This action might not be possible to undo. Are you sure you want to continue?
How to Choose and Apply for a Residency Program
Chariny Herring, DO February 21, 2011
When to make the big decision……
Unraveling the Mysteries of the Residency Application Process
Allopathic vs. Osteopathic
• Allopathic spots are more plentiful, but can be more competitive. Check the % of osteopaths at allopathic residency programs • States with both DO/MD schools have more “mixed” residencies • If going allopathic, check for osteopathic compatibility
o What are the internship requirements to meet AOA guidelines? o Not meeting AOA requirements means you won’t be able to sit for osteopathic specialty boards and you will get no CME credit for taking allopathic boards o http://www.aacom.org/InfoFor/students/careeradvice/Pages /default.aspx
2.ACGME vs OGME Boards: Step 1. 3 • 1) Both? • 2) OGME usually sufficient unless applying for a highly competitive allopathic residency .
Narrowing the List of Options Don’t waste time or money!!! Self check for competitiveness .
Class rank . Step 2 CS pass 7. Step 1 board scores 3. Number of honors in clerkships 5. Grades in required clerkships 2. Step 2 board score 6.Selection Criteria for Residency: Results of a National Program Director’s Survey (1207 Program directors from 20 specialties responded) 1. Grades in senior electives in specialty 4.
Thomas and Jones AAMC 2008 http://www. Membership in Alpha Omega Alpha 9. Medical school academic awards 11.8.org/members/gsa/sessionnine621jones. Grades in pre-clinical courses 13. Published medical school research 14.pdf . Medical school reputation Selection Criteria for Residency: continued 10.aamc. Research experience while in medical school Green. Grades in other senior electives 12.
Pre-Interview 1) Find a program where you can learn “happily” 2) You are interviewing the residency program (not the other way around at this point) 3) Talk to residents directly ( and not just the “pre-selected” residents) 4) Check off list/take inventory of how each program measures up to YOUR criteria before you even consider applying .
Elective time/flexibility .Pre-Interview List • 1. # of Residents in the program/unfilled slots/drop out rate • 3. Hospital/Clinic financial information/ budget cuts or closings • 7. Accreditation data/ranking – Probation? ACGME for MD or OGME for DO • 2. # of affiliated hospitals • 5. Compliance with “TOAD” regulations • 4. Sites for rotating internship • 6.
%FMG . SUPERVISION!!!! • 9.Pre-Interview • 8. Forecast of upcoming changes • 10. Available associated fellowships/ % of residents going into fellowships • 11. Resident Satisfaction • 14. Resident support/”well being” resources • 13. Specialty Board Support and Prep and Pass Rates • 12.
Support staff and facilities (including UTD technological abilities) . Call frequency • 20. Resident representation at the faculty level/Elected “chief” • 16. Pt load per resident • 19.Pre-Interview • 15. Teaching commitment/availability of the faculty/Quality of conferences • 17. Availability of the Program Director • 18.
pager. educational leave • 24. Salary • 22. Benefits: Insurance (health & malpractice). vacation. food. Moonlighting Opportunities • 23. Program strengths and weaknesses . What is the official process for filing a complaint or affecting change? • 25.Pre-Interview • 21.
Introduction to Residency Application Process .
Specific Application: Standard APP is via ERAS for both MD and DO Specific will be generated by the individual residency program • Typos/grammar • Professional picture: Can use the one from school or email one to Angela Bacon Has to be in an electronic format .Application • Standard Application vs.
Photographs Do I need a new photograph? .
Photographs First Year .
Photographs Before After .
Application • Letters of Reference: – – – – 1 from department chair 3 from chosen specialty docs Do not send letters from academic professors. Stewart if special circumstances June is the deadline Will be given the chance to review it Uploaded to ERAS in October – – – .2. Bacon. • MSPE/Medical School Performance Eval: – – – – (formerly know as the Dean’s Letter) Eval of yrs 1. relatives. or ministers Can waive or retain rights to see letters/all letters reviewed and screened and uploaded by A. friends.3 Quotes from site evaluations Class Rank In April. you will get and email with instructions on what you need to do/Can meet with Dr.
not well-organized. His history taking was too succinct. Hard to assess knowledge as his responses seem below the 3rd year. did not show interest. Would be better If he shows more initiative and interest in learning about surgical patient. He appears to be okay regarding clinical judgment. Overall he is an average to slightly below average student. He was punctual. Professional attitudes and behavior are considered average. Apathetic. He needs improvement in knowledge. Good attitude and tried hard but has many deficiencies. He was reliable and typically competent. Fund of knowledge is considered below average. communication skills.MSPE Excerpt: Histories and physicals are considered average. Clinical judgment is considered average. His case presentations were a little too concise. presentation.” Bad Letter . Case presentations are considered below average. Faculty comments include: “Adequate performance. Personal interactions and communication skills are considered below average. His histories and physicals are typically complete and accurate.
and patients. As such her academic performance is not reflective of her clinical abilities. Her added maturity has served her well in developing the skills necessary to become a physician. Applicant A entered medical school with a background in research and the pharmaceutical industry. She was a model of professionalism. I believe that Applicant A is dedicated to a career in surgery. This program is an intensive eight week experience in the fundamentals of surgical science designed specifically for students who will be competing for surgical residencies. I sincerely recommend her to you for consideration. As a senior. and will work diligently toward this goal.Personal Reference Letter Dear Program Director: It is my pleasure to provide this letter of recommendation for Applicant A. She functioned as an acting intern in the surgical ICU and consistently provided compassionate and thorough patient care. Her patient presentations were well-organized and concise. faculty. she successfully completed the departmental honors program in surgery. Associate Professor of Surgery Chief. General Surgery Associate Program Director Good Letter . Please feel free to contact me should you need further information. Her attention to detail and concern for her patients’ well being is notable. She is a true team player who is well liked by peers. She is currently a senior medical student at the University of ____________ and is expected to receive her DO degree in June 2005. I worked with Applicant A while she was serving as an acting intern in my surgical service.
General Surgery Residency Good Letter . hardworking. conscience and dependable. He was always well read regarding the patients who were under his care. He is personable. He is a solid candidate in all frontiers. both hospital personnel and patients with the utmost respect. He treated all individuals. During his rotation I found him to be an outstanding student. Associate Professor of Surgery Director.Personal Reference Letter Dear Program Director: I have known Applicant C since his fourth year rotation on my General Surgery Service. It is without hesitation that I highly recommend Applicant C for a position in your residence program. intelligent. His work was always top notch because of his rapport with the patients and his meticulous and thorough examinations and notes. Applicant C’s previous experience in the _________ University Student Senate has prepared him with maturity and a solid foundation of teamwork.
In summary. he is passionate about medicine. While on the service he followed several patients and participated adequately. Associate Professor of Family Practice Average Letter . He has had some unique experiences and his family is proud of his accomplishments. I have had time to discuss his plans and he is committed to a career in family practice. I would categorize him as a good student and given the right environment he will really shine. As you can see from his personal statement.Personal Reference Letter Dear Program Director: I have been asked to write a letter in support for Applicant B. I met Applicant B this year when he rotated on our family practice service as a subintern. Applicant B is a kind and caring student. I recommend Applicant B for your training program.
High School (school name. yr of grad. College.Application • Curriculum Vitae /CV – Name – Contact Info – Education: Medical. GPA and rank) – Honors/Awards . Graduate.
children) – References – CV workshop given in May by A. Bacon .Application • CV: – Publications/research – Employment/Military – Organizations/Clubs – Hobbies/Interests/Languages – Personal data (marital status.
Personal Statement • 1 page or less • Provides a window into your personality • Can also be used to rule out people who are not well spoken or have no tact • Balance between bragging and humility – Talk about accomplishments and abilities – Reference inspiration by a mentor – Personal story that led you to a career in medicine – Discuss future plans (keep in mind program type to which you are applying) .
How to for the Red Flags in Resident Applications .
Less than three letters of reference. • Concerning comments: “Given the right environment. • Chairman’s letter states you should call for additional information. Letters from physicians in other specialties. Very short reference letter – no real content. “I am delighted to provide a reference” .RED FLAGS Reference Letters • • • • No letter from the Chairman or PD. especially from the chairman. this student will do well” “I have been asked to write this letter of reference” vs.
.RED FLAGS Dean’s Letter • • • • No explanation of gaps in medical school. Failed Board Exams Last paragraph for final Dean’s recommendation is vague or weak or doesn’t match other recommendations/comments. Failed clerkship’s or lots of B’s and C’s.
RED FLAGS CV • Large list of volunteer activities. • Multiple research projects and no publications. • A parent calls regarding their child’s application. of which all or most are self serving. . • Disconnect between board scores and clerkship grades. • Consistent spelling errors in the application.
• If the applicant had a leave of absence from medical school and does not address it in any way. • The word “I” is used on almost every line.RED FLAGS Personal Statement • “Strange” personal statement. • Typos .
stamped postcard which they can return upon receipt of your materials • Create a master list with deadlines. etc • Collect data on the program and place it in the folder • Review the folder prior to each interview . interview date.Preparing for the Interviews • Create a folder for each program for which you have applied • Photocopy EVERYTHING you send out! • Send each program a self addressed.
pic. cv.Use the Application Data tracking Service (ADTS) within the ERAS program to confirm which programs have received your documents Program Name Tulane Deadline to Submit App Jan 1 Items Sent App. pic. letters: 1/3. ps Date Sent Nov 23 Postcard Received Pending Interview Date pending Harvard Dec 1 Oct 1 Nov 20 Jan 15 . letters: 2/4. cv. ps App.
avoid rigidity! . teaching. What will you do if you do not match at our facility? Don’t want to give up easily.Preparing for the Interviews • Set up a mock interview • Prepare to answer the following questions: 1. Where do you see yourself in 5-10 yrs? Rural vs urban. but be prepared with a back up plan 2. private practice. interest in subspecialization. research. large vs small.
board pass rates. research projects you have heard about. resident satisfaction. Why did you apply to our program? Show that you have done your research: give examples of what has impressed you about the program such as program reputation.Preparing for the Interviews 3. . etc. faculty members.
give specific examples of strengths. or pessimism. Important strengths are: empathy. do not brag.Preparing for the Interviews 4. Avoid extremes. humility. try to keep it positive. devotion. What are your strengths and weaknesses? Interviewer is looking for tact. confidence. consistency. optimism. being a team player Pick an “acceptable” flaw: “I am intense at times or I tend to strive for perfection” .
a mentor.What do you do with your free time? . be enthusiastic! 6. Why did you choose this specialty? A rotation experience. What is the most interesting/outstanding/significant thing you have done? 6. a special skill.Preparing for the Interviews 5.
state them concisely and then move on without belaboring the point. Did you have any problems in one or more areas? Discuss short comings honestly. If extenuating circumstances exist. May try to offset academic problem with better performance in other areas such as patient care. End on an “up” note. . Discuss a memorable patient. 9.Preparing for the Interviews 8.
Preparing for the Interviews 10. What do you think about the future of medicine? – Good time to discuss altruistic motives – Journal citations 12.Describe an instance in which you had to work with someone who was considered difficult. 11. How do you perform under pressure? – Give a specific example .
Discuss your research. 14. . 15. Where else are you applying? – Ok to list places and mention their strengths briefly. Have you ever been terminated from a position? – They are looking for the why and how you reacted.Preparing for the Interviews 13.
Preparing for the Interviews Inappropriate Questions: – What is your sexual orientation? – Are you going to select this program if we rank you high? – Are you physically healthy? – Do you have any psychiatric problems? – Any plans for marriage/pregnancy? Best answer: “ May I know why you ask that?” .
Preparing for the Interviews • Read a current book (can be thin. but meaningful) ie: “Who Moved my Cheese?” Spencer Johnson • Go to the medical library and scan the last few mos of articles from the specialty journal or email the professional organization and ask for the top 5 areas of attn/interest in that subject in the last 6 mos • Don’t forget to be courteous to support staff • Beta Blockers • Prep 2 -3 questions for the interviewer: – What are the strengths and weaknesses of your program – Are you aware of any upcoming major changes to the program? .
pens. small mirror. cash/change. phone (set to silent). ID. deodorant. use conservative accessories and make-up. band aids . clean nails. list of questions. small water bottle. comfortable yet formal outfit. polish shoes.Preparing for the Interviews • Buy one nice. disposable dental care. Newer shoes (not blister new!). Kleenex. extra copies of resume and app materials. any necessary personal items (female items or rx meds). prn meds such as Tylenol. breath mints. trimmed facial hair • Choose a brief case or executive bag • Survivor Kit: program folder. Tums. snack. notepad.
tour • Can include a picture as a reminder . visit.Interview Follow-Ups • Send a thank you note • Try to include something personal or memorable about the interview.
MS angela.bacon@okstate.Career Advisor • Angela Bacon. transcript • Review your permanent record • Stay in touch with CA to discuss: – choices of programs – info on previous student’s experiences – activities/suggestions to strengthen application – number of applications/interviews – interview etiquette – ranking strategies .edu • Provide CA with CV. personal statement.
Peterkin.Credits: Staying Human During Residency. MD . Victor. 4th Ed – Allan D. MD The Residency Handbook – Lyle D.
This action might not be possible to undo. Are you sure you want to continue?
We've moved you to where you read on your other device.
Get the full title to continue listening from where you left off, or restart the preview.