Blog Archives

Medical School and Residency Admissions: It’s Not Personal

When I was in my second year of medical school, a third-year student (who later also went into emergency medicine, as I did) came to speak to our class about being on the wards. He gave an animated talk about how important it was to recognize that when residents, attendings, or nurses hollered at us on our clinical rotations, 99% of the time, it wasn’t personal. He likened the situation to Boston traffic – how drivers lean on their horns for little cause because they are simply frustrated about their days.

It’s not personal, he said.

I say the same to those I mentor. Candidates get an interview at one highly ranked institution but rejected at what is considered a lesser one with no clear cause. Faculty interviewers mix applicants up with one another; some turn up wholly unprepared – reading students’ applications for the first time during the interview itself. Remember: It’s not personal. This process is arduous and cruel, and most candidates, faculty, and program coordinators are tired and doing their best in a dysfunctional system.

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Don’t Let ERAS Kick Y’ERAS

Just a reminder for residency applicants: ERAS tokens are now available for IMGs, and all residency candidates can start registering and submitting supporting documents on the myERAS website. Even if you aren’t ready to start working on your application, I’d recommend registering and taking a look at what will be required of you. 

Additionally, I suggest you begin researching programs now, if you haven’t already. Residency Explorer allows you to compare your candidacy to those of applicants who have successfully matched to specific residency training programs in the past. You can also search the American Medical Association’s FREIDA database.

Getting started early will help you develop confidence and a strong plan of attack for the upcoming application season.

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Accomplished, Not Lovely

A few years back I went to hear the author Nicole Krauss speak about her novel Forest Dark. I am a big fan of Krauss’ writing (especially the History of Love in case you are looking for something wonderful to read). 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 speaks about the lack of authority that 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.

What does this have to do with medical school and residency admissions? When you interview, you want the faculty member to leave the table 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 important that you focus on that important goal as you practice for interviews.

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Happy Medical Training: An Oxymoron?

Medical school and residency training usually decrease one’s happiness for several reasons. Happiness researchers have demonstrated that a feeling of control and the amount of spare time one has both correlate with happiness. Both of those factors are limited during med school and residency. Relationships are also correlated with happiness, and those can be squashed during medical training as well.

I’m not trying to be a downer here! I want to encourage applicants to consider this happiness quotient when selecting an institution and training program. A lovely client recently emailed me to ask if he should consider medical schools’ residency program director scores in deciding where to matriculate. (He had already gotten multiple acceptances!) I advised him to consider where he would be happiest instead. If you are able, maximizing your contentment by choosing an institution that fosters your greatest happiness is key. Geography; proximity to family, friends and community; and a location that provides an opportunity to enjoy hobbies during limited free time are significant.

Excellent training is important, but, in the end, many programs turn out equally qualified clinicians. At least consider your well-being as a factor in selecting where you might be for the next three plus years of your life.

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Inside a Residency Director’s Mind

Residency Interview If you were a program director (PD), you’d be trying to avoid two big headaches, as you assessed a residency candidate:

1) Will this person be competent and collegial? A PD does not want to get complaints from patients, faculty, or other services about his/her residents.

2) Will this person leave the program prematurely? A PD does not want to scurry around to fill an open call schedule or residency slot.

As you approach you interviews, consider how you can demonstrate your competence and collegiality (academic success, strong evaluations, extracurriculars that demonstrate teamwork) and commitment to the field and residency program (research projects in the specialty, knowledge about the program and city). Ensuring the PD knows you are not going to cause him/her headaches is half the battle.

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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: