Blog Archives

Perils of the Virtual Match

I’ve written before about the benefits of virtual interviews – both with regard to finances and equity. However, the ability to easily hoard residency interviews now has led to an unintended consequence of online access: An increase in qualified applicants who don’t match. Thomas Cook MD, an emergency medicine program director in South Carolina, covers this topic in his piece “The Virtual Match is Like the Toilet Paper Rush.” In it, he points out that when superior candidates accept a very large number of interviews, there are serious negative consequences for their peers. Cook has a suggestion for a potential remedy based on transparency. The piece is worth a read. 

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Your Residency Application: Program Directors Don’t Want Headaches

If you were a program director (PD), you’d be trying to avoid two big headaches as you assessed a residency candidate:

First, a PD doesn’t want to field complaints from patients, faculty, or other services about his/her residents. Therefore, every far-seeing PD asks him/herself the simple question: Will this person be competent and collegial?

Second, a PD doesn’t want to see the day when s/he’s scurrying around to fill a residency slot and the consequent open call schedule. So, the oracular PD asks the simple question: Will this person leave the program prematurely?

As you approach your interviews, consider how you can 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 personality. For the latter, highlight research projects in the specialty, sub-internships, and knowledge about the program and city.

Just making sure the PD knows you are not going to cause him/her pain is half the battle.

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Supplemental ERAS Application

A few clients have asked me about the new supplemental ERAS application for dermatology, internal medicine (categorical and preliminary), and general surgery (categorical) applicants. The application is more work for these candidates, but the AAMC says the supplemental app will foster a more holistic approach to the residency process. For more information, check out the PowerPoint presentation from a recent webinar the AAMC held on the topic. The supplemental application opened last week.

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ERAS Announces Candidates Can Submit their ERASes without penalty through September 29 at 9am EST

Last week ERAS Communications sent out a notice to candidates that while applicants may certify and submit their MyERASes as early as Wednesday, September 1 at 9 am EST,  applications submitted on or before September 29 at 9 am EST will display an application date of “September 29” to programs. (Applications submitted after September 29 will display the actual application date.) This means that there is no penalty for candidates to wait to submit their applications until the 29th at 9 am EST. This date is considerably later than recent past years.

This is great news for applicants who are still working on their written materials. Use the time to make sure yours are in the best shape possible.

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NRMP® Data Suggests Residency Applicants Should Apply Broadly

A few years back, the NRMP published a short document called the Impact of Length of Rank Order List on Main Residency Match Outcome:2002-2016. There, the NRMP reported that matched applicants consistently had longer rank order lists than unmatched applicants.

This data is a bit old, but it assesses over a decade of Matches, so I take it seriously. In my mind, what it means to those approaching the residency application process is that candidates should throw a wide net in choosing programs at which to apply. Of course, there is a financial cost to this strategy, and that expense needs to be balanced. However, according to this data, starting out with more options usually will provide more opportunities to interview and thus, the ability to create a longer rank order list.

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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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