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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 [email protected] Designing an Admissions Process. Mission of the Medical School

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What do medical schools value in selecting students l.jpg

What Do Medical SchoolsValue in Selecting Students

Gabriel Garcia, MD

Associate Professor of MedicineAssociate Dean for Medical School AdmissionsStanford University School of Medicine

[email protected]


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Designing an Admissions Process

  • Mission of the Medical School

  • Societal Expectations

  • Health care system manpower concerns


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Medical Schools Mission

  • Drive the admissions process to choose applicants that will be expected to embrace the values of the school.

  • Impact the curriculum to maximize the chances that a student will participate in activities that are important to the school.

  • Assign a higher value to graduates that engage in activities consistent with the mission.


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Mission Statements

“To educate future physicians and foster their capacity to make discoveries and lead innovation in the science and practice of medicine.”

“To prepare medical graduates for distinguished medical careers in service to the people of California, with emphasis on the needs of the underserved, inland and rural populations.”

“To further the healing and teaching ministry of Jesus Christ "to make man whole…”


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Desirable Traits of Physicians

  • Consider the care of their patients their first priority

    • Ethical, honest, 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


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Elements of a Good Admissions Process

  • Examines and values all the skills and attitudes of an excellent physician in the applicant.

  • Evaluates the fit of the applicant with the mission of the school.

  • Ranks the applicants according to how they will benefit from and contribute to your school.


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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


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Review of Application

  • Is performed by volunteers (a faculty member or a student) or admissions office staff members.

  • The purpose of file review is to identify students who would be good candidates for admission.

  • Is a labor-intensive process if performed correctly.

  • The number of volunteers is usually inadequate to perform this function in a timely manner.


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Review of Application

  • Research and scholarly activities

    • Independence of thought, productivity

  • Leadership

    • Role model, legacy

  • Evidence of originality and creativity

    • Academic and non-academic accomplishments

      • Community service, clinical work, sports, arts, business or other activities

  • Educational context

    • Interpret the applicant’s record with regard to the “distance traveled”


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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.


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How Do You Demonstrate Your Passion for Medicine?

  • Develop a track record reflecting a desire to impact the health care of all our communities

  • Public service

  • Cultural activities

  • Educational endeavors

  • Scholarly pursuits


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How Do You Demonstrate Your Passion for Medicine?

2. Be a creative and imaginative leader and role model

“You must be the change you wish to see in the world.”

Mohandas K. Gandhi.


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How Do You Demonstrate Your Passion for Medicine?

3. Develop the skills and attitudes of terrific doctors – your own medical toolbox.


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Barometer for Participation in Any Extracurricular Activity

Showing up

Showing up for a long time

Leadership

Advocacy

Innovation

Legacy


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How much is enough? An Example

Showing up varsity sports

Showing up for a long time for 3 years

Leadership team captain

Advocacy mentored youth

Innovation designed her racing wheelchair

Legacy developed a system for others to design their own


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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


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Interview

  • Does your interaction with the candidate conform to the expectations you derived from reading the application? If not, 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?


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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?


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Committee Decision

  • How will this candidate contribute to and benefit from your school?

  • Will accepting this candidate be in keeping with the mission of your school?


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Practical Points

Applicants

  • Ensure that your track record as stated in the application is a fair and honest reflection of who you are.

  • Complete the supplemental applications knowing the unique mission of each school.

  • Explain any unique or challenging factors in detail.

    Advisors

  • Make sure the letters of evaluation and support address the skill set, character traits and attitudes that make the applicant particularly suited for a career in medicine.



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Distinct Core Values at StanfordGOAL = Encourage Scholarly Activity

Flexible Curriculum = OPPORTUNITIES

Medical Scholars Program (Basic and Clinical Research, 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.


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Autumn

Winter

Spring

FOUNDATIONS OF MEDICINE I

FOUNDATIONS OF MEDICINE II

HUMAN HEALTH & DISEASE I

• Cells to Tissues

• Molecular Foundations of Medicine

• Genetics

• Development & Disease Mechanisms

  • • The Nervous System

    • • Immunology

    • • Gross Anatomy of Head & Neck

      • Introduction to Organ Systems

• Cardiovascular

• Pulmonary

Year 1

Gross Anatomy

PRACTICE OF MEDICINE I

PRACTICE OF MEDICINE II

PRACTICE OF MEDICINE III

SCHOLARLY CONCENTRATIONS

HUMAN HEALTH & DISEASE II

HUMAN HEALTH & DISEASE III

PRACTICE OF MEDICINE VI

• Renal/Genitourinary

• Gastrointestinal/Liver

• Endocrine/Reproductive

TRANSITION TO CLINICAL CLERKSHIPS

April May

• 1-month • Study for USMLE

intensive • Begin clinical

preparation for clerkships

clerkships

• Brain and Behavior

• Hematology

• Multi-Organ System

Year 2

PRACTICE OF MEDICINE IV

PRACTICE OF MEDICINE V

SCHOLARLY CONCENTRATIONS

CLINICAL CLERKSHIPS

8 Weeks 6 Weeks 4 Weeks Selectives Electives

Internal Medicine Obstetrics & Family Medicine Ambulatory Practice (8 weeks)

Pediatrics Gynecology Psychiatry Subinternship

Surgery Neurology

Critical Care

Year 3, 4, [5]

APPLIED BIOMEDICAL SCIENCES

SCHOLARLY CONCENTRATIONS

Block 1

FOUNDATIONS OF MEDICINE

Block 4

CLINICAL CLERKSHIPS

Block 2

HUMAN HEALTH & DISEASE

Block 3

PRACTICE OF MEDICINE

Block 5

APPLIED BIOMEDICAL SCIENCES


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Distinct Core Values at StanfordGOAL = Non-competitive Environment that Promotes Both Individual and Collaborative Achievement

No Grades

No Ranking of Students

No AOA or Awards Until Graduation

= Value Teamwork!


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Distinct Core Values at Stanford

GOAL = No penalty for staying longer to continue to explore your education.

Nominal tuition (fees only) after 13 quarters of attendance

Generous financial aid. Our maximum grant for our neediest students pays 83% of tuition.

Mean debt for 2002 graduates:

$91,000 at public schools

$124,000 at private schools

$63,000 at Stanford!


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Questions?

Go to our web site - http://www.med.stanford.edu/osa/

Call us – 650 723-6861

E mail us - [email protected]


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