Blog Archives

Writing Your Own Residency or Medical School Letter of Recommendation: Is it Ethical?

It’s not infrequent that an applicant tells me that a letter of recommendation (LOR) writer has asked the candidate to draft his/her own letter because the writer is “too busy.” I notice that medical school and residency applicants are a bit sheepish as they tell me about this arrangement. Have no fear: You are not doing anything unethical. (Here is an old piece by the New York Times ethicist Ariel Kaminer regarding this exact topic.)

If a faculty member asks you to write your own letter, not only should you do it, but you should do it with zeal. Make sure you showcase the accomplishments that distinguish you from other candidates and highlight traits that are important for your future career path. Use honest – but bold – adjectives to describe your best qualities.

Remember that the letter writer has final say, so even a busy faculty member might modify the letter. Keeping this fact in mind might alleviate your (unnecessary) guilt and should encourage you to write the strongest letter you can. (It’s harder to go from outstanding to mediocre than from outstanding to excellent.)

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Medical School Help: What are the Next Steps Once the AMCAS is Submitted?

Once your AMCAS is in, what can you do next to best prepare for what’s to come in the medical school admissions process?

Here are a few tips:

1. Start to draft secondary essays. Even if you haven’t yet received the prompts, you can begin to craft responses to common themes like “how would you add diversity to our school?” and “describe an extracurricular activity that might be of interest to the committee.” Good writing takes time, but if you wait for the onslaught of secondary applications, you won’t be able to impart your essays with your highest quality effort.

2. Get a head start on preparing for the medical school interview. Practice, practice, practice. Start mocking up answers to interview questions so that you distinguish yourself.

3. Consider what you want. Do some soul searching to determine what you are really seeking geographically, philosophically, and educationally. You want to make considered decisions when the time comes.

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Be A Dirtbag Millionaire

For many of us, medical training means taking on significant debt and learning to manage complex personal finances. Many financial advisors “specialize” in physicians (like wolves who specialize in sheep?), and young doctors have a reputation as easy targets.

How can you defend yourself against financial predators, kill your debt early, and learn to manage your own portfolio? (And where can you even learn what a portfolio is?) Crispy Doc offers a blog dedicated to financial literacy for the newly minted physician with an emphasis on early financial independence for doctors.

Check out his blog, and learn from Crispy Doc’s recent Student Doctor Network article.

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Brevity

I’ve started editing a lot of medical school essays of late, and I want to give a shout out to the importance of brevity. I focus on a work count of 700 or fewer for my advisees for a few reasons: First, I’ve found that that number is just the right balance of content and streamlining. Under 700 words for an admissions essay leads to a lack of substance, and more lends itself to meandering writing.
Second, your reader is likely stuck reviewing tens or even scores of applications in a short period of time. S/he is looking to spend as little time as possible on your written materials, while still getting a good flavor for your candidacy. Don’t burden your reader with verbiage.
Here’s a helpful trick: Imagine AMCAS or ERAS is charging you $10 per word. How would you keep costs down?
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Geography is Giant

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. As I’ve said in a recent blog entry (and others in the past), 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 extremely time-consuming, and you want to be in a city you can enjoy fully when you’re able 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.

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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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