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Applying for an Emergency Medicine Residency. American College of Emergency Physicians. Goals. How to prepare before you apply Choosing a program The application process The interview. Emergency Medicine Residencies. Emergency Medicine Residencies 1983 - 66 1990 - 84

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applying for an emergency medicine residency

Applying for an Emergency Medicine Residency

American College of

Emergency Physicians

goals
Goals
  • How to prepare before you apply
  • Choosing a program
  • The application process
  • The interview
emergency medicine residencies
Emergency Medicine Residencies
  • Emergency Medicine Residencies
    • 1983 - 66
    • 1990 - 84
    • 2000 - 122 allopathic; 25 osteopathic
    • 2005 - 134 allopathic; 36 osteopathic
  • Resident Positions in NRMP
    • 1990 - 440
    • 2000 - 971
    • 2005 - 1332
homework
Homework
  • Browse the web
  • Know who’s who in EM
  • Know the major issues facing EM
  • National EM organization membership
  • Join your local EM interest group
  • Choose your mentor well
  • Carefully plan your final medical school years
  • Read: Iserson’s Getting Into a Residency: A Guide for Medical Students
  • Talk to graduates/seniors from your school
browse the web
Browse the Web
  • Most EM program information is on line
  • Most residencies have home pages
  • Can contact programs via e-mail
  • Can participate in EM discussion groups
  • Many lectures are now electronic
who s who in em
Who’s Who in EM
  • Tintinalli and Rosen chapter authors
  • Editorial boards of EM journals
  • Keynote speakers
  • National leaders
  • Recurrent conference lecturers
  • Chairs/Program Directors in emergency medicine
read about major issues facing em
Read About Major Issues Facing EM
  • Editorial subjects
  • Clinical issues
  • Educational issues
  • Legislative/regulatory issues
rally at the us capitol
Rally at the US Capitol
  • September 27, 2005
  • 4000+ Participants Including 1000+ Residents
  • More than 30 programs sent 300 residents to Washington specifically for the Rally
  • Largest event of its kind in the history of emergency medicine
  • Urged Congress to Pass “The Access to Emergency Medical Services Act of 2005”
choosing a program the big picture
Choosing a Program: The Big Picture
  • ACGME/RRC role
    • Consistent educational elements
    • Ensures adequate & varied experience
  • Your role
    • Find program that fits
    • Maximize experience
    • Best program for you
  • Stability
    • Accreditation, re-accreditation, length of accreditation
the big picture cont
The Big Picture-cont
  • Location
    • Family, significant other, etc.
    • Specific part of country
    • Urban, suburban, rural
  • Educational/Teaching philosophy
    • University, county, community, combination
    • Approach to teaching & resident responsibility
maximize experience
Maximize Experience
  • Special interests
    • Fellowship opportunities
    • EMS/Flight/Disaster
    • Pediatrics
    • International
    • Ultrasound
    • Will the program meet your needs?
the application begin with the end in mind
The Application:“Begin with the End in Mind”
  • Dean’s letter
  • Board scores
  • Academic record
  • Personal statement
  • Letters of recommendation
  • Outside interests/activities
selection criteria
EM rotation grades

Interview

Clinical grades

Recommendations

Grades (overall)

Elective at the institution

Board scores (overall)

USMLE (II)

Interest expressed

USMLE (I)

Awards/achievements

Honor society selection

Medical school

Extracurricular activities

Basic science grades

Publications

Personal statement

Selection Criteria
dean s letter
Dean’s Letter
  • Medical Students
    • November 1st
    • Review for accuracy/content
    • Meet with writer about special attributes
  • Program Directors
    • Class rank
    • Last paragraph
    • Rotation summary
board scores
Board Scores
  • Medical Students
    • Do your best
    • Study hard
    • Rest before exam
    • Only one part of picture
  • Program Directors
    • Filter based on score
    • Only one part of picture after the filter
academic record
Academic Record
  • Medical Students
    • Do your best
    • Study hard
    • Be prepared to explain low grades
  • Program Directors
    • Look for trends
    • Look for flags
    • Confusing scoring system
personal statement
Personal Statement
  • Medical Students
    • Chance to express yourself
    • Why you would fit into the specialty
    • Have others review/critique
    • One page only
    • Monitor spelling/grammar
  • Program Directors
    • Review hundreds
    • Unique character/quality
letters of recommendation
Letters of Recommendation
  • Need at least 3
  • At least 2 should be in your specialty
  • More valuable if from EM training programs
  • Solicit letters early while they remember you
  • Supply personal statement / CV / transcript
letters of recommendation1
Letters of Recommendation
  • Who should you ask?
    • How well do they know you?
    • How well are they known?
      • Program director / chairman / research director
      • National lecturer
      • Politically involved
    • How well did you do in their eyes?
standard letter of recommendation
Title and position of author

Context that you know the applicant

EM rotation grade

Commitment to EM

Work ethic

Treatment plan

Personality

Global assessment

Match range

Comments

Standard Letter of Recommendation
outside interests activities
Outside Interests/Activities
  • Medical Students
    • Have fun
    • Become involved
    • Interest groups
    • Research
  • Program Directors
    • Quality of involvement
    • Leadership potential
read before you interview
Read Before You Interview
  • Koscove EM. An applicant’s evaluation of an Emergency Medicine Internship and Residency. Ann Emerg Med 19:774, 1990
  • Iserson’s Getting Into A Residency: A Guide for Medical Students by Kenneth Iserson
  • EMRA. EM in Focus: A Guide for Medical Students
  • Your CV!
the interview
The Interview
  • When
    • November – January
    • Winter weather travel
    • Rank list preparation
  • The Night Before
    • Prepare/review questions
    • Gather data: visit site, area, review webpage
the interview1
That day:

Eat breakfast

Be on time

Don’t over/under dress

Don’t dominate the interview

Be yourself

Ask questions

Take notes/pictures

Be nice to everyone!

Program director

Faculty

Residents

Support staff

How did it feel…?

Did I fit in?

The Interview
professionalism
Professionalism
  • It’s a small world – make friends
  • Never ever bad-mouth another program
  • Don’t blow off an interview
  • Follow-up letter, phone-call, or e-mail.
ms i and ms ii
MS-I and MS -II
  • Clinical observation in ED
  • Summer/ongoing research projects with EM staff
  • EM interest group affiliation
  • National medical societies
  • Keep an open mind about specialty selection!
ms iii
MS-III
  • ED rotation(s)
  • ED interactions on off-service rotations
  • Develop relationship with EM physician as mentor
  • Start selecting fourth year rotations
ms iv
MS-IV
  • Mandatory/Elective EM rotation
    • Develop clinical expertise, experience
    • Develop information management skills
  • Consider extramural rotations
    • Additional clinical experience
    • Exposure to residency programs, other clinical settings
  • Plan for letters of recommendation
summary
SUMMARY

Relax

Enjoy emergency medicine!

Choose your mentor

Communicate with peers

Communicate with advisor and mentor

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