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Funky Away Rotations

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The AAMC’s Stacy Weiner recently wrote a piece on creative away clerkships, highlighting interesting medical school rotations, including those in wilderness medicine, Emergency Medical Services, and autopsy medicine. See her piece here. Of note, international rotations are also a fantastic opportunity to explore something new for a manageable amount of time. In medical school and residency, my husband traveled to Kenya, China, Bali, and Argentina for rotations and other medical opportunities. He also spent six weeks in Santa Rosa, California for a family medicine rotation, living in a double-wide trailer with other medical students. (He describes it as “paradise.”)

Whether you’re interested in doing an “audition” rotation or something more unusual, it’s worth starting with the Visiting Student Learning Opportunities (VSLOs) website/database here.

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Your Residency Application: Five Factors to Prioritize When Creating your Rank List

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Creating your Match rank list can be absolutely agonizing because it feels like so much is at stake. Sometimes it helps to step back and look at the big picture. Below, I briefly note a few important considerations when making your list:

  1. Make sure you understand how the NRMP algorithm works. See my previous blog post regarding errors to avoid at all costs. The key is to rank in the order you want – first goes first, second goes second, etc.
  2. Consider your happiness and life balance. Blasphemy perhaps, but I would argue that they are more important than the strength of the training program.
  3. Reflect on the culture, geography, size, and even maturity/age of the program. Think about whether you will fit in.
  4. Consider whether you could spend your whole life at the institution or in that program’s location. It’s a lot to grapple with, but many residents graduate and stay for the rest of their careers. (Of course, you don’t have to stay post-residency, so if this consideration is too stressful, don’t worry about it.)
  5. Decide whether you liked the program director, chairperson, and faculty generally. They could make or break your happiness and success.
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¡Ay Caramba!

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More from the AAMC: I read a troubling piece recently regarding a bizarre problem Puerto Rican medical students are having. Apparently, some folks don’t understand that Puerto Rico is part of the United States. Some Puerto Rican students report they are being misidentified as international medical graduates (IMGs).

The crux of the matter is that Puerto Rican medical schools are – like other U.S. allopathic medical schools – accredited by the Liaison Committee on Medical Education (LCME), recognized by the U.S. Department of Education. On the other hand, many medical schools in other parts of the Caribbean are not LCME-accredited and graduate IMGs. 

IMGs have a tougher time matching. In the last cycle, U.S.- citizen IMGs matched at a rate of 67% and non-U.S.-citizen IMGs matched at a rate of 58.5%. On the other hand, U.S. MD graduates matched at a rate of 93.5%. Thus, being misidentified as an IMG is to the detriment of Puerto Rican medical students in the Match.

See Bridget Balch’s interesting article with more details here.

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The AAMC 2025 Fee Assistance Program Application is Open

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Now that the next medical school application cycle is on the horizon, I want to remind candidates about the Association of American Medical Colleges’ (AAMC) Fee Assistance Program (FAP) and Insider Medical Admissions’ available discount for those with a current FAP. The FAP is designed to offer help to individuals with financial limitations who cannot pay the MCAT registration and/or AMCAS application fees without financial support. (Of note, there also exists an FAP for dental school candidates through the American Dental Education Association.)

If you think you are eligible, it’s worth applying for an FAP grant early: When applicants submit their AMCASes prior to receiving decisions on their FAP applications, those candidates are ineligible to receive the FAP benefits for the AMCAS even if their FAP grants are approved. In other words, the FAP is not retroactive. You snooze, you lose.

There are other benefits including a free two-year subscription to the Medical School Admissions Requirements database, discounted AAMC PREview exam registration fees, and a 60% fee discount on up to 50 applications for residency through the ERAS. 

For more information on the FAP, please click here. I offer a significant discount on one non-package service for any pre-med applicant who can demonstrate financial hardship through a current AAMC FAP grant. After researching the issue, I believe Insider Medical Admissions is the only medical admissions consulting company that currently supports a discount for FAP grant recipients. (I apologize if I’m missing a company.) Once you have been granted the FAP and thus, can prove receipt, please feel free to contact me for more information.

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The Future Is Now: Using AI to Evaluate Medical School Applicants

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The AAMC recently published a piece regarding the use of artificial intelligence (AI) to assess medical school applications: Multiple institutions, including the Zucker School of Medicine and NYU, use AI for initial screening of medical school applications. Others, like the University of Cincinnati College of Medicine and GW, are developing AI capabilities to pilot within the next couple of years.

Admissions officers say the amount of time necessary to review the thousands of applications they receive is overwhelming and that they can teach AI – using years of successful applications to the school – how to effectively assess candidates. Of course, one big downside is that if an AI platform is based on past human decisions, it will inherently propagate and reflect previous biases that produced admissions results.

See the AAMC article here.

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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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