CS Deadline Match Day ERAS Opens MSPE Release 3/20/20 6/5/2019 10/1/2019 12/15/2019 2019 2020 Apr May Jun Jul Aug Sep Oct Nov Dec 2020 Feb Mar Today

4. AUA Match/San Francisco Match • Earlier deadlines than ERAS and results announced Early-Mid January • Selected residency programs for • Urology – due early Sept • Ophthalmology – due mid-August • Notify Student Affairs/Advisors if you are applying • Will need to use ERAS for preliminary programs and for some urology programs

5. Your Responsibilities as an Advisee • Be proactive in communicating with your advisor and Student Affairs • Meeting scheduling to review 4th year, CV personal statement, application strategy, interview prep/feedback • Follow up scheduling • Be prepared for ALL meetings • Send documents in advance if possible/requested

6. Your Responsibilities as an Advisee • Submit timely requests for Letters of Recommendation – one month is ideal • Follow through on recommendations for interview prep, parallel applications or SOAP plans  • Listen to discussions regarding realistic strategies

7. Responsibilities of your Advisor • Be available to meet with each student multiple times (3+) • Respond in a timely manner to student requests/questions • Attend workshops/trainings • Assist with specialty exploration/selection • Review of 4th year schedules for interests/balance • Residency program specifics based on your experiences • Write letters of recommendation/provide advice • Personal statement/CV review • Skills preparation & interview tips • Rank order list questions • Communicate with Student Affairs

8. Who is here to help you in Student Affairs? • Student Affairs • Application strategy/review Dr. Etezadi, Dr. Singer • Specialty-Specific Data Jodi, Sam • Program Data and Comparisons (Limited) Jodi, Sam • ERAS Questions Brandi, Dr. Singer • Transcripts Brandi • MSPE Scheduling Jodi • $$ To Pay for It All Leonard

9. Who else is here to help you? Advising Steering Committee/Match Risk-Assessment Team • Melissa Piasecki • Timothy Baker • Karin Klove • Kirk Bronander • David Howard • Ranna Nash • Cherie Singer • Neda Etezadi-Amoli (OB/Gyn) • Lacy Fettic (FM) • Lisa Calvo (IM) • Steve Zuchowski(Psych) • Mark Baier (EM) • Kathryn Eckert (Peds) • Ucelli/Miller (Surgery) • Other advisors, as needed

10. Match Trends – The Good Match Rates *US Senior Match rate = 94.9% in 2019 UNR Med’s 12-yr Match rate (after SOAP) = 98.6% *Couples Match rate = 95% in 2019 UNR Med’s 7-yr Couples Match rate = 95.8% *Source: NRMP

11. Match Trends – The Good *Source: NRMP

12. Match Trends – The Good *Source: NRMP

13. Match Trends – The Good *Source: NRMP

14. Match Trends – The Not So Good • All positions filled in: • ENT • Interventional radiology • PM&R • Categorical general surgery, Plastic surgery • 99% of positions filled in: • Orthopedic surgery • EM • OB/Gyn • Psychiatry • Anesthesiology • Diagnostic radiology

15. Match Trends – The Not So Good • Very few open positions (<20) in the Western Region across all specialties except • Internal Medicine (prelim) • Family Medicine • Pediatrics • General Surgery (prelim)

16. Match Trends – SOAP: A Cautionary Tale • In 2018 - ~90 positions available in the SOAP on the West Coast • In 2018 - ~75% of the SOAP positions available on the West Coast were preliminary/transitional years

17. Top 5 Reasons US Seniors DID NOT Match Did not listen to advice of advisor and Student Affairs One or more appearances before the SPCC Step 1 failure Weak letter(s) of recommendation Poor interviewing skills *Source: AAMC Group on Student Affairs Survey

18. How do ProgramDirectorsScreen Applicantsfor Interviews? Step 1 Score (94%) Letters of Recommendation (LoRs) in SPECIALTY (86%) MSPE (81%) Step 2 Score (80%) Personal Statement (78%) Grades in Required Clerkships (76%) Class ranking/quartile (70%) Any failed USMLE attempt (70%) Perceived commitment to specialty (69%) Personal knowledge of applicant (69) Source: NRMP, Residency Program Directors Survey, 2018

19. How do ProgramDirectorsRank Applicants? Interactions with faculty and house staff during interview day (96%) Interpersonal skills (95%) Feedback from residents (86%) Step 1 Score (78%) Letters of Recommendation from specialty (72%) Step 2 Score (70%) Evidence of Professionalism/Ethics (65%) MSPE (65%) Perceived commitment to specialty (64%) Perceived interest in program (63%) Source: NRMP, Residency Program Directors Survey, 2018

20. Residency Match Risk Assessment • No academic difficulties • Metrics aligned with specialty choice • Good interview skills • Well-prepared for application process • Minimal academic difficulties • Professionalism/behavioral concerns • Competitive specialty choice or misaligned metrics • Needs interview preparation • Couples matching • Academic difficulties (remediation, Step 1 failure) • Professionalism/behavioral concerns • Competitive specialty choice or misaligned metrics • Needs interview preparation • Not prepared, communicative or open • feedback from faculty and student affairs

21. Impact on Class of2020 • Assess your risk for NOT matching • Be strategic • Be realistic • Consider range of program types (Academic, community, etc.) • Interview/rank more programs • Pursue a parallel plan if advised to do so with as much dedication as your primary specialty choice • Close communication with your advisor and with Student Affairs • Prepare for SOAP if advised to do so

22. MSPE Timeline June 1 – June 30 • Students schedule their MSPE appointment using online system • Prepare documents for MSPE meeting • Meet with advisor(s) Late June – Sept. 10 • Students prepare for and complete MSPE appointments September 17-30 • Students proofread individual MSPE before Oct. 1.

23. MSPE Meeting Preparation • Complete Self-Assessment Questions • Draft Noteworthy Characteristics • Complete/Update CV • Draft Personal Statement for Review • Letters of Recommendation Requests • Draft Application Strategy Reviewed with Advisor • Prepare to Answer Mock Interview Qs

24. MSPE Meeting • Review of Specialty Choice • Summarize competitiveness for specialty • Any recommendations for development of a parallel plan • Recap of your meetings with advisor(s) • Recommendations for CV and Personal Statement • Review Letters of Recommendation Strategy • Review of Draft MSPE including TentativeEvaluative Level • Interview Preparedness Assessment with Mock Interview • Match Risk Assessment

25. MSPE Sections

26. MSPE Sections

27. MSPE Sections

28. MSPE Sections

29. MSPE Sections SUMMARY SUMMARY The MSPE process at the University of Nevada, Reno School of Medicine assigns an evaluative level to each student based on a rubric which includes assessment of pre-clerkship and clerkship grades, USMLE Step 1 and Step 2 scores (if available), leadership, research, service, and any applicable remediation activities. Additional information on the nature of this ranking can be found on the next page. 

30. MSPE Sections Based on this assessment, I am pleased to present STUDENT X as a distinguished candidate for residency. STUDENT X exhibited excellence in pre-clerkship academics and clerkship activities demonstrated by honors grades and evaluations. His USMLE performance was in the top quartile of scores compared to his peers. Additional considerations were given for research activities that led to presentations and publications, as well as leadership and longitudinal service activities.  Based on this assessment, I am pleased to present STUDENT Y as an excellent candidate for residency. STUDENT X exhibited success in pre-clerkship academics and clerkship activities demonstrated by a majority of high pass grades and evaluations. His USMLE performance was at or below the median of scores compared to his peers. Additional considerations for were given for participation in research activities and longitudinal service.   Based on this assessment, I am pleased to present STUDENT Z as a very good candidate for residency.  STUDENT X completed pre-clerkship academics and clerkship activities with a majority of passing grades and exhibited USMLE performance within the lower quartile compared to his peers. Additional considerations were given for limited leadership and service, as well as longitudinal research activities.  

31. 2020 MSPE Evaluative Rubric - Draft

32. MSPE Review • Last weekof September • Class rankings and graphs will not be finalized until Sept 27th • MSPEs will be available for review the week of Sept 17th-24th • Be prepared to review and turn around within 24 hrs if possible • Final MSPE and notes from MSPE meeting will be shared with your advisor

33. MSPE Appeal Process • Students may submit a written appeal of their evaluative level to the Associate Dean of Student Affairs. • Required to provide evidence based on the rubric. • The Associate Dean will make a determination regarding the appeal. • If an agreement is not reached, students may then submit a final appeal to the Senior Associate Dean for Academic Affairs.

34. ERAS • ERAS 2020 Opens in June • ERAS ‘tokens’ have been issued by Brandi Applicants • Complete application • Input CV info • Upload personal statement/photo • Select programs • Assign supporting documents (LoRs, USMLE, Personal Statement) • Transmit application to programs Student Affairs (Dean's Workstation) • Upload ordered UNR transcripts • Upload MSPE • Track status • We can only see your application is you give us permission

35. ERAS & NRMP Fees

36. ERAS – Avoid These Frequent Mistakes • Submit your application by Sept 15th • Make sure you order your UNR Med transcript • Confirm that you have individually assigned your USMLE transcripts to each program • Remember to send links to your letter writers and follow-up with them to make sure they can write your letter in time • If you change your email address, remember to check your med.unr.edu one too! • Explain any potential red flags in your application – we can help you!

37. Personal Statement • Tells people WHO you are and why your specialty choice is right for you. • Don’t use your personal statement from admissions to medical school. Priorities in a personal statement: • Commitment to specialty • Pathway to specialty, try to focus on medical school experiences • Confirming experiences for specialty decision • Brief information about you - this is a match for student and programs • What will you contribute to the program? • Have several people read it

38. Drafting your CV What to Include (In this order): • Contact Information • Education • Honors and Awards • Work Experience (Clinical & Teaching Experience) • Volunteer Experience (Extracurricular Activities, Service & Leadership) • Research • Presentations & Publications • Professional Memberships • Language Skills, Hobbies & Interests https://med.unr.edu/student-affairs/career-development/curriculum-vitae

39. Letters of Recommendation • All LoRs uploaded through ERAS LoRP • Choose your letter writers well, make sure they commit to writing a strong letter • Meet with them; give them all your information (CV, Statement) • Use the ERAS generated LoR Request and Waiver • Waive your right to see the letter! • Consider backup letter writers Deadlines Oct. 1 is the priority deadline for LORs

40. Resources • Careers in Medicine -Residency and Fellowship Program Search • Careers in Medicine – Residency Preference Exercise • Charting Outcomes of the Match (NRMP) • ERAS tutorials (AAMC) • Specialty-specific data (Internal Medicine, Surgery, etc.)

41. Questions???