1 / 46

Office of Student Affairs

Residency Workshop Summer 2013 July 12 & August 2 Bondurant Hall G100 Dr. Georgette Dent Dr. Robert Gwyther. Office of Student Affairs. The goal is a successful match How do we get there?. 1) Choose your specialty Do electives/ selectives Meet with College Advisor

gasha
Download Presentation

Office of Student Affairs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Residency Workshop Summer 2013July 12 &August 2Bondurant Hall G100Dr. Georgette DentDr. Robert Gwyther Office of Student Affairs

  2. The goal is a successful matchHow do we get there? 1) Choose your specialty • Do electives/ selectives • Meet with College Advisor • Careers in Medicine website 2) Prepare application • Meet with Ashley Olsson for MSPE • Meet with Career goal advisor(s)/College advisors • Sign up for ERAS (and/or CAS) • Fill out & submit application (Big 3) • Solicit LORs • Write personal statement • Decide on program list 3) Wait for interviews to roll in! 4) Register for NRMP (and SF, Military, or AUA) & submit ROL

  3. Choosing a specialty: When to decide? • Take electives/selectives in July, August & September to help with specialty choice • Ideally, need to decide on specialty and apply by September 15th • May decide as late as October 1st (Dean’s Letter release date) • Can apply in more than one specialty if truly can’t decide • July grade will be last grade on Transcript

  4. Selection Criteria for Residency: Results of a National Program Directors Survey Green, Marianne MD; Jones, Paul MD; Thomas, John X. Jr PhDAcademic Medicine: March 2009 - Volume 84 - Issue 3 - pp 362-367 (Link at end of presentation)

  5. 40,335 Applicants 29,171 Residency Positions 17,487 US Allopathic seniors Almost 400 more US senior students chose primary care (5.5% increase) Approximately 1,000 unfilled positions and approximately 1,000 unmatched students Number of US seniors unmatched after Match and SOAP doubled 2013 NRMP Data AMA Website

  6. Highly Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students Ratio Step 1 • Orthopedic Surgery 0.8 240 • Radiation Oncology 0.8 240 • Plastic Surgery0.9 249 • Otolaryngology 0.9 243 • Dermatology 1.0 244 • Radiology 1.3 240 Match Outcomes Data, August 2011

  7. Moderately Competitive Specialties: Ratio of Positions to US SeniorsMedian Step 1 Scores for Matched Students Ratio Step 1 • Emergency Medicine 1.0 223 • General Surgery 1.1 227 • Obstetrics/Gynecology 1.3 220 • Anesthesiology 1.3 226 • Med/Peds 1.3 230 • Pediatrics 1.4 221 Match Outcomes Data, August 2011

  8. Less Competitive Specialties: Ratio of Positions to US SeniorsMedian Step 1 Scores for Matched Students Ratio Step 1 • PM & R 1.7 214 • Psychiatry 1.8 214 • Neurology 1.8 225 • Internal Medicine 1.8 226 • Pathology 1.9 226 • Family Medicine 2.1 213 Match Outcomes Data, August 2011

  9. Percent US Seniors In Honor Society (AOA) who Matched in 2011 Source: NRMP Charting Outcomes in the Match – Characteristics of Applicants Who Matched to their Preferred Specialty in the 2011 NRMP Main Residency Match

  10. Can your credentials be enhanced? • Step 2 • Research • Audition electives • Joint degree • Spanish If your credentials cannot be enhanced, then you may need a back up or parallel plan if you are applying to a competitive specialty.

  11. Graduation requirements: USMLE Step 2 CK • Take Step 2 Clinical Knowledge by November 15, 2013 • Show passing score of Step 2 CK by December 31, 2013 • Lack of a passing score by December 31 means eligibility for the Match and graduation is in question

  12. Graduation requirements: USMLE Step 2 CS • Show proof of registrationby February to participate in the NRMP • Take Step 2 Clinical Skills by April 25 to graduate in May 2014 • Exam taken after March will not be graded until June/July • Some program directors like to see a passing score to interview or rank students! • Should have gotten financial aid for registration • Can take time off from electives/selectives for exam

  13. Step 2 CS 5 Test centers • Philadelphia • Atlanta • Los Angeles • Chicago • Houston

  14. Choosing a specialty: What if I can’t decide? • Talk to your Advisory College Advisor • Talk to Career Goal Advisors in the specialties you are interested in • Consider matching in a transitional or preliminary year • Apply to more than one specialty • Delay residency • Graduate studies • Research year

  15. How do we get there? 1) Choose your specialty • Do electives/selectives • Meet with College Advisor • Careers in Medicine website 2) Prepare application • Meet with Ashley Olsson for MSPE • Meet with Career goal advisor(s) • Sign up for ERAS (and/or CAS) • Fill out & submit application (Big 3) • Solicit LORs • Write personal statement • Decide on program list 3) Wait for interviews to roll in! 4) Register for NRMP (and SF, Military, or AUA) & submit ROL

  16. Medical Student Performance Evaluation (MSPE) Update • July 26 – last date to meet with staff writer to review draft letter • August 1 – Any CV updates due so that letter can be completed.  Remember to send anything you may have promised to send, especially MPH details. • September – review final letter prior to release.  Wait for notification that your letter is ready.  • October 1 – MSPEs released

  17. College Advisor Meeting • Discuss your career choice • Discuss your ability to match in that specialty • Ways to enhance your application • Discuss personal statement and letters of recommendation

  18. Career Goal Advisor(s) • Discuss with your CGA: • Your reasons for choosing the field • Your realistic ability to match • Ways to strengthen your application • Whether to do away electives • Program choices and priorities • Number of applications and interviews • Ranking strategies • Listing: http://www.med.unc.edu/md/fourthyear/career-goal-advisors

  19. Electronic Residency Application Service (ERAS) • The application for the “regular match” • Important dates: • 07/01/2013 Access to “MyERAs” • 09/15/2013 Submit application/ Transcript released • 10/01/2013 MSPE • 05/31/2014 Application info purged • Check individual program dates • After application is submitted, only Profile section can be changed • https://www.aamc.org/students/medstudents/eras/

  20. How ERAS Works

  21. The MyERAS Program • Enter CV information in MyERAS • After certification, information cannot be changed • except profile (name, email, address, AOA, phone#, ID#, USMLE#) • Enter names of letter of recommendation writers • Select programs • Import personal statement(s) • Assign letters and personal statements for each program • Supply 3x4 color (ERAS) and 2x2 black & white (SOM file) photos to SA

  22. Anesthesiology Dermatology Diagnostic Radiology Emergency Medicine Emergency/Internal Medicine Family Practice Internal Medicine Internal Med/Family Med Internal Med/Pediatrics Internal Med/Preventive med Internal Medicine/PM & R Internal Med/Psychiatry Nuclear Medicine Neurology & Child Neurology Neurodevelopmental Disabilities Neurosurgery https://www.aamc.org/services/eras/ Obstetrics/Gynecology Otolaryngology Orthopedic Surgery Pathology Pediatrics (all tracks) Pediatrics/Emergency Medicine Pediatrics/PM & R Physical Medicine & Rehabilitation (PM & R) Plastic Surgery Preventative Medicine Psychiatry Psychiatry/Family Medicine Radiation Oncology Surgery Transitional Year Urology (AUA match) ARMY & NAVY PGY-1 ERAS Residency Specialties

  23. Surgical Specialty Matches • Ophthalmology • Central Application Service (CAS) & San Francisco (SF) Match • Opens in June • Target dates to submit application: 9/4/13 • SF Match • ROL certification: 1/7/14 • Match results released to schools: 1/14/14 • Unfilled vacancies announced: 1/16/14 • www.sfmatch.org • help@sfmatch.org • Urology • ERAS and AUA Match • Important dates • Registration opens: Summer 2013 • ROL Certification: 1/3/14 • Match Day: 1/22/14 • http://www.auanet.org/education/urology-and-specialty-matches.cfm

  24. Letters of Recommendation • Waive your right to read the letter • Ask faculty if they feel that they know you well enough to write letter • Give writer your CV, personal statement • Give writer ERAS cover sheet • Most programs want 3-4 letters • At least 1-2 from chosen specialty • Letters from graduate work or research mentors make great 4th letters • MSPE is not a LOR

  25. Letters of Recommendation • Deadline for letters is a month earlier than past years • Ideally need letters by September 15 or October 1 at the latest • Faculty have 3 ways to submit letter • Email to Student Affairs at ERAS@med.unc.edu • Mail paper copy to Student Affairs at CB# 9535, 1001 Bondurant Hall • Load letter directly into ERAS

  26. Personal statement • Aim for 600-650 words (one page max) • Questions to consider • Why am I interested in this field? • What do I want in a residency program? • What are my professional goals? • Why should a residency choose me? • What accomplishments should I highlight? • What contributions can I make to the specialty? • What contributions can I make to the residency program? • What outside interests do I have?

  27. Personal statement • Do • Write a statement that someone who knows you well can pick out of a stack • Provide insight into who you are and what you have achieved • Write about something you would like to discuss in an interview • Address a problem in your application if you can put a positive spin on it • Don’t • Restate your CV/application • Be too cute or out there unless you have vetted it with several people • Use the entire statement to address problems in your application—try to keep it positive

  28. How many programs should I apply to? • Applying to programs is not the expensive part of the application—interviewing is. • Err on the side of applying to too many programs and have the good fortune to decline interviews • If you are a less competitive candidate for a specialty, you should apply to more than the average number of programs

  29. Average number of applications and target #programs on ROL for Highly Competitive Specialties • Dermatology 55 09 • Orthopedics 47 12 • Urology 43 10-12 • Radiology 41 13 • Plastic Surgery 29 11 • Radiation Oncology 34 11 Match Outcomes Data, August 2011 Apps ROL

  30. Average number of applications and target # programs on ROL Moderately Competitive Specialties • Emergency Medicine 27 11 • Anesthesiology 25 13 • General Surgery 22 11 • Obstetrics/Gynecology 23 11 • Pediatrics 17 10 Match Outcomes Data, August 2011 Apps ROL

  31. Average number of applications and target # programs on ROL Less Competitive Specialties • Internal Medicine 16 10 • Physical Medicine & Rehabilitation 19 11 • Psychiatry 16 9 • Pathology 16 9 • Family Medicine 12 8 Match Outcomes Data, August 2011 Apps ROL

  32. The goal is a successful matchHow do we get there? 1) Choose your specialty • Do electives/ selectives • Meet with College Advisor • Careers in Medicine website 2) Prepare application • Meet with Ashley Olsson for MSPE • Meet with Career goal advisor(s) • Sign up for ERAS (and/or CAS) • Fill out & submit application (Big 3) • Solicit LORs • Write personal statement • Decide on program list 3) Wait for interviews to roll in! 4) Register for NRMP (and SF, Military, or AUA) & submit ROL

  33. Interviews • The most important component to program directors in selection of residents • How many should you do? • Check “Charting the Outcomes of the match” for specialty specific data • There is a limit to what you can do… • 20 interviews is about max • 25 would be Herculean • 30 would be lethal! • Interview workshop to be held:October 18

  34. National Residency Matching Program (NRMP) • The NRMP provides a uniform date of appointment for residency and fellowship positions • Everyoneneeds to register • Registering with NRMP does not register you with ERAS and vice versa • NRMP is a binding agreement • Web address: http://nrmp.org

  35. NRMP Dates to Remember • 09/15/2013 Registration opens ($60.00) • 11/30/2013 Application deadline • ($50.00 late fee after this date) • 1/15/2014 Rank order listing opens • 2/26/2014 Final rank order certification (Before 9pm EST!) • 3/17/2014 Matched/Unmatched info posted online • 3/18/2014 Re-Match (SOAP) • 3/21/2014 MATCH DAY!

  36. Costs • ERAS Number of applications in same specialty up to 10 $92 11-20 $9 each 21-30 $15 each 31 or more $26 each • NRMP 20 ranks $60* 21 or more $30 each * for couples $75/each for 30 ranks

  37. Costs • SF Match/CAS $100 registration plus: 1-10 apps $60 each 11-20 $10 each 21-30 $15 each 31-40 $20 each > 41 $35 each • AUA Match $75 no limit • NBME $70 unlimited copies

  38. Predictors of Matching • Number of programs ranked!!!!!! • Applying to more programs, means more interviews, means more programs you can rank! • Step 1 • Step 2 • Graduate of top 40 NIH ranked school • AOA (medical honor society) Match Outcomes Data, August 2009

  39. Matching Strategies for Couples • Target large cities • Sign up in NRMP as individual, but indicate matching as a couple • Enter partner’s NRMP code (partner enters your code) • Couple ranks the same number of programs • Computer treats couple as a linked pair only • Can mix types of programs, institutions, specialties, geographic locations in each pair of ranks • Rank acceptable programs

  40. He – Internal Medicine 1.UNC-CH 2.Duke 3. Duke 4. UNC-CH 5. Mass General 6. Brigham & Women’s 7. Boston University 8. No match She – Pediatrics UNC-CH Duke UNC-CH Duke Boston Children's Boston Children's Boston Children's Boston Children’s Matching Strategies for Couples

  41. Review of Residency Application Process Spring– Update CV, schedule appointments Spring/Summer– MSPE (Dean’s Letter) appointments , have photo taken, attend summer ERAS & ranking strategies workshop, take CPX Summer/Fall– Sign up with NRMP, request LORs, write personal statement, research & apply to programs Fall/Winter– Take Step 2 CK and at least register for Step 2 CS, Interview Winter– Submit rank order list

  42. Tips for the successful match:

  43. What puts you at risk for not matching? • Competitiveness issues: academic/professionalism problems (e.g. USMLE, grades, no research) • Apply to more programs • Apply to back up specialty • Well crafted personal statement to provide context to record • Try to enhance credentials (e.g. early Step 2, research year, do well 4th year) • Away electives • Attitudinal/interpersonal issues: poor interviewer; ambivalent about medicine or specialty • Take electives to better define specialty choice • Do practice interviews • Geographical issues: • Apply to more than one specialty • Do elective and/or research in targeted location • Couples need to apply to at least one big cold city

  44. Wisdom • Be honest and forthright about your own profile • Don’t leave out information—it will be found • Be truthful with yourself • Listen to advice • Hear what is said • Give yourself enough options

  45. On-line Resources • Careers in Medicine: https://www.aamc.org/students/medstudents/cim/ • Personal Career Assessment • Medical Specialties ApitudeTest • http://www.med-ed.virginia.edu/specialties/ • Temperament Sorter • http://www.advisorteam.com/temperament_sorter/register.asp?partid=1 • Match • Charting outcomes of the match: http://www.aamc.org/programs/cim/chartingoutcomes.pdf • ERAS: http://www.aamc.org/students/eras/ • VSAS: https://www.aamc.org/students/medstudents/vsas/ • NRMP: http://www.nrmp.org/ • Selection Criteria for Residency: Results of a National Program Director’s Survey: http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residency__Results_of_a.24.aspx • FREIDA: http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.shtml • AAMC Roadmap to Residency: From Application to the Match and Beyond www.aamc.org/publications Click “Student Affairs”

  46. Match Day 2013

More Related