MS2 Orientation MS2 Orientation August 8, 2014August 8, 2014

Dr. Georgette DentDr. Georgette Dent

Office of Student Affairs

University of NC School of Medicine

Presentation AgendaPresentation Agenda

• How do you apply to a residency?• Competitiveness of various specialties • Clinical curriculum scheduling issues

Selecting a SpecialtySelecting a Specialty

• What type of patients?

» Kids, adults, elderly, women, mix

» Acute, chronic &/or psychiatric disorders

» Surgical or non-surgical problems

• What type of setting?

» Clinic

» Hospital

» Operating room

» Emergency room

• Thinking or doing?

Useful Career Choice ToolUseful Career Choice Tool

Goals of Advisor MeetingsGoals of Advisor Meetings

• Discuss suitability of Asheville/Charlotte curriculum• Required meetings October/November• Answer questions about the curriculum. • Discuss issues related to Step 1 preparation• Discuss whether or not you have an interest in a

particular specialty• Discuss whether or not you might want to go on

leave (LOA) after 3rd year (research, international, public health, business school, other graduate program).

How do You Apply to Residency?How do You Apply to Residency?

1. Select Specialty2. Attend Required Class Meeting December 19, 20143. Request 4th year schedule

• Meet Career Goal Advisor (specialty specific advice)• Meet with faculty advisor• Set up audition (away) electives (if necessary)• Schedule time to interview• Schedule time to prepare for Step 2

4. Sign up for Electronic Residency Application Service (ERAS)• Update CV• Meet with Staff Writer for Medical Student Performance Evaluation

(MSPE aka Dean’s Letter)• Submit ERAS application by September 15 of 4th year

» Write personal statement» Get recommendation letters (3 or 4)» Select programs

5. Interview (typically October to December 4th year)6. Sign up for National Residency Matching Program (NRMP) and

finalize rank order list (ROL)

Presentation AgendaPresentation Agenda

• How do you apply to a residency?• Competitiveness of various specialties • Clinical curriculum scheduling issues

Assess Competitiveness of Assess Competitiveness of SpecialtySpecialty

• Ratio US seniors:per position• Average USMLE scores of applicants• Average number of applications per

student by specialty• Percent of applicants who are members of

AOA

Highly Competitive Specialties: Highly Competitive Specialties: Ratio of Positions to US Seniors Ratio of Positions to US Seniors Median Step 1 Scores for Matched StudentsMedian Step 1 Scores for Matched Students

Ratio Step 1

• Orthopedic Surgery 0.8 240• Radiation Oncology 0.8 240• Plastic Surgery 0.9 249 • Otolaryngology 0.9 243• Dermatology 1.0 244• Radiology 1.3 240

Match Outcomes Data, August 201104/21/23 9

Moderately Competitive Specialties: Moderately Competitive Specialties: Ratio of Positions to US SeniorsRatio of Positions to US SeniorsMedian Step 1 Scores for Matched StudentsMedian Step 1 Scores for Matched Students

Ratio Step 1

• Emergency Medicine 1.0 223

• General Surgery 1.1 227

• Obstetrics/Gynecology 1.3 220

• Anesthesiology 1.3 226

• Med/Peds 1.3 230

• Pediatrics 1.4 221

Match Outcomes Data, August 2011

04/21/23 10

Less Competitive Specialties: Less Competitive Specialties: Ratio of Positions to US SeniorsRatio of Positions to US SeniorsMedian Step 1 Scores for Matched StudentsMedian Step 1 Scores for Matched Students

Ratio Step 1• PM & R 1.7 214 • Psychiatry 1.8 214• Neurology 1.8 225 • Internal Medicine 1.8 226• Pathology 1.9 226• Family Medicine 2.1 213

Match Outcomes Data, August 2011

04/21/23 11

Percent US Seniors In Honor Society Percent US Seniors In Honor Society (AOA) who Matched in 2011(AOA) who Matched in 2011

Source: NRMP Charting Outcomes in the Match – Characteristics of Applicants Who Matched to their Preferred Specialty in the 2011 NRMP Main Residency Match

COS (Career Opportunities Series)12 pm in 2204 MBRB

Thursday, August 29, 2013 – Pathology/Radiation Oncology/Radiology Thursday, September 12, 2013 – Medicine (General & Subspecialties) Thursday, October 24, 2013 – Family Medicine/Pediatrics Thursday, November 21, 2013 – Anesthesiology/Emergency Medicine Thursday, January 30, 2014 –Neurology/Neurosurgery/Psychiatry Thursday, February 20, 2014 – Surgical Subspecialties (Ophthalmology, Otolaryngology, Plastic Surgery, Urology) Thursday, March 27, 2014 – General Surgery/Obstetrics & Gynecology Thursday, April 24, 2014 – Dermatology/Orthopaedic Surgery/Physical Medicine and Rehabilitation

Predictors of MatchingPredictors of Matching

• Number of programs ranked• Step 1• Step 2• Graduate of top 40 NIH ranked school• AOA (medical honor society)

Match Outcomes Data, August 2011

What puts you at risk for not matching?What puts you at risk for not matching?• Competitiveness issues: academic/professionalism problems (e.g.

USMLE, grades, no research)• Apply to more programs• Apply to back up specialty• Well crafted personal statement to provide context to record• Try to enhance credentials (e.g. early Step 2, research year, do well 4th year)• Away electives

• Attitudinal/interpersonal issues: poor interviewer; ambivalent about medicine or specialty• Take electives to better define specialty choice• Do practice interviews

• Geographical issues:• Apply to more than one specialty• Do elective and/or research in targeted location• Couples need to apply to at least one big cold city

MS2 Brown Bag Workshops12pm in College Homerooms

• August 15, 2013 – Study Skills for a Successful Second Year• September 19, 2013 – Careers in Medicine• October 17, 2013 – Strategies for Preparing for Step 1• January 23, 2014 – Identity as a Medical Student,

Relationships, and Developing as a Physician• March 20, 2014 – Transition to 3rd Year• April 17, 2014 – Things I wish I had known…upperclassman

perspective

Presentation AgendaPresentation Agenda

• How do you apply to a residency?• Competitiveness of various specialties • Clinical curriculum scheduling issues

Match Considerations 4Match Considerations 4thth year year

• Away (audition electives) especially for surgical specialties or for geographic reasons

• One or two months off for interviews• Taking electives in specialty area (e.g.

anesthesiology, dermatology, emergency medicine, radiology, etc.)

• Taking Step 2 CK and/or Step 2 CS early• Taking electives/selectives to get additional

letters of recommendation (LORs)

Career Planning Time LineCareer Planning Time Line• MS2 Year (2013-2014)

• Meet with College Advisor• Brown Bag lunches• Attend Career Opportunity Series• Attend Research, MPH, and MBA lunchtime meetings• June 2014 – Take USMLE Step 1

• MS3 Year (2014-2015)• December 19, 2014– Required Residency workshop• March – deadline for 4th year schedule• January – mid-July: MSPE (Dean’s Letter) appointment• Meet Career Goal Advisor

• MS4 Year (2015-2016)• July & August – rotations in specialty choice• July & August – ERAS/NRMP Workshop • July-October – away “Audition” electives• September 15th – deadline for residency applications• October-December – residency interviews• March 2016 – Match Week!

Dual Degree Application DeadlinesDual Degree Application Deadlines• MD/ MPH deadline: Dec. 15th

o (typically done between 3rd and 4th year)

• MD/MBA deadlines:o Deadline 1 (Early Action) - Oct. 18o Deadline 2 - Dec. 9o Deadline 3 - Jan. 13o Deadline 4 - Mar 14

Advisory College Wellness Events

Friday, September 27, 2013 – Evening - Hosted by Cross College

Friday, November 8, 2013 – Evening – Hosted by Simkins College

Friday, December 13, 2013 – Evening - Hosted by Cefalo College

Monday, January 27, 2014 – Evening – Hosted by Smithies College

Friday, February 14, 2014 – Evening – Hosted by Dimock College

Friday, March 28, 2014 – Evening - Hosted by Williamson College

Saturday, April 26, 2014 –College Cup – Hosted by Advocates & Colleges

On-line ResourcesOn-line Resources

• Careers in Medicine: http://www.aamc.org/students/cim

• Personal Career Assessment» Medical Specialties ApitudeTest

• http://www.med-ed.virginia.edu/specialties/» Temperament Sorter

• http://www.advisorteam.com/temperament_sorter/register.asp?partid=1

• Match» Charting outcomes of the match: http://www.aamc.org/programs/cim/chartingoutcomes.pdf» ERAS: http://www.aamc.org/students/eras/ » VSAS: http://www.aamc.org/programs/vsas/start.htm» NRMP: http://www.nrmp.org/» Selection Criteria for Residency: Results of a National Program Director’s Survey:

http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residency__Results_of_a.24.aspx

» FREIDA: http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.shtml

» AAMC Roadmap to Residency: From Application to the Match and Beyond

www.aamc.org/publications Click “Student Affairs”

04/21/23 22

Match Day 2013Match Day 2013

04/21/23 23