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. 

International Medical Graduate (IMG) 2019 Match Statistics Are Out

The ECFMG® recently published 2019 Match statistics for International Medical Graduates (IMGs). In the 2019 Match, only 59.0% of U.S. citizen IMG participants were matched to first-year positions. Of those IMG participants who were not U.S. citizens, only 58.6% obtained first-year positions (Source: ECFMG®) While the percentage of IMGs matching was slightly better than last year, IMGs still face large challenges in the residency application process despite the US physician shortage.

Start Your Engines...

The medical school cycle is revving up, and it's (past) time to get started on your application. Here's an article I wrote for Student Doctor Network called "Ten Ways to Improve your Medical School Application." The piece includes statistical truths, strategies for optimizing your approach, and philosophical guidance. 

Worth a Look: Medscape Female Physician Compensation Report 2018

Medscape's annual Female Physician Compensation Report is out, and it's thought-provoking on many levels. Among the findings from the 7600 female respondents:

The discrepancy in pay between the highest paid female physicians and the lowest is no small thing. Female plastic surgeons make $518K per year compared to Public Health and Preventive Medicine docs who make $180K. 

Also, to my surprise, 50% of plastic surgeons are now female. (Only 8% of orthopedists are.) My field of emergency medicine is low at 21%. 

Male primary care doctors make more than women in the same fields. Male specialists also earn more than their female counterparts. The disparity extends to several racial and ethnic groups as well. 

What I also found very interesting is that to answer the question "What is the Most Rewarding Part of Your Job?" more women than men felt knowing they are making the world a better place was most rewarding (27% versus 20%), and more men than women said that being very good at what they do was most rewarding (26% versus 21%).

There's more! Check it all out here.