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What to Know about the AAMC Fee Assistance Program 

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Now that the 2022-23 medical school application process is on the horizon, I want to remind candidates about the Association of American Medical Colleges’ (AAMC) Fee Assistance Program (FAP) and Insider Medical Admissions’ available discount for those with a current FAP. The FAP is designed to offer help to individuals with financial limitations who cannot pay the MCAT registration and/or AMCAS application fees without financial support. (Of note, there also exists an FAP for  dental school candidates through the American Dental Education Association.)

If you think you are eligible, it’s worth applying for an FAP grant early: When applicants submit their AMCASes prior to receiving decisions on their FAP applications, those candidates are ineligible to receive the FAP benefits for the AMCAS even if their FAP grants are approved. In other words, the FAP is not retroactive. You snooze, you lose.

For more information on the FAP, please click here. I offer a significant discount on one non-package service for any applicant who can demonstrate financial hardship through a current AAMC FAP grant. After researching the issue, I believe Insider Medical Admissions is the only medical consulting company that currently supports a discount for FAP grant recipients. (I apologize if I’m missing a company.) Once you have been granted the FAP and thus, can prove receipt, please feel free to contact me for more information.

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Medscape’s Annual Physician Burnout Report is Out and – As Usual – It’s Disturbing

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Every year Medscape surveys physicians about career satisfaction. The last few annual reports have been pretty upsetting. Unfortunately, 2022’s results are not happy either.

This year emergency physicians (my colleagues) reported the highest burnout rates of all specialties at 60%. Last year this number was 43%, so there was a large jump in already-high dissatisfaction levels. Next in line were critical care physicians at 56%. But even the specialty with the smallest percentage of burned out physicians – public health and preventive medicine – had rates at 26%. So even in the happiest cohort, one in four surveyed doctors reported burnout.

Looking at gender, fifty-six percent of female physicians surveyed reported burnout; men seemed less dissatisfied, but they were at 36% so that’s not so great either.

Bureaucratic tasks were perceived to be the biggest contributor to physician burnout by their own assessment.

It’s important for those who are considering a career in medicine to approach it with eyes wide open: Take a look at the Medscape National Physician Burnout & Suicide Report 2022 slide deck yourself for more details, and check out my Kevin MD piece on EM burnout here.

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Residency Applicants, Thinking about How to Create your Rank Order List? Check out this Easy Advice.

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For those of you who are starting to craft your Match rank order list, please make sure you follow this simple strategy: Rank your first choice first, your second second, your third third, etc.

In other words, your most successful approach is to create your list in order of your real preferences. Although the Match algorithm is mathematically quite complicated, because the process always begins with an attempt to match an applicant to the program most preferred on the applicant’s list, you do not want 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.

Two weeks ago I posted a short NRMP video that explains the Match algorithm. Here it is again. Here’s also a less-than-one-minute Guru on the Go© video “NRMP Ranking to Avoid a Spanking” to emphasize your optimal strategy.

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The Main Demographic Factor Associated with Decreased Satisfaction for Physician Work-life Balance is Female Gender

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Wow. When I read that fact in a recent piece on time management by Dr. Sandra Scott Simons in Emergency Medicine News, I was a bit taken aback. It’s not surprising once you really think about it, but at first, it’s a slap in the face. 

In her article, Dr. Simons’ discussion of the pitfalls of distractions is particularly resonant for me. If you haven’t already, make sure to familiarize yourself with the concept of Deep Work by Cal Newport. (He has a book, a podcast, you can also find many interviews of him online.)

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Check Yourself Before You Wreck Yourself: How to Create a Match Rank Order List

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As you look toward the NRMP Match rank order list deadline on March 1, you’ll want to avoid simple missteps. Improving written materials and interview skills is critical, but all of that work can go to waste if applicants do not understand basic strategies for the Match. Way back in November 2015, the NRMP published an article called, “Understanding the interview and ranking behaviors of unmatched international medical students and graduates in the 2013 Main Residency Match” in the Journal of Graduate Medical Education. The data is still relevant today.

Sadly, the authors found that some applicants made strategic errors including the below:

  • Declining to rank all programs at which they interviewed or not ranking all programs they would be willing to attend.
  • Not attending all interviews, thus failing to capitalize on every opportunity to market themselves. (I suspect this error is less common now with the advent of virtual interviews.)
  • Misunderstanding the Match and, thus, ranking programs at which applicants did not interview.
  • Failing to rank programs based on true preferences or ranking programs based on the perceived likelihood of matching.

It kills me to read about these mistakes :(. Here is a video explanation of the Match algorithm. If you do not understand how the Match works, it is absolutely critical that you learn about it to avoid destructive errors.

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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: