Blog Archives

Being the Squeaky Wheel

Medical School and Residency Admissions

Several years ago I helped a strong applicant who had been rejected by a top medical school. He thought he was a very good fit for this particular institution, so he called the school to make his case. Surprisingly, after the applicant’s phone call, the school granted him an interview, reversing their original rejection.

It was at this time when I met the applicant; we conducted a mock interview so he would be well-prepared.

Ultimately, after being initially rejected, this applicant was admitted to that top school.

Of course, this is an exceedingly rare occurrence. But to me, the moral of this story is that it is worth being assertive (not aggressive!) in the medical school and residency admissions processes: Send an update letter, call institutions (politely) to inquire about your status (if they do not expressly prohibit phone calls), and be proactive during your interviews.

You need to advocate for yourself in order to be noticed.

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I Wish I Had Known

I was recently speaking to a colleague who graduated with his MD from UCSF and his MPH from Harvard. He’s a successful, practicing physician, and we were discussing some advice he had offered an undergraduate acquaintance who is pursuing medicine.

My colleague had advised the college student to ensure she gets to know faculty: During his undergraduate years at Stanford, my colleague had gotten acquainted with a few professors by inviting them to lunch. He had to call one or two several times before they met with him! But once they did, my colleague’s opportunities really expanded. One of the professors in particular realized my colleague’s potential and good nature and offered him a position on an honor committee and a strong medical school recommendation.

I wish someone had advised me early to get to know faculty. It turned out okay for me but not without having to do some hard thinking about whom I was going to ask for faculty recommendations. Acquainting yourself with faculty early in your academic career can afford you research and leadership opportunities. Of course, it can also help you with those much-needed letters of recommendation.

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That Foreigner Song

As soon as June 1 hits, I have a multitude of medical school candidates panicking about the urgency of their application submissions. Plan ahead! Good writing takes a long time.

Even if you have a super-fast editor like me on your side :), you should expect that you will revise your materials multiple times and that each revision will take you many days or weeks.

Residency applicants: Take note. Start working on your written materials now, as some of my organized clients have already done.

“You say it’s urgent
Make it fast, make it urgent
Do it quick, do it urgent
Gotta rush, make it urgent
Want it quick
Urgent, urgent, emergency
Urgent, urgent, emergency
Urgent, urgent, emergency
Urgent, urgent, emergency
So urgent, emergency
Emer… emer… emer…
It’s urgent”

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What to do about Medical School Wait Lists and Deferrals

I’ve had a few applicants ask me if there is anything to do after being wait listed for medical school. I do recommend streamlined letters of intent that include what makes you a distinctive candidate and updated information regarding your candidacy. I edit these if you want help.

I’ve also heard of applicants sending letters of intent AND making an appointment to tour the school. A visit demonstrates further interest.

Hang in there. Remember that some people get off the wait list as late as the summer. (Not ideal but better than not getting in.)

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Your Dream Medical School Advisor

Make a list of the qualities that you would want in an ideal medical school advisor:

1. Someone intimately familiar with your academic background and educational pedigree.
2. Someone with a strong grasp of the residency applicant pool against whom you’re competing and a knowledge of the qualifications needed for a successful match.
3. Someone who is familiar with the logistics of the Match process.
4. Someone capable of giving critical feedback (even/especially when it’s not what you want to hear).
5. Someone who has the time and attention to focus on you.
6. Someone who offers discretion when discussing failures or shortcomings in your candidacy.

Only a small fraction of medical students have a dream advisor. The majority of will need to identify an outside mentor who can offer what their medical school cannot.

Whether you pay for a professional consultant or pursue the counsel of a trusted acquaintance, seek excellence in the mentor whose services you retain: Hold out for someone experienced, accountable and available. This individual should advocate for you and should provide the sometimes-brutal honesty to enable you to get your foot in the door with a compelling application and then dazzle your dream program once you interview.

Although friends may not be willing to make you uncomfortable in a mock interview scenario, faculty may have no qualms about doing so during your actual interview. During a residency mock interview, the proper guide can show you how to strategically navigate treacherous interview topics and how to answer open-ended questions so that you distinguish yourself from the masses.

I encourage you to make a list of those people who might help you with your candidacy for a competitive residency. If personal contacts fall short, considering hiring a professional. Ask around, check with fellow students, and look for a service where you know what and whom you are paying for.

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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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