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What Do Medical Schools Value in Selecting Students
Gabriel Garcia, MD Associate Professor of Medicine Associate Dean for Medical School Admissions Stanford University School of Medicine
APPLICANTS TO MEDICAL SCHOOL - AMCAS 60% 50% 40% 30% 20% 10% 0% 93 94 95 96 97 98 99 2000 2001 2002 TOTAL APPLICANTS 50000 45000 40000 35000 30000 25000 20000 15000 10000 5000 0
Likelihood of a College Degree by age 24 in 1999 80 70 60 Percent 50 40 30 20 10 0 1 2 Socioeconomic status .
Health care system manpower concerns . Societal Expectations 3.Designing an Admissions Process 1. Mission of the Medical School 2.
Impact the curriculum to maximize the chances that a student will participate in activities that are important to the school. 2. Assign a higher value to graduates that engage in activities consistent with the mission. Drive the admissions process to choose applicants that will be expected to embrace the values of the school.Medical Schools Mission 1. . 3.
inland and rural populations.Mission Statements “To educate future physicians and foster their capacity to make discoveries and lead innovation in the science and practice of medicine. with emphasis on the needs of the underserved.” “To prepare medical graduates for distinguished medical careers in service to the people of California.” “To further the healing and teaching ministry of Jesus Christ "to make man whole…” .
honest.Desirable Traits of Physicians • Consider the care of their patients their first priority – Ethical. dedicated • Make good decisions for their patients – Smart and knowledgeable – Willing to learn and change their practice with newly acquired knowledge – Develop better ways of treating patients • Relate well to their patients – Communicate well and understand the cultural context in which care is given .
Examines and values all the skills and attitudes of an excellent physician in the applicant.Elements of a Good Admissions Process 1. Ranks the applicants according to how they will benefit from and contribute to your school. 3. . Evaluates the fit of the applicant with the mission of the school. 2.
Steps in the Admissions Process Review of Application – AMCAS application – Supplemental application • Essays • Mission targeted questions • Letters of Reference – Individuals – Premedical Advisory Committee Interview Executive Committee decision .
• Is a labor-intensive process if performed correctly. • The purpose of file review is to identify students who would be good candidates for admission. . • The number of volunteers is usually inadequate to perform this function in a timely manner.Review of Application • Is performed by volunteers (a faculty member or a student) or admissions office staff members.
legacy • Evidence of originality and creativity – Academic and non-academic accomplishments • Community service.Review of Application • Research and scholarly activities – Independence of thought. productivity • Leadership – Role model. business or other activities • Educational context – Interpret the applicant’s record with regard to the “distance traveled” . arts. clinical work. sports.
What do medical schools value? • Service (in the broadest sense of this word) – To underserved communities • Scholarly endeavors • Clinical experiences The mission of the school will determine which of these areas would be of most interest to the committee on admissions. .
Develop a track record reflecting a desire to impact the health care of all our communities • Public service • Cultural activities • Educational endeavors • Scholarly pursuits .How Do You Demonstrate Your Passion for Medicine? 1.
Be a creative and imaginative leader and role model “You must be the change you wish to see in the world.” Mohandas K. .How Do You Demonstrate Your Passion for Medicine? 2. Gandhi.
. Develop the skills and attitudes of terrific doctors – your own medical toolbox.How Do You Demonstrate Your Passion for Medicine? 3.
Barometer for Participation in Any Extracurricular Activity Showing up Showing up for a long time Leadership Advocacy Innovation Legacy .
How much is enough? An Example Showing up varsity sports Showing up for a long time for 3 years team captain mentored youth designed her racing wheelchair Leadership Advocacy Innovation Legacy developed a system for others to design their own .
Educational Context “Distance Traveled” Interpret the scholastic record taking into account • Parental income. education and occupation • Pre-college education • Hours per week of work while attending college for financial support • Cultural barriers • Geographic location where applicant was raised • Prior experiences with any type of prejudice • Impact of stereotype threat • Special family circumstances .
what are the discrepancies? • Do you think the letters of support represent the candidate fairly? • Does the candidate have a interest in the world outside of school and in the welfare of others? • Does the candidate have any significant knowledge of your program and how it would benefit her in pursuit of her stated goals? .Interview • Does your interaction with the candidate conform to the expectations you derived from reading the application? If not.
Interview • Are there specific concerns that the candidate may have about your school? • Does the candidate have a reasonable understanding of the positive and negative aspects of a career in medicine? • Do you detect any characteristics that cause you to question candidate’s suitability for a career in medicine or the ability to think logically and critically? • Have you explored answers to questions raised by file reviewers? .
Will accepting this candidate be in keeping with the mission of your school? .Committee Decision 1. How will this candidate contribute to and benefit from your school? 2.
Advisors • Make sure the letters of evaluation and support address the skill set. • Complete the supplemental applications knowing the unique mission of each school. . character traits and attitudes that make the applicant particularly suited for a career in medicine.Practical Points Applicants • Ensure that your track record as stated in the application is a fair and honest reflection of who you are. • Explain any unique or challenging factors in detail.
Why Stanford? .
Arts and Humanities. and Public Service) and Traveling Scholars Program •Top-notch Basic Science and Clinical Faculty in Both the Medical Center and the Rest of the University Are Committed to You.Distinct Core Values at Stanford GOAL = Encourage Scholarly Activity •Flexible Curriculum = OPPORTUNITIES •Medical Scholars Program (Basic and Clinical Research. .
Autumn Year 1 FOUNDATIONS OF MEDICINE I • Cells to Tissues • Molecular Foundations of Medicine • Genetics • Development & Disease Mechanisms Winter FOUNDATIONS OF MEDICINE II • The Nervous System • Immunology • Gross Anatomy of Head & Neck • Introduction to Organ Systems Spring HUMAN HEALTH & DISEASE I • Cardiovascular • Pulmonary Gross Anatomy PRACTICE OF MEDICINE I PRACTICE OF MEDICINE II SCHOLARLY CONCENTRATIONS PRACTICE OF MEDICINE III Year 2 HUMAN HEALTH & DISEASE II • Renal/Genitourinary • Gastrointestinal/Liver • Endocrine/Reproductive PRACTICE OF MEDICINE IV HUMAN HEALTH & DISEASE III • Brain and Behavior • Hematology • Multi-Organ System PRACTICE OF MEDICINE V SCHOLARLY CONCENTRATIONS April PRACTICE OF MEDICINE VI TRANSITION TO CLINICAL CLERKSHIPS May • Study for USMLE • Begin clinical clerkships • 1-month intensive preparation for clerkships Year 3. 4.  CLINICAL CLERKSHIPS 8 Weeks Internal Medicine Pediatrics Surgery 6 Weeks Obstetrics & Gynecology 4 Weeks Selectives Electives Family Medicine Ambulatory Practice (8 weeks) Psychiatry Subinternship Neurology Critical Care APPLIED BIOMEDICAL SCIENCES SCHOLARLY CONCENTRATIONS Block 1 FOUNDATIONS OF MEDICINE Block 2 HUMAN HEALTH & DISEASE Block 3 PRACTICE OF MEDICINE Block 4 CLINICAL CLERKSHIPS Block 5 APPLIED BIOMEDICAL SCIENCES .
Distinct Core Values at Stanford GOAL = Non-competitive Environment that Promotes Both Individual and Collaborative Achievement •No Grades •No Ranking of Students •No AOA or Awards Until Graduation = Value Teamwork! .
000 at private schools –$63. Our maximum grant for our neediest students pays 83% of tuition.Distinct Core Values at Stanford GOAL = No penalty for staying longer to continue to explore your education.000 at public schools –$124.000 at Stanford! . •Nominal tuition (fees only) after 13 quarters of attendance •Generous financial aid. •Mean debt for 2002 graduates: –$91.
DEBT AT GRADUATION OF INDEBTED GRADUATES 120000 100000 DOLLARS 80000 60000 National Stanford 40000 20000 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 YEAR .
stanford.edu/osa/ Call us – 650 723-6861 E mail us .med.stanford.Questions? Go to our web site http://www.edu .admissions@med.
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