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More than a Vacation The Fourth Year by dontyouknowme

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									                   More than a
                    Vacation:
                   The Fourth
                      Year

      Jose F. Pliego, MD
 Professor, Obstetrics & Gynecology
 Assistant Dean for Academic Affairs
Medical Director of Clinical Simulation
   Fourth Year Opportunities
 Increase broad base of medical
  knowledge
 Increase area of expertise
 Evaluate residency programs
 Work with key faculty
 Confirm career choice
 Exposure to research
         Are you in great shape?

               Medical School
                Graduation

   AOA                          Special Accommodations


Limitations                      Research Background


Class Rank                            Aptitudes


Struggles                              USMLE
                    ERAS
     Match                         Dean
      Day                         Letters



USMLE II
                                        Letters
                    ANXIETY               Of
                                    Recommendation

Personal
Statement
                                            Family


      Residency                   Electives
     Applications    Interviews
         Remain Open and Objective




Multiple sources                                     Know
of Information                                       Your
                                                     Aspirations
          Have an
          Effective       Avoid
                                        Understand
                                        Your Limitations
          Process     Procrastination
        Effective Process
         Vigilant Decision Making

 Appraising the Challenge
 Assessing Yourself

 Surveying Alternatives

 Evaluating Alternatives

 Achieving Commitment



     GlaxoWellcome Pathway Evaluation Program
                       New Car
I. Do I need a car?
                                          V. Purchase




II. What Do I
Need a car for?                           IV. Test Driving


                      III. What options
                          do I have?
 Appraising the Challenge

 Determine the importance of decision
  and the advantages of being
  proactive
 Assume responsibility for decision

 Avoid adhering to unexamined choice

 Determine time needed


      GlaxoWellcome Pathway Evaluation Program
 Residency Search Timetable

 July-September
 – Contact programs
 – Address Sources
    NRMP  Directory (on the web)
    GME Directory (“The Green Book”)

    AMA-Frieda

    Careers in medicine
     www.aamc.org/careersinmedicine
                Electives
 Complete required paperwork
 Request Elective early (May to June)
 Prime Time: September-November
 Stay in contact with your school via email
 Be flexible
 Notify programs of changes in a timely
  manner
 Do Active Internship (early in 4th Year)
              Electives
 Be realistic of program expectations
 Make an effort to work with key faculty

 Make an effort to meet all faculty and
  residents
 Observe faculty/resident/student
  interaction
 Appear interested and excited about being
  there
     USMLE Step II Clinical
 Take
 Knowledge early.
 Mostresidency programs require
 passage of USMLE Step II both CK
 and CS before beginning residency.


           http://www.usmle.org
    Residency Search Table
 September   – October
 Complete ERAS application
     You cannot rank any program you did not
      apply to or interview with
     ERAS opens to applicants 7/1/2005
     Programs cannot download until 9/1/2005
     Dean Letters are released 11/1/2005



  – Some non-ERAS programs accept the
    Common Application Form from ERAS
                 ERAS
            www.aamc.org/eras
           Residency Application
 Electronic
 Service run by AAMC

 Servicethat transmits residency
 applications, letters of
 recommendation, Dean’s Letters,
 transcripts, from applicants and
 medical schools to residency
 programs via the internet
       ERAS Components

 MyERAS:   the web based applications
  service for applicants
 Dean’s Office Workstations (DWS)

 Program Director’s Workstations
  (PDWS)
 ERAS Post Office
         ERAS Registration

 You must register to use the service
 You can only register after you are
  given a token from the dean’s office
 Register at www.myeras.aamc.org
  – This page can only be accessed once so
    enter all information carefully
 AAMC  ID will be assigned to you
 after registering
                    ERAS Costs
Number of                         Fees
Programs per
Specialty
Up to 10                          $60.00
11-20                             $8.00 each
21-30                             $15.00 each
31 or more                        $25.00 each

   *Flat fee of $50.00 for USMLE transcripts to be electronically
   sent to programs
                Dean’s Letter
      Medical Student Performance
           Evaluation (MSPE)
 Academic History/Progress
 Basic Science Years
 Core Clerkship Narratives
 Summary of Performance
 Graphs of Performance
    – Professional attributes not to be done this year
 Description of Medical School
  policies/curriculum
 Transcripts
            MSPE - Deadlines

   July 15, 2005
    – CV, Personal Statement and Release of
      Records form.
   July 15 – September 1, 2005
    – Schedule an appointment with the Dean of
      Student Affairs to discuss your Dean’s Letter
   November 1, 2005
    – MSPE letters are released
       Letters of Recommendation
                   (LoR)
 2 letters from faculty members (at least)
 1 letter should be from a faculty member
  in your specialty area.
 Waive your rights to see the letter. Highly
  recommended.
 You can assign different LoR’s to different
  programs but no more than 4 can go to
  any one program
 Give faculty members your CV, personal
  statement and release form.
 Guidelines for Soliciting Letters of
         Recommendation
 Faculty members who know you well and
  who have worked with you
 Higher ranking faculty desirable
 Do not solicit letters from residents
 Request letters at least eight weeks before
  due date
 Approximately two weeks before you want
  your letters transmitted, verify with the
  appropriate faculty or secretary that the
  letters have been entered into the ERAS
  program
         Personal Statement
 Generally should be no more than one
  page.
 Explanation of why you developed an
  interest in the specialty
 Discussion of what makes you unique as
  an individual
 Discussion of your future plans if known
 Description of extra curricular activities
 Be certain that your faculty advisor
  reviews this document
                      Interviews
   Will be scheduled during
    the months of November
    through January (peak
    times)
   Be aware of your
    Curriculum Committee
    absence policies
   Each program will have
    their own requirements.
    Some are flexible, others
    have fixed days for your
    interviews
   Be aware of the weather
        Early Matching Programs
   Military Match           Neurology
    – December 15, 2005       – January 26, 2006
   Urology                  Neurological Surgery
    – December 23, 2005       – January 26, 2006
   Ophthalmology            Child Neurology (PGY-3)
    – January 19, 2006        – January 26, 2006
   Otolaryngology
    – NRMP, March 2006
                       Interviews
           YOU MUST SELL YOURSELF!!
As an interviewee, you are primarily
   a salesperson. The product you
  are selling is yourself, and the
  assets of the product consist of
  your experiences, skills,
  knowledge and personality.
You communicate your experience
   and skills in your résumé, but
  your personality comes across in
  the interview.


   DO NOT UNDERESTIMATE THE IMPACE OF THE INTERVIEW.
        IT CAN OPEN OR CLOSE THE DOOR FOR YOU.
                   Interviews
   You are competitive
   Prepare carefully
   You must demonstrate
    that you are a mature
    and articulate
    individual who has
    developed realistic,
    clearly defined career
    goals
   Be consistently
    respectful and
    courteous
   Be on time
   Dress appropriately
   Relax and be yourself
Interviews
        Show interest
        Learn and remember
         names of the people
        Have questions to
         pose to each faculty
        Avoid confrontation
        Watch your body
         language and eye
         contact
        Avoid jokes
        Avoid inconsistencies
                   Interview
   Be prepared to answer the following:
    – How did you become interested in the
      specialty?
    – What strengths do you think you will bring to
      our residency program?
    – What personal weaknesses would you like to
      correct?
    – How do you set goals and what motivates you?
    – How do you solve conflicts?
    – What frustrates you?
    – What are your plans for the future?
    – What was the reason for any inconsistencies?
         After the Interview
 Stay  in contact with the Residency
  Program Director
 Send thank you letters

 Emphasize exactly what you liked
  about the program
 Call or email residents and talk
  further
 National Resident Matching Program
          www.nrmp.aamc.org

 Web-based Registration, Ranking
 and Results system (R3)
 – Three-step, online process: registration,
   agreeing to Terms & Conditions and
   $65.00 fee.
 – Email address required.
 – Registration will begin August 15, 2005
 – You must register for both the NRMP
   and ERAS.
     2005 Main Match Schedule
August 15, 2005     Applicant Registration Opens
December 1, 2005    Applicant Registration. Note:
                    registrations after the date will incur a
                    late fee of $65.00

January 15, 2006    Applicants and Programs can enter
                    their Rank Order Lists
February 22, 2006   Rank Order List Deadline.
March 13, 2006      Unmatched Applicant information
                    available at 12:00 noon EST
March 14, 2006      Locations of unfilled positions
                    released to programs and applicants
                    at 12:00 noon EST

March 16, 2006      Match results for applicants are
                    distributed by school at 12:00 noon
                    EST. Results posted to the web site
                    at 1:00 p.m. EST.
          NRMP Policy
 There  may be no contact between
  programs and unmatched applicants
  of their designees prior to 12:00
  noon EST Tuesday, March 14, 2006
 Or contact between programs and
  matched applicants prior to the
  general announcement of 2006
  Match results at 1:00 p.m. EST
  Thursday, March 16, 2006.
       Rank Order Lists (ROL)
 Due February 22, 2006, to the NRMP by
  9:00pm EST.
 Costs
    – Registration: $65:00
    – Additional $30.00 charge per program over 15
 Your ROL is confidential
 After you certify your lists, you can make
  changes (until February 22), but this de-
  certifies your list and you must recertify.
            Ranking Tips
 Include  an appropriate number of
  mix of programs based upon your
  qualifications and specific
  geographic/personal constraints
 Only rank programs in which you
  would like to train
         MATCH WORKS!



Trust  the match process-it’s
 fair and produces a “good fit”
 for both program and
 applicant

								
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