Mount Sinai School of Medicine

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Mount Sinai School of Medicine

• The Nitty Gritty
• Review of the MSPE Process

Suzanne Rose, M.D. Associate Dean for
Undergraduate Medical Education
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Supporting the Class of 2005
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The Nitty Gritty What You Have to Do and When

• Decide on your career choice
• Complete all unfinished business
• Final papers
• Holds in the office
• Missing grades
• Map out your elective time
• Complete application
• Application
• Personal Statement
• CV
• Solicit Letters of Recommendation

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Career Choice

• Immerse yourself in experiences
• Actively seek mentorship
• Departmentally based
• Deans office
• Other advisors
• Talk to colleagues and friends
• Do research
• Discipline-based websites
• FREIDA
• Careers in Medicine

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Unfinished Business

• Boards
• Make sure your schedule is complete with
  requirements
• Competencies
• Papers
• Any holds academic, registrar, housing, etc.
• Missing grades (especially for electives which
  you need to track down)

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Elective Time

• Define purpose
• Get a residency
• Prepare for residency
• Unique opportunity
• Strengthen a weakness
• Interest
• Here vs. Away
• International options

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Application

• ERAS
• Non-ERAS
• SF Match
• Urology

ERAS- The Electronic Residency Application
Service
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Personal Statement

• What you want to say
• What you dont want to say

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CV

• Name, Address, E-mail
• Education
• Honors/Awards
• Certifications
• Research
• Publications
• School Leadership
• Community Service
• Teaching
• Memberships
• Interests

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Letters of Recommendation

• Senior Faculty who knows you well
• Senior Faculty who does not know you well
• Junior Faculty who knows you well
• Junior Faculty who does not know you well

All students are entitled to a departmental
letter signed by the Chair in the field in which
they are applying written by Chair vs. written
by Chairs designee and co-signed vs written by
faculty who knows you and co-signed by Chair All
students eligible for Dept. of Medicine Letter
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The MSPEFormerly Known as the Deans Letter
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MSPEAs mandated by the AAMC

• Not a recommendation
• Not a prediction of success in residency
• Statement of performance and qualifications
• Narrative summary important
• Student strengths and weaknesses important
• Conclude with an overall, institutionally
  standardized statement of evaluation

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MSPE

• Students may read their completed letter for
  factual accuracy
• Graphic representations are in appendix for
  description of intra-school comparative
  performance data AS REQUIRED by the AAMC

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Content Factual Information

• Identifying information
• MOUNT SINAI ADDITION
• Awards/Honors
• School Leadership and Community Service
• Students academic history
• Initial matriculation and anticipated graduation
  dates
• Matriculation in other degree programs or schools
• Remediation in any coursework
• Any gaps in medical school curriculum
• Adverse actions taken by the school

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Content Performance

• Preclinical/basic science performance
• Overall summary, not course-specific
• Clinical performance
• Required clerkships and clinical electives in
  chronological order
• Narrative comments from each clerkship as
  submitted by the clerkship director

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Content Summary

• Information on special considerations and
  distinguishing characteristics
• MOUNT SINAI ADDITION
• Research Section
• Information on significant challenges or
  hardships encountered

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Overall Performance Summary Statement

• To reflect summative evaluation of comparative
  performance
• Not to predict performance as house officer
• Not specific to any specialty
• Outstanding, Excellent, Very Good, Good,
  Satisfactory

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What is No Longer Included

• Information already in ERAS
• Personal background prior to medical school
• Educational history prior to medical school

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Content Appendices

• Graphic representations of comparative
  performance, as compared to peers
• Preclinical/basic science coursework
• Core clinical clerkships
• Professional attributes
• Overall performance in medical school
• Supplementary information on schools educational
  mission/program/policies

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MSPE Format Goals

• Standardize format across school
• Improve ease of interpretation for program
  directors
• Eliminate redundant information, where possible,
  to streamline effort

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MSPE Format Heading Identifying Info

• MEDICAL STUDENT PERFORMANCE EVALUATION
• for
• Student's Legal Name
• Month, Date, Year
• IDENTIFYING INFORMATION
• Student's Legal Name is a fourth-year student at
  Medical School
• in City, State.

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MSPE AppendicesGraphics of Comparative
Performance

• A Preclinical/Basic Science Coursework
• B Core Clinical Clerkships
• C Professional Attributes
• D Overall Performance in Medical School
• E Medical School Information Page

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Appendix A Preclinical/Basic Science
PerformanceNOT USED AT MSSM (only a list of
courses are on Appendix A)
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MSSM Appendix B
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Appendix C Performance in Professional
Attributes NOT USED AT MSSM
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Professional Attributes

• Treats patients compassionately
• Honest, has integrity
• Respects others
• Ability to communicate
• Advocates for patients
• Puts others needs first

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MSSM Appendix C
Mount Sinai School of Medicine has established
the following competencies in Professionalism

• Professional Responsibilities
• Establish productive and collegial relationships
  with others patients and their families,
  colleagues and the community. Demonstrate
  outstanding communication skills
• Cultivate the ability to assess one's self and
  others, to give and receive constructive feedback
  and to direct one's learning.
• Demonstrate respect for individuality, and to
  work and contribute in a group. Show
  collegiality, compassion, and cooperation within
  a team.
• Appreciate and apply ethical principles such as
  honesty, integrity, and cultural sensitivity
• Recognize personal and professional limitations
  and have the ability to seek help
• Acquire and value lifelong learning habits
• Apply principles of effective time management
• The student has met or exceeded all of the goals
  outlined as evaluated in each of the clerkships,
  in standardized patient exercises, and in
  interactions with faculty, staff, administration,
  and patients.

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Appendix DOverall Performancein Medical School
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MSSM Appendix D
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Appendix D Legend

• The Summary Statement for the Class of 2004 has
  been determined by a numerical system that takes
  into consideration the USMLE Step I score,
  performance on the comprehensive clinical
  assessment in The Morchand Center, clerkship
  grades, research publications, school leadership
  and community service.
• It has been a very difficult process to stratify
  our students for the purpose of comparative
  performance data. The differences between the
  categories can be very small. For comparative
  information, it is useful for Program Directors
  to know the following
• The USMLE Step I mean for this class was 223
  which is 7 points above the national mean. (So
  even students above the mean nationally are in
  the bottom portion of the class for this
  parameter.)
• Grades for the outstanding category typically
  included nearly all Honors, the excellent
  students typically had 3 or more honors with
  additional high pass grades and the very good
  students generally had one honors and two high
  passes or 3 or more high passes.
• Nearly 75 of the class participated in research
  projects and over 90 of the class had serious
  commitments to school leadership or community
  service.

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Appendix EMedical School Information Page

• Standard information about medical school for
  program directors
• Prepared once for all students
• Information on
• curriculum and transcript
• length of enrollment of average student
• grading and evaluation policies
• integrity of narrative comments
• process for writing MSPE
• student access to MSPE

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MSPE Summary

• Evaluation of both professional and academic
  performance
• Graphic representations
• Performance compared to classmates
• Not A recommendation
• Not A prediction

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Application Process Students

• Decide on a specialty
• Decide on programs of interest
• Apply through ERAS
• Interview
• Submit Match List
• Complete transition logistics
• Begin residency

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MSPE Process Class of 2005

• Complete the questionnaire on Web-ED. The
  deadline is June 9, 8 a.m.
• Make three-five appointments re MSPE to be
  completed by mid September
• ½ hour with Susmita Sen-roy to discuss format and
  accuracy
• ½ hour with Laurie Brown to go over accuracy of
  the activities
• ½ hour meeting with Dr. Rose to go over
  application plans and entire letter (meeting with
  Laurie and Mita must precede this)
• ½ with Grace Oluoch to go over Research
  submission IF you have citations
• ½ hour with Dr. Zier or designee to review
  research section (can have a research section
  without citations
• You will have the opportunity to read final
  version in October

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MANDATORY THREE APPOINTMENTS

• Appointment with Susmita Sen-roy
• E-mail susmita.sen-roy_at_mssm.edu
• Call 241-4426
• Appointment with Laurie Brown
• E-mail laurie.brown_at_mssm.edu
• Call 241-8439
• Appointment with ME
• E-mail susmita.sen-roy_at_mssm.edu
• Call 241-4426

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Lots of Good Wishes!