… what I wished I had known! Fourth Year of Medical School



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… what I wished I had known!


Your focus right now …

  • Working hard to finish your 3rd year!!

  • Be thinking about LOR’s !!

  • Step 2 CK and CS

  • Fourth Year Electives



Disclaimer

  • All Info is to the BEST of our knowledge

  • However:

    • Always Double Check Information
    • Double Check Deadline Dates
    • This is a guide and not an exhaustive list


Working Hard

  • If you have slacked- shame on you… step it up!!

    • You will be asking for LOR’s soon and NEED great letters
    • Your evaluation comments are listed on your MSPE!


STEP II  CK and CS

  • CK

    • Same registration process as step I (www.ecfmg.org)
    • Board review classes- Kaplan Intense Prep, USMLE World question bank, Kaplan Q-bank…
    • Scheduling exam… if you did poor on Step 1 take CK early so a great score will increase # of interviews.
    • You will have get school certification w/ orange card (like Step 1)
  • CS

    • Register and Schedule NOW- Dates are filling!!!
    • Try to take before interview season begins (Oct.)
    • MUST be reported to ECFMG/NRMP before final rank list submission- February!!


Now that boards are out of the way …

  • Get organized and know your dates! …

  • Time to start the residency process…

  • WHERE TO START???



Your CV

  • Get this done now!

    • Use the format in the “green book” (next slide)
  • Submit with all LOR requests!

  • Keep a copy on file with GME.

  • Don’t forget to send it to Steve Orkin for your MSPE!



Name Address Phone Email address

  • Personal:

  • Birth Date:

  • Birth Place:

  • Education:

  • Dates… Medical School name

  • location of med school

  • Cumulative GPA:

  • MD Degree expected May 2007

  • Dates… Undergrad name(or graduate school if attended)- same format as med school with NO GPA!

  • Dates… Highschool name and location

  • Certifications:

  • Date USMLE I: passed

  • Date USMLE II CK: to be taken

  • Date USMLE II CS: to be taken

  • Date any other certification you have

  • Honors and Awards:

  • Date list

  • Extracurricular Activities:

  • Date List name; position held if any

  • Research Experience:

  • Date Position, Name of institution

  • Title of Article/ abstract

  • Work Experience:

  • Date Position held, name of company

  • Outside Interest:

  • List hobbies…



Letters of Recommendation

  • Start asking SOON (the earlier the better)

  • Most programs require 3 LOR’s.

    • Try to obtain at least 4-5!
  • Chairman Letters- IM, Peds, Surgery, OB/GYN…

    • Not sure if you need a chairman letter- get one anyway!
  • DO NOT WAIT UNTIL THE LAST MINUTE !!

  • Consider opening a Fed-Ex account

    • Able to track LOR’s and ERAS must sign for document


Letters of Recommendation

  • What you want to give to your attending:

    • Place in a file folder the following
      • Personal Cover letter
      • CV
      • Personal Statement if completed- if not- state in your cover letter that it is not finalized.
      • ERAS Cover letter- instructions for letter writer
      • 3 Addressed and Stamped envelopes
        • ECMFG-ERAS Documents
        • SGU: Attn. Steve Orkin
        • GME office at your hospital (Nancy)


Personal Cover letter example

  • Date

  • From: Your Name

  • To: Dr. XYZ

  • Subject: LOR

  • Dear Dr. XYZ,

  • Thank you so much for agreeing to write a strong letter of recommendation on my behalf for the Match Process. Having finished my third year core clinical clerkships at *your hosp*, I found my *specialty* medicine experience extremely satisfying and have decided that *specialty* is a good career fit for me. Therefore, I am excited at the prospect of pursuing a *specialty* residency position for 2006.

  • To assist you in writing a personal letter on my behalf, I have enclosed my curriculum vitae and personal statement. Also, you will find instructions on the ERAS coversheet as to their format.

  • Thank you again for taking the time out of your busy schedule to write a recommendation letter. Upon completion of your letter, please enclose one copy of your letter and the ERAS cover sheet in the Fed-Ex envelope addressed to ECFMG-ERAS Documents, send a copy to *your hosp.* Graduate Medical Education office and mail one copy of your letter in the addressed SGUSOM envelope.

  • If there is any other information you might require to help you in this process, please don’t hesitate to contact me at your earliest convenience.

  • Sincerely,

  • Your Name

  • MS IV SGUSOM

  • Your Email Address



ERAS Request for LOR Cover Sheet



Letters of Recommendation

  • Follow up with Attendings

    • They are very busy.. Thus get info to them early!
    • Don’t be annoying!
  • PLEASE write thank you notes !

  • Once you match  let your respective Attendings know where and thank them again!



Your MSPE !!!

  • Make sure your file is complete at SGU

    • All evaluations must be in- comments listed on MSPE
    • You will receive info from Steve Orkin around May/June
    • Submit to Steve Orkin:
      • MSPE information form
      • CV
      • Personal statement (can be in draft stage)
      • ALL letters of rec.
  • DEADLINE FOR SUBMISSION OF ABOVE IS AUGUST 1st!! DO NOT BE LATE!!!

    • If you miss this deadline- your MSPE WILL go out LATE! And that is NOT GOOD!!!


Your MSPE …

  • REQUEST A COPY TO REVIEW

    • request must be made in writing
    • review for errors … please do this !!!
  • Just remember to have all of this done BEFORE NOVEMBER 1, 2005 !!



MSPE and Official Transcript

  • These documents will be submitted by SGU

    • Request must be made in writing to SGU-Steve Orkin
    • SEND $5 check sent (to SGU) for the transcript to be released to ECFMG
    • Send request Early: August 1st!!!
      • MSPE not sent by SGU until Nov. 1st.


Personal Statement

  • Ironically, the hardest part of the application!

  • Edit, Review, Edit, Review!!

  • If not sure of specialty, may need multiple personal statements.

  • Have many, many people review it  nonmedical opinions are GREAT

  • This is the only “personalized” part of your application so really try to make it personal



ERAS … yes it’s finally time !

  • ERAS  Electronic Residency Application Service

  • www.aamc.org/eras will become your best friend!

  • First- Request Token through ECFMG

    • June/July 2007- www.ecfmg.org request token through Oasis link- you will need your USMLE/ECFMG ID number
    • Cost $75
    • Token will be emailed to you prior to the July 1st opening of ERAS


What you need to know about ERAS

  • Token to register will be emailed to you

    • You will NOT have an AAMC ID # so leave this field blank when you register
  • Once registration is complete, you will receive your AAMC ID#

  • Brand this # into your brain!

  • ECFMG acts as our Dean’s Office!!

  • ERAS opens on July 1, 2006! This is the date you can register and begin your application!



ERAS Application

  • A long process… complete in segments

    • Proof read multiple time
    • Have someone else look for errors
  • You may NOT change anything on the application after you certify your common application form (CAF)

    • You can change your Personal Statement and LOR’s


Documents to be sent to ERAS Can be sent after July 1, 2007!

  • To be sent by YOU

    • Wallet size CURRENT photo
    • Letters of recommendation
  • To be sent by SGU

    • MSPE
    • Official Transcript
    • Documents take a few days to be scanned into your file


ERAS Document Submission Form



Researching Programs

  • Please research ALL programs you are applying to!

  • Tools to use 

    • FREIDA online (link from ERAS homepage)
    • www.scutwork.com
    • www.medfools.com
    • www.residentcafe.com
  • Do NOT hesitate to contact programs  request info

  • Different deadlines, different requirements, etc.



How many programs to apply to?? Average number of applications per US Applicant by specialty in 2003 (info from ERAS/AAMC)

  • Anesthesiology 20

  • Dermatology 41

  • Emergency Med 25

  • Family Practice 12

  • IM-Peds 13

  • Internal Med 15

  • OB/GYN 22

  • Ortho. Surgery 42

  • Pathology 14



Number of programs to apply to

  • The previous slide is based off US Students!!!

    • Thus you should expect to apply to more as a FMG
  • A number of factors play into the number you should apply to

    • Location, couples matching, USMLE scores/ grades, competitiveness of specialty!


SEPTEMBER 1, 2006

  • FIRST DAY PROGRAMS ACCEPT APPLICATIONS !!

  • Try to submit your application on this day !!



SEPTEMBER 1, 2006

  • Do I have to be ready to apply by this date?

    • # of interviews
    • Deadlines to apply
  • Most programs will not view applications until 5-7 days after September 1 but it varies.

  • Your best bet … PLEASE DON’T WAIT!



Residency Interviews

  • Be smart about scheduling interviews

    • Cost
    • Time of year
    • JET LAG !!
    • Absence schedule of particular hospital- TBHC allows 3 days off per 4 week rotation.
  • Interview Season- Oct through Feb.

    • Most November through end of January
    • No interviews btwn Xmas and New Years


Residency Interviews

  • Preparing for interview

    • Be Prepared! Read up on program
      • Freida website; program website
      • SGU Alumni
  • Read over your CAF- you WILL be asked questions from your application/PS

  • Interview Questions- think about typical questions asked



Interview Questions

  • Why are you applying to this program?

  • Why did you go to St. George’s?

  • What will you bring to our program- strengths and weaknesses?

  • Tell us something that is not listed in your application.

  • Talk about your path toward this specialty

  • Tell us about an interesting case you have seen.

  • Talk about your clinical experience at SGU- in Grenada and Vinny’s

  • How do you learn best/ what is your learning style.. What is your education philosophy?

  • What are you looking for in a residency program?

  • Your biggest challenge in Medical school

  • Group interview- what separates you from the others in this group?

  • How do you plan to pass … board exam?

  • Expect to be asked about your Personal Statement and Common Application Form- do not list anything you are not comfortable discussing!



Residency Interviews

  • Traveling

    • CARRY ON!! You do not want to be stuck without your interview suit!
    • Try to make it to the resident dinner the night before.
  • Correspondence after interview

    • Send Thank you notes!
    • Consider second look
    • Letters expressing interest to top 3-5 programs send out late Jan to early Feb


Second Looks

  • Not required, but looks VERY good!

    • Go to top 2-3 programs if time allows.
  • Try to meet with program director briefly

  • Try to complete second looks by end of January to beginning of February!

    • Programs submit their rank list prior to our submission date
  • Be ready to go on rounds  clean white coat and stethoscope!



NRMP

  • National Residency Matching Program- they conduct the actual match

  • Register by December 1st regardless if doing an early match (SanFranciso Match or AUA)

  • Cost- $100

    • Additional fees if couples matching.


The Rank List

  • Rank list certification deadline …

    • February 21, 2007 (your date will be different)
  • Most programs meet in early February to certify lists!

  • Please try to have your lists certified at least one week before deadline!

  • Remember  no CS means no rank list!



Rank List

  • Rank ONLY those programs you would be happy at!

    • The match is a legal contract and you CAN NOT get out of it once you Match!!!
    • The more you rank, the more chance you have to match
    • When NOT listing a program… would you rather scramble than work at that program??


Other Matches

  • San Francisco Match www.sfmatch.org

    • Programs: Neurosurgery, Ophthalmology, Plastic Surgery
  • Urology www.auanet.org

  • Rank list for these matches are due by early January with match results at the end of January.



MATCH WEEK !!

  • The culmination of medical school and all your hard work

  • Be calm … you have no control over the match!



Match Week!

  • Monday

    • Noon- email sent stating Match vs. Unmatched
  • Tuesday

    • Scramble begins -have everything ready
  • Wednesday

    • Scramble continues
  • Thursday

    • If you matched on Monday
      • Noon- find out where you matched!!!!


But …

  • Be prepared to scramble !

    • Find an attending to act as your Dean/Mentor
  • Have all your documents in case!

    • CAF, USMLE scores, Photo, PS, Dean’s Letter and Transcript (sgu will send them to you in Feb), LOR’s (GME file)
  • You will need a team!

  • You will need all phones, faxes, etc. available!

    • GME Office at TBHC
    • Programs now using ERAS to scramble- no longer need to fax applications


Scramble Resources

  • www.electronicresidency.com

  • www.imgresidency.com



Other Resources …

  • SGU Website- Office of Career Guidance site, clinical news site, Angel.

  • Iserson's Getting into a Residency: A Guide for Medical Students, Sixth Edition

  • First Aid for the Match

  • OTHER STUDENTS/RESIDENTS!



Relax, you are an M.D. now!

  • Hope this helped!!

  • Questions/comments …let us know!

  • Contact info:

  • Neelay Gandhi - GreatSoul7@aol.com



Good Luck … we know you will do well !!!



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