Blog Archives

The NRMP is Considering a Two-phase Residency Match

Recently the NRMP requested public comment on the concept of a two-phase residency Match. In part, the plan would mitigate weaknesses in the Supplemental Offer and Acceptance Program (SOAP), which provides the opportunity of unfilled positions to eligible unmatched residency candidates. SOAP replaced the Scramble, an inferior system from years ago. SOAP still has its weaknesses, however, including an expedited timeline for decision-making by candidates and programs.

See a full description of the proposed two-phase residency Match here. Of note, the first Match Day, which would be analogous to the current Match Day, would occur a month earlier in February. Accordingly, interview season would be shorter. 

The plan has many benefits, but it would require some adjustments in candidates’ and residency directors’ calendars and thinking.

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Managing Difficult Interview Questions: Rehearse Your Elevator Pitch Now

An important key to preparing for tough medical school, residency, dental school, and fellowship interviews is realizing that a) interviewing is a skill and b) practice improves performance. Every year too many 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 interview represents an 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 faculty member whose window was nailed shut, there may be uncomfortable moments and even illegal questions (although I suspect the latter are rarer with virtual interviews). 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 questions, such as “Tell me about yourself” to be brought up to speed. (A now-attending I helped prepare for residency interviews several years ago recently told me that the best advice I gave him was not to be shocked when interviewers were completely ignorant when it came to his candidacy.) 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. For help, secure your Mock Interview slot with me. I’m booking a few weeks in advance, so sooner is better than later.

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Charting Outcomes in the Match 2022 is Out

The NRMP recently published their Charting Outcomes information for 2022; data I keep bookmarked and which I would recommend applicants review. The reports (for MDs and DOs) separate results into specialties and include extremely helpful information, including what mean board scores, number of contiguous ranks, and number of research experiences were for those who successfully matched – and those who did not.

It’s important to make sure you are in the range for your intended field and to compare the competitiveness of different specialties if you are seeking to apply in two fields.

Here is the MD report and the DO one.

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Winning Strategies for Medical School Interviews

I’ve heard from several medical school applicant clients who’ve already been invited to interviews – in July! Congrats. If you’re seeking my help with interview prep, please hire me at your earliest convenience; I’m scheduling 2 or 3 week in advance. 

Check out this piece on how to most effectively demonstrate your distinctiveness during your interview to show you are worthy of a competitive med school spot. And below are a couple of cute, under-one-minute Guru on the Go videos to reinforce the importance of practicing:

It’s not luck; it’s skill that will help you succeed!

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Don’t Accept Helicopter Parenting

Check out this bizarre (and sad) article from the New York Times about helicopter parenting, and note that two of the anecdotes are physician related. (Can you imagine interviewing for an attending position with your dad present?)

Along those lines, I’d recommend the New York Times best seller How to Raise an Adult by Julie Lythcott-Haimes for any parents who read this blog. (Disclaimer: Julie was one of my frosh resident assistants at Stanford.) Julie gave a great interview on Fresh Air last year. 

My policy at Insider is to work exclusively with applicants (not parents or spouses) to maintain confidentiality, avoid redundancy, and ensure candidates assume primary responsibility for their work. It’s been a winning 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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Listen to Dr. Finkel’s interview on the White Coat Investor podcast:

Listen to Dr. Finkel’s interview on the FeminEm podcast: