Administering COVID Vaccines is the Closest Thing I've Come to Attending a Party in a Year

As of this writing, I've administered 214 COVID vaccines. I've had the opportunity to vaccinate through a hospital in my area where health care workers and volunteers are eligible. The latter group includes some senior citizens who have been volunteering for decades at the hospital. 

I've vaccinated several people over 90; two people on supplemental oxygen - one who had just come from chemotherapy; one person who shared my birthday; multiple who are immigrants from Vietnam, Iran, and Mexico; one who had recently lost both her mother-in-law and mother to COVID; and someone who told me her only past allergic response had been to her husband.

If you have the opportunity and skill set, I highly recommend vaccinating. It is the most satisfying volunteer experience I've had. People are so grateful, and the mood is so celebratory. I've had my photo taken several times, and the hospital has music playing in the background. It feels like I'm at a bar mitzvah (without the food). 

Here's a piece on medical students who have joined the vaccination effort.

Your Match Rank Order List Should Be Completely Uncoupled from Institutional Feedback

I've recently received some email asking about how Match rank order lists should be affected by positive feedback applicants receive from interviewers and/or program directors. The answer is not at all. Because of the way the Match algorithm works, what programs think of you should have zero bearing on how you make your rank order list. See this recent blog that covers mistakes to avoid when making your list.

It's really impossible to know about the program's interest in you anyway. Even if a program tells you straight up that you will be ranked to Match, that isn't a promise. I've known applicants who were "promised" a ranking to Match that never happened. 

Bottom line: It doesn't matter what the programs think of you; it's all about what you want. Here's a good video about the Match algorithm if you'd like to understand the process more granularly. 

No One Wants to be your Second Choice for the High School Prom

Imagine you're back in high school, planning to ask a fellow classmate out to the prom. You approach your potential date, "Would you be interested in going with me to the dance? You're one of my top choices."

Not very compelling...The same is true for letters of interest: I've had several applicants ask me if it's okay to say that an institution is "one of my top" picks.

Avoid that type of language. Instead you can say something like "I would be thrilled to be at your institution," or " I’m confident I can make a positive contribution." In other words, you can stay honest while not shooting yourself in the foot.

I edit letters of interest and have been busy with them of late. Let me know if you need assistance.

Be Honest about Your First Choice

A few applicants have asked me whether it's wise during the interview, in thank you notes, or in letters of interest to tell an institution that it's your first choice. My response: Yes, if it's true. It's not wise or ethical to tell all institutions that they're your first choice. I can assure you from experience that faculty across the country speak to one another. And you may see these selection committee members again.

I remember an applicant who told our institution that we were his first choice. He was ranked to match but didn't because he had ranked another residency over us. After that, my colleagues were pretty clear that they wouldn't forget this deceptive behavior if they interacted with him professionally in the future (seeking a job, seeking a national committee position). (I felt less frustrated: It's possible he simply changed his mind at the last minute!)

Medicine is a small world; make sure to demonstrate integrity and collegiality.