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Taking the Fifth

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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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Accomplished, Not Lovely

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Pre-pandemic, I went to hear the author Nicole Krauss speak about her novel Forest Dark. I’m a big fan of Krauss’ writing. The day I heard the author speak, she had published an opinion piece in the NYT Sunday Magazine called “Do Women Get to Write with Authority?” In the article, Krauss highlights the lack of power women writers have compared to men, and specifically, how female artists’ work is often characterized as “lovely,” a word she describes as lacking in “independent power.”

I must admit that I sometimes use the word “lovely” (both for women and men) when I like someone. But Krauss made me think about the word in the context of achievement – not personality – and her point is well-taken.

With medical school interviews starting soon, you should keep in mind that you want the faculty member you’ve met to leave saying you were “accomplished,” not “lovely.” Many applicants miss this point: You don’t want to simply be liked; you want to be seen as worthy. It’s critical that you focus on that important goal as you practice for interviews, crafting strategic, substantive responses to potential questions. 

I would strongly recommend Krauss’ History of Love (her best book in my opinion), Great House, Forest Dark and To Be A Man.

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Medical School Interviews: Preparing for your MMI

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Although the majority of medical school interviews are still traditional, many institutions (including dental schools) are using the MMI platform – even though interviews are now held in a virtual setting. The MMI (multiple mini interview) is a format that uses several timed stations to assess applicants’ interpersonal skills and judgment.

A few things to note about MMI interview questions:

1) They are not always medically-related. You may be asked to manage an everyday problem (e.g. a disagreement at the supermarket).

2) They are not always situational. You need to be prepared for conventional questions too (e.g. what are your three greatest strengths?).

3) Schools are trying to assess whether you can skillfully employ important techniques and demonstrate professionalism. Underlying topics might include your ability to offer effective counseling, your understanding of patient-doctor confidentiality, your ability to diffuse a heated situation, your capacity to admit wrongdoing, etc.

It is important that you practice MMI questions before you go to your medical school interview. Even if you have excellent social skills, there are techniques you should hone to expertly manage the challenging MMI format. 

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The Virtual Medical School Interview: What to Expect when You’re Expecting… An Unconventional Format

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In the late spring, to its credit, the Association of American Medical Colleges® (AAMC) recommended that all medical school, residency, and fellowship interviews be done virtually this cycle. Formats may vary, but interviews should not be in-person.

One configuration that seems to be emerging for medical schools (at least) is a two-part model: asynchronous and synchronous. The former involves a recorded session in which a computer platform – without a live interviewer present – provides questions to applicants who then have a set time to record their answers. The synchronous session is a live, remote interview.

The advantage of virtual interviews – beyond obvious health benefits and cost containment – is a standardization of the process, but mastering the new, remote processes may be difficult and anxiety-producing. 

To get help with this new world of virtual interviews, contact me. 

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Residency and Medical School Interviews: What Is the One Thing You’ve Learned…?

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I was with my children at a four year-old’s birthday party a few years back when I met the grandfather of the birthday-boy. As it turned out, before retiring, the man had been on the admissions committee of a prestigious California medical school for decades.

So, I asked him, “Looking back at all of those years of experience, what is the one thing you learned from interviewing medical students?”

The man chuckled and said, “They have no idea what they’re getting themselves into.”

In life, we never really have an idea what we’re getting ourselves into, but I think of this man every time I practice the question “What will you like least about being a doctor” or “…least about being a [insert your medical specialty here]” with my medical school and residency applicant clients, respectively. Saying you’ll love everything about being a physician or psychiatrist or pediatrician or internist sounds disingenuous and naive. You need to show that you have some idea what you’re getting yourself into.

Having said that, I would avoid tacky topics like money. And talking about how horrible night shifts are is not going to win you many points. But a sophisticated applicant can infer what the challenges will be in medicine or in her specialty and can express them with aplomb.

…As with everything, practice in advance.

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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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Listen to Dr. Finkel’s interview on the White Coat Investor podcast:

Listen to Dr. Finkel’s interview on the FeminEm podcast: