White Coat Investor Podcast Interview

Two years ago this week (which may seem like a lifetime ago), I was honored to be the featured interviewee on the White Coat Investor (WCI) podcast. For those of you who aren't familiar with WCI, it's a website/blog/podcast founded by James Dahle MD, an emergency physician whose interest in personal finance and the FIRE (financial independence - retire early) movement has sparked a slew of physician devotees. My interview focused on how Insider Medical Admissions helped me create autonomy and flexibility while balancing a clinical career and a family. Check it out here or on your favorite podcast app. 

On Your Mark. Get Set. Go: It's Match Week.

At 11am EST today (8am here on the West Coast) applicant Match statuses becomes available and SOAP starts. If you're looking for a way to distract yourself with interesting material, take a listen to last week's wonderful Planet Money podcast on matching algorithms called "The Marriage Pact." The episode starts with a reference to my alma mater Stanford (go cardinal), reviews an innovative dating algorithm, and touches on the NRMP Match system. 

Match Week Starts Next Monday

Monday, March 15 starts Match Week 2021. For a comprehensive review of events, see the calendar here. Of note, SOAP starts at 11am EST and ends on March 18 at 3pm EST. On Friday, March 19 at noon EST, applicant Match results are available. 

SOAP is somewhat complicated, so if you have questions about the process, make sure you read about it. 

I'm wishing everyone good luck in the Match. If you are a current residency client, please email me with your results!

Implicit Bias in Medical School Admissions

I participated in a great Harvard Medical School webinar on implicit bias in medicine with cardiologist Dr. Quinn Capers IV, who is a dean at UT Southwestern Medical School. Dr. Capers has published work documenting racial and gender bias in medical school admissions, among other realms. He has also published recommendations on how clinicians and medical educators can mitigate implicit bias in patient care and candidate selection. 

In the webinar, Dr. Capers covered strategies to reduce or neutralize implicit bias, including 

1. Common identify formation - Ask interviewee questions about interests and activities that you share in common.

2. Perspective taking - Take the perspective of a member of the group against which you have unconscious bias.

3. Consider the opposite - When data seem to point to one conclusion, briefly look for information supporting the opposite conclusion before making a final decision.

4. Counter stereotypical exemplars - Spend time with or focus on individuals you admire from groups against which you have a bias.

Dr. Capers described providing an implicit bias "cheat sheet" that included these strategies to medical school interviewers at The Ohio State College of Medicine, where he previously worked. If you have a chance to hear a lecture by Dr. Capers, make sure to grab the opportunity. 

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.

Read the Fine Print

Several years ago, a medical school applicant told me the following story:

This pre-med decided to write follow up notes to all the schools at which he had interviewed, usually a very good idea. However, he was upset to receive a brusque note from one of the institutions telling him that a) he should have read their policies; they do not allow post-interview contact and b) he was rejected from the school.

I found the school's note pretty severe, and I strongly suspect the post-interview contact was not related to his rejection. (As an aside, he successfully and happily matriculated at another school.) But this story is a reminder that it's important to read institutions' policies about post-interview contact. Most places welcome written updates, but it's essential to confirm before you send.

The Rank Order List Access Opening Soon: Check Yourself Before You Wreck Yourself

On February 1 at 12 noon EST, Rank Order List (ROL) access opens, meaning applicants and programs may begin entering their rank lists at this time. Start now to think about your priorities and specifically, where you will be happiest. Waiting until the last minute and making impulsive changes to your list is not a great idea.

Please make sure to avoid simple missteps in creating your rank order list. Improving written materials and interview skills is important, but all of that work can go down the drain if applicants do not understand basic strategies for the Match. In November 2015, the NRMP published an article called, "Understanding the Interview and Ranking Behaviors of Unmatched International Medical Students and Graduates in the 2013 Main Residency Match" in the Journal of Graduate Medical Education. The data is especially important for IMGs who represented the majority of unmatched candidates.

Sadly, the authors found that some applicants made strategic errors including the below:

- Not attending all interviews, thus failing to capitalize on every opportunity to market themselves.

- Declining to rank all programs at which they interviewed or not ranking all programs they would be willing to attend.

- Misunderstanding the Match and ranking programs at which applicants did not interview.

- Failing to rank programs based on true preferences or ranking programs based on the perceived likelihood of matching.

Here is a video explanation of the Match algorithm. If you do not understand how the Match works, it is absolutely critical that you learn about it to avoid destructive errors.

It’s Not Personal

When I was in my second year of medical school, a third-year student came to speak to our class about being on the wards. (The student is now a vice chair in emergency medicine here in California.) He gave an animated talk about how important it was to recognize that when residents, attendings, or nurses hollered at us on our clinical rotations, 99% of the time, it wasn't personal; they were just experiencing stress associated with patient care. He likened the situation to Boston traffic - how drivers lean on their horns for little cause because they are simply frustrated about their days.

It's not personal, he said. What great advice.

I say the same to my clients. I've had applicants complain that faculty were wholly unprepared - reading their applications for the first time during the interview itself. Remember: It's not personal. This process is arduous, and most candidates, faculty, deans, and program coordinators are tired and doing their best, especially in a pandemic. When things are rough, give others the benefit of the doubt. It will help you get through this anxiety-producing process with your sanity intact.

New Year's Resolution: Ten Ways for Pre-Meds to Improve their Medical School Applications

It's the beginning of the year and, therefore, a great time for pre-meds to redouble their efforts toward their medical school goals. This year applications to medical school increased 18%, so the process has gotten even more competitive.

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 are ten ways to improve your medical school application that will give you direction but also leeway to be a happy applicant - not just a strong one.

Crossing Fingers for a Happier 2021

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.

Especially considering how difficult 2020 has been, I want to encourage applicants to consider this happiness quotient when selecting an institution and training program. 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 is significant.

Excellent training is important, but, in the end, many medical schools and residency programs turn out equally qualified clinicians. Prioritize your well-being as a factor in selecting where you might be for the next several years of your life.  

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. Ask faculty to make calls or send emails on your behalf. This strategy is especially helpful if the faculty member has a tie to the institution and/or has a weighty title. (Yes, the system is broken in many ways.) 

4. 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.

5. 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? Consider getting comprehensive help and an honest assessment from me or a faculty member who is highly experienced in residency admissions - the sooner the better to improve a candidacy and prepare for a re-application. Also, as sad as this sounds, if this is not your first defeat in the Match/SOAP process, it might be time to consider other career options like research or industry. Sometimes it's simply recognizing that one door is closing to see another one opening. 

The Fauci Effect

As I write this, I am listening in the background to an interview of Dr. Anthony Fauci by Dr. Sanjay Gupta through the Harvard School of Public Health. Dr. Fauci's leadership (along with that of other physicians and epidemiologists) has apparently prompted what news outlets are calling the Fauci Effect, an 18% increase in the number of applications to medical school this year. I find this encouraging. After all, one could envision people running for the hills with the physical threat that COVID has posed for physicians (and other critical medical staff and front line workers). See the interview (oriented for a medical and public health community) with Dr. Fauci here. 

The New York Times Ethicist

I field questions from clients about how to identify themselves racially and ethnically on their applications, and as diversity becomes a more prominent priority for many academic institutions, this issue will come up more often. The New York Times Ethicist answers an interesting moral dilemma posed by a medical school applicant in a recent column. Enjoy. 

Medical School Interviews: Preparing for your MMI

All bets are off this year when it comes to interviews, although I do think that virtual interviews will be more conventional and equitable than in past years. While the majority of medical school interviews are traditional, an increasing number of institutions (including dental schools) are using the MMI platform. The MMI (multiple mini interview) is a format that uses several timed stations to assess applicants' interpersonal skills and judgment.

A few things to note about MMI interview questions:

1) They are not always medically-related. You may be asked to manage an everyday problem (e.g. a disagreement at the supermarket).

2) They are not always situational. You need to be prepared for conventional questions too (e.g. what are your three greatest strengths?).

3) Schools are trying to assess whether you can skillfully employ important techniques and demonstrate professionalism. Underlying topics might include your ability to offer effective counseling, your understanding of patient-doctor confidentiality, your ability to diffuse a heated situation, or your capacity to admit wrongdoing, etc.

4) Make sure you know what structure the school is using and employ the right mindset: Working with an actor is different from executing a group project, which is, in turn, different from answering questions about your opinions. This year, because everything is virtual, I'm noticing that many schools are focusing on the latter type of problems for logistical reasons. 

5) Practice MMI questions before you "go" to your interview. Even if you have excellent social skills, there are techniques you should hone to expertly manage the challenging MMI format. 

Is Step 1 Still on Track to Go Pass/Fail?

Earlier this year, United States Medical Licensing Exam (USMLE) administrators announced that, after a long process of consideration, Step 1 would be scored as pass/fail going forward. With the global pandemic and many systems in disarray, some students had been concerned that the plans might be delayed, but according to the USMLE, the transition to Step 1 pass/fail score reporting is on track to be implemented in January 2022. The USMLE is also considering some changes to Step 2CS, although the details of those modifications are not yet available to the general public. 

Check out this piece about the details of the Step 1 scoring change.

Love Letters

Letters of interest (LOI) - or what some applicants jokingly call "love letters" - can be used in several types of situations:

1) Residency applicants who want to make an impression post-interview before program directors (PD) submit their rank lists

2) Medical school applicants who have been interviewed but have not yet been accepted or rejected
3) Medical school and residency applicants who have not yet been invited to interview

4) Medical school applicants who have been wait listed  

When writing your letters of interest, you should have the following goals:

1) Restating your strong interest in the institution
2) Positioning yourself as a distinctive candidate who can contribute fully to the institution

The biggest errors I see in LOIs are:

1) Too much content about a specific institution's advantages. There is no reason to spend a paragraph or more telling a PD or medical school admissions member what makes their institutions special. Using your precious space this way is an opportunity cost, keeping you from fully showcasing what makes you a compelling applicant.

2) Writing about how the program or school will help you. The focus should be on how you will be a contributor to their institution. (It's the "What have you done for me lately?" principle.)

Finally, let me say that I am coming to think that the term "letter of interest" might be better than "letter of intent" because, generally, I don't recommend you let institutions know what your intent is since it might change. Note that you can create one general letter that you modify and send to different institutions with different goals (i.e. requesting an interview or demonstrating your interest post-interview). You can also modify the letter and send it to your top choices because, if you are not making commitments, then you can honestly use it for multiple institutions. 

For those of you interested in LOI assistance for medical school or residency applicants, please contact me.

The Residency and Medical School Interview 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.

Part of interviewing well is demonstrating confidence, according to Amy Cuddy, whose compelling TED talk has been viewed almost 60 million times. Practice a lot and then fake it until you make it, as she suggests. How you present yourself can make a big difference in the outcome of your interviews.

Post-ERAS, Pre-Interview Supplemental Questions

Several residency applicants have told me that since they submitted their ERASes, some programs have asked them to answer additional, written questions like "Why our program?" and "How will you bring diversity to our institution?" The additional workload seems burdensome, especially this year, but I suspect residency directors are concerned about interview hoarding - since sessions will be virtual and thus easier to accept and attend - and are trying to weed out applicants accordingly. 

Although originally written for medical school candidates, see my blog entry here to help with the "Why our program?" question and here to help with the diversity prompt. 

Remember: This is a marathon, not a sprint. 

 

Medical School Applicants: Here's How to Hit the Ground Running

For those applicants looking forward to starting their medical education next August and those who just started a few months ago, here's a piece called, "Setting the Right Goals During Medical School." How do you set yourself up for a successful residency Match while avoiding burnout? This short piece will give you some ideas to chew on.

Wednesday is Only Two Days Away, Which Means the ERAS Open Date is Fast Approaching

Residency applicants, this is a reminder that this Wednesday, October 21 at 9am EST is when programs can begin reviewing applications. ERASes submitted today through Wednesday will still display an application date of October 21 so ensure your ERAS experience section and personal statement are in tip top shape and then, simply submit by Wednesday. (Applications submitted after that day will be date-stamped in real-time.) For help, check out "15 ERAS Tips to Boost Your Residency Application" and "5 ERAS Platform Quirks to Heed." Then get your ERAS in and take a well-deserved break. 

How to Handle the Toughest Medical School and Residency Interview Questions

With medical school interviews in full gear and the start of the residency admissions cycle merely a few weeks away, it's past time to start practicing for your interviews. Personal experience and situational questions can be tough, but what happens when you have a serious gap in your candidacy or are faced with an awkward or even illegal question? Check out my two Student Doctor pieces:

Redemption Awaits: Let Your Medical School Interview Transform Liabilities into Assets
and 

Difficult Interview Questions: Learning To Hit A Curveball Out Of The Park

for clear and detailed guidance. 

You don't want to be caught with your pants down: As always, planning and robust practice are your friends.  

Awesome Paid Summer Opportunity

I was an American Association for the Advancement of Science (AAAS) Mass Media Science Fellow in 1995. The program was truly fantastic and life-altering.

Applications for this year's AAAS Mass Media Science and Engineering Fellowship just opened on October 1 and will remain available through January 1, 2021. This cycle's fellowship dates are June 2 through August 17, 2021. Here's the link to application information. The scholarship is a 10-week summer program that places science, engineering, and math undergraduate and graduate students at media organizations across the nation - outlets like NPR, the Los Angeles Times, and WIRED. I worked at the Oregonian in Portland and had a tremendous time, learning how to write effectively and edit. I also gained an appreciation for the amazing public health opportunities journalists have. 

Residency Personal Statement Tips

I've received questions recently about the residency personal statement, so I'm including some articles and blog posts that might be useful:

• For an overall approach to the personal statement, check out this article.
• Is Your Personal Statement a Little Too Personal? is a fun, pointed piece by guest blogger David Presser MD, MPH.
• Should you be a creative nonconformist when writing your personal statement? Find out here. 
• Examples of outstanding essay intros (from Stanford undergraduate applicants) are here.

And as always, contact me for help.

Five ERAS Platform Quirks to Heed

I've been editing a lot of ERASes lately. Let's briefly cover five quirks of the ERAS platform to help you get through the drafting process. The ERAS platform...

1) Does not support italics. While journal articles and some phrases (e.g. "summa cum laude") should be italicized, don't be surprised when you can't. 

2) Prompts you for a supervisor for each activity. In some cases, you simply may not have one, but whenever you can, name someone. A name validates the experience.

3) Prompts you for average hours per week for each activity. It can be difficult to calculate this number for certain experiences, especially those that are intermittent, but it's worth making your best estimate rather than leaving the question blank. 

4) Offers space to include a "reason for leaving" for each activity. Don't skip this section, but keep your answers brief. 

5) Limits you to 1020 characters for experiences, 510 for the interruption in medical training section, and 510 for each of the awards sections. Be aware of these limits as you write, so you are not furiously cutting later.   

For tips on how to craft your ERAS, check out this short blog entry. 

Contact me for help with this weird and wild process. 

How to VITAlize your VITA interviews

 At the end of the spring, with the weightiness of COVID clearer, the AAMC (much to their credit) strongly recommended that medical schools and residencies conduct virtual interviews during the upcoming admissions season. Upending years of in-person sessions, the announcement has made a huge impact on this season's admissions process. Virtual interviews will likely diminish some of the bias that plagued the system previously and will save everyone a bundle of money. 

The AAMC did not urge the use of any particular platform, but it does provide its own, called the Video Interview Tool for Admissions (VITA), for interested medical schools. The AAMC describes VITA as a one-time, one-way recorded video interview to help medical schools assess applicants' pre-professional competencies that are important for success in medical school. 

The AAMC indicates that VITA questions will target the below capabilities:

• Social Skills
• Cultural Competence
• Teamwork
• Reliability and Dependability
• Resilience and Adaptability

An applicant's VITA session will include six questions presented in text form (no interviewer), and applicants record a video response after having one minute to read and reflect on each question. Candidates then have up to three minutes to record a response. If an applicant needs a break between questions, that's not a problem: All six questions can be completed in one sitting, or candidates can choose to have breaks of any desired length between questions. (Of course, the interview must be submitted by a medical school's deadline.)

According to the AAMC, questions can be related to personal experience (e.g. "Why did you choose medicine?"), past behavior ("Describe a time..."), or hypothetical situations ("Imagine you are... What would you do to resolve this issue?"). 

These types of questions can be tricky without practice, but are bread-and-butter for someone who is prepared. 

Remember the time you spent a week studying for the MCAT? No, you don't ;). That's because one week is not enough time to study for the MCAT! Along those lines, it's important to start early, preparing yourself fully for VITA and other virtual interview platforms. Much of interviewing is confidence, which can be developed. Please hire me now for help. 

How to Save a Bundle of Money

The big question of financing medical school and residency interviews is often swept under the rug, but this year things are - believe it or not - simpler: The virtual interview process is going to save everyone - applicants and institutions - a wad of cash. Please check out my Physician on Fire guest post The Virtual Interview for Medical School and Residency Will Save Everyone a Bundle of Money and feel free to share. 

Could Virtual Interviews Help Mitigate Systemic Sexism in Medicine?

Congrats to a few applicants who have already received very early medical school interview invitations. For most, the season will be starting in the next month or so. Virtual interviews through VITA or other platforms will be standard, and how that will affect the admissions process and next year's medical school classes is anyone's guess. My guess is that the virtual interview process will reduce discriminatory practices that have plagued the system for a while. See my Doximity article "How Virtual Interviews Might Mitigate Systemic Sexism in Medicine" and please pass it along. 

My Personal Experience with (What Appears to Have Been) "COVID Fingers"

I usually don’t use this blog to talk about personal issues, but I recently wrote this piece in KevinMD “Why Are COVID Antibodies of Questionable Relevance Being Marketed to the Public” regarding my experience with pseudo-chilblains (burning spots on my fingers – ouch) and my subsequent COVID antibody test. 

Even in the past week since the piece was published, there has been more in the news about the likelihood that T-cell modulated immunity may play an important role in COVID recovery. 

15 ERAS Tips to Boost your Residency Candidacy

 I've started editing ERASes this cycle and have developed this list for guidance:

1. Include relevant pre-professional accomplishments from college. If you conducted research, for example, list and describe it. Do not include high school achievements unless they were truly unique (worked at the White House, sang on Broadway, published in Nature).

2. While you want to include many strong achievements, you do not want your ERAS to be so long that your reader is tempted to skim it, so avoid small activities (like an afternoon health fair). 

3. Keep your descriptors to approximately five to seven sentences. Fewer can look lazy and more can look self-indulgent.

4. Use full sentences. It’s a formal application, and you want to make your written materials as readable as possible.

5. Avoid abbreviations. Ones you think are common might not be familiar to the reader.

6. Avoid contractions; they are too informal for your ERAS. 

7. Make sure you spell out your accomplishments clearly. If your reader doesn’t understand an activity, you won't get “full credit” for what you’ve done. Make no assumptions - not even that the reader has reviewed the experience's introductory information (location, name of activity). 

8. Write about yourself and your role – not an organization. For example, don’t use the space to discuss Physicians without Borders. Use it to discuss the specifics of your role at Physicians without Borders.

9. Use numbers to be persuasive. Saying that the conference you organized had 300 participants says it all.

10. Unless your PI won the Nobel, avoid using supervisors' and/or doctors' names in your descriptors as they will be meaningless to the majority of your readers.

11. Do your best not to leave the "Medical School Awards" section blank. Even if you have to simply include clerkships in which you obtained honors (or high honors), fill that section out.

12. If you have not already, consider joining your specialty's national organization and listing it under the "Membership in Honorary/Professional Societies" section. If you are applying in two fields, take this advice, though. 

13. Try to end your entries with a sentence about how the experience you just described will help you as a future specialist. Making that connection for the reader furthers your candidacy. 

14. As with all good writing, avoid redundant language. Having the word "research" three times in two lines is distracting and demonstrates a lack of originality. 

15. Get help. Don't submit your residency application without having it reviewed by someone with a lot of experience. You do not want to put forward suboptimal materials for a process that is this important and competitive.

No, I Can't Fix Your Computer

My husband spotted a man wearing a t-shirt with that saying on it, and we have ever since jokingly referred to it when someone in the house is having a tech problem. 

As we all probably know, there is usually someone in the extended family who is the "computer person." 

Well, we could use that individual now. While I am a big fan of the virtual interview for medical school and residency (see my upcoming Doximity article on the topic), I do worry about technical glitches. A client recently wrote me that her asynchronous, recorded virtual medical school interview had a problem, leaving her with one question unanswerable. (I counseled her to inform the school.) I'm crossing my fingers that this is an anomaly and not a reflection of what's to come this cycle.

As always, make sure to practice for your interviews; you wouldn't go into a standardized test without a lot of preparation, and the same should be true for interviews. 

Contact me here for help. 

The Virtual Medical School Interview: What to Expect when You're Expecting... An Unconventional Format

In the late spring, to its credit, the Association of American Medical Colleges® (AAMC) recommended that all medical school, residency, and fellowship interviews be done virtually this cycle. Formats may vary, but interviews should not be in-person.

One configuration that seems to be emerging for medical schools (at least) is a two-part model: asynchronous and synchronous. The former involves a recorded session in which a computer platform - without a live interviewer present - provides questions to applicants who then have a set time to record their answers. The synchronous session is a live, remote interview.

The advantage of virtual interviews - beyond obvious health benefits and cost containment - is a standardization of the process, but mastering the new, remote processes may be difficult and anxiety-producing. 

To get help with this new world of virtual interviews, contact me. 

Applying in Two Specialties

Most residency candidates know that their lives will be made easier if they apply in only one specialty, but some apply to a competitive field with a backup, and others are still deciding between two at the time of ERAS submission. 

Here are some clarifications about what ERAS offers that will help you apply in two specialties:

1) Different personal statements can be assigned to different programs. This means you can assign your ob/gyn essay to ob/gyn programs and your internal medicine (IM) statement to IM residencies.
2) Different letters of recommendation (LORs) can be assigned to different residency programs as well. (A maximum of four letters may be assigned to each program.)

You will have only one MyERAS application. It will go to all of your programs. (Note that if you list your membership in multiple ob/gyn organizations, that will be viewed by your IM readers as well and might make them question your commitment to IM.)

If you are thinking of applying in three specialties, I'd say don't. Navigating the application and interview process while showing commitment to each field could be miserable. If you're at three, take a moment for some reflection, and pare your list to one or two.

How the New ERAS Schedule Might Relieve Your Stress

This year, in light of the COVID crisis, while ERAS will open on September 1, residency programs will not have access to applications until October 21, which is more than a month later than last year's date of September 15. At first glance, this alteration might seem minor: After all, if programs download applications in batches by chronological order, an applicant would still be better off submitting on September 1. However, all applications submitted September 1 through October 21 will appear to programs as being submitted on October 21. This affords residency applicants more time to get their applications in order. 

Having said that, ECFMG is still recommending that applicants submit by October 14 to be on the safe side, and I'd also suggest not waiting until the last minute. Good writing takes a long time, and you do not want to be behind the eight ball, submitting suboptimal written materials. 

For help with your residency written materials, contact me. 

"Why Our School" Secondary Essay: How to Get Started

Secondary essay prompts vary, but there are a few that are standard fare. See my recent blog entry for guidance on the familiar "diversity essay." "Why do you want to attend our school?" is also a common topic pre-meds will encounter.

Medical school admissions officers want to be assured that you know their institution, are seriously considering it, and will fit in well there. In approaching the "why-our-school" question, do your research on the institution and link something specific about you with the school's philosophy, curriculum, patient population, and/or extracurricular programs.

For instance, if you were a teaching assistant for chemistry in college, you might link your use of the Socratic method with a school's tutorial-based learning. In that way, you demonstrate knowledge of the school, show that you connect well with it, and showcase your accomplishment.  

The paradox here is that - although you are theoretically focusing your essay on one school - because so many institutions have overlapping philosophies, curricula, and objectives - you can oftentimes use the same essay framework for many different schools. 

That's one strategic way to cut down the overwhelming workload that secondary applications present. 

AAMC Fee Assistance Program Expands

In light of the COVID crisis, the AAMC has recently expanded its Fee Assistance Program income eligibility. Please take a look here for current requirements. For more information on the FAP, including an online webinar, see this AAMC page.  

To support those with financial need, l continue to offer a discount to those applicants who can demonstrate a current FAP. Contact me with questions.