Residency Personal Statement: Should you be a Creative Non-Conformist?

There is no question that being different is an asset in medicine. Those who think outside the box consider diagnoses that others miss, craft approaches to tough patients that others don’t conceive of, and come up with solutions to systemic problems that can positively change medicine as a whole. However, being different does not mean being unprofessional.

Yes, you want to distinguish yourself in your residency personal statement, but you want to do that by showcasing your unique and impressive pre-professional accomplishments, not by submitting a zany essay. Think of it this way: It would be a shame to annihilate your career goal because you’ve made a reader cringe when you were simply trying to write imaginatively.

This is not to say your residency personal statement should be boring! By using good writing techniques – crafting a catchy intro, using robust language, even choosing a compelling sequence – you can write an outstanding essay while still showcasing your accomplishments.

For the skeptic who insists, “Michelle, I’m special. I can do something wild and not scare off the reader,” I will tell you the following anecdote: In all of the time I read essays at Harvard, I remember only one applicant who submitted a truly wacky essay who still received rave reviews. (There was a lively discussion about his weird personal statement, however, before he got the thumbs up.) This person was a true superstar applicant. He came to our program, was loved by patients and staff alike, and eventually became an emergency medicine chief resident. The point of this story? I remember him because he was an outlier – the only applicant in years of assessing candidates whose strange essay did NOT kill his candidacy. Much like CPR, the vast majority of eccentric essay writers don’t respond to heroic efforts to save their candidacy.

Take home point: You get one bullet. Don’t use it to shoot yourself in the foot.

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How to Explain Inconsistencies in Your Medical School Application

You put your heart and soul into your compelling, charismatic medical school personal statement; you showcased your accomplishments and drive to succeed in your activities section; and you demonstrated the endorsement of respected faculty allies in your letters of recommendation. Now your hard work has paid off and helped you get a foot in the door: You’ve been invited to interview at your dream medical school.

But how do you manage the medical school interview when you have a gap in your resume? Let’s say, for argument’s sake, that you took a year off after college and moved to Barcelona to pursue an exciting romantic relationship, only to find yourself dumped two months later. You moped the rest of the year and had neither research nor volunteer experiences to show for your time off. Your interviewer asks you that dreaded medical school interview question: What exactly did you do, anyway, during the gap year?

A prepared candidate can see this interview question as an opportunity to turn a skeptic into an ally. Responding with a calm demeanor – without making excuses or delving into the intricacies of your personal life – will make you look professional. This is a great time to explain that, although you graduated college with a minimum of life experiences, your year off helped you consider alternative professional paths and strengthened your resolve to enter medicine. Consequently, you will pursue your medical career with greater maturity and commitment and a broader perspective than those who went straight through.

The medical school interview requires preparation and an optimistic attitude. Support your candidacy with practice and enthusiasm.

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Managing Difficult Medical School Interview Questions: Rehearse Your Elevator Pitch Now

An important key to preparing for tough medical school interview questions is realizing that a) interviewing is a skill and b) practice improves performance. Every year too many medical school (and residency, fellowship, and dental school) candidates expend tremendous energy assembling fantastic applications, only to undermine their chances by approaching the interview with twisted laws of entropy and enthalpy: They prepare for it with maximum randomness and minimum energy.

Once you’ve done adequate groundwork, the medical school interview represents your opportunity to distinguish yourself and impress your interviewers as the type of candidate they’d love to have at their institution.

That’s not to say every interview will be full of hugs and puppy kisses. Like the story of the interviewer whose window was nailed shut, there may be uncomfortable moments and even illegal questions. With a bit of preparation, you can learn to hit these curveball questions out of the park. Let’s explore an example that has come up in the not-so-distant past.

Rehearse Your Elevator Pitch

While most interviewers take the time to read your application materials in advance, don’t be offended by the faculty member who did not prepare, is blankly flipping through your application right there in front of you, and who asks open-ended (and dreaded) medical school interview questions, such as “Tell me about yourself” to be brought up to speed. View it this way: These faculty members are offering you the opportunity to define how you’d like to be remembered.

Your goal should be twofold: 1) to persuade them how much you’d add to their institution and 2) to make their job easier by giving them the bullet points they’ll need to persuade their peers about your candidacy’s worthiness. When your interviewer sits around a table advocating on your behalf, steer her to use terms that will be germane to your candidacy. Are you the, “global health advocate who volunteered with Mother Teresa and ran his school’s homeless food program?” Or perhaps you are the “first generation college graduate who held premier leadership positions in medical school?” Help your interviewer help you.

In the end, difficult interview questions are less intimidating if you both prepare well and have an attitude that they are an opportunity to clarify and further your candidacy.

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Residency Personal Statement: What’s Your Best Strategy and How Do You Execute It?

I’ve had several applicants recently ask me if they need to showcase their accomplishments in their residency personal statements if they have already drafted a strong ERAS activities section. The simple answer is yes.

First, remember that you don’t know at what part of your application the readers will be starting. If some start with your personal statement, and it’s pale, you will have lost those readers from the beginning.

Also, note that the faculty members seeing your application are reading many more ERASes than just yours. If you only mention an important achievement once in your application, the program director might simply forget your accomplishment. After all, s/he is reading scores or even hundreds of similar applications. Your readers have to be reminded several times of your candidacy’s strengths. (You’ll mention those accomplishments in your interviews as well.)

To a program director who hasn’t yet met you, you are what you’ve done. You need to use substantive examples of your achievements to demonstrate your worthiness for a potential residency position. Evidence is persuasive; use it!

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How to Design Your Life

I just watched a great video called, “Designing Your life: What Do you Want to Be (When You Grow Up)?” The mini-workshop is part of the Stanford (University) Connects program and showcases design professors Bill Burnett and Dave Evans, who run a course about life design at Stanford. For those who want to make considered choices about their professional and personal future (and who doesn’t?) I recommend the video workshop. You’ll be taken through exercises about how to craft different versions of yourself and how to explore options through prototype conversations.

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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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