Wayne State University School of Medicine

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Wayne State UniversitySchool of Medicine

• Department of Internal Medicine
• Advice for Year IV

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PLANNING YOUR SCHEDULE

• Schedule required rotations
• SUB-Ido it early, before away rotations
• Ambulatory
• ER
• Schedule USMLE
• This is a high stakes examplan to study!
• Take during first 3-4 months of year when your
  clerkships are still fresh
• Note programs will NOT rank applicants who have
  not passed Step 2

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Why do electives?

• To prepare for your internship
• NOT be your internship
• To address weaknesses
• For interest sake
• For other reasons (wedding, etc)

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Philosophy

• Balance is important
• Dont do more than 3 elective in Medicine
• Consider Urology, Dermatology, Radiology,
  Anesthesiology
• Dont do all the hard rotations at the beginning
  of the year
• Plan at least one meaty rotation for the second
  half so you will be ready for your internship

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Be considerate

• There are limited positions in
• Dermatology
• Emergency Medicine
• ENT
• Ophthalmology
• Radiology
• Urology
• Do NOT select these in the summer unless you are
  considering these fields

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Medicine Electives

• Cardiology
• Endocrinology
• Geriatrics
• Hematology
• Infectious Diseases
• Nephrology
• Oncology

• Pain/Palliative Medicine
• Pulmonary
• Rheumatology
• Independent study
• Research

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Electives to Consider for Primary Care

• Anesthesiology
• Dermatology
• Radiology
• Urologyyes urology, half the world are men!

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Where to Rotate

• Rotate downtown at the DMC or VA.
• The patients are amazing!!!
• You will see complex, sick, challenging,
  patients.
• You make a difference here.
• This is where the full time faculty practice.
• These are the same faculty who taught you
  pathophysiology.
• They know their stuff and they are committed to
  excellence in clinical teaching.

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RESIDENCY APPLICAION PROCESS AND TIMELINE

• Identify an advisor
• Prepare CV
• Write personal statement
• This takes the most time to prepare
• Do not let it delay you application

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How to Ask for a Letter

• Doctor, would you be wiling to write me a strong
  letter of recommendation? I am applying to some
  very competitive programs.
• Contact people early.
• Give them a deadline

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Letters of Recommendation

• You need three
• Choose the people who know you best
• They dont all have to be in Medicine
• Two in medicine are enough
• You can ask the Clerkship director for a
  composite letter if you need to
• You need a Chairmans letter for any university
  program

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Application Timeline

• Identify residencies
• Register for NMRP
• Request and assign documents--
• USMLE transcripts, letters of recommendation,
  personal statement, CV
• Set up appointment for MSPE (Deans letter)

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Interviews

• Set up interviews
• Prepare for interviewsread about the program
• Keeping trackuse a system!
• Record the following immediately
• Program Name
• Pluses and Minuses
• Gut reactionCould I live here for 3 years?
• Send thank you

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Ranking

• Schedule meeting with advisor to discuss rank
• Rank programs
• Submit rank list
• Cross fingers

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Match Day

• Get program of your choice
• Celebrate
• Live happily ever after

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Useful Sites

• www.ama-assn.org/ama/pub/category/print/
• 6673.html
• 7011.html
• 6700.html
• 7811.html
• 6710.html
• 7475.html
• 7012.html
• 6727.html

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Useful References-continued

• University of Arizona IMIG
• www.ahsc.arizona.edu/imig/Scheduling520Interview.h
  tml
• Residency and Fellowship.com
• www.residencyand fellowship.com/page7.html
• University of California San Francisco
• Medschool.ucsf.edu/careermed (no www)

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