For those of you who are starting to think about your Match rank order list, please make sure you follow this (simple) strategy: Rank your first choice first, your second second, etc. The Match algorithm is mathematically quite complicated, but because the process always begins with an attempt to match an applicant to the program most preferred on the applicant's rank list, you do not want to try to "game" the system.
For example, I've had applicants tell me that they plan to rank a less preferred institution higher because that program has more residency slots. That's a no-no. The applicant will actually be harming him/herself with that strategy.
I posted this piece on social media last week, but it's so clever that I wanted to showcase it in a blog. "A lexicon for gender bias in academia and medicine" is hilarious (and sad) - definitely worth a read. While I do not know Dr. Esther Choo personally, I have heard from an emergency medicine colleague that she is a powerhouse. She clearly also has a great sense of humor.
Medical school and residency training usually decrease one's happiness for several reasons. Happiness researchers have demonstrated that a feeling of control and the amount of spare time one has both correlate with happiness. Both of those factors are limited during med school and residency. Relationships are also correlated with happiness, and those can be squashed during medical training as well.
I'm not trying to be a downer here! I want to encourage applicants to consider this happiness quotient when selecting an institution and training program. A lovely client recently emailed me to ask if he should consider medical schools' residency program director scores in deciding where to matriculate. (He had already gotten multiple acceptances!) I advised him to consider where he would be happiest instead. If you are able, maximizing your contentment by choosing an institution that fosters your greatest happiness is key. Geography; proximity to family, friends and community; and a location that provides an opportunity to enjoy hobbies during limited free time are significant.
Excellent training is important, but, in the end, many programs turn out equally qualified clinicians. At least consider your well-being as a factor in selecting where you might be for the next three plus years of your life.
"Where do you see yourself in 10 years?" the interviewer asks you, and you squirm...
An influential physician-administrator once complained to me that whenever he asked potential new faculty hires where they saw themselves in a decade they always said they were interested in global health or teaching. "It sounds sexy," he remarked. "But many of them have nothing in their C.V.s to bolster their interest in either pursuit."
When asked where you see yourself in ten years, consider how your accomplishments thus far might demonstrate an evolution. The idea is to have a trajectory that you can back up, defend, and easily justify. This doesn't mean you're stuck with what you've done even if you didn't like it, though. You could point out that having tried myocardial bench research, you realize that your real interest is in clinical investigations of new cardiac markers.
Many medical school applicants say they don't know what field they want to go into. That's okay! And many residency applicants don't know if they want to do a fellowship. That's also to be expected. The point is to focus on your previous strengths and achievements and leverage them to demonstrate a logical path, going forward.
I’ve been editing and mock interviewing up a storm recently, and I want to offer a tip: Avoid words like “various,” “numerous,” and “several.”
“I’ve been involved in various community service projects” can imply a lack of true substance or even an attempt at obfuscation. (Is it just two afternoon health fairs you’re talking about?) Worse still, your strong accomplishments are overlooked when you lack specificity. It may feel redundant to showcase an activity you highlighted in your application materials, but - as you’ve heard me say before - your reader/interviewer is likely reviewing scores of candidacies. Yours won’t stand out if you don’t make it.
