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Taking the Fifth

The goal of every medical school, residency, and fellowship interview is to distinguish yourself from everyone else to demonstrate you’re worthy of a competitive spot. So what happens when you get this (ugly) question:  

If there were one reason not to accept you, what would it be?

When a (salty) faculty member asks you this interview question, her motivation might be to determine whether there’s a weakness in your application she’s missing. Or she may be assessing how you manage stressful situations by posing a question that is unpleasant.

While you need to be honest throughout the entire application process, you do not need to volunteer information that might harm you. So, for a charged question like this one that conflicts with your goal, you might answer, “While no candidacy is perfect, I have a strong application, and I don’t see a reason not to accept me.” Then you can leverage the question as an opportunity to mention the strengths of your candidacy. Remember: You have a duty to further your application, not damage it.

Contact me for mock interview help. I still have some October slots open, as of this writing.

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The “No Contact” Rule After Interviews

Just a brief reminder about the “no contact” rule that some residency programs (and medical schools) follow. While thank you notes and letters of interest are often warranted, if the institution requests no contact, it is important that you follow that rule. First, you don’t want to be seen as someone who is trying to gain an advantage when others are holding back, and second, you would like to be viewed as a candidate and future practicing physician who notes and follows instructions.

Importantly, if you are contacted by residency programs after your interview and promised a ranking to Match, I’d suggest you take that information with a grain of salt. It is flattering, but it should not change your Match list in any way. If a medical school contacts you with a positive review but no acceptance (yet), I would suggest being gracious while you continue to move through the admissions process. In other words, don’t let compliments affect your good judgment.

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Pre-Med? Avoid a Big Mistake

Several years ago I was hired by a re-applicant who wanted to better understand why she did not get into medical school the prior year. She had a 3.9 GPA and a 40 on her MCAT (100% percentile). Yet, she had been rejected from all medical schools.

I looked through her materials and discovered the problem. The applicant had no clinical work at all. She had never been in the room with a patient. Many of you know that I like the saying, “No one wants to hire a chef who hasn’t been in the kitchen.” She had fallen prey to exactly that adage.

We talked, and I advised her regarding options she had for obtaining clinical experience. Fast forward a year: The client completed a robust clinical activity and was readily accepted to medical school (and felt more confident about her career choice).

If you are a pre-med, note that robust clinical experience is critical. Working as an EMT, in a good clinical care extender program, formally as a scribe (where you can also make some money), or in a low-income clinic are just some ideas for obtaining excellent clinical exposure. (Although you might think free clinics would be thrilled to have a pre-med volunteer, many understandably require one-year commitments.) Shadowing is a mixed bag: Medical schools don’t know whether you’re second-assisting in the operating room or just standing in a corner being ignored. If you choose to shadow, make sure you highlight any true clinical experiences and skills gained in your written materials. Other popular options for clinical experience include international work (although the activity is usually short-lived, which makes it less robust) and working as a volunteer in a hospital (although it might be more clerical than clinical, depending on the position. Do your research before accepting a “clinical” job). I’ve also had advisees who became certified, practicing phlebotomists and others who worked in veterinarians’ offices to obtain procedural skills.

More important than getting into medical school (gasp), getting robust clinical experience will help you ensure you’ve made the right career choice. Simultaneously, you’ll demonstrate to admissions officers that you can handle the heat.

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The Medical Residency Interview: Mistakes to Avoid

Once your ERAS has been submitted, your residency admission pivots on your interview performance. And because residency admissions have become so competitive of late – especially in this weaker economy – the medical residency interview has become critical.

There are a few, simple easy mistakes that you can avoid with a little preparation:

  1. Don’t speak in general terms. Your goal is to distinguish yourself from all of the other applicants by highlighting your achievements. Answer questions with specific examples of what you have done in order to demonstrate that you are distinctive. Don’t worry about repeating what is in your residency application. It is expected that you will flesh out your ERAS and personal statement during the interview. Read more ›
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The Medical School Interview: Mistakes to Avoid

Once your AMCAS and secondary essays have been submitted, your medical school admission pivots on your interview performance. And because medical school admissions have become so competitive of late – especially in this weaker economy –
the medical school interview has become critical.

There are a few, simple easy mistakes that you can avoid with a little preparation:

  1. Don’t speak in general terms. Your goal is to distinguish yourself from all of the other applicants by highlighting your achievements. Answer questions with specific examples of what you have done in order to demonstrate that you are distinctive. Don’t worry about repeating what is in your medical school application. It is expected that you will flesh out your AMCAS and personal statement during the interview.
  2. When asked about your weaknesses, don’t use clichés. No one believes that you “care too much.” Instead, be genuine – without damaging yourself by focusing on a core competency.
  3. Don’t box yourself in geographically. When I was conducting interviews at Harvard, an applicant made it clear that he was not going to leave his home state of California to move to Boston. Needless to say, our interest in him plummeted.
  4. Don’t miss the opportunity to ask explicit, researched questions. Doing so shows your interest in the institution and may expose a problem you had been unaware of.
  5. Don’t miss the opportunity to prepare. You would never take the MCAT without practicing first, and yet, countless applicants go to interviews without preparing beforehand. Consider working with a professional: Because applicants can unknowingly undermine their chances of success with poor interview skills, a qualified, personalized medical school admissions consultant provides a great advantage.

Medical school admissions consulting companies come in a variety of forms. Some are bigger businesses that focus on admissions to several types of graduate programs – not just medicine. Others are smaller and provide a medical focus, but have a pool of consultants of varying quality. Finally, elite companies offer both the medical focus and a highly experienced consultant who works one-on-one with clients. These professionals are ex-admissions officers from highly respected medical institutions. They have the inside knowledge of how medical school admissions work, providing individualized guidance to optimize applicants’ personal essays, AMCAS and interview skills.

When choosing a medical school admissions consulting company, a candidate should verify the company’s references and research its consultants. It is best if the company does not assign written materials to outside editors who cannot be evaluated. Elite companies that offer both the medical focus and a highly experienced consultant who works one-on-one with clients offer a large advantage in providing medical school admissions help, especially during these competitive times.

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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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