Blog Archives

Bad Advice Turned on Its Head

The end of the year is a time for reflection and a time to consider what will make you happy in the upcoming twelve months – and beyond.

When I was a medical student applying for emergency medicine residency programs, a well-meaning dean gave me some bad advice: I was determining the order of my rank list and was particularly concerned about one program that had an excellent reputation but was in a city I didn’t like. The dean told me, “You’ll be so busy during residency it won’t matter where you live.” Luckily, the advice rubbed me the wrong way, and I wholeheartedly disregarded it. Where you live for your medical training – medical school, residency, or fellowship – is as important as the quality of your training program! The reasons are several-fold:

1. Medical training is time-consuming, and you want to be in a city you can enjoy fully when you have a few moments to blow off steam.
2. Medical training is extremely stressful, and you want to be in a city where you have social support.
3. Medical training is not completed in a vacuum. Your personal life continues. If you’re single you may meet someone and end up staying in the city where you have trained for the rest of your life (gasp). If you’re in a long-term relationship you may decide to have children or may already have them. Down the road you may not want to relocate your family.

Not everyone gets the opportunity to go to medical school or train in residency and fellowship programs in a city s/he likes. But you can make choices that will increase your chances. Consider these options – and your happiness – as you make professional decisions this coming year.

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Managing Difficult Medical School Interview Questions: Rehearse Your Elevator Pitch Now

An important key to preparing for tough medical school interview questions is realizing that a) interviewing is a skill and b) practice improves performance. Every year too many medical school (and residency, fellowship, and dental school) candidates expend tremendous energy assembling fantastic applications, only to undermine their chances by approaching the interview with twisted laws of entropy and enthalpy: They prepare for it with maximum randomness and minimum energy.

Once you’ve done adequate groundwork, the medical school interview represents your opportunity to distinguish yourself and impress your interviewers as the type of candidate they’d love to have at their institution.

That’s not to say every interview will be full of hugs and puppy kisses. Like the story of the interviewer whose window was nailed shut, there may be uncomfortable moments and even illegal questions. With a bit of preparation, you can learn to hit these curveball questions out of the park. Let’s explore an example that has come up in the not-so-distant past.

Rehearse Your Elevator Pitch

While most interviewers take the time to read your application materials in advance, don’t be offended by the faculty member who did not prepare, is blankly flipping through your application right there in front of you, and who asks open-ended (and dreaded) medical school interview questions, such as “Tell me about yourself” to be brought up to speed. View it this way: These faculty members are offering you the opportunity to define how you’d like to be remembered.

Your goal should be twofold: 1) to persuade them how much you’d add to their institution and 2) to make their job easier by giving them the bullet points they’ll need to persuade their peers about your candidacy’s worthiness. When your interviewer sits around a table advocating on your behalf, steer her to use terms that will be germane to your candidacy. Are you the, “global health advocate who volunteered with Mother Teresa and ran his school’s homeless food program?” Or perhaps you are the “first generation college graduate who held premier leadership positions in medical school?” Help your interviewer help you.

In the end, difficult interview questions are less intimidating if you both prepare well and have an attitude that they are an opportunity to clarify and further your candidacy. For help, secure your Mock Interview slot with me. I’m booking a few weeks in advance, so sooner is better than later.

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Be an Adult: Don’t Accept Helicopter Parenting

Check out this hilarious (and sad) piece in the New York Times about helicopter parenting and note that two of the anecdotes are physician related. (Can you imagine interviewing for an attending position with your dad present?)

My policy at Insider is to work exclusively with applicants (not parents or spouses) to maintain confidentiality, avoid redundancy, and ensure candidates assume primary responsibility for their work. It’s a winning strategy.

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Race to the Bottom (In a Good Way)

Thanks to NYU’s announcement that it will be eliminating tuition at its medical school, other institutions are reassessing their costs and graduates’ educational debt, as some experts predicted. Recently, Kaiser followed suit with a free tuition plan for their new medical school in Pasadena. Now, Yale is making overtures as well, lowering the financial burden for needy students by covering more costs with scholarships, instead of loans. Keep your eye out for what will likely be a revolution as more and more medical schools note that to compete for strong applicants, they must offer robust financial support.

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Do No Harm

I recommend reading this piece in Emergency Medicine News by Dr. Graham Walker. He writes about a physician colleague who recently committed suicide. The article notes that anesthesiologists and surgeons are the most likely to die by suicide, and emergency physicians come next in the specialties.

As a follow up, this NYT piece on physician suicide is also worth a read – old but still relevant. Sadly, it notes that pre-meds enter medical training with mental health profiles similar to those of their peers but end up experiencing depression at greater rates.

I’ve written about depression in doctors before and would like to reinforce the importance and urgency of seeking professional help for depressed clinicians.  

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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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