How Sesame Street Can Help You Write a Good Medical School Personal Statement

I learned an interesting fact years ago: When small children don’t understand something, they will simply tune it out and start to engage in another activity. That’s why great shows like Sesame Street use professionals to make sure their content is precisely age-appropriate. Children – and adults – don’t like being confused, and you can’t blame them.

In their personal statements, some medical school candidates make the mistake of referring to an accomplishment without explaining it. This is understandable since we are all intimately familiar with what we’ve done. The problem is that the vast majority of application readers are way too busy to do independent research or go back and forth checking an applicant’s supporting documents if she writes something that isn’t crystal clear.

I remember a talented candidate I advised who showcased an award she had won. She listed the name, but didn’t explain what it was. When I asked her, she told me the award was an academic honor given to only the top 1% of students out of several thousand. I was impressed! And, I asked her to rewrite the section so that her admissions readers would give her the credit she deserved for that extraordinary accomplishment. Because the medical school admissions process is so competitive, what you fail to adequately explain counts against you.

On a related topic, don’t expect a reader to understand something in your essay because it’s explained in your AMCAS activities. Different faculty members will approach the application in different ways, so – to get “full credit” for your accomplishments – you need to assume that your reader is seeing your essay first, independent of your AMCAS activities. Ensure your personal statement can stand alone and doesn’t rely on your AMCAS Activities section for clarification.

Contact me for help with your written materials. I have read thousands of essays, and I personally review every document sent to me.

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The Medscape Physician Depression and Burnout Survey 2024 is out and the News Isn’t Good

For the last several years I’ve made sure to blog on the annual Medscape Physician Survey that chronicles physician satisfaction. Unfortunately, it’s pretty much always bad news.

If you’re an optimist, you’ll be happy to hear that burnout rates were lower than last year. You may remember that the numbers skyrocketed during the pandemic. Last year 53% of physicians surveyed reported burnout and 23% reported depression. This year the numbers are 49% and 20%, respectively. If you’re a pessimist, you’ll notice that those numbers are still very high, with approximately half of the doctors surveyed reporting burnout. That’s a very big number.

Of note, emergency physicians are the most burned out at 63%, and the runner-up is obstetrics and gynecology at 53%. Plastic surgeons are the least burned out at 37%.

See more stratification and data by taking a look at the survey results here.

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Which Specialties Have the Biggest Gender Gaps During Residency? You Will and Won’t be Surprised.

The AMA recently published a short piece based on 2022-23 data culled from their National Graduate Medical Education Census: They evaluated which medical specialties were most popular among male and female candidates who were entering residency. They then extrapolated as to which specialties are going to be increasingly female- versus male-dominated.

Female-dominated specialties included obstetrics and gynecology, pediatrics/psychiatry/child and adolescent psychiatry (combined), pediatrics, allergy and immunology, public health and general preventive medicine, and dermatology.

I wasn’t surprised that pediatrics or obstetrics and gynecology were female-dominated, but I found it interesting that dermatology – which is so well remunerated – has more women residents than male residents. Historically, women were relegated to lower paying fields.

Male-dominated specialties included orthopedic surgery, interventional radiology, neurological surgery, diagnostic radiology, and urology.

The AMA reports that specialties that offered a near equal balance of men and women in residency included neurology, general surgery, and psychiatry. Again, as someone who trained in the late 1990s, it’s a joy to hear that general surgery is now a well-balanced field in terms of gender. On the whole, when the AMA included specialties, subspecialties, and combined specialties, they report that women account for 48.2% of trainees.

For more details, you can check out the AMA piece here.

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There’s a New and Improved ERAS Fee Structure on its Way

The AAMC recently announced an updated fee structure for the next ERAS cycle with the goal of lowering total application costs and simplifying the current cost framework, which has been criticized for its complexity. In theory, the change should be an improvement for this year’s applicants.

Essentially, residency candidates will pay $11 per application for up to 30 and $30 per application for 31+. Of note, the structure restarts for any new specialty. So if you plan to apply to two, your costs will be higher.

The AAMC estimates most applicants will see discounts of up to 36%.

The old system was triple tiered. You can see it here. Of note, as I previously blogged about, this year the AAMC will also expand their Fee Assistance Program to include some residency applicants, a first.

You can see the new ERAS fee structure in graphic form here.

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Make Sure to Read the Fine Print

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

The student sent follow up notes to all schools where he had interviewed, usually a strategic move. However, he was very 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 extremely severe – almost cruel – 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 and post-waitlist contact. Most places welcome written updates, but make sure to confirm before you reach out.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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