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The AAMC Will Expand the FAP to Include Some Residency Applicants

The American Association of Medical Colleges has announced that they will expand their Fee Assistance Program to certain residency applicants starting with the 2024-5 ERAS application season. At that time, the FAP will include residency candidates who were previously approved for the program during their medical school application process. The qualifying candidates will receive a 60% fee discount on up to 50 ERAS applications. This is great news for medical students who have severe financial needs. The AAMC reports that it will be providing more information in the following months.

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15 ERAS Tips to Boost your Residency Candidacy

Below are tips I’ve cultivated over the years for crafting the best ERAS Experience Section. (Please remember that this year’s ERAS is slightly different from past years’. For more information on the changes, click here.)

1. Include relevant pre-professional accomplishments from college. If you conducted research, for example, list and describe it. Do not include high school achievements unless they were truly unique (worked at the White House, sang on Broadway, published in Nature ;)).

2. As of this year, you have only 10 slots, so avoid minor activities (like an afternoon health fair). 

3. Write in a streamlined fashion. Avoid verbiage. Of note, as of this year, you can choose three most meaningful activities, but you only have 300 characters for each. So while you want to explain why the activity was impactful, you’ll need to keep your writing here especially tight.

4. Use full sentences. It’s a formal application, and you want to make your written materials as readable as possible.

5. Avoid abbreviations. Ones you think are common might not be familiar to the reader.

6. Avoid contractions; they are too informal for an ERAS. 

7. Make sure you spell out your accomplishments clearly. If your reader doesn’t understand an activity, you won’t get “full credit” for what you’ve done. Make no assumptions – not even that the reader has reviewed the experience’s introductory information (position title, location). 

8. Write about yourself and your role – not an organization. For example, don’t use the space to discuss Physicians without Borders. Use it to discuss the specifics of your role at Physicians without Borders.

9. Use numbers to be persuasive. Saying that the conference you organized had 500 participants says a lot.

10. Unless your PI won the Nobel, avoid using supervisors’ and/or doctors’ names in your descriptors as they will be meaningless to the majority of your readers.

11. Do your best not to leave the “Medical School Awards” section blank. Even if you have to simply include clerkships in which you obtained honors (or high honors), fill that section out.

12. If you have not already, consider joining your specialty’s national organization and listing it under the “Membership in Honorary/Professional Societies” section. If you are applying in two fields, take this advice, though. 

13. Try to end your entries with a sentence about how the experience you just described will help you as a future specialist. Making that connection for the reader furthers your candidacy. 

14. As with all good writing, avoid redundant language. Having the word “research” three times in two lines is distracting and demonstrates a lack of originality. 

15. Get help. Don’t submit your residency application without having it reviewed by someone with a lot of experience. You do not want to put forward suboptimal materials for a process that is this important and competitive.

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Important Updates to the Residency ERAS

Other than implementation of the supplemental ERAS for select specialties, the residency ERAS hasn’t had many modifications over the past decade. However, this year the AAMC overhauled the application in several significant, positive ways:

1. In past years applicants could include as many activities as they wanted, which put a big burden on both candidates and faculty readers. Applicants didn’t know if they should include activities as far back as college (or even high school) and were afraid to leave anything out. Faculty were faced with some applications that were excessively long, chocked full of unimportant information or remote accomplishments. 

This year candidates can focus on as many as 10 experience entries – but no more – and can designate three as their most meaningful (like the AMCAS) with a short, additional description for each. 

2. Applicants will also be able to choose from more “experience types” than they had in past years and will be asked to provide more descriptive information about their activities. 

3. Candidates will have the opportunity to complete an “impactful experiences” section where they can describe any hardships (family, financial, education, etc.).

4. Applicants can communicate their preference for a particular geographic division or for a rural versus urban setting.

5. Candidates applying to specialties and programs who opt in can participate in “program signals” to express particular interest in a residency program. 

In general, I find these changes constructive and helpful. 

For more information, take a look at this summary from the AAMC. Contact me for personalized ERAS help. 

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We Need to Decrease the Stress and Inefficiencies Associated with the Residency Application Process

Inefficiencies in the residency application system have been a problem for many years. While the AAMC and NRMP have made efforts to improve the process, including the move from the Scramble to SOAP a few years back, the lack of adequate slots for a large number of candidates leads to a tremendous amount of unnecessary stress and waste. With the introduction of virtual interviews, hoarding became a new problem.

To their credit, the AAMC is considering some reforms to the system. Allowing applicants to identify favored residency programs, called “preference signaling” through the supplemental ERAS, for example, has improved candidates’ abilities to get interviews at chosen programs. Additionally, some specialties – with AAMC’s support – have implemented a common interview invitation release date and a minimum response time for invitees. In the latter case, for example, most surgery programs provide candidates a minimum of 48 hours to accept or reject an invitation, such that applicants don’t need to sleep with one eye open, jumping to respond to an invitation to avoid the wait list. There has even been a consideration of capping the number of interviews each applicant can have to avoid interview hoarding.

I recommend reading this piece on proposed reforms to the system. Having gone through the stressful process myself, I wholly support strategies that would increase transparency and decrease unnecessary anxiety. 

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Five ERAS Platform Quirks to Heed

On September 7th, ERAS will open for submission, so it’s time to get moving on your written materials. Let’s briefly cover five quirks of the ERAS platform to help you get through the drafting process. The ERAS platform…

1) Does not support italics. While journal articles and some phrases (e.g. “summa cum laude”) should be italicized, don’t be surprised when you can’t.
2) Prompts you for a supervisor for each activity. In some cases, you simply may not have one, but whenever you can, name someone. A name validates the experience.
3) Prompts you for average hours per week for each activity. It can be difficult to calculate this number for certain experiences, especially those that are intermittent, but it’s worth making your best estimate rather than leaving the question blank.
4) Offers space to include a “reason for leaving” for each activity. Don’t skip this section, but keep your answers brief.
5) Limits you to 1020 characters for experiences, 510 for the interruption in the medical training section, and 510 for each of the awards sections. Be aware of these limits as you write, so you are not furiously cutting later.  

For tips on how to craft your ERAS, check out these 15 ERAS tips.

Contact me for help with this weird, wild process.

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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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