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A Guide To The Perplexed: Residency Advice

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Title: A Guide To The Perplexed: Residency Advice


1
A Guide To The PerplexedResidency Advice
2
Residency Advice
  • First And Second Year

3
Youve Been Screened, Interviewed.
  • And Admitted To Medical School
  • WOW!
  • Now You Start To Worry Already About
  • Residency?
  • Obsessive-compulsives!

4
Planning Is Different From Anything Youve Done
Before
  • Each residency will want to hire the best doctors
    they can get for their specialty. Youll be
    working as a doctor to learn to be a better
    doctor it is both a job and an education.
  • So it will be, in the round of residency
    competition, more than your potential as a
    doctor thats important (as it was for med school
    admission). From now on , you will be judged by
    your proven track record as a student-doctor.

5
The Basic SciencesThe Essential Thing
  • Pre-clinical academic performance is important,
    not just as 'grades and scores', but because
  • Excellence in your clinical years will depend on
    how well youve learned the lessons and
    discipline of your pre-clinical years.
  • The more you know of medical science, and of
    scientific logic and method, the better doctor
    you are likely to be in both your clinical and
    investigative skills.

6
M1 and M2 Years
  • Your performance on examinations (numbers)
    is more emphasized by some specialties than
    othersbut no specialty wants to take a person
    who has trouble passing exams, if only because
    such a person cant get licensed to practice.
  • Some specialties want you also to have
    evidenced commitment to advancing the art by
    clinical or bench research (more about this
    later).

7
COMMENTS FROM THE DEANS
  • USMLE STEP I and II Exam Scores? How
    Important Are They?

From Dr. Kumari (2005) I surveyed UCD residency
directors about the value they put on USMLE
examination scores in assessing applicants for
residencies in their disciplines. The responses
are in each specialty sections program director
slides. Keep in mind that these are our schools
perceptions only, though they are likely to
reflect those of program directors within the
same specialty at other programs. However,
expect differences in opinion based on the
specific program director and resident selection
committees experience, competition between
programs, prestige, geographic appeal, nature of
the programs patient population and perceived
mission (clinical, research, e.g.), etc.
8
Comments From The DeansUSMLE Board Scores
  • DEAN MICHAEL WILKES (2005)
  • Step 1 has added importance at a pass-fail school
    such as ours. It seems that for most non-surgery
    programs, the USMLE score is not vital but it
    must be passed (solidly!). Students that barely
    pass, program directors worry, may have
    difficulty also with specialty exams in the
    future, causing trouble for the program.
  • Most program directors will not feel a 205
    score is much worse than a 225 (everything else
    being equal), and will value other items much
    more (clerkship evaluations, letters of
    recommendation, etc.)
  • Surgical specialties and subspecialties often
    place a high value on test scores, however.

9
The Other Essential Thing!
  • ALL specialties will want candidates who are
    responsible, mature, hard working, caring,
    honest, curious, professional and collegial, and
    who can work well with staff, peers, students,
    nurses, supervisors, patients and families.
  • Bad behavior will be seen as a sign of flawed
    character, no matter when it occurs.

10
How Do You Choose?
  • Some of the preclinical students know already
    what they want to do.
  • Most dont.
  • Many who know will change their minds.
  • To choose a specialty without having real
    experience in it is like marrying a mail-order
    spouse.

11
What Are The Best Specialties?
  • The best specialty for any doctor is the one they
    love best and in which they do their best.
  • No specialty is intrinsically better than
    another.
  • The life-style of any specialty can change
    abruptly by political, economic or societal whim
    choose for content, not structure.

12
Coming To Your M3 Year?
  • How important are your evaluations during M3
    clerkships?
  • Generally critical!
  • You may overcome a lackluster pre-clinical record
    by being a clinical star, but even the top
    pre-clinical record will not do you much good if
    you are a clinical disaster in any clerkship
  • There will be a class meeting about the M3 year
    before you have to do anything about it.

13
The M3 Year
  • No matter what your fellow medical students (i.e.
    the they of they say) tell you
  • The order of your M3 clerkships makes very little
    difference. What makes a big difference is how
    well you do in each compared to the students who
    are in it at the same time you are.

Doing clerkship X first will compare you to
others doing clerkship X first second with
second, and so on. So putting one off so youll
be more experienced when you take it just has
you evaluated relative to others who now also
are experiencedsee?
14
I Hear The Evaluations Are Subjective!
  • Sure they are.
  • There are no objective ways to assess
    responsibility, dedication, character,
    inter-personal skills, interest, aptitude,
    teamwork, maturity and judgment.

15
They Say That Personality Conflicts With
Evaluators Can Ruin Your Grade
  • If you believe there is a significant personality
    conflict that might lead to an unfair assessment,
    it is your responsibility to discuss this with
    the instructor of record as soon as you become
    aware of it.

16
ARE THE SHELF EXAM SCORES IMPORTANT?
  • They sure are these are USMLE board type tests
    of the clinical knowledge you should have after
    each clerkship. Since they are tests, you must
    study for them during your clerkship!
  • You may not, however, spend so much time in study
    for tests that you neglect your clinical
    assignments.
  • You must do well in both!

Either knowledge without skills, or skills
without knowledge, make you dangerous..not a
doctor!
17
Coming To Your M4 Year
  • There are no tricks of working the match system
    that will advantage you in applying to residency.
  • Program directors in all specialties are too
    experienced and devoted to their programs to fall
    for non-substantive attempts to game the match.
  • The order of your senior clerkships, however,
    will potentially make a difference both to you
    and to the programs you apply to.
  • There will be a class meeting about your M4 year
    before you have to do anything about it.

18
Coming To Your Senior Year
  • You should seek advice from a faculty member in
    the specialty you wish as to the content and
    order of your senior year.
  • It is generally wise to take at least one acting
    internship in your chosen specialty and at least
    one (if you can) at the program to which you want
    to matchbefore November of your senior year.
    This gives time for evaluators to write letters
    for you.

19
Your Senior Year
  • You will need letters of recommendation from
    faculty who have worked with you clinically in
    your chosen specialty (how many letters will vary
    by program so check with them, and send no more
    and no less than they ask for).

20
What About The Deans Letter?
  • This will contain information about both your
    pre-clinical and clinical achievements. It will
    be honest, and cannot be selectively expurgated
    of unfavorable comments if it is to remain
    credible.
  • Generally, the deans letter-writer will not
    quote an unfavorable comment unless it is either
    about egregious lack of professionalism or is
    part of a theme (i.e. is commented upon by more
    than one independent evaluator).
  • The deans want to get you the best residency
    possible, but cannot lie about or obscure your
    record.

21
How About Interviews?
  • You should schedule time in your senior year for
    interviews at the programs in which you are
    interested.
  • Do not schedule time for interviews concurrent
    with a clerkship and expect to be released from
    your duties to go. This will be seen as
    unreliability to your clinical responsibilities
    in order to advantage yourself- Bad, Bad!

22
How About AOA? Isnt That Important?
  • The only way to get into AOA, the National
    Medical Honor Society, is to be an exceptional
    student and superb doctor.
  • There are no other ways to apply.

23
Criteria For Election To AOA
  • Scholastic achievement should be the primary but
    not sole basis for election of a student.
    Leadership capabilities, ethical standards,
    fairness in dealing with colleagues, potential
    for achievement in medicine, and a record of
    service to the school and community.

To be eligible, one must be in top 25 of the
class, but eligibility is not election. The full
qualities of each eligible candidate are
carefully considered by AOA members, who are
students, residents, faculty
24
AOA And Residency
  • AOA election is not intended by the society to be
    a device to enhance ones candidacy for
    residency.
  • A candidates motive for desired election to
    AOA is immaterial.
  • It is the totality of a candidates
    accomplishments in scholarship, leadership,
    service, and character which is determinative.

25
Worthy To Serve The Suffering
  • AOA membership is an honor, but it is primarily
    an obligation and a life-long promise.
  • WHAT THE INITIALS IN GREEK (???) STAND FOR.

ELECTION OF STUDENT MEMBERS OCCURS AT THE END
OF THE THIRD YEAR AND IN THE FIRST HALF OF THE
4TH YEAR OF MEDICAL SCHOOL.
26
Specific Residencies
  • Anesthesiology
  • Dermatology
  • Emergency Medicine
  • ENT
  • Family Practice
  • Medicine
  • Neurology
  • Neurosurgery
  • Nuclear Medicine
  • Ob-Gyn
  • Ophthalmology
  • Orthopaedics
  • Pathology
  • Pediatrics
  • Plastic Surgery
  • Physical Medicine and Rehabilitation
  • Psychiatry
  • Public Health

BUT WHAT IF YOU DONT KNOW YET?
27
So You Dont Know Yet?
  • Start by honestly assessing your own gifts and
    limitations.
  • In what specialty during the 3rd year did you
    most enjoy the people with whom you worked, both
    colleagues and patients?
  • Think about what you dont want to do, and
    eliminate those careers.
  • Try several likable possibilites as clerkships
    early in your senior year.
  • Talk to your clinical advisor, a trusted teacher,
    your college director , and people already in the
    fields youre considering.

You are not in the minority here many
medical Students dont know by their senior year!
28
Specific Residencies
  • Anesthesiology
  • Dermatology
  • Emergency Medicine
  • ENT
  • Family Practice
  • Medicine
  • Neurology
  • Neurosurgery
  • Nuclear Medicine
  • Ob-gyn
  • Ophthalmology
  • Orthopaedics
  • Pathology
  • Pediatrics
  • Plastic Surgery
  • Physical Medicine and Rehabilitation
  • Psychiatry
  • Public Health

EXPLORE THE POSSIBILITIES!
29
So You Want To Be An Anesthesiologist?
  • ADVICE FROM PROGRAM DIRECTOR
  • We interview applicants in upper quartile of
    USMLE Step 1 is important as basic sciences
    particularly physiology, biochemistry and
    pharmacology are the foundations of
    anesthesiology practice. A poor score in Step 1
    can be negated by improved USMLE step 2 or strong
    advocacy from faculty adviser.
  • ALL positions fill in California. Open positions
    in south and northeast regions fill during
    post-match scramble
  • There is no early match.
  • The majority of positions are at the PGY2 level.
    There are a small number of categorical PGY1
    positions nationally. Most applicants will need
    to consider participating in match for PGY1
    transitional internships in addition to PGY2
    position in anesthesiology.
  • Research is highly desirable in related research
    area .
  • Grades/USMLE important but not supreme.
    Clerkships (electives) indicate their idea of the
    important core medical disciplines relevant to
    the practice of anesthesiology. Their facility
    in discussing experiences during clerkships and
    medical school indicate self reflective and
    communication skills. Strong advocacy from
    faculty adviser(s) as to clinical performance and
    character on clerkships. Personal statement not
    as important as ability to discuss their life and
    learning experiences, influences and personal
    values. Some sense of who they are, what they
    are looking for from residency I.E., the
    impressions gained during the interview day is
    the deal breaker/maker.
  • CONTACT Peter G. Moore, MD, PhD (chair and
    program director)
  • PHONE 916.734.5048
  • E-MAIL peter.moore_at_ucdmc.ucdavis.edu

30
So You Want To Be ADermatologist?
  • ADVICE FROM PROGRAM DIRECTOR
  • Preferential consideration is given to
    candidates with USMLE I scores above 235. Grades
    during 3rd year clerkships and AOA status are
    given particular attention.
  • There are limited positions nationwide.
  • There is no early match.
  • There is no PGY II match.
  • Research is highly desirable but not required.
  • Students should seek advice from faculty
    beginning in their M1 and M2 year.
  • Our program seeks enthusiastic, hard working and
    motivated candidates who wish to pursue a career
    in academic dermatology.
  • CONTACT Nasim Fazel MD, DDS.
  • PHONE 916.734.6876
  • E-MAIL nasim.fazel_at_ucdmc.ucdavis.edu

31
So You Want To Be An Emergency Doctor?
  • ADVICE FROM PROGRAM DIRECTOR
  • Most important to perform well on Emergency
    department rotations and core rotations (e.g.
    Medicine, Surgery, Pediatrics). High board scores
    certainly help, but most EM programs focus on the
    whole package. Very low board scores will hurt
    most applicants.
  • There are limited positions nationwide, but about
    95 of US seniors who apply only to EM will match
    in EM. This means that the vast majority of UCD
    SOM graduates should be able to match in an EM
    program somewhere, as long as they have an
    appropriate application strategy (get an
    advisor!!).
  • There is no early match
  • Of the 136 EM programs in the US, 15 are PGY2-4
    programs (3-year programs that require completion
    of an internship). More information about
    programs at www.saem.org -- go to residency
    catalog.
  • Research is not required, but it can strengthen
    your application. Some programs care more about
    this than others. If you truly have no desire to
    do research during medical school, it is probably
    not worth your effort.
  • Students should seek advice on residency in their
    M2 or M3 year.
  • There is no ideal applicant, but most programs
    want these qualities
  • Academicstrong performance in medical school
    overall, especially ED rotations
  • Personaloutstanding interpersonal skills,
    enthusiasm about the specialty and about
    learning, empathy for patients, strong work
    ethic, balanced individual who will do well in a
    busy training program
  • CONTACT Molly Fling, Residency Program Manager,
    PHONE (916) 734-8571
  • E-MAIL mfling_at_ucdavis.edu

32
So You Want To Be AnENT (Otorhinolaryngologist?)
  • ADVICE FROM PROGRAM DIRECTOR
  • Grades/numbers highly influence on match in
    Otolaryngology
  • There are limited positions nationwide.
  • There is no early match.
  • There is no PGY II match.
  • Research experience makes the applicant more
    competitive.
  • Students should seek advice from faculty
    beginning in their M1 or M2 year.
  • Our goal is to chose people who are academically
    competitive, well-rounded often excelling in
    areas outside of medicine.
  • CONTACT Sally Mohr, Residency Coordinator
  • PHONE 916.734.8157
  • E-MAIL sally.mohr_at_ucdmc.ucdavis.edu

33
So You Want To Be A Family Practitioner?
  • Advice From Program Director
  • The UCDMC Family Practice program gives no
    systematic weight to USMLE Step 1, but if its
    low this could be a red flag to pay attention to
    other evidences of academic difficulties which,
    collectively, might drop a student from
    contention.
  • A high USMLE score is a bonus, but less important
    than the deans letter and other measures of
    performance and personality.
  • Clinical evaluations are most important.
  • I suspect this thinking is similar in most FP
    residency programs.

More on next slide
34
So You Want To Be A Family Practitioner?(cont).
  • Positions are available, with a wide range and
    number of programs
  • There is no early match
  • There is no PGY2 match.
  • Research is not essential.
  • Students should seek advice from our faculty in
    their M3 and M4 years.
  • We seek people dedicated to learning a wide range
    of skills (including a rigorous inpatient
    training) in order to become excellent primary
    care physicians. Excellent communication skills
    are sought as well.
  • Contact Tom Balsbaugh MS Tel 916.734.3615
    e-mail thomas.balsbaugh_at_ucdmc.ucdavis.edu.
  • Other mentors Kay Nelsen MD, Assoc.Program
    Director kay.nelsen_at_ucdmc.ucdavis.edu
  • Geriatrics
    huey.lin_at_ucdmc.ucdavis.edu.
  • Sportsgeorge.rankin_at_ucdmc.
    ucdavis.edu
  • Womens health, OB
    Suzanne Eidson-Ton

  • wetona.eidson-ton_at_ucdmc.ucdavis.edu.

35
So You Want To Be An Internist?
  • Advice From Program Director (M3-4 also see next
    page)
  • We dont pay much attention to Step I USMLE
    unless its very low (below 200 or so). Step II
    may be slightly more predictive of clinical
    knowledge, so I might pay more attention to it.
    The most competitive programs may use Step I
    scores because they can, having many excellent
    applicants.
  • There are over 400 IM programs and about
    4700 categorical IM positions across the country.
    West Coast tends to be more competitive than the
    rest of the country.
  • There is no early match.
  • There is no PGYII match, but transfers top
    PGYII positions may occur if the applicant is
    released from their contractual obligation to
    their original program.
  • Demonstrated excellence in research may
    enhance competitiveness, but is not absolutely
    required.
  • Students should seek advice from our faculty
    at any time, even from the M1 year on.
  • UCD IM program considers a variety of
    criteria in evaluating candidates, including but
    not limited to basic science and clinical
    performance (particularly in IM rotations),
    commitment to IM, USMLE scores, volunteer and
    leadership activities, scholarshp, and personal
    characteristics as determined by letters,
    personal statement, and interview. No single
    criterion is weighted automatically more than
    others we seek people with demonstrated
    excellence in one or more of the areas listed
    above.
  • CONTACTS Drs. Mark Henderson, Frederick Meyers
    (Chairman), Faith Fitzgerald, Craig Keenan, Tonya
    Fancher, Jorge Garcia.
  • PHONE 916.734.7080
  • E-MAILimres_at_ucdavis.edu
  • WEBSITEhttp//internalmedicine.ucdmc.ucdavis.edu/
    residency.

36
So You Want To Be An Internist ? (cont.)
  • Advice From Program Director For Your 4th Year
  • Internal Medicine Recommendations for Fourth Year
    Students
  • Internal Medicine programs train physicians who
    will be able to work in either the inpatient or
    outpatient setting. During the course of
    training, residents may choose to emphasize a
    particular area within internal medicine such as
    inpatient medicine (hospitalist), outpatient
    medicine (ambulatory or primary care internal
    medicine), or subspecialty internal medicine
    (cardiology, pulmonology, gastroenterology,
    infectious diseases, nephrology, endocrinology,
    rheumatology, hematology/oncology).
  • Many programs, including our own, have a separate
    Primary Care Track that emphasizes the
    outpatient experience, in addition to the
    categorical track, which emphasizes inpatient
    or subspecialty internal medicine experiences.
    Graduates of internal medicine programs may elect
    to pursue careers in the following areas
    academic medicine, basic science or clinical
    research, primary care practice, or subspecialty
    practice.

  • (cont.next page)

37
So You Want To Be An Internist ? (cont.)
  • Advice From Program Director For Your 4th Year
    (cont)
  • Suggested Rotations. There is no strict formula
    except to choose rotations that interest you.
    However, we would suggest your consider the
    following rotations
  • At least one acting internship in internal
    medicine (e.g., MICU or general medicine wards).
    Such rotations may be used to build your basic
    internal medicine skills and may also be an
    opportunity to obtain a valuable letter of
    recommendation.
  • Away rotations. Consider doing an away IM
    rotation either to find our more about a
    particular residency program or to make a good
    impression on a program of interest. Away
    rotations are by no means required.
  • One or two IM subspecialty rotations. There are
    numerous rotations but the most popular ones
    include infectious diseases, nephrology,
    cardiology, pulmonary, endocrinology (a good
    outpatient subspecialty experience), or EKG
    interpretation.
  • Non-IM rotations. Choose one or two broad based
    experiences such as emergency medicine,
    neurology, dermatology, gynecology, or radiology
    (especially chest film or body CT scan
    interpretation).
  • Consider a two-week ophthalmology elective to
    develop basic eye examination skills.

38
So You Want To Be A Neurologist?
  • ADVICE FROM PROGRAM DIRECTOR
  • High grades and exam scores highly influence your
    match in Neurology
  • There are not limited positions nationwide.
  • Neurology is not in NRMP match. SF match only
    has one match which is early. There is no late
    match for SF match.
  • There is a PG1 match and a PG2 match. Two
    positions in each match with a total of four.
  • Research is not required.
  • Students should seek advice from faculty
    beginning in their M3 year.
  • Our program is seeking, ideally, hard working,
    conscientious, and compassionate residents.
  • CONTACT David Richman, M.D.
  • PHONE 916.734.3514
  • E-MAIL dprichman_at_ucdavis.edu

39
So You Want To Be A Neurosurgeon?
ADVICE FROM PROGRAM DIRECTOR Grades and numbers
must be high. If below 90th on USMLEs there will
be little chance of an interview. There are
limited (140) positions nationwide. There is
no early match, but we take candidates outside
the match. There is no PGY2 match. Research
in medical school is highly desirable, especially
in basic or clinical sciences related to
neurosurgery. Seek advice from the faculty
beginning in the M1 year. Candidates should be
highly motivated (successful in another career
helps), creative (showing original artwork
impresses!), academically inclined.
CONTACT J.Paul Muizelaar PHONE 916.734.3658
E-MAIL j.paul.muizelaar_at_ucdmc.ucdavis.edu
40
So You Want To DoNuclear Medicine?
  • ADVICE FROM PROGRAM DIRECTOR
  • Grades/numbers are of medium importance.
    Clinical clerkship rotations with good
    impressions are very important.
  • There are only about 50 Nuclear Medicine programs
    in the nation.
  • There is no early match.
  • There is a PGY II national match approximately
    two years ahead of time.
  • Research experience is desirable.
  • Students should seek advice from faculty
    beginning in their M2 or early M3 year.
  • Our goal is to chose students who are bright,
    interested and motivated. Good interpersonal
    skills are important.
  • CONTACT David K. Shelton, M.D.
  • PHONE 916.703-2273
  • E-MAIL david.shelton_at_ucdmc.ucdavis.edu

41
So You Want To Be An Ob-gyn?
  • Advice From Program Director
  • Step I is more important than Step II, which is
    considered easier than Step I. Success on first
    try at Step I is predictive of future success on
    similar tests, and so on licensing.
  • Step I scores of 200 or higher generally get
    interviews before other candidates. However, all
    things are considered, including Deans letter,
    personal statement, etc. A low USMLE score does
    not preclude someone from going into OB-GYN.
  • In OB-GYN here, USMLE scores and clerkship
    grades (especially in OB-GYN, surgery and
    internal medicine) are considered factual data
    and ranked high. The deans letter is considered
    opinions.

More on next slide
42
So You Want To Be An Ob-gyn?(continued)
  • Advice From Program Director
  • There is no early match.
  • There is no PGY2 match.
  • Research is highly desirable and can start about
    your M2 year.
  • The program seeks people interested in womens
    heath care and who like to work with their hands,
    be fast-paced, team-players who like being busy,
    and who like variety in their days-i.e. in
    clinics, O.R., Labor Delivery, etc.
  • Begin seeking advice on Ob-Gyn from faculty in
    your M2 year.
  • CONTACTS. Clara Paik916.734.6753
    CKPaik_at_ucdavis.edu
  • Mary Ciottimary.ciotti_at_ucdmc.uc
    davis.edu.

43
So You Want To Be An Ophthalmologist?
  • ADVICE FROM PROGRAM DIRECTOR
  • Grades and board scores are important but do not
    either exclude an applicant or assure an
    interview. We do receive numerous applications
    in the 90 range on USMLE.
  • There are limited positions nationwide and match
    is very competitive.
  • There is an early SF match.
  • There is a PGY2 match.
  • Research experience is not required but very
    desirable.
  • Students should seek advice from faculty
    beginning in their M1 or M2 or M3 year.
  • Our program is looking for well-rounded,
    talented, very smart, independent, hard-working
    people who like delicate surgery and a variety of
    clinical situations, including working with young
    and old patients with acute through chronic
    diseases. Students who like learning and want to
    make it a life long process.
  • CONTACT Jeffrey J. Caspar, M.D.
  • PHONE 916.734-6957
  • E-MAIL jjcaspar_at_ucdavis.edu

44
So You Want To Be An Orthopaedist?
  • ADVICE FROM PROGRAM DIRECTOR
  • High USMLE scores and honor level grades are
    essential for interview selection.
  • There are limited positions nationwide.
  • There is no early match.
  • Rarely there are PGYII positions available.
  • Research is highly desirable.
  • We are looking for intelligent, hard working,
    self-motivated individuals who work well with
    others.
  • CONTACT David Hak
  • Phone 916.734.6294
  • E-MAILdavid.hak_at_ucdmc.ucdavis.edu

45
So You Want To Be A Pathologist?
  • ADVICE FROM PROGRAM DIRECTOR
  • Grades are of importance in our choices, but
    of lesser significance than the totality of the
    applicants accomplishments, character and
    dedication.
  • There is no limitation on positions
    nationwide.
  • There is no early match.
  • There is no PGY II match.
  • Research during medical school is desirable,
    but not required.
  • A student should seek advice from our faculty
    in the M3 year.
  • Candidates should be motivated, well rounded,
    well-recommended and a team player.
  • CONTACT Rajen Ramsamooj or Kim Janatpour
  • Phone 916.734.2525
  • E-MAIL rajendra.ramsamooj_at_ucdmc.ucdavis.edu.

46
So You Want To Be A Pediatrician?
  • ADVICE FROM PROGRAM DIRECTOR
  • We are interested in students who pass tests
    without difficulty, and students who barely pass
    may have difficulty with Step III, which means
    they cant get a California license (which is
    required to do their third year of residency).
    Failure to pass the pediatric boards,
    furthermore, reflects poorly on our program and
    may cause problems with our residency review
    committee.
  • We realize the boards are a multiple choice exam
    predictive of only how one will do on the next
    such exam, not on clinical performance per
    se.While a board score less than 200 is not an
    automatic disqualifier, low scores coupled with
    low grades in preclinical years and clerkships is
    a problem.
  • I advise students not to worry too much about
    boards, but to work very hard during the
    clerkships (we do note these grades and
    comments).
  • I think most pediatric programs take a similar
    approach.
  • CONTACT Dan West
  • Phone 916.734.2782
  • E-MAIL daniel.west_at_ucdmc.ucdavis.edu.

47
So You Want To Be A PMR Doctor?
  • ADVICE FROM PROGRAM DIRECTOR
  • Good grades and test scores will allow you to
    pick your program.With average numbers, positions
    are available, but probably not in the best
    programs. The West Coast is more competitive than
    the East.
  • There are 79 programs with about 360 total
    positions in the US.
  • There is no early match.
  • We match a year ahead (typically med school
    seniors) for PGYII positions.
  • Research as a med student is highly
    desirable.
  • You should begin seeking advice from PMR
    faculty in your M2 year
  • Our programs seek students with good
    numbers and excellent clinical evaluations. Your
    personal statement should reflect knowledge of
    PMR and why you choose it. You should do
    electives in PMR and related specialties. You
    must pass USMLE on 1st try.
  • CONTACTS Carol Vandenakker MD Pat Settje,
    res.coordinator
  • Phone 916.734.5292
  • E-MAILpatricia.settje_at_ucdmc.ucdavis.edu

48
So You Want To Be A Plastic Surgeon?
  • ADVICE FROM PROGRAM DIRECTOR
  • Grades and USMLE scores are very important in
    ranking candidates, as are personal interviews.
    An acting internship in our specialty is also of
    some importance.
  • There are a limited number of positions
    nationwide.
  • There is an early match.
  • There is a PGY II match.
  • Research during medical school is not
    necessary for our specialty.
  • Students should seek advice from our
    faculty beginning in their M3 year.
  • We seek residents interested in a surgical
    specialty that requires creativity, an interest
    in operating all over the body in young and old
    patients, and a personality that deals well with
    people.
  • CONTACTS Thomas Stevenson, M.D.
  • Phone 916.734.2568
  • E-MAIL trstevenson_at_ucdavis.edu

49
So You Want To Be A Psychiatrist?
  • ADVICE FROM PROGRAM DIRECTOR
  • Clerkship grades are most important, pre-clinical
    grades and Steps 1 2 USMLE less important
    unless there is a failing grade.
  • We dont talk about Step I scores in selection
    committee unless the students either have an
    unusually high score or failed their first time.
    If they failed first try, they may not be invited
    to interview. A 2nd failed attempt is fatal in
    our program.
  • We see USMLE Steps I II as a predictor of
    passing Step III and future written exams not
    much else.
  • There are not limited positions nationwide
  • There is no early match
  • There is no PGY2 match.
  • Research is desirable but not necessary
  • Students should seek advice in their M3 year.
  • Ideally, the psychiatry program is looking for a
    skilled clinician with capacity for introspection
    and psychological-mindedness, strong
    interpersonal skills, and fascination with human
    behavior.
  • CONTACTS Mark Servis, M.D.
  • Phone 916.734.2614
  • E-MAILmeservis_at_ucdavis.edu

50
So You Want To Be A Public Health Doctor?
  • ADVICE FROM AN EXPERT
  • UC Davis Master in Public Health
    Program
  • Applicants must be in good standing. Although
    high grades are helpful, we consider other
    factors as well.
  • Interested and qualified students are likely to
    find a position somewhere.
  • There is no match for MPH programs. Students
    apply individually and directly to the program.
  • Research experience is looked upon favorably, but
    is not essential. We consider other factors as
    well.
  • Students should seek advice from our faculty at
    whatever point in their education they begin to
    consider public health.
  • We are looking for dedicated, enthusiastic
    physicians who hope to make a difference in the
    health of populations.
  • CONTACT Stephen McCurdy, MD MPH (UCD MPH
    Program Director)
  • Phone 530-752-8051
  • Email samccurdy_at_ucdavis.edu

51
So You Want to be a Radiation Oncologist?
  • Advice from Program Director

Radiation oncology has become extremely
competitive in recent years. Grades and USMLE
scores are important and used to compare
applicants initially. An elective rotation at the
program of choice and a superb performance during
that rotation is of foremost importance. There
are limited positions nationwide. There is no
early match. There is a PGY II match. Research is
highly desirable showing research interest and
initiative adds to competitiveness. Begin to seek
advice from faculty in the M3 and early M4
years. We seek academically oriented and highly
motivated individuals. CONTACT Janice Ryu, M.D.
or Lisa Reevesman Phone 916.734.8251 or
916.734.7888 E-Mail janice.ryu_at_ucdmc.ucdavis.edu
lisa.reevesman_at_ucdmc.ucdavis.edu.
52
So You Want To Be A Radiologist?
  • ADVICE FROM PROGRAM DIRECTOR
  • In reviewing applications for Diagnostic
    Radiology residency, we try to be objective in
    terms of past performance. Academic performance
    is one of the factors we utilize in selecting our
    potential applications for interviews. Important
    also is whether the applicant has done a
    Radiology elective and shown great interest in
    the UC Davis Radiology Program.
  • There are a limited number of positions in
    Radiology nationwide. Diagnostic Radiology has
    become very competitive in the past few years.
  • There are few programs that match for the PGY1
    position. The majority of programs require a
    preliminary year followed by a match at the PGY2
    position.
  • There is a PGY2 match, including those selected
    at UC Davis.
  • Research is not required during medical school,
    but it is highly desirable.
  • The earlier the student seeks advice, the better,
    in the M1-2 year. This can then allow him or her
    to focus attention more specifically in
    radiology, start a dialogue with a faculty in
    radiology or start research or a project that
    would take some time to complete. Still, many
    resident applicants have not sought advice until
    their early fourth year and have been a
    successful applicant.
  • Our program is seeking well-qualified students
    who are highly motivated and show a track record
    of success in graduate and medical school.
    Research that is focused towards radiology is a
    bonus but not required for a successful match
    into Radiology.
  • CONTACT John P. McGahan, M.D.
  • Phone 916-734-6533
  • Email john.mcgahan_at_ucdmc.ucdavis.edu

53
So You Want To Be A Surgeon?
  • Advice From Program Director
  • We put significant value on Step I scores, and
    very little on Step II only a small number of
    students have Step II scores at the time were
    making decisions about resident selection.
  • The important information in an application to us
    is, in rank order 1) performance on 3rd year
    clerkships 2) performance on USMLE Step I 3)
    performance in the first two years of med school
    4) recommendation letters 5)deans letter 6)
    extracurricular activities, and 7) personal
    statement.
  • There are limited positions nationwide.
  • There is no early match.
  • There is no PGY2 match.
  • Research is not required.
  • Students should seek advice from faculty in their
    M2- M3 year.
  • We are anxious to attract diverse, outstanding
    candidates who will thrive at UC Davis. Our aim
    is to recruit a group of superbly qualified
    physicians who will enjoy our rigorous training
    program. We invite you to examine our residency
    program by visiting our web page at
    ucdmc.ucdavis.edu/surgery.
  • CONTACTS Lynnette Scherer, M.D.
  • Phone 916.734.7982
  • E-MAIL lynnette.scherer_at_ucdmc.ucdavis.edu or
  • gensurgery.residency_at_ucdmc.ucdavis.edu

54
So You Want To Be A Urologist?
  • ADVICE FROM PROGRAM DIRECTOR
  • Grades and test scores need to be high to
    match in Urology. Most that are invited to
    interview have board scores in 90th, 50 honors
    grades, and 50 are AOA.
  • There are limited positions nationally, and
    only about 15 go unfilled in the match.
  • There is an early match in urology.
  • There is no PGY2 match.
  • Research is highly desirable most invited
    for interview are involved in past research.

more on next slide
55
So You Want To Be A Urologist?(continued)
  • Students should seek advice on residency from our
    faculty beginning in their M2 year.
  • The program seeks candidates who are committed to
    their education and training, and have
    personality traits that fit with existing staff
    and residents.
  • CONTACT Roger Low MD 916.734.2893.
    roger.low_at_ucdmc.ucdavis.edu

56
There Will Always Be More Questions
  • Feel free to call or e-mail
  • College Directors and Deans
  • Amerish Bera, M.D., 530-754-6953, College
    Director and Assistant Dean, Admissions and
    Outreach
  • Constance Bowe, M.D., 530-758-9349,
    cmbowe_at_ucdavis.edu, College Director
  • John T. Owings, M.D., 916-734-7131, Assistant
    Dean, Student Affairs
  • Michael Wilkes, M.D., Ph.D. 530-752-3170, Vice
    Dean Medical Education
  • Dan West, M.D., 916-734-3665, College Director
    and Pediatrics Program Director
  • Jorge Garcia, M.D., 916-734-7005, College
    Director and Internal Medicine Gastroenterology
    Program Director
  • Tonya Fancher, M.D., 916-734-4091, College
    Director and Assistant Program Director, Internal
    Medicine

57
Program Directors
  • Anesthesiology Moore, Peter pgmoore_at_ucdavis.edu
    (916) 734-5169
  • Dermatology Lynch, Peter peter.lynch_at_ucdmc.ucdav
    is.edu (916) 734-6373
  • Emergency Medicine Sokolove, Peter pesokolove_at_ucd
    avis.edu (916) 734-8570
  • Family Community Med Balsbaugh,
    Thomas thomas.balsbaugh_at_ucdmc.ucdavis.edu (916)
    734-3432
  • Internal Med. Henderson, Mark mark.henderson_at_ucdm
    c.ucdavis.edu (916) 734-7080
  • Neurological Surgery Muizelaar, J.
    Paul j.paul.muizelaar_at_ucdmc.ucdavis.edu (916)
    734-3071
  • Neurology Richman, David dprichman_at_ucdavis.edu (
    916) 734-3514
  • Nuclear Medicine Shelton, David david.shelton_at_net
    rad.ucdmc.ucdavis.edu (916) 734-2754
  • OB/GYN Ciotti, Mary mary.ciotti_at_ucdmc.ucdavis.ed
    u
  • (916) 734-6938
  • Ophthalmology Caspar, Jeffrey jjcaspar_at_ucdavis.e
    du (916) 734-6060

more on next slide
58
Program Directors (continued)
  • Orthopaedics Hak, David david.hak_at_ucdmc.ucdavis.
    edu (916) 734-2700
  • Pathology Ramsamooj, Raj rajendra.ramsamooj_at_ucdm
    c.ucdavis.edu (916) 734-3331
  • Pediatrics West, Dan daniel.west_at_ucdmc.ucdavis.ed
    u (916) 734-3665
  • PM R Vandenakker, Carol carol.vandenakker_at_ucdmc
    .ucdavis.edu (916) 734-5292
  • Psychiatry Servis, Mark meservis_at_ucdavis.edu (91
    6) 734-5514
  • Radiology McGahan, John john.mcgahan_at_netrad.ucdmc.
    ucdavis.edu (916) 734-5195
  • Surgery Scherer, Lynette lynette.scherer_at_ucdmc.ucd
    avis.edu
  • (916) 734-2724
  • Plastic Surgery Stevenson, Thomas
    trstevenson_at_ucdavis.edu
  • Urology Low, Roger roger.low_at_ucdmc.ucdavis.edu (9
    16) 734-8135

59
ASK FOR ADVICE FROM THE FACULTYTHEYRE EAGER TO
HELP!
BECAUSE MEDICAL SCHOOL IS ONLY THE BEGINNING OF
YOUR MEDICAL EDUCATION.
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