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Happiness

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The end of the year is a time for reflection and a time to think about what will make you happy in the upcoming year.

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 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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Inside a Residency Director’s Mind

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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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ERAS 2016 Updates

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Here are some ERAS 2016 quick reminders:

1) For International Medical Graduates, ERAS 2016 tokens are available through the ECFMG’s OASIS site now.
2) For those waiting for Board scores, USMLE score reports will not be released during the week of July 4. Score reporting will resume on July 8. Here is the USMLE site for more information.
3) On July 1 MyERAS opens to all applicants.
4) On July 15, DO applicants can begin applying to residency.

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How to Approach the Medical School and Residency Application Process with a Smile

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Medical School Application and Residency Application Dreading the medical school or residency application process? You are not alone. This marathon is filled with hard work and long hours. How can you approach the process with as little stress as possible?

1. Start early. I can not emphasize this enough. Assume your personal statement and AMCAS/ERAS will take you three times longer than you previously thought. Also, approach letter writers promptly.

2. Read before you get started. Below are two brief pieces on personal statements. Their target is medical school applicants, but the principles are the same for residency candidates: How to Write a Personal Statement for Medical School and What Your Medical School Essay Reader is Thinking.

3. Consider what will make you happiest. If you are a pre-med, do some introspection and make sure you really want to go to medical school. As crazy as that sounds, being assured of your plan will help you stay happy throughout this rigorous application process. If you are a residency applicant, speak to faculty – academic and private – in your planned field, and ensure you are picking the right specialty for you.

4. Get help. My website is here. Having someone experienced on your side will alleviate a lot of anxiety. If you already know you are going to work with me, hire me now. The earlier in the season, the more likely I can help you avoid missteps and get your candidacy on the road.

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Match Ranking may be emotionally hard, but it’s strategically easy

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For those of you who are starting to think about your Match rank lists, please remember that you simply rank your first choice first, your second second, etc. The Match algorithm is mathematically quite complicated, but because the process always begins with an attempt to match an applicant to the program most preferred on the applicant’s rank list, your best bet is not to try to “game” the system.

For example, I’ve had applicants tell me that they plan to rank a less preferred institution higher because that program has more residency slots. That’s a no-no. The applicant will actually be harming him/herself with that strategy.

Here’s a less-than-one-minute Guru on the Go© video “NRMP Ranking to Avoid a Spanking” to emphasize your optimal ranking strategy.

 

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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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