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Residency Workshop Summer 2011 Dr. Kevin Biese Dr. Georgette Dent

Residency Workshop Summer 2011 Dr. Kevin Biese Dr. Georgette Dent. Office of Student Affairs University of NC School of Medicine. The Goal: The Match!. http://www.youtube.com/watch?v=a36jL5E4ecI&feature=player_embedded#at=23. How do we get there?. Choose your specialty

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Residency Workshop Summer 2011 Dr. Kevin Biese Dr. Georgette Dent

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  1. Residency Workshop Summer 2011Dr. Kevin BieseDr. Georgette Dent Office of Student Affairs University of NC School of Medicine

  2. The Goal: The Match! • http://www.youtube.com/watch?v=a36jL5E4ecI&feature=player_embedded#at=23

  3. How do we get there? • Choose your specialty • Do electives/selectives • Meet with College Advisor • Careers in Medicine website • Prepare application • Meet with Alice Pelland 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 • Wait for interviews to roll in! • Register for NRMP and submit ROL

  4. Choosing a specialty: When to decide? • Can take electives/selectives in July, August and maybe September to help with specialty choice • Ideally, need to decide on specialty and apply by September 1st for competitive specialties • May decide by as late as October 15th for a specialty that’s not too competitive (but earlier is better!) • Can apply in more than one specialty if truly can’t decide

  5. Choosing a specialty: How competitive am I ? • Charting the Outcomes of the Match • Compares step scores by specialty with percentages of students who have matched • Shows number of programs ranked and how many students matched • Data regarding AOA status, research projects, NIH funded school • http://www.aamc.org/programs/cim/chartingoutcomes.pdf

  6. 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)

  7. Highly Competitive Specialties: Ratio of US Seniors to PositionMedian Step 1 Scores for Matched Students Ratio Step 1 • Plastic Surgery1.5 242 • Dermatology 1.3 242 • Orthopedic Surgery 1.2 238 • Otolaryngology 1.1 240 • Radiation Oncology 1.1 238 • Radiology 0.9 238 Match Outcomes Data, August 2009

  8. Moderately Competitive Specialties: Ratio of US Seniors to PositionsMedian Step 1 Scores for Matched Students Ratio Step 1 General Surgery 0.9 224 Emergency Medicine 0.9 222 Obstetrics/Gynecology0.8 219 Anesthesiology 0.8 224 Med/Peds 0.8 225 Pediatrics 0.7 219 Match Outcomes Data, August 2009

  9. Less Competitive Specialties: Ratio of US Seniors to PositionMedian Step 1 Scores for Matched Students Ratio Step 1 Pathology 0.6 227 Psychiatry 0.6 216 PM & R 0.6 214 Neurology 0.6 225 Internal Medicine 0.5 225 Family Medicine 0.4 214 Match Outcomes Data, August 2009

  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 plan if you are applying to a competitive specialty.

  11. Graduation requirements: USMLE Step 2 CK • Take Step 2 Clinical Knowledge by November 15, 2011 • Show passing score of Step 2 CK by December 31, 2011 • 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 27 to graduate in May 2012 • 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 opening dates • Philadelphia (busiest) • Atlanta • Los Angeles • Chicago • Houston (least busy)

  14. USMLE: Application Process • Fill out application • We certify it and return it to you • SOM code 034-040 • Clear all stops on your account • Step 2 CK cost $525 and CS cost $1,120 • Takes 4 weeks to process application and receive electronic permit • After receiving the permit, take the exam within the 3 month window for Step 2 CK and 12 month window for Step 2 CS • Eligibility period extension: $65

  15. 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

  16. Personal Career Assessment • Careers in Medicine • http://services.aamc.org/careersinmedicine/ • See “Understanding Yourself” for the Medical Preference Inventory • See Specialty Pages • Contact Deborah Ingersoll at deborah_ingersoll@med.unc.edu for access code • Medical Specialties Aptitude Test • http://www.med-ed.virginia.edu/specialties/ • Temperament Sorter • http://www.advisorteam.com/temperament_sorter/register.asp?partid=1 • Myers-Briggs

  17. How do we get there? • Choose your specialty • Do electives/selectives • Meet with College Advisor • Careers in Medicine website • Prepare application • Meet with Alice Pelland 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 • Wait for interviews to roll in! • Register for NRMP and submit ROL

  18. Medical Student Performance Evaluation (MSPE) • Identifying information • Unique characteristics • Academic History • Combined degrees • Remedial work • Leave of Absence (research, personal, medical…) • Academic Progress • Preclinical record • Clinical clerkship and elective record • Summary paragraph • Appendices

  19. 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 • Discuss back-up plan

  20. Early Transcript • Student Affairs will automatically send one in early September • Should have all of your 3rd year grades • You might not want one sent if you have had academic difficulty in the 3rd year • Consult with Dr. Dent if not sure • Contact Ann Farabee by September 1 (ann_farabee@med.unc.edu) if you do not want an early transcript sent. • Contact Ann Farabee if you want a transcript sent before November 1

  21. 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

  22. Electronic Residency Application Service (ERAS) • The application for the “regular match” • Important dates: • 07/01/2011 Access to “MyERAs” • 09/01/2011 Submit application • 11/01/2011 Dean’s letter and transcript released • 05/31/2012 Application info purged • Check individual program dates • http://www.aamc.org/audienceeras.htm

  23. How ERAS Works

  24. 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 (transcript) photos to SA

  25. 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 Neurosurgery Obstetrics/Gynecology Otolaryngology www.aamc.org/eras 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

  26. Urology Match • AUA Match and ERAS • Important dates • Registration opens: Spring 2011 • ROL Certification January 2012 • Match Day January 2012 • http://www.auanet.org/content/residency/residency-match.cfm

  27. Central Application Service (CAS) Specialty Specialty • Ophthalmology

  28. Central Application Service (CAS) Specialty • Opens in June • Target dates: 9/1/11 • ROL certification: 1/05/12 • Match day: 1/13/12 • www.sfmatch.org • help@sfmatch.org

  29. 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 and ERAS cover sheet • Give the letter writer a deadline (2-4 weeks) • Most programs want 3-4 letters • At least 1-2 from chosen specialty • Letters from graduate work or research mentors make great 4th letters

  30. Letters of Recommendation • The MSPE (“Dean’s letter) is not a letter of recommendation • The letter writer should address the letter to “Dear Program Director” • The letter writer returns the letter to Student Affairs • Student Affairs cannot scan letters into ERAS until you have purchased your programs • Letters to Non-ERAS programs should be sent directly to the program by the letter writer • Student affairs is not responsible for making sure the letter writer writes and delivers the letter—You are!!!

  31. 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?

  32. 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

  33. 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

  34. Average number of applications and target #programs on ROL for Highly Competitive Specialties • Dermatology 55 8 • Orthopedics 47 12 • Urology 43 10-12? • Radiology 41 12 • Plastic Surgery 29 9 • Radiation Oncology 34 11 Match Outcomes Data, August 2009 Apps ROL

  35. Average number of applications and target # programs on ROL Moderately Competitive Specialties • Emergency Medicine 27 10 • Anesthesiology 25 12 • General Surgery 22 11 • Obstetrics/Gynecology 23 10 • Pediatrics 17 8 Match Outcomes Data, August 2009 Apps ROL

  36. Average number of applications and target # programs on ROL Less Competitive Specialties • Internal Medicine 16 9 • Physical Medicine & Rehabilitation 19 10 • Psychiatry 16 7 • Pathology 16 8 • Family Medicine 12 6 Match Outcomes Data, August 2009 Apps ROL

  37. “Jaws of Death”Match is becoming more competitive

  38. Researching Programs http://www.ama-assn.org/cgi-bin/freida/freida.cgi

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

  40. 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 21

  41. Interview Dates: November PredominateMS 4 Survey 2009 Match (n=71) * Early match specialties

  42. Interview Dates: December PredominateMS 4 Survey 2009 Match (n=71)

  43. Interview dates: January PredominateMS 4 Survey 2009 Match (n=71)

  44. How do we get there? • Choose your specialty • Do electives/selectives • Meet with College Advisor • Careers in Medicine website • Prepare application • Meet with Alice Pelland 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 • Wait for interviews to roll in! • Register for NRMP and submit ROL

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

  46. NRMP Dates to Remember • 08/15/2011 Registration opens • 11/30/2011 Application deadline • (sans late fee) • 1/15/2012 Rank order listing opens • 2/22/2012 Late registration deadline ($50) Final rank order certification (9pm EST!) • 3/12/2012 Matched/Unmatched info posted online • 3/14/2012 Re-Match (SOAP) • 3/16/2012 MATCH DAY!

  47. Costs • ERAS 10 applications $85 11-20 $8 each 21-30 $15 each 31 or more $25 each • NRMP 20 ranks $50* 21 or more $30 each * for couples $65/each for 30 ranks

  48. Costs • SF Match/CAS $100 registration plus: 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 $60 unlimited copies

  49. 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

  50. 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

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