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What Do Program Directors Really Want?

Imagine you’re a program director (PD) reading hundreds of ERASes and conducting scores of interviews. What questions would you ask yourself as you assess each residency candidate to avoid big headaches?

1) Can this person do the job? Is s/he competent?

2) Will this person “play well with others” and not create complaints from patients, faculty, and/or other services.

3) Will this person stick with the program and not leave prematurely? A PD does not want to scurry around to fill an open call schedule/ residency slot.

As you finish crafting your ERAS and approach your interviews, consider how to demonstrate your competence and collegiality, as well as your commitment to the field and the residency program. For the former, ensure you showcase academic successes, extracurricular activities that demonstrate teamwork, and – if asked – hobbies and reading materials that demonstrate your winning personality. For the latter, highlight sub-internships, research projects in the specialty, and knowledge about the program and city it’s in.

Making sure the PD knows you aren’t going to cause him/her trouble is at least half the battle.

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Let Your Medical School Interview Transform Liabilities into Assets

Despite more than 17 years in medical school admissions consulting, I still clearly recall one bright advisee: She had improved her grades considerably throughout her college career, but had, unfortunately, a less than stellar freshman transcript. After calculating her AMCAS GPA with me, she lamented, “I feel like my grades are a criminal record.” In a twisted way, she was right; she couldn’t erase the grades. But she could address her GPA weakness in her interviews.

Not every applicant has a 3.99 grade point average or a 522 on her MCAT. In fact, one of the benefits of my years in advising has been the opportunity to help some candidates get into medical school by both acknowledging deficiencies and providing persuasive evidence that they have successfully overcome obstacles. Being upfront about a major deficiency and demonstrating – with evidence from the remainder of your candidacy – that the weakness is not representative of your abilities is a good strategy.

Although medical school application deficiencies are, of course, not real scandals, allow me an analogy: An otherwise respected politician is identified in an old photo smoking marijuana at Coachella. She has two options: First, she can deny, await a media frenzy, and then (after the media has crafted its own interpretation of her behavior) focus on belated damage control. Alternatively, she can acknowledge the episode, remind the public of her robust record in office, and defuse a crisis. Interestingly, the latter not only averts a disaster, but also – by addressing the problem head-on – makes her look more responsible. Although an imperfect analogy, the same principle is true with deficiencies in your medical school candidacy. When describing a weakness during a medical school interview, you should execute a three-pronged approach:

First, make a true, strong, and convincing statement about your candidacy’s worth. You can start by noting that the deficiency in your application does not accurately characterize your academic abilities nor your professional potential. Simply said: “My C- in calculus is not representative of my intellectual capabilities nor my overall academic achievement.”

Next, you can briefly explain the circumstances that led to the problem. This part is tricky. Saying that your MCAT score does not correlate with the remainder of your strong candidacy because you aren’t a good test-taker will not fly with many interviewers. You’ll be taking countless tests in medical school, and you don’t want your faculty interviewer to worry about your ability to pass your USMLE or COMLEX exams. This is true for excuses about a course’s level of difficulty as well. In other words, explaining that Organic Chemistry 33 is the hardest class around is to your disadvantage. After all, you’ll have to manage a very tough curriculum in medical school. However, you can simply say that in retrospect, you realize you did not fully and adequately prepare for your MCAT or your organic chemistry assignments. Also, if you have a justifiable reason for your deficiency (concomitant family illness, a job you took to support yourself that limited your study time, etc.), explaining that background will be helpful. Be careful walking the fine line between providing a factual explanation and creating what your interviewer may perceive as an excuse. Your explanation should convey full accountability for your performance.

Finally, you need to give examples of the strengths of your candidacy to convince the interviewer that your deficiency is not an ill omen of your future medical school performance. Your MCAT score may be below the school’s average, but perhaps you can note that your GPA is above. Your freshman year may have been a bad time for you, but you can point out that you earned a 4.0 your sophomore and junior years. You may have been disorganized in college, but as a post-baccalaureate student, you were at the top of your class. Your primary role throughout the interview process is to convince medical schools that you deserve a slot at their institutions. The best way to persuade is with facts, so giving evidence of your accomplishments will help convince the faculty member that your deficiency is an anomaly.

Consider rehearsing your sales pitch (and make no mistake about it, you are selling yourself) with an experienced advisor who is able to skillfully play devil’s advocate. You should actively solicit feedback on which aspects of your pitch sound defensive or come across as flimsy excuses. Spend ample time reflecting on how the same information might be conveyed in ways that present you as a mature individual who has achieved redemption enough to warrant a slot in medical school.

If you can persuade your interviewer with the above strategic steps, then when your candidacy is discussed in medical school admissions committee meetings, Dr. Decision, the brilliant – but also imperfect – professor whose approval may well shape your professional future might just advocate for you, citing the examples you have given to establish the strength of your application to her colleagues. Note, too, that by demonstrating a willingness to confront and discuss mistakes you have learned from, you may be perceived as having greater maturity, humility, and integrity than other candidates who remain evasive or fail to own up to their shortcomings.

A version of this article was previously published on the Student Doctor Network website.

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NRMP® Data Indicates Matched Residency Applicants had Longer Rank Order Lists than Unmatched Ones

Over the years, the NRMP has published data regarding the impact of length of rank order list (ROL) on success in the Match. I first noticed information on this topic in a document called the Impact of Length of Rank Order List on Main Residency Match Outcomes: 2002-2016. There, the NRMP reported that matched applicants consistently had longer ROLs than unmatched applicants. More recently, this information has been validated in the NRMP’s Impact of Length of Rank Order List on Match Results: 2004-2023 Main Residency Match

Since the latter document assesses two decades of Matches, we can take it seriously. Those approaching the application process should consider a reasonably wide net in choosing residency programs at which to apply and then should include all programs on their ROLs that they would consider “acceptable,” meaning an applicant would rather train there than not Match. Of course, there is a financial cost to applying broadly, and that expense needs to be balanced. However, according to this data, matched applicants and filled programs consistently have longer ROLs than unmatched applicants and unfilled programs. The NRMP reminds candidates that a longer ROL does not adversely affect the chances of matching to choices higher on the ROL. Here’s a video that reinforces that fact. 

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NRMP’s Charting Outcomes™ in the Match 2024 is Out

The NRMP just published their Charting Outcomes information for 2024, data I keep bookmarked and which I would recommend medical students review. There are separate reports for US MDs, DOs, and IMGs, and results are further broken down into specialties. Charting Outcomes includes extremely helpful information, including what the mean board scores, number of contiguous ranks, and number of research experiences were for those who successfully matched – and those who did not.

It’s important to make sure you are in the range for your intended field. Also, make sure to compare the competitiveness of different specialties if you are seeking to apply in two fields.

Here is the link.

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Get y’ERAS in Gear

On September 4 (two plus weeks from today) at 9 am EST residency applicants may begin submitting MyERAS® applications to programs. Residency candidates often ask me about the timing of ERAS submissions. These are my thoughts:

1. Yes, getting your ERAS in early helps. As one of my program director friends wrote to me, since the residency application is arguably one of the biggest steps in one’s medical career, getting the application in as early as possible should be a given.

2. On the other hand, if your application is not in its best shape, waiting a few days is preferable to submitting a suboptimal ERAS that will be tossed into the “do not invite” pile. Having said that, you still have 16 days to get your written materials in tip top shape, so there’s no need to plan for a late submission :).

Contact me ASAP for help with your residency application.

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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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