MedEdits | Medical School Admissions Consulting

Sunday, February 21, 2010

Financing Your Medical Education

The Association of American Medical Colleges has a great resource where applicants, students and residents can become financially literate. The site allows individuals to learn about how to finance their education, pay back loans and transition to medical practice. The program is called FIRST (Financial Information, Resources, Services and Tools).

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Monday, February 15, 2010

New Medical Schools

An article published in the New York Times yesterday is a must read for medical school applicants, current medical students and international medical graduates. The article discusses the planned opening of new medical schools and the impact this will have on medical school admissions and health care in this country. While reading this article, keep in mind that it takes years to open a new medical school. Refer to the Liaison Committee on Medical Education website to check the application status of new schools. With the planned opening of many new schools and increased enrollments at existing schools, there is a need for more residency training positions. If this does not happen, the competition to obtain residency training will increase.

Read: Expecting a Surge in U.S. Medical Schools in the New York Times.

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Sunday, February 14, 2010

Residency Rank Order List: What Factors Should You Consider?

Rank order lists must be certified by February 24th, 2010. My residency clients are asking me how to rank programs so I decided to blog on this topic. What are some important factors to consider?

1) Geography
Not only should you be happy in the city where you train, but a large percentage of residency graduates ultimately take jobs or fellowships in the same geographic area where they complete residency. This is not to say that if you train in New York, for example, that you can't obtain an excellent job in California. However, you will make contacts throughout residency so it is often easier to obtain a job or fellowship in the city where you complete your training. Many programs also hire their own graduates.

2) The Residents
Ask yourself if you would enjoy working and socializing with the residents whom you met on your interview day. Did residents seem happy?

3) The Faculty
The attendings under whom you train will be your role models and educators. If you want to pursue a career in academic medicine and research, for example, going to a program where none of the faculty have research funding might not be your best choice. Also, did you like the faculty whom you met? Do you envision working well with them?

4) Patients and Clinical Settings
To become the best clinician, you must see a diverse group of patients in a variety of settings. Where do residents rotate? Do they see a variety of patients with a wide range of diseases? If you are entering a surgical or procedure-based specialty, do residents obtain enough exposure to become skilled?

5) Teaching, Didactics and Curriculum
Evaluate the quality of the teaching that residents receive at the bedside and during formal didactic sessions such as morning report and conferences. Do residents have flexibility to pursue electives?

6) Overall Fit
I have a vivid memory of my interview day at the program where I matched. I had spent some time in the emergency department the evening before my interview, felt immediate rapport with the residents and faculty whom I met and had a great "gut feeling" about the program. I ranked the program #1 and matched there. Listen to your "gut feeling" seriously.

7) Your Personal Preference
Every year applicants are swayed by the positive feedback and communications they receive from programs and consider changing their rank order list in light of this feedback. Applicants cannot manipulate the match algorithm and there is a common misconception that how you rank the programs from which you received positive feedback will somehow improve your odds of matching. Rank your programs based on where you believe you will be happy and receive the best training. Also, never rank a program that you do not want to attend; your match is binding!

Good luck in the residency match this year!

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Saturday, February 13, 2010

Announcement: MedEdits Offers Video Conferencing

MedEdits now offers video conferencing and screen sharing via Skype® and iChat® for consulting and mock interview sessions.

Tuesday, February 9, 2010

No Medical School Acceptances? What Should You Be Doing Now?

Around this time of year, I receive calls from medical school applicants who are nervous; they have only received waitlist decisions or have not received any interviews. So, if you are in this position what should you do?

If you are on a wait list, try and gain acceptance to that school. Consider writing a letter of intent that also summarizes your recent accomplishments. Some schools encourage applicants to send updates while others do not. Follow the directions provided by each school regarding their policies on sending updates. At the same time, you must also consider what you will do if that waitlist doesn't turn in to an acceptance (see below).

If you have not received any interviews yet, consider what you will do to improve your candidacy in the event that you must repply. Some common themes that may limit an applicant's success are the following:

1) Submitting a late application.

I see this all the time. Do not submit an application in late August! Applicants also underestimate the endurance it takes to apply to medical school. After submitting the primary application, students must complete secondary essays. If these are also late (regardless of when the primary was submitted) you undermine your success.

2) Submitting a weak application.

Your written documents (personal statement, application, letters of reference) are your "ticket" to the interview. Poorly composed documents that inadequately highlight your strengths can hinder your success. Ask your premed advisor or someone whom you trust what is most impressive about your background and accomplishments. An objective opinion will help to see your candidacy in a different light.

2) Poor academics.

Critically evaluate your academics and decide if you need to improve your GPA or MCAT. If your MCAT is low, estimate how long you must study to significantly raise your score. If you need to improve your GPA, consider your options. In general, students can take courses or enroll in programs that are "undergraduate" or "graduate" level. Undergraduate courses will improve your undergraduate GPA while graduate level courses will be listed in the "graduate" category on your application. The AAMC has a useful listing of these programs and identifies which programs are specifically designed for academic record enhancement and if they are undergraduate or graduate level.

3) Lack of clinical experience.

Many applicants are "dinged" because they don't have enough clinical exposure. This one is easy; find a doctor to shadow or seek out clinically related employment or volunteer work.

4) Poor interview skills.

Some applicants underestimate the importance of the medical school interview and figure that if they got a great MCAT score and have a high GPA that they will succeed. Your interview performance is the key to success and you must prepare accordingly.

Most admissions offices are willing to speak with applicants. As students prepare for a reapplication, I encourage them to call schools from which they were rejected or waitlisted to ask, specifically, what the school would like to see to improve their candidacy. At times you may receive a concrete answer to such queries that will help. However, I find that many schools provide vague and wishy washy feedback that isn't too useful. This stems from the fact that giving negative feedback is never easy which is a prevalent issue in medical training.

Finally, it is important to evaluate your candidacy objectively. Reapplying to medical school (with success!) is quite common.

If you want an honest evaluation of your candidacy, contact MedEdits.