Your Residency Application: Six Factors to Prioritize When Creating your Rank List

Creating your Match rank list can be absolutely agonizing because it feels like so much is at stake. Sometimes it helps to step back and look at the big picture. Below, I briefly note a few important considerations when making your list:

1. Make sure you understand how the NRMP algorithm works. See my previous blog post regarding errors to avoid at all costs. The key is to rank in the order you want - first goes first, second goes second, etc.

2. Consider your happiness and life balance. Blasphemy perhaps, but I would argue that they are more important than the strength of the training program.

3. Reflect on the culture, geography, size, and even maturity/age of the program. Think about whether you will fit in.

4. Consider whether you could spend your whole life at the institution or in that program's location. It's a lot to grapple with, but many residents graduate and stay for the rest of their careers.

5. Decide whether you liked the program director, chairperson, and faculty generally. They could make or break your happiness and success.

6. Realize that most programs will train you well if you work hard. Their prestige and quality may be more similar than you think. For that reason, note that your personal preferences and intuitions are paramount.

New Year's Resolution: Ten Ways to Improve your Medical School Application

It's the beginning of the year and, thus, a great time for pre-meds to redouble their efforts toward their medical school goals. As always, I recommend a very focused approach that allows you to do more of what you want and less of what you don't. Think research will help your candidacy but don't like being in the lab? Consider public health or clinical investigations. Think volunteerism will bolster your application but don't like being one of a crowd in a group project? Start your own social justice initiative. 

There are definitely necessary elements to any robust medical school candidacy (clinical experience, strong grades), but being a pre-med can also be fun, mind-broadening, and career-affirming.

Here is an article that will give you direction but also leeway to be a happy applicant - not just a strong one. 

Selling Yourself

A recent, interesting article in the New York Times written by two professors - one from Harvard and one from Yale - reviewed a study they published in the British Medical Journal that finds that male-led scientific teams were up to 21 percent more likely than women-led teams to use positive adjectives to describe their research findings. Importantly, they also found that the greater use of positive language by male-led teams was linked to more citations. 

In the NYT article, the authors point out that in many realms and fields women have been found to use language that is more tentative than men. I have found this to be true when I conduct mock interviews as well. I note that, generally, women applicants are less willing to showcase their achievements, which I do believe adversely affects their candidacies. I try to counter that in practice with applicants. 

Of course, there is an alternate assessment of this issue: The "Lean Out" crowd feels that women should not have to conform to men's patterns. While I strongly agree in theory, I have witnessed the disadvantage of being overly modest in the application process. 

This is a good discussion for your next coffee break with a friend!

Residency Applicants, Thinking about How to Create your Rank Order List? Check out this easy advice.

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, your third third, etc.

In other words, your most successful approach is to create your list in order of your real preferences. Although the Match algorithm is mathematically quite complicated, because the process always begins with an attempt to match an applicant to the program most preferred on the applicant's 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.

Here's a video the NRMP created last year to better explain the Match algorithm. Here's also a less-than-one-minute Guru on the Go© video "NRMP Ranking to Avoid a Spanking" to emphasize your optimal strategy.