Monday, November 27, 2017

Haven't Heard Back from a Medical School or Residency Program? Here's What to Do.

One of the more frustrating aspects of the medical school and residency admissions processes is the lack of response from some institutions. There is no obligation for medical schools or residency programs to reply to a candidate, which leaves applicants in limbo.

If you have not heard back from medical schools or residency programs to which you've applied, I recommend that you contact (preferably call) the institutions to inquire about your status.

After I offered that advice to a residency applicant I was advising, she emailed me to say she obtained an interview in a competitive specialty with a phone call. Another said she received two preliminary interviews with simple emails. (I recommend calls over emails, however, because it's hard to ignore someone on the other end of a phone line. Still, if you simply can't bring yourself to call, an email can be effective.)

I've seen this phone call strategy work for medical school interviews as well: Several years ago I helped a strong applicant who had been rejected by a top medical school. He thought he was a very good fit for this particular institution, so he called the school to make his case. Surprisingly, after the applicant's phone call, the school granted him an interview, reversing their original rejection. Ultimately, after being initially rejected, this applicant was admitted to that top school. Of course, this is an exceedingly rare occurrence. But to me, the moral of this story is that it is worth being assertive in the application process.Now, if the school or program explicitly asks in written materials that you don't contact them about your status, then calling is not a good idea.

An additional strong option is to send an effective update letter or letter of recommendation from an influential writer (alumus, for example). I do edit letters of update/interest for medical school and residency applicants, but even if you choose not to use my services, I recommend sending a well-written, strategic note in addition to making a phone call.

This process is an uncertain one, but asserting some small bit of control can be useful (and comforting).

Monday, November 20, 2017

Some People Have Real Problems

The residency and medical school application processes are anxiety-provoking, but in honor of Thanksgiving, I'm posting this guest blog from CrispyDoc David Presser about a truly stressful, heartbreaking choice a patient recently had to make...

Years ago, I bought an album because the title caught my eye: Some People Have Real Problems. I was browsing used CDs in a music store back when both of those existed, and I felt the universe trying to restore perspective to my personal pity party.

Fast forward a decade, and I had fallen off the wagon again into whining doctor mode: headed into my second weekend night shift in as many days. The first night had been a killer, where the spigot of patients opened to a steady gush around 1 A.M. and all four of the late shift docs stayed several hours past the end of their shift to flush the proverbial toilet that our waiting room had become.
 

Monday, November 13, 2017

So Easy for You to Do: Medical School and Residency Interview Thank You Notes

A few years ago a medical school applicant wrote me to say that the dean of the school at which she had recently interviewed called her to tell her that he was impressed with her candidacy and the hand-written thank you note she had sent. The client thanked me for my help and the thank you note tip I had given her. As you might have guessed, she was admitted to that medical school.

Writing a thank you note after a medical school or residency interview is so easy for you to do, and it can go a long way. 

Now, I get asked by clients what the best way to send post-interview thank you notes is - email or snail mail. I strongly advise sending your thank you note by good old USPS. The reasons are:

1) Email may be viewed as lazy. Handwritten notes demonstrate you've put some time into being appreciative.
2) Email can be deleted without much thought. Emotionally, it's harder to throw someone's handwritten note in the trash.

Get your handwritten thank you notes in quickly. The night after you've completed your interview or the next day is a good time to write and send.

Monday, November 6, 2017

Emergency Medicine: Queen, Rodney Dangerfield, and George Clooney All Rolled into One

Check out the below, a great post called "We Are the Champions?!" written by Crispydoc (Dr. David Presser) on burnout in emergency medicine, a field that towers over the others in burnout statistics:

It’s official: a study published in the Mayo Clinic Proceedings showed that as of 2014, Emergency Medicine (EM) took the top slot for physician burnout (59%).  Suck it, critical care (50%). In your face, OB/GYN (56%).  We’re #1, we’re # ...huh?

How did my beloved field of EM win the race to nowhere?  When I was in medical school, the pioneering faculty insisted that EM’s reputation for early burnout was based on the fact that those docs who’d burnt out had trained in another field, couldn’t hack it in their chosen specialties, and ended up woefully underprepared to spend their careers in EM.  As a medical student, I saw EM transform from Rodney Dangerfield disrespected to George Clooney sexy.  A full 13% of my class at UCSF matched in EM.  We smugly believed we knew what we were getting into, and we took for granted our ability to work as lifers.

Read more of this article (and see an awesome Queen video to boot)...