Roadmap to Residency by xmOb05NH


									Roadmap to Residency
  Application to the Match

11:15-11:30   Overview Strolling thru the       Dr. Roytesa Savage (Dr. Lawson)
11:30-11:50   Strolling thru the Match-CV and   Dr. Cassandra Acheampong
              Personal Statement
11:50-12:00   Break
12:10-12:40   Overview of the ERAS Process      Ms. Kelly Lancaster
              and NRMP
12:40-1:00    Pearls for 4th year               Drs. Luan Lawson and Roytesa

       Goals of this Presentation
• After this workshop you will:
   – Understand the mechanics of the residency
     application process
   – Understand how to present yourself as a strong viable
   – Learn how to develop a strong CV and Personal
   – Pearls to Transition from Medical School to Residency

                   ERAS Applicant Timeline
        Date                                                 Activity
                   MyERAS User Guide available in PDF (download by chapter or in its entirety on our Web site).
Mid-late June 2010
                   Schools may begin to generate and distribute MyERAS tokens to applicants.
                   MyERAS Web site opens to applicants to begin working on their applications.
                   ERAS Support Services at ECFMG will begin generating and distributing tokens to IMGs.
July 1, 2010
                   Osteopathic applicants may begin selecting and applying to osteopathic training programs
                   Osteopathic training programs may begin contacting the ERAS PostOffice to download
July 15, 2010
                   application files.
                   Applicants may begin applying to ACGME accredited programs.
September 1, 2010 ACGME accredited programs may begin contacting the ERAS PostOffice to download
                   application files.
October 15, 2010     MSPEs are released to AOA accredited programs.*
November 1, 2010     MSPEs are released to ACGME accredited programs.*
December 2010        Military Match

January 2011    Urology Match

February 2011   Osteopathic Match

March 2011      NRMP Match results will be available.

May 31, 2011    ERAS PostOffice will close to prepare for the 2012 season.

                   Other Important Dates
    Step 2 CK*                                        September 30
    (need to take and pass by April 2010)
    Completion of MyERAS                              September 1
    Step 2 CS                                         December 30
    (need passing CS score by April 2010)**
    MSPE, LORs                                        November 1
    Rank order list begins                            January 15
    ROL deadline                                      February 23
*Step 2 CK from 184 to 189
**Step 2 CS some programs did not rank students that did not have a score back by ROL

                           Step 2 CS 2010 Reporting Schedule
                                Released June 12, 2009
Testing Period                                        Reporting Period

For examinees who test    Reporting start date                 Reporting close date

Jan 1 through Feb 27      Mar 31                               Apr 28

Mar 1 through Mar 27      Apr 21                               May 19

Mar 28 through May 15     Jun 16                               Jul 14

May 16 through July 17*   Aug 18                               Sep 15

Jul 18 through Sep 11     Oct 13                               Nov 10

Sep 12 through Nov 6      Dec 8                                Jan 5, 2011

Nov 7 through Dec 31      Feb 2, 2011                          Feb 23, 2011

                                     Step 2 CS 2011 Reporting Schedule
                                            Released May 25, 2010

               Testing Period                                     Reporting Period

For examinees who test          Reporting start date                      Reporting close date

  Jan 1 through Jan 29            Mar 2                                     Mar 23

  Jan 30 through Mar 26           Apr 27                                    May 25

  Mar 27 through May 14           Jun 15                                    Jul 13

  May 15 through July 16*         Aug 17                                    Sep 14

  Jul 17 through Sep 10           Oct 12                                    Nov 9

  Sep 11 through Nov 5            Dec 7                                     Jan 4, 2012

  Nov 6 through Dec 31            Feb 2, 2012                               Feb 22, 2012

Decision Making: Selection, Interview, Ranking and Matching


               Choosing Programs
• Gather info about various programs
   – Location, type, number of interns, etc.
   – What are requirements, deadlines
• Send application to different programs
   – Check to see if program(s) participate in ERAS
• Interview at certain programs
   – Seek more info about programs
• Decision making---rank order list
   – Maintain your priorities, needs

• ½ done by each Student Affairs Dean
• Schedule early
  – Watch for the letter from our office with your
    assigned Dean
• Come prepared with form that is attached
• Released November 1st

• Should be asking people now
• Look at websites of programs and determine
  what they want (i.e Chairman’s letter,
  numbers of letters)
• Give them a deadline

       Questions to ask yourself…
• What are/were your original goals when you decided to become an
  MD? Are they still valid?
• What do you value about he MD role?
• What type of MD/Patient relationship do you find rewarding?
• What type of lifestyle do you want for yourself (family, income, time
  for interests)?
• In what type of community do you want to practice; clinical setting?
• What skills (interpersonal, analytical, technical, etc.)?
• Are there particular situations/types of patient encounters that
  make you feel uncomfortable, feel unsuited?

          Careers in Medicine (CiM)

•   Understanding yourself – Self-assessment
•   Career Exploration – Exploring options
•   Decision making – Choosing a specialty
•   Implementation – Getting into residency
•   Specialty pages

              Selecting a Program
• Be realistic in selection
   – Don’t eliminate because you think you’re not strong enough
   – Understand the type of program
• Keep open mind about quality of programs
   – Even if you have not heard of it
   – Even if it is small
• Consider finances
   – AAMC sponsors flight discounts
• Consider critical factors

                   Critical Factors
• Geographic locations           • Physical characteristics of the
• Type of institution              hospital
• Age and stability of program   • Other training programs in
• Academic reputation              hospital
• Call schedule, supervisory     • Patient population (racial,
  structure, other support         gender, SES mix, etc.)
• Faculty to resident ratio      • Community
• Structure and flexibility of   • Opportunities for postgraduate
  curriculum                       training (fellowship)
                                 • Others

                      Critical Factors
•   Program Issues                 • Personal Issues
    – Morale of current housestaff    – Housing
    – Accreditation status            – Cost of living
    – Program quality                 – Spousal and family opportunities
    – Program size                 • Residency Agreement &Stipend Issues
    – Support for research and        – Leave, vacation, sick, professional
       teaching                       – Benefits: health, liability, disability
    – Evaluation process (timing      – Others
       and format)

              More Critical Factors
• As you learn more about the specialty areas under consideration,
  you need to look closely at the nature of the work and consider
  your preferences for different aspects of the work, such as:
   – Inpatient vs. outpatient services
   – Working with different age ranges
   – Working with one or both genders
   – Experience with general practice vs. a specialty
   – Breadth vs. depth of patient problems
   – Short-term vs. long-term/continuous care
   – Direct vs. indirect communication
   – Contact with family members vs. direct contact with patients

• Look at program and its attributes
  – Assess how compatible you are with it
  – Assess comfort level
  – Assess strong/weak points of program
• Sell yourself
  – Why you are an asset
  – Showcase your strengths, skills

        Scheduling Interviews
• September – January (majority Nov-Jan)
• Schedule your high ranking programs after
  you have had some experience on the trail
• Confirm your appointment via a call a week
  before your scheduled time
• Try to tour the community

           Tips for Interviewing
• Research the program prior to interview
• Research the community resources, points of interest
• Write down questions that you want to ask
   – Questions for each type of person (director, residents,
   – May ask the same question more than once
• Use a Pros and Cons list after each interview(evaluate
  using it)
• Don’t dominate the conversation
• Send “Thank You” letters/notes

Understanding the Match Process
• Don’t overestimate yourself
• Don’t underestimate yourself
• Do not list programs that you do not want to
  go to
• Order is important
• Don’t be too narrow / short

          Things to consider…
• Rank programs that represent your true
• Rank programs in order according to those
• Rank all programs that are acceptable to you

            Match Week Timeline
• Noon Eastern Standard Time (EST) on the Monday of the
  program through NRMP
   – Those students who learn on Monday that they were unsuccessful in
     the Match begin the Scramble process
   – 12:00 non EST on Tuesday of Match Week, the Dynamic List of Unfilled
     positions is posted to the NRMP web site, and at this time students
     may begin the Scramble process.
• Match Week when the actual match results are posted to the
  NRMP web site.

•   CiM Specialties page
     – has information on 112 specialties and subspecialties that include the nature of the
       work, personal characteristics (including interests, values and personality), training and
       residency information, match data, workforce statistics, salary information
     – links to over 1,000 journals, publications, and specialty and academic societies.
•   FREIDA Online
     –    provides statistical information about each specialty, as well as info about ACGME
         accredited residency programs and institutional offerings by specialty and geographic
•   Choosing a Medical Specialty—The AMA provides this bibliography of links for
    more information on specialty areas. It includes links to the AMA web pages for
    102 specialties.

•   Roadmap to Residency: From Application to the Match and Beyond (AAMC)
•   Getting into A Residency: A Guide for Medical Students (Kenneth V. Iserson MD)
•   Academic Support & Enrichment Center (Resources for M4s, CV & Personal
•   NRMPs Results and Data Match Book
    or by phone order at (202) 828-0416

Personal Statement and CV –Dr. Acheampong


ERAS-Ms. Lancaster


Pearls and Tips for 4th year-Drs. Lawson and Savage


            1. Pick an Advisor
• Make sure you have spoken with someone in your
  specialty about your schedule
• Have them read your personal statement and review
  your CV
• Talk with them about where you want to go
• Dream big but make sure you have a reality check
         2. Know the Timeline
• Know the due dates of ERAS and NRMP
• Know the dates of your specialty and each
  – may need to visit each website
• Give yourself deadlines
                  3. Interviews
• Cancel the interview if you decide not to go
   – Help another Brody brother or sister
• Try to go to the dinner the night before
   – Even if it at a place that you are not really
     interested in
   – Don’t drink
   – Listen to the residents
                3. Interviews
• Know that residency program directors talk
• Do Mock Interviews
• On the interview trail, get to know the
• Be nice to the “secretaries” or support staff
  – They are usually the ones putting in the ROL
  4. There are 4 years of medical
• Know the Expectations of your Rotation
• Do Talk with Course Directors
• Show up 
              5. Paperwork
• Drop/Adds
  – Get then done
• IDS-consider asking the person to make a
• You’ve matched
  – Make sure you fill out the paperwork for residency
                6. Absences
• You are expected to show up
• Make sure you notify Student Affairs and your
• “ask” about missing time for interviews; don’t
  “tell” the course director
7. I’m a 4th year-I don’t have to do
• If on any rotation, you are expected to work
  like an intern (from course directors)
• Don’t believe “everything” the previous 4th
  years have said
  – Rotations are changing……
  – Course directors are changing…..
  – Departments are changing……
      8. Constructive Feedback
• Evaluations be honest
• State problem
  – Consider giving a solution
• Concerns about course
  – Talk with course director (student affairs)
      9. Communication is Key
• Facebook
• Myspace
           10. Enjoy Yourself
• 4th year was the best year of medical school
  for me
• You’ll be doing your specialty for x number of
  – Explore other things
  – Do things that you may not ever see again
• Go make us proud
• Rank all the programs you really want,
  without regard to your estimate of your
  chances with those programs.
• Include a mix of both highly competitive and
  “less competitive” programs within your
  preferred specialty.

               Summary (cont.)
• Include all of the programs on your list where the
  program has expressed an interest in you and where you
  would accept a position.
• Have a Plan B. If you are applying to a competitive
  specialty, and if you would want to have some residency
  position in the event you are unsuccessful in gaining
  acceptance to a program in your preferred specialty, rank
  also your most preferred programs in an alternate

            Summary (cont.)
• Include all of your qualifications in your
  application, but know that you do not have to
  be AOA, to have the highest USMLE scores, to
  have publications, and to have participated in
  research projects to successfully match



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