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RESIDENCY APPLICATION AND MATCH PROCESS

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Title: RESIDENCY APPLICATION AND MATCH PROCESS


1
RESIDENCY APPLICATION AND MATCH PROCESS
  • Class of 2009

2
Specialty Choice
  • Undecided do those rotations early
  • CiM web site www.aamc.org/students/cim
  • Book Isersons Getting Into a Residency
  • Book First Aid for the Match
  • http//www.med-ed.virginia.edu/specialties
  • Consider what the specialty is like outside of
    UMC (talk to outside physicians)

3
Specialty Choice
  • Know the negative aspects of the specialty you
    are considering
  • Take advice given to you re a specialty from
    individuals outside that specialty with a grain
    of salt
  • IF YOU WANT TO KNOW WHAT A GIVEN SPECIALTY IS ALL
    ABOUT TALK TO PEOPLE WHO PRACTICE THAT
    SPECIALITY

4
Specialty Choice
  • There are more GME positions than there are
    American Graduates to fill them!
  • Some overestimate the competitiveness of their
    specialty
  • There are only 10 students in the top ten
  • Can go through this process applying to more than
    one specialty

5
Application / Match
  • Application
  • ERAS
  • SF Match
  • AUA Match
  • Military
  • Match Program
  • NRMP
  • SF Match NRMP
  • AUA Match NRMP
  • Military

6
ERASElectronic Residency Application Service
  • 60.00 to register and apply to 10 programs
  • Number of Programs Per Specialty
  • Up to 10 60 11-20 8 each
  • 21-30 15 each 31 or more 25 each
  • Registration opens July 1 Kay will remind you
  • ERAS www.aamc.org/eras
  • Generate a password that no one else will know
  • No spell check print out and proof
  • Save a hard copy and electronic version

7
NRMPNational Residency Matching Program
  • All students register opens August 15
  • Keep the name you use when you register!
  • 40.00 to register
  • NRMP www.nrmp.org
  • Rank Order List due in February
  • Match Day - third week in March

8
NRMPNational Residency Matching Program
  • Types of positions C, P, A, R
  • Categorical (C) programs that begin in the
    PGY-1 year and provide the training required for
    board certification in medical specialties.
  • Advanced (A) programs that begin in the PGY-2
    year after a year of prerequisite training.
  • Preliminary (P) one-year programs beginning in
    the PGY-1 year that provide prerequisite training
    for advanced programs.
  • Physician (R) programs that are reserved for
    physicians who have had prior graduate medical
    education. Physician programs are not available
    to senior U.S. medical students.

9
San Francisco Early Match
  • Neurosurgery and Ophthalmology
  • Cost 100.00
  • www.sfmatch.org
  • Materials due late August/early Sept
  • Save all your materials in an electronic format

10
AUA American Urological Association
  • Urology match
  • Some programs use ERAS few have separate
    application
  • Cost 75.00
  • Urology www.auanet.org

11
Military Match
  • Programs use ERAS
  • ROL due date will be given to student by Military
  • Match results published December

12
Application Materials
  • REMEMBER THAT YOUR APPLICATION REPRESENTS YOU
  • First impressions go a long way
  • BE NEAT, PROMPT, USE CORRECT GRAMMAR, CHECK YOUR
    SPELLING
  • Problems in these areas will indicate to the
    program director that you are sloppy, pay little
    attention to detail, are disorganized, lazy etc
  • The Program Director looks for clues to your
    character, personality, and style in the
    application itself
  • This is an email process use official school
    address / DO NOT USE A CUTE or CLEVER EMAIL
    ADDRESS

13
Application Components
  • CV Personal Statement
  • Color Photo 2 ½ by 3 ½
  • Transcript from registrars office
  • Letters of Recommendation
  • USMLE Scores - Select on ERAS to have USMLE
    scores sent automatically
  • (Find your USMLE score reports and keep them in a
    safe place)

14
ERAS / Common Application Form
  • USMLE Scores
  • Research/Publication
  • Volunteer Work
  • Work Experience
  • Language Proficiency
  • Previous Residency Training
  • ACLS indicate yes
  • Name, address, phone, email
  • School name, location
  • Citizenship/Race/Ethnicity
  • Felony Conviction
  • Entire Education History
  • Awards/Honors
  • AOA - we will not know our AOA seniors when you
    start your application leave it blank go back
    and add it in when the determinations have been
    made

15
Program Directors May Use ERAS
  • Interview Management
  • Scoring anything
  • Interview scoring
  • SORTING / FILTERING

16
Photograph
  • Professionally done and recent
  • Professional Dress tie for men
  • No tux no scrubs no rock-climbing
  • Bring to Kay to scan into ERAS

17
Curriculum Vitae
  • Be careful be accurate
  • 2 versions
  • Hard copy version is for your letter writers
  • Electronic version on ERAS is for application
  • For Hard copy
  • Use white paper
  • Recommended font size is 12
  • CAN be more than one page

18
Curriculum Vitae
  • Provide information to include in the MSPE
  • Provide information for the faculty writing your
    letters of recommendation
  • Hard Copy may be requested on the interview trail

19
Curriculum Vitae
  • Items to include from Undergraduate
  • Academic Honors
  • Research
  • Significant leadership positions

20
Curriculum Vitae
  • List information chronologically from the most
    recent to the most remote (be consistent)
  • Provide City and State for each institution
    (dont assume everyone knows where your school
    is)
  • Show beginning and ending dates (ending date may
    be current)
  • Provide a complete timeline with no gaps (Gaps
    in time are a red flag - were you in jail?)
  • Dont list an interest you dont want to talk
    about!

21
Personal Statement
  • With few exceptions - Shoot for NORMAL
  • Not the forum to show your great sense of humor
  • Dont make a big splash it is usually ugly!
  • Explain your interest in a specialty and why you
    are a desirable applicant
  • Opportunity to explain any issues not previously
    explained (do not need to address MCAT scores or
    multiple attempts at entry into medical school)

22
Personal Statement
  • Length 1 page is the best length it must
    contain some really great information to go over
    one page
  • A personal statement that is too long is a sign
    to the PD that you talk too much! PDs dont want
    a resident that talks too much!
  • Good Personal Statement Sincere, Reads well,
    Creates a positive image of the applicant,
    Clarifies goals
  • Spelling and grammar be very very very very
    careful!
  • Any unexplained leave or gaps in time will be
    assumed to be BAD news!

23
Letters of Recommendation
  • Will discuss options
  • Most Important the writer knows you
  • How to request a LOR
  • make an appointment
  • take a CV and personal statement
  • give them an out
  • take a cover letter

24
Letters Of Recommendation
  • Need 3 or 4 some specialties require a
    chairmans letter
  • Letters should be from someone who has evaluated
    you clinically (not friends, family, pastors)
  • Obtain additional information from your specialty
    (the PD) at UMC
  • ERAS - Option to send different letters to
    different programs
  • LOR are sent to my office to be scanned into ERAS
  • /- Waive your right to see letter

25
Application Deadlines
  • Variable - You must look at individual program
    information (even within same specialty)
  • Regular Match
  • Mid-October submit all the parts of the
    application
  • you control
  • The more competitive the specialty, the earlier
  • Program Directors can begin to review
    applications Sept 1st
  • Early Match / Military
  • Range from mid August to first week of September

26
How Many Applications ?
  • Look at comparison numbers
  • Discuss how many programs to apply to and how
    many interviews to shoot for
  • The answer depends on how competitive you are and
    how competitive the programs are you are
    considering
  • Not a One Size Fits All process

27
Interview
  • Prepare Questions for the interview
  • Clinical experience
  • Commitment of the program to education of
    residents
  • People you want to work with
  • Usually meet with the chair, PD, and other
    faculty members
  • Usually have the opportunity for a residents only
    session
  • Review program web site just before interview
  • Send a Thank you note
  • Send follow up letter mid to late January if you
    have a strong interest
  • If you decide not to go or can not make the
    interview, always call and cancel

28
When to Interview
  • Early or Late???????
  • Everyone wants to know
  • No studies have shown a link between date of
    interview and ultimate position on rank order list

29
What Are Program Directors Looking For?
  • Plays well with others
  • Likes to Work Hard
  • No Whining
  • Smart enough to pass boards
  • Attributes to care for patients
  • Takes Criticism Well

30
Who do Program Directors Want to Avoid?
  • Lazy
  • Selfish
  • Sociopath
  • Rude
  • Unhappy Shows it
  • Cut Corners
  • Lies

31
What do PD Screen for via ERAS?
  • Clerkship Grades
  • AOA
  • Personal Statement
  • Research
  • Second Degree
  • LOR
  • Minority Status
  • Language Fluency
  • USMLE Step 1 if you have a borderline score the
    PD will be even more anxious to see your Step 2
    score recommend prepare to take Step 2 early!

32
Red Flags to Program Directors
  • Time gaps
  • Course failure
  • USMLE failure
  • Negative LOR
  • Professionalism issues (HUGE!)
  • Unexplained leave
  • A memorable personal statement
  • Unprofessional photograph
  • Applying in two or more fields
  • Unprofessional email address

33
Your Impact on the School Reputation
  • Program Directors are like elephants
  • Never forget the student who lied to them (You
    are my number one choice)
  • Never forget which school has sent them great
    residents in the past
  • Never forget which school has sent them problem
    residents in the past

34
Donts For Interview Day
  • Be Rude to anyone
  • Arrogance / Disinterest
  • Inappropriate questions
  • Inappropriate attempts at humor
  • Poor Social Skills
  • Unsophisticated Interview Questions
  • Leave before the day is over
  • Poor attire/grooming
  • Too much interest
  • Smoke or chew gum
  • Carry a coffee cup around all day

35
Dos For Interview Day
  • Be punctual
  • Smile
  • Avoid aftershave / perfume
  • You dress for the interview in a uniform
  • Look like a physician
  • Have some knowledge about the program (look at
    the web site the night before)
  • Male Attire suit tasteful tie err on the side
    of conservative
  • Female Attire suit shoes closed at the toe and
    the heel (not brand new) dont carry a purse
  • Accessories / Jewelry the less the better (no
    Star Trek Communicator pins!)

36
Rank Order List
  • Dont SUICIDE your ROL
  • Class meeting Thursday, January 15, 2009 to
    discuss this in detail
  • NRMP Ranking opens about Jan 15 and closes the
    third Wednesday in February

37
Second Look Visits
  • Generally not a great idea unless strongly
    encouraged by a program in which you have a
    strong interest
  • Overwhelm the Program Director
  • Do an elective at that site

38
Medical Student Performance Evaluation
(MSPE)aka Deans Letter
  • You will have an individual meeting to discuss
    your plans and best strategy
  • Meetings start in July
  • The following students need to meet early Early
    Match, Military Match, ENT, Orthopedics,
    Dermatology

39
Deans Letter Meetings
  • You MUST have a copy (draft) of your CV in hand
    for the meeting it is advisable also to have
    your Personal Statement written
  • Discuss Specialty Choice and Desired Interview
    Locations
  • Review transcript and Clerkship comments
  • Complete any missing information in your file
  • Plan B
  • Discuss in general your competitiveness and best
    strategy
  • All Deans Letters are released November 1

40
Resources
  • Kenneth Iserson Getting into a Residency
  • First Aid for the Match
  • Program Directors _at_ UMC
  • Interns and residents _at_ UMC
  • Be wary of uninformed people giving you bad
    advice
  • ERAS www.aamc.org/eras
  • NRMP www.nrmp.org
  • San Francisco Early Match www.sfmatch.org
  • Urology www.auanet.org
  • Frieda www.ama-assn.org
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