The Anatomy of the MSPE

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The Anatomy of the MSPE Powered By Docstoc
					      Year 4
 Scheduling and
Residency Process
    January 14, 2009
      Class of 2011
   Increase Knowledge

   Decrease Anxiety

   Identify Resources
   Timeline of Year 4
   How the Match Process Works
   Acronyms: MSPE, LORs, ERAS, & NRMP
   Scheduling
              Anxiety Reduction

   Facts vs. Rumor
   Successes
   Smart strategies
   Know where to get information
Individual Journey/Individual Advice
        Where We Matched: Programs
          Classes of 2008 & 2009
   What this means to you
     Applied
     Interviewed

     Ranked

   First choice program?
   First choice specialty?
   Did we continue or change?
 Acute Care Specialties
Anesthesiology                              Emergency Medicine
UCLA Medical Center-CA                      Alameda County Medical Center-CA
Cedars-Sinai Medical Center-CA              Harbor-UCLA Medical Center-CA
Harbor-UCLA Med Center-CA
                                            Kern Medical Center-CA
Johns Hopkins Hospital-MD
                                            Maimonides Medical Center-NY
Loma Linda University-CA                    UC San Francisco-Fresno-CA
Massachusetts General Hospital-MA           UCLA Medical Center-CA
Stanford University Programs-CA             University Hospital-Cincinnati-OH
UC San Diego Medical Center-CA              University of Southern California
UC San Francisco-CA                         University of Utah Affiliate Hospitals-UT
University of Arizona Affiliate Hospitals
University of Michigan Hospitals & Health
University of New Mexico-NM
University of Southern California
Primary Care: FM, Peds
Family Medicine                         Pediatrics/Medicine-Pediatrics
Univ Rochester/Strong Memorial-NY       Children’s National Medical Center-DC
Exempla St Joseph Hospital-CO           Children’s Hospital Los Angeles-CA
Harbor-UCLA Medical Center-CA           Children’s Hospital Oakland-CA
Kaiser Permanente-Fontana-CA            Harbor-UCLA Medical Center-CA
Kaiser Permanente-So CA Region-CA       Kaiser Permanente-So CA Region
Kaiser Permanente-Woodland Hills-CA     Stanford University Progams-CA
Meharry/Metro General-TN                University of Colorado SOM-Denver
Northridge Hospital Medical Center-CA   UC Davis Medical Center-CA
O'Connor Hospital-CA                    UC Irvine Medical Center-CA
Presby Intercommunity Hospital-CA       UC San Diego Medical Center-CA
UC Irvine Medical Center-CA             UC San Francisco-CA
UCLA Medical Center-CA                  UCLA Medical Center-CA
Ventura County Medical Center-CA
West Suburban Medical Center-IL
White Memorial Medical Center-LA-CA
 Primary Care: Internal Medicine
Internal Medicine
Allegheny Gen Hosp-PA
                                                  Stanford University Medical Center-CA
Baylor College of Medicine-Houston-TX
                                                  University of Kansas School of Medicine-Kansas City
Beth Israel Deaconess Medical Center-MA
                                                  University of Texas SW Medical School-Dallas
Brigham & Womens Hospital-MA
                                                  University of Utah Affiliate Hospitals
Cedars-Sinai Medical Center-CA
                                                  UC Davis Medical Center-CA
Harbor-UCLA Medical Center-CA
                                                  UC Irvine Medical Center-CA
Huntington Memorial Hospital-CA
                                                  UC San Diego Medical Center-CA
Johns Hopkins Hospital-MD
                                                  UC San Francisco-CA
Kaiser Permanente-So CA Region
                                                  UCLA Medical Center-CA
Loma Linda University-CA
NYP Hospital-Columbia University Medical Center
Olive View-UCLA Medical Center-CA
Physicians Medical Center-AL
Santa Clara Valley Medical Center-CA
Scripps Clinic/Green Hospital-CA
Primary Care: Ob/Gyn
Obstetrics and Gynecology
Banner Good Samaritan Medical Center-AZ
Beth Israel Deaconess Medical Center-MA
Brigham & Womens Hospital-MA
Brown University/Womens & Infants Hospital of RI
Cedars-Sinai Medical Center-CA
Duke University Medical Center-NC
Harbor-UCLA Medical Center-CA
Kaiser Permanente-So CA Region
Kern Medical Center-CA
Stanford University Progams-CA
University of Southern California
University of Texas Medical School-Houston
UCLA Medical Center-CA
Yale-New Haven Hospital-CT
Surgery & Surgical Specialties
General Surgery                              Otolaryngology
Albany Medical Center Hospital-NY            Kaiser Permanente-Oakland-CA
Brigham & Womens Hospital-MA                 University of Washington Affilliate Hospitals
Harbor-UCLA Medical Center-CA                UC Davis Medical Center-CA
Huntington Memorial Hospital-CA
                                             UCLA Medical Center-CA
Johns Hopkins Hospital-MD
Loma Linda University-CA
Marshall University School of Medicine-WV
St Lukes-Bethlehem-PA
Texas A&M-Scott & White
UC Davis Medical Center-CA
UCLA Medical Center-CA
                                             Plastic Surgery
University of Michigan Hospitals-Ann Arbor
                                             Baylor College of Medicine-Houston-TX
University of Southern California
                                             Loma Linda University-CA
                                             Northwestern McGaw/NMH/VA-IL
                                             UC Irvine Medical Center-CA
Medical Specialties
Cedars-Sinai Medical Center-CA
Henry Ford Health Sciences Center-MI
UCLA Medical Center-CA
University of Maryland Medical Center
                                        Cambridge Health Alliance
Virginia Commonwealth University
Health System                           Cedars-Sinai Medical Center-CA
                                        Emory University SOM-GA
Neurology/Child Neurology               Harbor-UCLA Medical Center-CA
Beth Israel Deaconess Med Center-MA     Harvard Longwood Psychiatry-MA
Johns Hopkins Hospital-MD               San Mateo County Mental Health Services-CA
UC San Francisco-CA                     Stanford University Progams-CA
                                        University of Southern California-CA
                                        UC San Diego Medical Center-CA
                                        UC San Francisco-CA
UCLA Medical Center-CA
                                        UCLA Semel Institute for Neuroscience-CA
UC San Francisco-CA
                                        VA Greater LA Health System-CA
Radiology & Radiation Oncology
Radiation Oncology                      Radiology
Baylor College of Medicine-Houston-TX   Barnes-Jewish Hospital-MO
UCLA Medical Center-CA                  Cedars-Sinai Medical Center-CA
                                        Cleveland Clinic Foundation-OH
                                        Harbor-UCLA Medical Center-CA
                                        Hospital of the University of PA
                                        Maimonides Medical Center-NY
                                        Mt Sinai Medical Center-Miami-FL
                                        Santa Clara Valley MC-CA
                                        University of Southern California
                                        UC San Diego Medical Center-CA
                                        UC San Francisco-CA
                                        UCLA Medical Center-CA
                                        University Hospitals Case Medical Center-OH
                                        Yale-New Haven Hospital-CT
Residency Application Process Timeline

   Year 3                         Year 4
       Clinical Foundations           College Foundations
       Clerkship evals                Sub Internships
       Focused Preceptorship          Away Electives
       Select College                 Interviewing
                                       Match
        PROCESS                        APPLICATION PROCESS
Away Electives: Our Favorites
   NYU                            Reasons for AE
       Dermatology                    Exposure to new
       EM                              teaching style
       Adolescent Medicine            Experience different
       PM&R                            setting
       Medicine Subspecialty          Coursework
       Women’s Health Issues          Audition a program
   Stanford                           Get an interview
       Outpatient Oncology            Secure a LOR
       Anesthesiology                 Rule specialty in or out
       Urology                        Personal preferences
       Otolaryngology
                      Class of 2009: Away Electives
Specialty               AE Applicants    AE Apps      AE
                                         Sent         Completed
Anesthesiology          47%              1.4          0.9
Dermatology             50%              8.3          1.7
Emergency Medicine      50%              3.0          1.3
Family Medicine         42%              1.0          1.0
Internal Medicine       22%              1.1          0.9
Ob/Gyn                  70%              1.4          1.3
Ophthalmology           88%              2.0          1.4
Orthopaedic Surgery     100%             4.3          1.8
Otolaryngology          100%             1.3          1.0
Pathology               0%
Pediatrics              33%              1.5          1.5
PMR                     67%              3.0          2.0
Psychiatry              14%              2.0          2.0
Radiology               30%              1.3          1.0
General Surgery         50%              2.0          0.3
                 SAO Resources
   Career Guidance/Scheduling Advice
   Application Advice

   Workshops and Meetings
     Personal Statement/CV Workshops
     Interviewing Workshops

     What to do and NOT Do Etiquette Meeting

     Ranking and Ranklist Meeting
             Expectations of YOU
   Preparation

   Professionalism
              Norms and Expectations:
                  Email Etiquette
   Email Expectations
       Do your homework and let the recipient know
   Email Exchanges
       Allow at least a full 24 hours for response time
       Calling to follow-up is preferable to another email
   Email Content
       Should always contain a salutation
            Dear Dr. xxxx (make sure titles are correct)
       Should always contain a professional closing
            Thank you very much! Sincerely, xxxxxx
       Should include your contact information
            use BOL email address
           Norms and Expectations:
             Phone Call Etiquette
   Phone Call Expectations
      You have researched the right person to call

      Calls are placed during business hours

      If calling the East Coast, call 3 hours earlier

   Phone Call Exchanges
      Introduce yourself and purpose of call

      Leave clear and professional voicemails

     Advice: Change your voicemail message so that it states
       your full name and sounds like a “work” voicemail
             Getting Started:
           What do You Control?
   MSPE
   CV/Personal Statement
                   MSPE Questionnaire
   First and foremost, please complete the online MSPE Questionnaire
    at the following site by March 1st:
   The first section of the questionnaire is the “Sample Unique
    Characteristics” section, which is the best chance you have to
    influence what is included in your MSPE so take your time.
   Please closely follow the included guidelines and refer to the sample
    given, as this is the structure that will be used. Refer to yourself in
    the 3rd person and be sure to only include information that you would
    want to have on your MSPE.
   The sample Unique Characteristics and guidelines can be found at
    the following site:
          What goes into the MSPE?
   Unique characteristics (based on your input)
   Summary of your Years 1 and 2 evaluations
       Does NOT include exam scores
   All of Year 3 evaluation comments (verbatim)
   Summary of academic progress (including gaps or
    leaves of absence)
   Summary paragraph
What does an MSPE Look Like?
   All Medical Schools follow the AAMC guidelines to
    format and submit their MSPE.

   All have the same headings and content.

              For review of the guidelines:
                Identifying Information
                              JOE BRUIN
                           NOVEMBER 1, 2008

Joe Bruin is a fourth-year student at the Joe Geffen School of Medicine at UCLA in
   Los Angeles, California.
                   Unique Characteristics
           Joe Bruin was born in New York to immigrant parents. His mother is a nurse, and his father is a
  dentist. At age three, the family moved to downtown Los Angeles while his father completed dentistry
  licensure, then to Orange County and finally to Palos Verdes. In elementary and high school, Joe developed
  an interest in science and excelled in his studies. He also competed in Tae-Kwan Do and held an international
  junior ranking.
           Seeking to broaden horizons, Joe did his undergraduate work at Rutgers University, where he received
  a Bachelor of Arts degree in Genetics and Human Biology. He made the Dean’s List for two years. In the
  summer following his freshman year, he became an Emergency Medical Technician in a ten-week program at
  UCLA, and this led to a two-year stint as a live-in volunteer firefighter and EMT at the Cayuga Heights Fire
  Department in Ithaca. He assumed leadership roles as company secretary and then president.
           After graduation, Joe decided to take a research year with Dr. Buchanan in the Department of
  Orthopedic Surgery at UCLA. He was involved in a number of basic projects concerning bone repair. This
  work has continued and expanded to include a project on imaging of experimental metastatic lesions. As a
  result of his research, Joe is co-author of seven manuscripts in print or in press. During the dedicated research
  year, Joe supported himself by teaching at the Kaplan Learning Center and an independent learning center in
  Torrance and by private tutoring.
           Joe has done very well at the School of Medicine. He maintains a wide scope of interests outside of
  medicine, including athletics, travel, cooking, auto restoration, and music. His interest in orthopedics has been
  strengthened by his clinical experiences and his ongoing research. He enjoys the technical challenges that
  orthopedics provides, the camaraderie among physicians in the discipline, and the nature of the clinical
                     Academic History
Date of expected graduation from Medical School:         June 2, 2009
Date of initial matriculation in Medical School:         August 4, 2005
Please explain any extensions, leave(s) of absence, gap(s) or breaks in the
   student’s educational program: N/A
Transfer student: N/A. UCLA does not accept transfer students.
For dual/joint/combined degree students: N/A
     Date of Initial Matriculation in Other Degree Program:
     Date of Expected Graduation from Other Degree Program:
     Type (degree and major) of Other Degree Program:
Was this student required to repeat any coursework during his/her medical
   (if yes, please explain): No
Was this student the recipient of any adverse actions by the medical school or
   its parent institution? (if yes, please explain): No
                    Academic Progress
The David Geffen School of Medicine at UCLA adopted a pure pass/fail grading system
   without the ability to obtain honors with the 1993 entering class. However, a Letter
   of Distinction can be awarded. A Letter of Distinction is based on the extraordinary
   quality of a student’s performance, irrespectivof the performance of other students
   in the course. These letters are not awarded on any type of quota system.
An assessment of Joe’s academic abilities both in the basic sciences as well as in the
   clinical sciences can be readily ascertained from the narratives below. These are
   taken directly from the evaluations submitted by the course chairs and the faculty of
   the basic sciences, small group discussion sections, and clinical clerkships:
Years One and Two
Joe successfully completed the curriculum of the first two years. Comments from his
   evaluations include: “Joe uses his good knowledge of basic science and his own
   hands-on experience and applies them very well. He had excellent problem solving
   and critical thinking skills. Often made astute comments. He had the most
   outstanding patient interviewing skills in the group. Joe will make an incredibly
   observant, thoughtful and effective physician.”
                           Academic Progress
Required Clinical Clerkships and Elective Rotations

Doctoring 3                              (Required)                For the duration of the 3rd year
Center for Health Sciences
Joe Bruin is an active, enthusiastic and valuable member of our doctoring group. Joe combines his naturally
    personable, open demeanor with a fine capacity to articulate and present well reasoned opinions and
    knowledge on pertinent issues. He demonstrated a highly skillful patient interview and appeared to easily
    understand the need to subordinate his own rapid, decisive pace and opinions to the needs and pace of the
    patient. Joe has been a thoughtful participant on all issues and his written and verbal participation have been
    outstanding in every session.

Longitudinal Preceptorship                  (Required)                For the duration of the 3rd year
Center for Health Sciences
Cardiology: Joe is a star! He is one of the most delightful, insightful, engaging students I have interacted with.
    During his preceptorship he displayed abilities and talents comparable to a fourth year medical student. He is
    clearly at the head of the class. During the preceptorship he used the time to practice and hone his physical
    diagnosis skills, interviewing skills and fund of knowledge. Joe also has a very large interest in scientific
    investigation. He was always on the lookout for interesting scientific questions and he saw each case as a new
    opportunity to ask insightful and probing questions. Joe will undoubtedly succeed in any field he chooses. I
    thoroughly enjoyed my interactions with him and give him my very highest and most enthusiastic evaluation.
                               Academic Progress
Pediatrics                     (Required)                      4/1/2007                       (6 weeks)
Center for Health Sciences
Excellent medical student. I am sure he'll be an outstanding resident in whatever field he selects. Nice to work with. Calm and
     composed. Integrated clinical information extremely well. Always professional and appropriate with coworkers and patients.
     Efficient and took charge of his own independent learning as well. Joe did a very good job on his Nursery rotation, and it was
     nice to work with him. Although he is not interested in a Pediatrics career, Joe was always willing to learn new things and
     experience new patients. He related well with the patients' families, he was always on time, and did a very good job with his
     history taking and physical exams. I wish him well in his future as a Cardiologist or surgeon. Very professional among patients.
     Interacted very well with children. In the nursery Joe demonstrated himself to be an eager pleasant student who worked well
     with the nursery staff.

Psychiatry                    (Required)                     5/28/2007                       (6 weeks)
Harbor-UCLA Medical Center
Joe was one of the best medical students that particular psychiatric service has seen. He is self-motivated, knowledgeable, hard-
     working, professional, caring conscientious and well-organized. He will be a truly outstanding resident.

Orthopaedic Surgery           (Elective)                    8/24/2007                      (4 weeks)
Center for Health Sciences
     Truly an outstanding job by this exemplary student. Joe embodies what I look for in an exceptional future houseofficer:
     extremely bright, asks provocative questions, hard working, and has an easy going calm demeanor.
Joe Bruin has performed admirably throughout his education. He is bright, friendly, dedicated, and well-rounded.
    His clerkship evaluations have been particularly strong and seem to predict that he will be a very effective
    clinician, as well as a good teacher. He has tested his interest in orthopedics with an extended exposure to
    research and close relationships with a number of faculty members. He has a sophisticated understanding of
    the field and the intellect and personality to succeed through training and beyond.


Neil H. Parker, M.D.
Senior Associate Dean for Student Affairs
     The Evaluation Section of MSPE
   Evaluations go in verbatim-remember, this is an evaluation not a recommendation
   The only way to have comments revised on your MSPE is to have the Clerkship
    Director submit new comments on ESS. ***THIS MUST BE DONE WITHIN SIX
      All Sub-I and revised comments must be submitted to the SAO on ESS by
        October 10, 2010 in order to be included on the MSPE.
      Buck and Meredith will not be able to make revisions or alter your evaluations
        in any way during the MSPE review process
   Questions or concerns about evaluations should be discussed with Dr. Parker,
    Buck, or Meredith before approaching Clerkship Director.
                 Sample Evaluation Reformat
Before Edit:
Comments from faculty:
"Excellent job getting clinical information efficiently and presenting cases in clear logical format. Good rapport
    with patients."
"Joanne Bruin is bright and enthusiastic, and did an excellent job on this rotation. She developed instant
    rapport with patients, putting them at ease. Her histories were detailed and systematic. She evaluated
    patients carefully, and formulated excellent differential diagnoses and management plans. Her case
    presentations were complete and focused. It was a pleasure to work with her!"
On her case presentation project she received a score of 20/20 and on her written final examination she
    received 70%.

After Edit:
"Excellent job getting clinical information efficiently and presenting cases in a clear logical format.
    Good rapport with patients." "Joanne is bright and enthusiastic, and did an excellent job on this
    rotation. She developed instant rapport with patients, putting them at ease. Her histories were
    detailed and systematic. She evaluated patients carefully, and formulated excellent differential
    diagnoses and management plans. Her case presentations were complete and focused. It was a
    pleasure to work with her!"
    What Is Removed from the Evaluation?
   PDA logs
   Attendance (Unless it is an issue noted within the narrative of the
   Nomination for a LOD (If you received one, it will be noted in bold at
    the end of the evaluation.)
   Exam scores or percentiles
   References to graded presentations
   Physician/evaluator names
   Websites and journal citations
   Dates of Clerkships (the MSPE is written in chronological order)
         How does the MSPE process work?
Spring :
Complete online MSPE Questionnaire by March 1st

Mandatory Application Process Meeting
                 Handbooks distributed (Application and Interview)

Meet with Dean Parker (appointments will be scheduled by SAO and assigned to you…if you cannot make your assigned appointment
    time you will be rescheduled at the end of the list. Again, don’t worry, every student will meet with Dr. Parker and have an MSPE
    completed and released at the exact same moment, so it neither harms nor helps you to meet with him early vs. late)

July 1:
Issued ERAS token by SAO to BOL account-make sure there are no junk mail filters set
                 All students (early match too) register on ERAS

Complete ERAS application, finalize CV and Personal Statement

September -October :
MSPE Editing Begins
                 You are notified by SAO when your MSPE is ready for review…again, we will ensure that you all have MSPEs completed before the deadline so do not worry about this!

October 10:
Last day for Evaluations to be received by SAO to be included in MSPE, so schedule your Sub-I’s accordingly if you want them included

November 1:
MSPEs released automatically to all programs (National Deadline)
           Letter of Rec (LORs):
           What do you control?
   Who writes them
   Which LORs to use
         Letters of Recommendation
   Download ERAS Recommendation form from “Forms Index” at
    following site:
                You do not need to include your AAMC ID on the form
                You do need to waive your right to see the letter by signing this form
                If you ask for more than one letter from the same writer (for multiple
                 specialties), please note specialty on this LOR Request form.
   Requests for LORs should begin this spring. All requests should be
    made by September 1 to allow letter writers time to complete them
   LORs are submitted to the SAO and uploaded onto ERAS as
    received as PDFs
            Suggested types of Letters
Early Match (Ophthalmology and Urology)
1. LOR from either Medicine or Surgery (Yr 3)
       1.    Can be used for Preliminary Programs in ERAS Match
2.   1-2 LORs in specialty of choice (Yr 4)
       1.    At least one LOR should be from UCLA, the others can be
             from Away Electives
3.   LOR from research mentor (if applicable)
            Suggested types of Letters
    Regular/ERAS Match
1.   LOR from either Medicine or Surgery (Yr 3)
       1.    Can be used for Preliminary Programs if applicable
2.   At least one LOR in specialty of choice
       1.    One should be from UCLA
       2.    Should be from Faculty Only (no residents)
3.   1-2 LORs in Sub-Is or Electives taken in the summer
       1. Good to have a variety of specialties
       NOTE for Orthopaedics Applicants: 2-3 LORs should be in specialty and
          should include Away Electives
                Chairs Letters
For applicants applying in:
 Internal Medicine
 Pediatrics
 Orthopaedics
 OB/Gyn
 Preliminary Medical programs
You may be required to submit a Chair’s Letter.
  Requests for Chair’s Letters happen in June.
     Residency Application Includes
   The MSPE (sent out nationally on November 1)
   Personal Statement(s)
   CV
   Letters of recommendation
   Medical School Transcript
   Photograph
   USMLE Score Report (automatically released by ERAS)
It’s All How You Play the Game

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