Office of Student Affairs

Residency Workshop Residency Workshop Summer 2013Summer 2013

July 12 &July 12 &August 2August 2

Bondurant Hall G100Bondurant Hall G100Dr. Georgette DentDr. Georgette DentDr. Robert GwytherDr. Robert Gwyther

Office of Student Affairs

The goal is a successful matchThe goal is a successful matchHow do we get there?How do we get there?

1) Choose your specialty• Do electives/ selectives

• Meet with College Advisor

• Careers in Medicine website

2) Prepare application• Meet with Ashley Olsson for MSPE

• Meet with Career goal advisor(s)/College advisors

• Sign up for ERAS (and/or CAS)

• Fill out & submit application (Big 3)

1. Solicit LORs

2. Write personal statement

3. Decide on program list

3) Wait for interviews to roll in!

4) Register for NRMP (and SF, Military, or AUA) & submit ROL

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Choosing a specialty: When to decide?Choosing a specialty: When to decide?

• Take electives/selectives in July, August &

September to help with specialty choice

• Ideally, need to decide on specialty and apply by

September 15th

• May decide as late as October 1st (Dean’s Letter

release date)

• Can apply in more than one specialty if truly can’t

decide

• July grade will be last grade on Transcript

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Selection Criteria for Residency: Results of a Selection Criteria for Residency: Results of a National Program Directors Survey National Program Directors Survey

Green, Marianne MD; Jones, Paul MD; Thomas, John X. Jr PhDGreen, Marianne MD; Jones, Paul MD; Thomas, John X. Jr PhDAcademic Medicine: March 2009 - Volume 84 - Issue 3 - pp 362-Academic Medicine: March 2009 - Volume 84 - Issue 3 - pp 362-

367 (Link at end of presentation)367 (Link at end of presentation)

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• 40,335 Applicants• 29,171 Residency Positions• 17,487 US Allopathic seniors• Almost 400 more US senior

students chose primary care (5.5% increase)

• Approximately 1,000 unfilled positions and approximately 1,000 unmatched students

• Number of US seniors unmatched after Match and SOAP doubled

2013 NRMP Data2013 NRMP Data

AMA Website

Highly Competitive Specialties: Highly Competitive Specialties: Ratio of Positions to US Seniors Ratio of Positions to US Seniors Median Step 1 Scores for Matched StudentsMedian Step 1 Scores for Matched Students

Ratio Step 1

• Orthopedic Surgery 0.8 240• Radiation Oncology 0.8 240• Plastic Surgery 0.9 249 • Otolaryngology 0.9 243• Dermatology 1.0 244• Radiology 1.3 240

Match Outcomes Data, August 201104/22/23 6

Moderately Competitive Specialties: Moderately Competitive Specialties: Ratio of Positions to US SeniorsRatio of Positions to US SeniorsMedian Step 1 Scores for Matched StudentsMedian Step 1 Scores for Matched Students

Ratio Step 1

• Emergency Medicine 1.0 223

• General Surgery 1.1 227

• Obstetrics/Gynecology 1.3 220

• Anesthesiology 1.3 226

• Med/Peds 1.3 230

• Pediatrics 1.4 221

Match Outcomes Data, August 2011

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Less Competitive Specialties: Less Competitive Specialties: Ratio of Positions to US SeniorsRatio of Positions to US SeniorsMedian Step 1 Scores for Matched StudentsMedian Step 1 Scores for Matched Students

Ratio Step 1• PM & R 1.7 214 • Psychiatry 1.8 214• Neurology 1.8 225 • Internal Medicine 1.8 226• Pathology 1.9 226• Family Medicine 2.1 213


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Percent US Seniors In Honor Society Percent US Seniors In Honor Society (AOA) who Matched in 2011(AOA) who Matched in 2011

Source: NRMP Charting Outcomes in the Match – Characteristics of Applicants Who Matched to their Preferred Specialty in the 2011 NRMP Main Residency Match

Can your credentials be enhanced?Can your credentials be enhanced?

• Step 2• Research• Audition electives• Joint degree• Spanish

If your credentials cannot be enhanced, then you may need a back up or parallel plan if you are applying to a competitive specialty.

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Graduation requirements: Graduation requirements: USMLE Step 2 CKUSMLE Step 2 CK

• Take Step 2 Clinical Knowledge by

November 15, 2013

• Show passing score of Step 2 CK by

December 31, 2013

• Lack of a passing score by December 31 means eligibility for the Match and graduation is in question

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Graduation requirements: Graduation requirements: USMLE Step 2 CSUSMLE Step 2 CS

• Show proof of registration by February to participate in the NRMP

• Take Step 2 Clinical Skills by April 25 to graduate in May 2014» Exam taken after March will not be graded until

June/July

» Some program directors like to see a passing score to interview or rank students!

• Should have gotten financial aid for registration

• Can take time off from electives/selectives for exam

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Step 2 CSStep 2 CS

5 Test centers» Philadelphia

» Atlanta

» Los Angeles

» Chicago

» Houston

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Choosing a specialty: Choosing a specialty: What if I can’t decide?What if I can’t decide?

• Talk to your Advisory College Advisor• Talk to Career Goal Advisors in the specialties

you are interested in• Consider matching in a transitional or

preliminary year• Apply to more than one specialty• Delay residency

» Graduate studies

» Research year

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How do we get there?How do we get there?

1) Choose your specialty• Do electives/selectives




• Meet with Career goal advisor(s)



1. Solicit LORs





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Medical Student Performance Medical Student Performance Evaluation (MSPE) UpdateEvaluation (MSPE) Update

July 26 – last date to meet with staff writer to review draft letter

August 1 – Any CV updates due so that letter can be completed. Remember to send anything you may have promised to send, especially MPH details.

September – review final letter prior to release. Wait for notification that your letter is ready.

October 1 – MSPEs released

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College Advisor MeetingCollege Advisor Meeting

• Discuss your career choice

• Discuss your ability to match in that specialty

• Ways to enhance your application

• Discuss personal statement and letters of recommendation

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Career Goal Advisor(s)Career Goal Advisor(s)

• Discuss with your CGA:» Your reasons for choosing the field

» Your realistic ability to match

» Ways to strengthen your application

» Whether to do away electives

» Program choices and priorities

» Number of applications and interviews

» Ranking strategies» Listing:

http://www.med.unc.edu/md/fourthyear/career-goal-advisors

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Electronic Residency Electronic Residency Application Service (ERAS)Application Service (ERAS)

• The application for the “regular match”• Important dates:

» 07/01/2013 Access to “MyERAs”» 09/15/2013 Submit application/

Transcript released» 10/01/2013 MSPE » 05/31/2014 Application info

purged• Check individual program dates• After application is submitted, only Profile

section can be changed• https://www.aamc.org/students/medstudents/eras/

How ERAS WorksHow ERAS Works

The The MyMyERAS ProgramERAS Program

• Enter CV information in MyERAS

• After certification, information cannot be changed» except profile (name, email, address, AOA, phone#, ID#,

USMLE#)

• Enter names of letter of recommendation writers

• Select programs

• Import personal statement(s)

• Assign letters and personal statements for each program

• Supply 3x4 color (ERAS) and 2x2 black & white (SOM file) photos to SA

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ERAS Residency ERAS Residency SpecialtiesSpecialties

» Anesthesiology» Dermatology» Diagnostic Radiology» Emergency Medicine» Emergency/Internal

Medicine » Family Practice» Internal Medicine » Internal Med/Family Med» Internal Med/Pediatrics» Internal Med/Preventive

med» Internal Medicine/PM & R» Internal Med/Psychiatry» Nuclear Medicine» Neurology & Child

Neurology» Neurodevelopmental

Disabilities» Neurosurgery

» https://www.aamc.org/services/eras/

» Obstetrics/Gynecology» Otolaryngology » Orthopedic Surgery» Pathology» Pediatrics (all tracks)» Pediatrics/Emergency

Medicine» Pediatrics/PM & R» Physical Medicine &

Rehabilitation (PM & R)» Plastic Surgery» Preventative Medicine» Psychiatry» Psychiatry/Family Medicine» Radiation Oncology» Surgery» Transitional Year» Urology (AUA match)» ARMY & NAVY PGY-1

Surgical Specialty MatchesSurgical Specialty Matches

• Ophthalmology» Central Application Service (CAS) & San Francisco (SF) Match

• Opens in June• Target dates to submit application: 9/4/13

» SF Match• ROL certification: 1/7/14• Match results released to schools: 1/14/14• Unfilled vacancies announced: 1/16/14• www.sfmatch.org• [email protected]

• Urology» ERAS and AUA Match » Important dates

• Registration opens: Summer 2013

• ROL Certification: 1/3/14

• Match Day: 1/22/14

• http://www.auanet.org/education/urology-and-specialty-matches.cfm

Letters of RecommendationLetters of Recommendation

• Waive your right to read the letter• Ask faculty if they feel that they know you well

enough to write letter• Give writer your CV, personal statement• Give writer ERAS cover sheet• Most programs want 3-4 letters

» At least 1-2 from chosen specialty

• Letters from graduate work or research mentors make great 4th letters

• MSPE is not a LOR

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Letters of RecommendationLetters of Recommendation

• Deadline for letters is a month earlier than past years• Ideally need letters by September 15 or October 1 at

the latest • Faculty have 3 ways to submit letter

» Email to Student Affairs at [email protected]» Mail paper copy to Student Affairs at CB# 9535, 1001

Bondurant Hall

» Load letter directly into ERAS

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Personal statementPersonal statement

• Aim for 600-650 words (one page max)• Questions to consider

» Why am I interested in this field?

» What do I want in a residency program?

» What are my professional goals?

» Why should a residency choose me?

» What accomplishments should I highlight?

» What contributions can I make to the specialty?

» What contributions can I make to the residency program?

» What outside interests do I have?

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Personal statementPersonal statement• Do

» Write a statement that someone who knows you well can pick out of a stack

» Provide insight into who you are and what you have achieved

» Write about something you would like to discuss in an interview

» Address a problem in your application if you can put a positive spin on it

• Don’t» Restate your CV/application» Be too cute or out there unless you have vetted

it with several people» Use the entire statement to address problems

in your application—try to keep it positive04/22/23 27

How many programs should I How many programs should I apply to?apply to?

• Applying to programs is not the expensive part of the application—interviewing is.

• Err on the side of applying to too many programs and have the good fortune to decline interviews

• If you are a less competitive candidate for a specialty, you should apply to more than the average number of programs

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Average number of applications and Average number of applications and target #programs on ROL for target #programs on ROL for Highly Competitive SpecialtiesHighly Competitive Specialties

• Dermatology 55 09• Orthopedics 47 12• Urology 43 10-12• Radiology 41 13• Plastic Surgery 29 11• Radiation Oncology 34 11


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Apps ROL

Average number of applications and Average number of applications and target # programs on ROL target # programs on ROL

Moderately Competitive SpecialtiesModerately Competitive Specialties

• Emergency Medicine 27 11• Anesthesiology 25 13• General Surgery 22 11• Obstetrics/Gynecology 23 11• Pediatrics 17 10


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Apps ROL

Average number of applications and Average number of applications and target # programs on ROL target # programs on ROL

Less Competitive SpecialtiesLess Competitive Specialties

• Internal Medicine 16 10• Physical Medicine & Rehabilitation 19 11• Psychiatry 16 9• Pathology 16 9• Family Medicine 12 8


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Apps ROL

The goal is a successful matchThe goal is a successful matchHow do we get there?How do we get there?

1) Choose your specialty• Do electives/ selectives




• Meet with Career goal advisor(s)



1. Solicit LORs





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InterviewsInterviews

• The most important component to program directors in selection of residents

• How many should you do?» Check “Charting the Outcomes of the match”

for specialty specific data

» There is a limit to what you can do…• 20 interviews is about max• 25 would be Herculean• 30 would be lethal!

• Interview workshop to be held: October 18

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National Residency National Residency Matching Program (NRMP)Matching Program (NRMP)

• The NRMP provides a uniform date of appointment for residency and fellowship positions

• Everyone needs to register• Registering with NRMP does not register you

with ERAS and vice versa• NRMP is a binding agreement• Web address: http://nrmp.org

NRMP Dates to RememberNRMP Dates to Remember

• 09/15/2013 Registration opens ($60.00)• 11/30/2013 Application deadline

• ($50.00 late fee after this date)

• 1/15/2014 Rank order listing opens• 2/26/2014 Final rank order certification

(Before 9pm EST!)• 3/17/2014 Matched/Unmatched info

posted online• 3/18/2014 Re-Match (SOAP) • 3/21/2014 MATCH DAY!

CostsCosts

• ERAS Number of applications in same specialty

up to 10 $9211-20 $9 each21-30 $15 each31 or more $26 each

• NRMP 20 ranks $60*

21 or more $30 each* for couples $75/each for 30 ranks

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CostsCosts

• SF Match/CAS $100 registration plus:1-10 apps $60 each11-20 $10 each21-30 $15 each31-40 $20 each> 41 $35 each

• AUA Match $75 no limit

• NBME $70 unlimited copies

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Predictors of MatchingPredictors of Matching

• Number of programs ranked!!!!!!» Applying to more programs, means more interviews,

means more programs you can rank!

• Step 1• Step 2• Graduate of top 40 NIH ranked school• AOA (medical honor society)


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Matching Strategies for Matching Strategies for CouplesCouples

• Target large cities

• Sign up in NRMP as individual, but indicate matching as a couple

• Enter partner’s NRMP code (partner enters your code)

• Couple ranks the same number of programs

• Computer treats couple as a linked pair only

• Can mix types of programs, institutions, specialties, geographic locations in each pair of ranks

• Rank acceptable programs

Matching Strategies for Matching Strategies for CouplesCouples

He – Internal Medicine1.UNC-CH2.Duke3. Duke4. UNC-CH5. Mass General6. Brigham & Women’s7. Boston University8. No match

She – Pediatrics1. UNC-CH2. Duke3. UNC-CH4. Duke5. Boston Children's6. Boston Children's7. Boston Children's8. Boston Children’s

Review of Residency Review of Residency Application ProcessApplication Process

SpringSpring – Update CV, schedule appointments– Update CV, schedule appointments

Spring/SummerSpring/Summer – MSPE (Dean’s Letter) appointments , – MSPE (Dean’s Letter) appointments , have photo taken, attend summer ERAS & ranking have photo taken, attend summer ERAS & ranking strategies workshop, take CPX strategies workshop, take CPX

Summer/FallSummer/Fall – Sign up with NRMP, request LORs, write – Sign up with NRMP, request LORs, write personal statement, research & apply to programspersonal statement, research & apply to programs

Fall/WinterFall/Winter – Take Step 2 CK and at least register for Step – Take Step 2 CK and at least register for Step 2 CS, Interview2 CS, Interview

WinterWinter – Submit rank order list– Submit rank order list

Tips for the successful match:Tips for the successful match:

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What puts you at risk for not matching?What puts you at risk for not matching?• Competitiveness issues: academic/professionalism problems (e.g.

USMLE, grades, no research)• Apply to more programs• Apply to back up specialty• Well crafted personal statement to provide context to record• Try to enhance credentials (e.g. early Step 2, research year, do well 4th

year)• Away electives

• Attitudinal/interpersonal issues: poor interviewer; ambivalent about medicine or specialty• Take electives to better define specialty choice• Do practice interviews

• Geographical issues:• Apply to more than one specialty• Do elective and/or research in targeted location• Couples need to apply to at least one big cold city

WisdomWisdom

• Be honest and forthright about your own profile

• Don’t leave out information—it will be found

• Be truthful with yourself• Listen to advice• Hear what is said• Give yourself enough options

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On-line ResourcesOn-line Resources

• Careers in Medicine: https://www.aamc.org/students/medstudents/cim/

• Personal Career Assessment» Medical Specialties ApitudeTest

• http://www.med-ed.virginia.edu/specialties/» Temperament Sorter

• http://www.advisorteam.com/temperament_sorter/register.asp?partid=1

• Match» Charting outcomes of the match: http://www.aamc.org/programs/cim/chartingoutcomes.pdf» ERAS: http://www.aamc.org/students/eras/ » VSAS: https://www.aamc.org/students/medstudents/vsas/» NRMP: http://www.nrmp.org/» Selection Criteria for Residency: Results of a National Program Director’s Survey:

http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residency__Results_of_a.24.aspx

» FREIDA: http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.shtml

» AAMC Roadmap to Residency: From Application to the Match and Beyond

www.aamc.org/publications Click “Student Affairs”

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Match Day 2013Match Day 2013

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Office of Student Affairs

Documents

Transcript of Office of Student Affairs