Beauty is in the Eye of the Beholder, but Risk Should Not Be...

A little off the beaten track for the holidays, here is a great NYT article called "You Could Die Today. Here's How to Reduce that Risk." It is a fantastic conversation starter for patients and family members in your life. 

Bad Advice Turned on Its Head

The end of the year is a time for reflection and a time to consider what will make you happy in the upcoming twelve months - and beyond.

When I was a medical student applying for emergency medicine residency programs, a well-meaning dean gave me some bad advice: I was determining the order of my rank list and was particularly concerned about one program that had an excellent reputation but was in a city I didn’t like. The dean told me, “You’ll be so busy during residency it won’t matter where you live.” Luckily, the advice rubbed me the wrong way, and I wholeheartedly disregarded it. Where you live for your medical training - medical school, residency, or fellowship - is as important as the quality of your training program! The reasons are several-fold:

1. Medical training is time-consuming, and you want to be in a city you can enjoy fully when you have a few moments to blow off steam.
2. Medical training is extremely stressful, and you want to be in a city where you have social support.
3. Medical training is not completed in a vacuum. Your personal life continues. If you’re single you may meet someone and end up staying in the city where you have trained for the rest of your life (gasp). If you’re in a long-term relationship you may decide to have children or may already have them. Down the road you may not want to relocate your family.

Not everyone gets the opportunity to go to medical school or train in residency and fellowship programs in a city s/he likes. But you can make choices that will increase your chances. Consider these options - and your happiness - as you make professional decisions this coming year.

Even More AAAS Fellowship Opportunities

Earlier this month I blogged on the American Association for the Advancement of Science (AAAS) Mass Media Fellowship, which I had the benefit of during medical school. The AAAS opportunity changed my life in many positive ways. I would be remiss if I did not highlight other AAAS fellowships that science students and professionals can enjoy. If you are interested in policy, are a star student with a disability, or are a woman researcher looking to fund her studies, the AAAS has a fellowship for you to consider. These and more can be found on the AAAS fellowship page. 

The Residency and Medical School Application Process: Moving Past Impostor Syndrome

First described by psychologists Drs. Suzanne Imes and Pauline Rose Clance in the 1970s, impostor phenomenon occurs among high achievers who cannot easily internalize their successes. They often externally attribute their accomplishments to luck and worry that others will eventually realize they are frauds.

Recognize this phenomenon of self-doubt?

You are not alone. Although many people suffer in silence (as they do not want to be revealed for what they perceive to be major deficiencies), the syndrome is quite common, especially in medical school. According to one 2016 study, almost a quarter of male medical students and nearly half of female students surveyed suffered with impostor syndrome. The phenomenon can be associated with depression, burn out, and anxiety. The American Psychological Association offers a few tips for overcoming impostor syndrome including speaking to mentors, recognizing what you excel at, and talking to a professional if necessary. 

Here's a fun article on imposter syndrome by Joelle Borhart MD, the Associate Program Director at Georgetown University. 

Paid Summer Opportunity: AAAS Mass Media Fellowship

Looking for something different to do this summer? The American Association for the Advancement of Science (AAAS) is again offering their Mass Media Science and Engineering Fellowship, a 10-week summer program that places science, engineering, and math undergraduate and graduate students at media organizations across the nation - places like NPR, the Los Angeles Times, and WIRED.

I was an AAAS Mass Media Fellow in 1995. The program was truly fantastic and life-altering.

Take a look here for program details, including dates, eligibility, and funding. 

Applications are due by January 1st, so get moving!  

Your Residency Application: What to Do if You Receive No or Few Interview Invitations?

1. Don't panic.

2. Try contacting - in a professional manner - all institutions to which you have sent your ERAS. You can send an email and call. When you call, be calm, respectful, and enthusiastic. Do not demand to speak to the program director. Let the person who answers the phone know that you are very interested in the program and would appreciate the opportunity to interview. Offer to be on an interview wait list if necessary.

3. Prepare for the Supplemental Offer and Acceptance Program (SOAP). Note that SOAP is not a separate program from the residency Match. So a) your main residency Match user status must be active and b) your credentials must be verified by the Rank Order List Deadline in order to participate in SOAP. Here is more information on SOAP. 

4. Make a plan for what you will do if the Match and SOAP don't work out for you. What will you do next year? How will you improve your written materials, interview skills, and overall candidacy? If heaven forbid, you do not have success in either the Match or SOAP, please consider getting help from me or a faculty member who is experienced in residency admissions - the sooner the better to improve a candidacy and prepare for a re-application.

Responses from Program Directors are as Valuable as the Email They're Written On

A strong residency candidate asked me to review an email a program director (PD) had sent him after interview day. The candidate wanted to know if I had any insights to the intent of the PD: Was the PD sending a generic note or was he really interested in the applicant?

I told the applicant honestly, who knows and who cares?

I wasn't trying to be dismissive. The point is that it is impossible to know what a PD is thinking. Unfortunately, I've seen applicants heartbroken by false hope they read into a PD's comments. More importantly, what a PD says should not affect your rank list anyway. The algorithm requires you to put your first choice first and your second second, etc. (More on that in a future blog post.)

As they say, kisses aren't contracts and presents aren't promises. Ignore those PD notes because they don't guarantee a thing and don't change management. 

Finding - and Redefining - Balance: It's Not about Better Multitasking

This time of year, when the residency and medical school interview processes are in full swing, many of us feel overwhelmed. Here's a brief but thoughtful piece regarding balance. As you consider your future career, it's worth thinking about issues the author covers like clarifying what brings you joy, considering your goals while understanding they will change, and defining balance for yourself. 

In this day and age, one can choose a traditionally tough specialty but work in a practice setting that allows for some autonomy and flexibility. But you need to know what you want, and you need to give yourself the room to explore that in order to guide yourself in the right direction.

Accomplished, Not Lovely

A few years back I went to hear the author Nicole Krauss speak about her novel Forest Dark. I am a big fan of Krauss' writing (especially the History of Love in case you are looking for something wonderful to read). The day I heard the author speak, she had published an opinion piece in the NYT Sunday Magazine called "Do Women Get to Write with Authority?" In the article, Krauss speaks about the lack of authority that women writers have compared to men, and specifically, how female artists' work is often characterized as "lovely," a word she describes as lacking in "independent power."

I must admit that I sometimes use the word "lovely" (both for women and men) when I like someone. But Krauss made me think about the word in the context of achievement - not personality - and her point is well-taken.

What does this have to do with medical school and residency admissions? When you interview, you want the faculty member to leave the table saying you were "accomplished," not "lovely." Many applicants miss this point: You don't want to simply be liked; you want to be seen as worthy. It's important that you focus on that important goal as you practice for interviews.

Silent No More

My colleague and friend Dr. Resa Lewiss (of FeminEm podcast fame) wrote this compelling opinion piece with Dr. Katherine Sharkey regarding sexual harassment of women in medicine - its prevalence, its professional and emotional consequences, and the need to stop it. The article is worth a read. 

White Coat Investor Scholarship Winners Announced

For the past few years, the White Coat Investor has funded a scholarship for full-time professional students, including those in medical, osteopathic, dental, law, pharmacy, nurse practitioner, physician assistant, optometry, and podiatry schools. The goal is to both reduce the winning students' debt burden and spread "an important message of financial literacy throughout medical, dental, and other professional schools."

This year's first place winner's essay is here. It's great and worth a read. Second through fifth places can be found here. Keep your eye out for next year's contest. The financial support is significant. 

A Medical School Applicant's Secret Weapon

I heard a recent piece on  NPR's "All Things Considered" called "Uncovering A Huge Mystery Of College: Office Hours." The broadcast argues that taking advantage of the opportunity to develop a one-on-one relationship with a professor can bolster a student's college success. Yet, many college students are too nervous to attend office hours. 

Despite what some students consider a nail biting experience, office hours for pre-meds are particularly important because they provide a means for professors to get to know students so that those faculty members can write strong letters of recommendation. I have a doctor friend who told me that he went beyond traditional office hours: During his undergraduate years, he got acquainted with a few professors by inviting them to lunch at his dorm. He had to call several times before one professor got back to him, but once they did have lunch, my friend's opportunities really expanded. That professor realized my friend's intellectual potential and good nature and offered him a position on an honor committee and a strong medical school recommendation. 

As they say in the NPR broadcast, "... when you go to office hours, you're actually letting the professors do their job."

Residency and Medical School Interviews: What Is the One Thing You've Learned...?

I was with my children at a four year-old's birthday party a few years back when I met the grandfather of the birthday-boy. As it turned out, before retiring, the man had been on the admissions committee of a prestigious California medical school for decades.

So, I asked him, "Looking back at all of those years of experience, what is the one thing you learned from interviewing medical students?"

The man chuckled and said, "They have no idea what they're getting themselves into."

In life, we never really have an idea what we're getting ourselves into, but I think of this man every time I practice the question "What will you like least about being a doctor" or "...least about being a [insert your medical specialty here]" with my medical school and residency applicant clients, respectively. Saying you'll love everything about being a physician or psychiatrist or pediatrician or internist sounds disingenuous and naive. You need to show that you have some idea what you're getting yourself into.

Having said that, I would avoid tacky topics like money. And talking about how horrible night shifts are is not going to win you many points. But a sophisticated applicant can infer what the challenges will be in medicine or in her specialty and can express them with aplomb.

...As with everything, practice in advance.

Your Residency Application: What Do Program Directors Really Want?

Imagine that you're a program director (PD) going through scores of ERASes and interviews. What questions would you ask yourself as you assessed each residency candidate to avoid big headaches?

1) Can this person do the job? Is s/he competent?

2) Will this person "play well with others" and not create complaints from patients, faculty, or other services.

3) Will this person stick with the program and not leave prematurely? A PD does not want to scurry around to fill an open call schedule/ residency slot.

As you approach your interviews, consider how you can demonstrate your competence and collegiality, as well as your commitment to the field and the residency program. For the former, ensure you showcase academic successes, extra curricular activities that demonstrate teamwork, and - if asked - hobbies and reading materials that demonstrate your personality. For the latter, highlight research projects in the specialty, sub-internships, and knowledge about the program and city. 

Making sure the PD knows you are not going to cause him/her trouble is at least half the battle.

Don't Let Other People Freak You Out

I started Insider Medical Admissions over a dozen years ago, so I've been in admissions consulting for a while. I'm pretty good at spotting trends. Every year about now I begin to get emails from clients saying they're worried about their lack of (or minimal number of) medical school and residency interview invitations. (Yes, even as early as mid- to late-September folks are concerned about residency interviews.) They report they have a classmate who says he's gotten an interview invitation or they read online that others are being contacted with invites.

Sure, some people are getting early interview invitations. But that should not affect your confidence. After all, according to Amy Cuddy, whom I've referenced before, confidence is the name of the game when it comes to interviews.

So, minimize conversations about interviews with others and simply stop checking online. If you are in the thick of the season and you still haven't gotten any interviews, then you'll need to reassess and act. But for now, put in ear plugs. This process is so very stressful; you certainly don't need to seek out more anxiety-provoking information (and who even knows if it's accurate anyway!).

Check out these Medically-Related Podcasts

Creepy, but juicy. That's how I'd describe a podcast I just finished called The Shrink Next Door. It's a fascinating series reported by Joe Nocera (of New York Times fame) about an East Coast academic psychiatrist who manipulates at least one patient into sacrificing control of his finances, social connections, and business for decades. For medical folks like us, it brings up monumental issues of professionalism, ethics, and oversight.

Another one to listen to (but be prepared for nightmares) is Believed. This podcast chronicles Larry Nassar's decades of sexual abuse of patients within and beyond his role as the USA Gymnastic national team doctor. It's a chilling description of how even well-meaning adults can have blinders on when it comes to a physician, based on his perceived social status. 

And please feel free to listen to my guest spots on the White Coat Investor Podcast, the FeminEm Podcast, and the Hippocratic Hustle Podcast, although they are admittedly less captivating than The Shrink and Believed :). Use the links included in this entry or download them directly from your favorite podcast app.

Medical School Interviews: How to Strategically Confront and Address Weaknesses

Not everyone has a 3.99 BCPM or a 99th percentile on her MCAT. In my recently-published Student Doctor Network article, you'll learn how to acknowledge your candidacy's deficiencies, while providing persuasive evidence that you've overcome obstacles. These techniques work well for residency and fellowship interviews also. 

Four Ways to Save $ in the Medical School and Residency Interview Processes

1. If you are ambivalent about an institution, schedule your interview later. By late-season you may decide not to interview there at all, saving you some money.

2. Group your interviews geographically. If you think this is impossible, consider this: There is nothing wrong with calling an institution you are waiting to hear from and politely letting the assistant know you have been invited to interview at a nearby school/program. Let him/her know you would like to save money by flying out to the area once, and ask if the admissions committee/ residency might be willing to let you know now if the institution will be offering you an interview. Believe it or not, this technique sometimes works.

3. Check out travel web sites daily or better yet, set an alert on Kayak, Hopper, or Google flights. Occasionally, a low price is available only if you catch it quickly.

4. Consider staying with students/residents if the institution offers. Hotels can be expensive, and sometimes you can gather useful information about the school/program this way. Just beware that anything you do or say may be repeated to the admissions committee/residency. (Make sure to write a thank you note.)

How the Show ER and New Residency Programs Change the Economy of a Specialty

Here's an interesting piece called "Are There Too Many Emergency Physicians?" by Thomas Cook MD, an emergency medicine program director. Dr. Cook chronicles the growth of emergency medicine residency positions from a total of 1821 in 2015 to 2488 in 2019. This rapid growth in the field may lead to an oversupply of emergency physicians.

The paradox here is that only recently there was a shortage of emergency physicians. And back when I graduated from medical school in the mid-1990s, almost no one was applying for emergency medicine. In my class of around 150 students, there were three of us. As the popularity of the show "ER" waxed, the number of applicants to the field swelled. Then, years later, the field contracted again. 

Other fields have also recently seen a boom in the number of residency spots, including family medicine, psychiatry, and anesthesiology. Of course, opening up more residency positions is a good thing for medical students (especially international medical graduates) and patients, but the growth in certain fields may lead to a change in the economy of those specialties. It will be an interesting experiment.

Mom and Dad May Think You Have Good People Skills, But That's Not Enough When It Comes to Interviews

Every year I am hired by re-applicants for medical school and residency who tell me that the year before they received multiple interview invitations, thought they performed well on interview day, but then were left with no offers in the spring. 

This is the truth: Interviews are hard. You need to strategically respond to criticisms of your candidacy, showcase the strengths of your application, be prepared for awkward or even - sometimes - illegal questions, all while seeming fresh and enthusiastic.

There are applicants who spend months studying for their MCAT or Boards, but don't spend even an hour practicing for their interviews. It's a naive disconnect. 

If you can mock interview with someone who has been on a medical school admissions committee for years or a faculty member who has strong experience with residency applications, go for it. If not, check out my mock interview services here. Don't rely on a friend or family member with no experience.

Here is a funny, less-than-one-minute, stop-motion video to guide you on this topic. 

The Week I Spent 138 Hours in the Hospital

During my internship, on my surgical rotation, I once spent 138 hours in the hospital in one week. If you think this isn't mathematically possible, I will tell you that I was on call from Monday morning to Tuesday evening, from Wednesday morning to Thursday evening, in-house on Friday, and then on call from Saturday morning until the next Monday morning. (I had to stay in-house that Monday until evening rounds were over too.) As you can imagine, I was barely human by the end. How this schedule was good for patient care is beyond me.

I thought of that ghastly time recently when reading this article in the New York Times called "How Job Stress Can Age Us" written by Dr. Dhruv Khullar. The author reports on a study, "Physician-Training Stress and Accelerated Cellular Aging" that assessed the DNA of 250 first-year medical residents around the country. Researchers examined the saliva samples of these residents, focusing on their telomeres - the bumpers at chromosome ends that prevent DNA damage - before and after the first year of residency. Researchers found that the DNA of first-year residents aged six times faster than normal. 

Six times faster.

I found this both shocking, upsetting, and validating. Residency training is as hard as we think it is. 

What I would strongly recommend is that you compare residency programs' hours before you create your Match list. Strangely, many applicants don't even consider this important issue when making decisions about their next three to five years. Also, many residencies support physician wellness programs and night coverage. Especially in the setting of severe burnout among doctors, your happiness should be a primary factor in your career choices. If you're not sure, consider your shrinking telomeres. 

Managing Difficult Medical School Interview Questions: Rehearse Your Elevator Pitch Now

An important key to preparing for tough medical school interview questions is realizing that a) interviewing is a skill and b) practice improves performance. Every year too many medical school (and residency, fellowship, and dental school) candidates expend tremendous energy assembling fantastic applications, only to undermine their chances by approaching the interview with twisted laws of entropy and enthalpy: They prepare for it with maximum randomness and minimum energy.

Once you’ve done adequate groundwork, the medical school interview represents your opportunity to distinguish yourself and impress your interviewers as the type of candidate they’d love to have at their institution.

That’s not to say every interview will be full of hugs and puppy kisses. Like the story of the interviewer whose window was nailed shut, there may be uncomfortable moments and even illegal questions. With a bit of preparation, you can learn to hit these curveball questions out of the park. Let’s explore an example that has come up in the not-so-distant past.

Rehearse Your Elevator Pitch

While most interviewers take the time to read your application materials in advance, don’t be offended by the faculty member who did not prepare, is blankly flipping through your application right there in front of you, and who asks open-ended (and dreaded) medical school interview questions, such as “Tell me about yourself” to be brought up to speed. View it this way: These faculty members are offering you the opportunity to define how you’d like to be remembered.

Your goal should be twofold: 1) to persuade them how much you’d add to their institution and 2) to make their job easier by giving them the bullet points they’ll need to persuade their peers about your candidacy’s worthiness. When your interviewer sits around a table advocating on your behalf, steer her to use terms that will be germane to your candidacy. Are you the, “global health advocate who volunteered with Mother Teresa and ran his school’s homeless food program?” Or perhaps you are the “first generation college graduate who held premier leadership positions in medical school?” Help your interviewer help you.

In the end, difficult interview questions are less intimidating if you both prepare well and have an attitude that they are an opportunity to clarify and further your candidacy. For help, secure your Mock Interview slot with me. I'm booking a few weeks in advance, so sooner is better than later.

“Unhappy is He Who Depends on Success to be Happy" - Alex Dias Ribeiro, Former Formula 1 Race Car Driver

Age-related professional decline is the last thing many doctors want to think about. Those who have just finish years of arduous training can't imagine that they have only 15 years until they will deteriorate (statistically true), and those of us in middle age don't want to think about our impending, cognitive retreat from medicine. And yet, this fantastic piece in the Atlantic "Your Professional Decline is Coming (Much) Sooner than You Think" by Arthur C. Brooks is a fascinating, well written article about happiness, gifted and accomplished people, and personal relevance with multiple interesting celebrity examples. Brooks also proposes some quasi-solutions (or at least some work-arounds). I strongly recommend this compelling piece for physicians of all ages and stages.

Are you a Residency Candidate Applying in More than One Specialty? Read this.

If you're planning to apply in more than one field, you have a challenging road ahead of you, and you should strategize accordingly. Remember that, although your ERAS activities cannot be individualized to different residency programs, your personal statement and letters of recommendation can. Demonstrating commitment to each field through your essay and letters will be a challenge, so take time to write thoughtfully, and make sure you speak candidly to your faculty recommenders.

Above all: Ensure that you assign the correct specialty-specific documents to the correct programs!

Be an Adult: Don't Accept Helicopter Parenting

Check out this hilarious (and sad) piece in the New York Times about helicopter parenting and note that two of the anecdotes are physician related. (Can you imagine interviewing for an attending position with your dad present?)

My policy at Insider is to work exclusively with applicants (not parents or spouses) to maintain confidentiality, avoid redundancy, and ensure candidates assume primary responsibility for their work. It's a winning strategy.

Reading this Article Could Make You Wealthier than Working Long Hospital Shifts

Work smarter, not harder. Read this funny, informative Student Doctor Network article by CrispyDoc on financial literacy for the newly minted physician. Have little idea what an "alternative asset class" really means? Don't know which is a bear- and which is a bull-market? This piece is for you. Learn that do-it-yourself investing is not that hard with the technological tools now at our finger tips and start saving so that you can gain financial independence early and avoid burnout. 

Also, make sure to check out CrispyDoc's awesome blog for tips on financial independence and finding your mojo in and out of medicine. 

The Difference between Lazing Around and Laissez-faire

When I was in medical school, I was talking to a friend who was an avid fiction reader. I, too, love to read, but I remember feeling like I couldn't find the time. I told him that I didn't think I could get through medical school successfully if I were reading regularly. I remember he told me kindly, "I don't think I can get through medical school successfully if I'm not reading regularly." 

That comment really sunk in, and I think of it often when I'm focusing on conventional productivity. There's a great, recent New York Times opinion piece by Bonnie Tsui that reflects this idea: We need to relax and have fun in order to be creative and successful (although she points out that fallow time should not be seen as just another life hack; there is great importance in recreation apart from its ability to boost our productivity). Take a peek at her piece here. It's especially important for those entering the demanding career of medicine. 

Brevity is the Soul of Wit -William Shakespeare

I've been editing a lot of medical school, residency, and fellowship essays over the last few months, and I want to give a shout out to the importance of brevity. I focus on a word count of 750 or fewer for my advisees for a few reasons: 

First, I've found that that number is just the right balance of content and streamlining: Over 750 words for an admissions essay lends itself to meandering writing.

Second, your reader is likely stuck reviewing tens or even scores of applications in a short period of time. S/he is looking to spend as little time as possible on your written materials, while still getting a good flavor for your candidacy. Don't burden your reader with verbiage.

Having trouble being brief? Here's a helpful trick: Imagine AMCAS or ERAS is charging you $10 per word. How would you keep costs down?

Looking for Podcasts to Spruce up Your Summer Workout?

I'm a jump roper and stair climber, so podcasts are an excellent way for me to keep my mind occupied while I exercise. (I also swim but listening to a podcast underwater is hairy.) Check out my guest spots on the White Coat Investor Podcast, the FeminEm Podcast, and the Hippocratic Hustle Podcast. You can also download them directly from your favorite podcast app.

Other podcast favorites of mine are Serial (especially season 1), S-Town (genius), In the Dark (first season), Wait Wait...Don't Tell Me, and Slow Burn (second season).

 

Enjoy!

The Ins and Outs of Choosing a Specialty: The Generalist vs. The Early Committer

For many third-year medical students, this is a tough time of year. Preparing an ERAS application can be daunting, but it's even worse if you do not know what specialty you want to practice. Here's a short piece I wrote with my colleague David Presser MD MPH called "Choosing a Specialty: The Generalist vs. The Early Committer." And recently, I read a complementary, but non-medical, New York Times article called "You Don't Want a Child Prodigy" that seems like a good follow up to our piece. 

Urgent, Urgent, Urgent, Emergency?

The AMCAS open-for-submission date came and went, and the question I'm getting now is: Should I panic if I haven't yet submitted my AMCAS?

The answer is no - and depending on where you are in the process - yes. Submitting on Day 1 precisely is not worth losing your mind over, so if you didn't do so, please don't kick yourself. On the other hand, submitting very soon is to your advantage because of rolling admissions.

So, if you are wrapping up your work and have your written materials in a superior state, just keep moving and get your application submitted promptly. If you are behind the eight ball and don't feel that you can craft outstanding written materials speedily, consider waiting a year to apply. Every season I encounter re-applicants who, during the previous application cycle, submitted their AMCASes in August or September...thus making them re-applicants :(. 

So... on your mark. Get set. Go!

AMCAS Tips (and Particulars): How to Best Draft Your Work/Activity Experience Description Section

I've had a few clients recently who were confused about the AMCAS Work/Activity Experience Description character limits and how the Most Meaningful Experiences fit in. 

Please remember that AMCAS Experience Descriptions can have up to 700 characters (not words!), while the Most Meaningful Experiences max out at 1325 characters. (Note, then, that the Most Meaningful Experiences are separate from the Experience Descriptions.) 

Here's a short blog with AMCAS Work/Activity Experience Description writing tips and another with Most Meaningful Experiences guidance. Good luck!

How to Use the MSAR to Your Advantage

The Medical School Admission Requirements (MSAR) is an online database that allows users to search, sort and compare information about U.S. and Canadian medical schools. (I hate to date myself, but when I was applying to medical school and used the MSAR, it was a hard copy book.) The 2019 MSAR came out last month, and if you are applying to medical school, I'd recommend purchasing it ($28) because it provides so much information about schools and their admissions statistics. The MSAR allows you sort and compare schools by median MCAT scores, AMCAS GPAs, and other criteria. 

You should use the MSAR to help determine which schools are in your range and which are "reach" schools. While it's fine to have a lot of "reach" schools (if you can afford it), it's critical to ensure you are applying wisely to schools that match your numbers. The advantage of the MSAR is that you can make evidence-based decisions. I've found some applicants have eye-opening experiences when they thoroughly review schools' statistics and either realize that their numbers are low and that they should apply accordingly or, happily, that they have numbers that match with top schools. Either way, reviewing the data is critical to good decision making. 

Locum Tenens: A Nontraditional Path in Medicine

For those pre-meds, medical students, and residents interested in creative ways doctors practice medicine, here is a helpful review of a course on obtaining, maintaining, and effectively juggling locum tenens. For those unfamiliar, a medical locum tenens job allows a doctor to temporarily fill an empty slot (e.g. for someone who is on maternity leave). Locum tenens is an opportunity to do some traveling and make some income, but there are some complications you'll want to avoid. Take a peek at the article. 

TMDSAS: The Old and The New

For those applying to medical school through the Texas Medical and Dental Schools Application Service (TMDSAS), please note that your process is a little different from the AMCAS system: The TMDSAS allows for more expository writing, including the medical personal statement, the personal characteristics essay, and the optional essay. This year, too, the TMDSAS has added on a meaningful activities section, which can include up to three accomplishments, with a 500 character limit each.

The TMDSAS has a different timeline from AMCAS as well. Check it out here. For TMDSAS official application instructions, click this link.  

Yes, I do edit the TMDSAS! Contact me for help. 

Is Your Personal Statement a Little Too Personal?

As medical school applicants are crafting their essays and residency candidates are starting to think about theirs, I'm posting a short piece by a guest blogger today: Dr. David Presser graduated from UCSF Medical School, completed his emergency medicine residency at UCLA/Olive View and his MPH at Harvard. He wrote an excellent primer on getting into an emergency medicine residency. Here's today's blog written by him:

Picture, if you will, a residency admissions committee member beneath a halo of light reading applicant essays in her office at midnight. Caffeine on her breath, crumpled white coat next to her desk chair, she is making steady progress on the never-ending stack of applicant files until she picks up a residency personal statement that begins, “I first became interested in internal medicine when Grandma was diagnosed with cancer…” Pulling out her hair by the fistful, she tosses the file into the trash. That cancer may not have killed your grandma, but it just might have killed your application.

Many students devote a significant portion of their ERAS essays to describing a universal experience that may have piqued their initial interest in a specialty. A residency admissions committee member does look for evidence of how your fundamental connection to humanity will make you an empathetic and skilled physician. The problem comes when an applicant starts to make the reader feel like s/he is providing counseling to the applicant, that is, when the candidate uses language that could strike the wrong reader as inappropriate for a professional application. The admissions committee can handle empathetic writing; however, if they suspect you mistook your essay for the journal under your pillow, they may not be forgiving.

Think carefully about the topics you choose. With all due respect to each of us who has had a family medical catastrophe, you can estimate the prevalence of cancer among the elderly and conclude that starting an essay with the description of a grandparent’s battle with cancer is not going to catch the reader’s attention. Unfortunately, just because it is genuine, it may not be compelling reading or a useful means to distinguish you from the hundreds of residency applicants whose essays share similar themes.

There are exceptions. You can be forgiven for including a common topic if it directly ties into highlighting a unique personal accomplishment. Perhaps grandpa’s prostate cancer diagnosis led you to seek out a research position with a faculty member at your local university lab where you were directly involved in sequencing a promising new molecular marker for prostate cancer. Give the generic topic a brief mention and transition rapidly into how it demonstrated that you are a mover and shaker who took a universal experience and, by virtue of your work ethic and intellectual curiosity, turned it into a contribution to science.

You get a pass on writing about universal experiences if you can pull off a convincing reason to keep the midnight reader going; otherwise, keep your essay distinctive and befitting the professional you hope to become.

Make It Pop: Your Residency or Medical School Personal Statement

Many of you already know that I feel very strongly that the personal statement should be substantive and crafted in a persuasive essay format... Yet, the introduction is a place where you can let your hair down (to a point) and write in a narrative fashion. It helps to start your essay with a "clincher," something that will convince the reader your statement is worth reading: I found a short piece in an old Stanford Magazine to be an interesting reminder of what a dedicated writer can do with a personal statement intro. The author compiled a list of first lines from the application essays of Stanford's newest college class at the time.

Some of my favorites:

Unlike many mathematicians, I live in an irrational world; I feel that my life is defined by a certain amount of irrationalities that bloom too frequently, such as my brief foray in front of 400 people without my pants.

When I was 8 years old, I shocked my family and a local archaeologist by discovering artifacts dating back almost 3,500 years.

As an Indian-American, I am forever bound to the hyphen.

Note that these introductions catch the reader's attention, while also saying something about the writer's qualities and/or sense of self. For help with your personal statement, contact me.