Blog Archives

The Rank Order List Access Opening Soon: Check Yourself Before You Wreck Yourself

On February 1 at 12 noon EST, Rank Order List (ROL) access opens, meaning applicants and programs may begin entering their rank lists at this time. Start now to think about your priorities and specifically, where you will be happiest. Waiting until the last minute and making impulsive changes to your list is not a great idea.

Please make sure to avoid simple missteps in creating your rank order list. Improving written materials and interview skills is important, but all of that work can go down the drain if applicants do not understand basic strategies for the Match. 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 especially important for IMGs who represented the majority of unmatched candidates.

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

– Not attending all interviews, thus failing to capitalize on every opportunity to market themselves.

– Declining to rank all programs at which they interviewed or not ranking all programs they would be willing to attend.

– Misunderstanding the Match and 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.

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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It’s Not Personal

When I was in my second year of medical school, a third-year student came to speak to our class about being on the wards. (The student is now a vice chair in emergency medicine here in California.) He gave an animated talk about how important it was to recognize that when residents, attendings, or nurses hollered at us on our clinical rotations, 99% of the time, it wasn’t personal; they were just experiencing stress associated with patient care. He likened the situation to Boston traffic – how drivers lean on their horns for little cause because they are simply frustrated about their days.

It’s not personal, he said. What great advice.

I say the same to my clients. I’ve had applicants complain that faculty were wholly unprepared – reading their applications for the first time during the interview itself. Remember: It’s not personal. This process is arduous, and most candidates, faculty, deans, and program coordinators are tired and doing their best, especially in a pandemic. When things are rough, give others the benefit of the doubt. It will help you get through this anxiety-producing process with your sanity intact.

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New Year’s Resolution: Ten Ways for Pre-Meds to Improve their Medical School Applications

It’s the beginning of the year and, therefore, a great time for pre-meds to redouble their efforts toward their medical school goals. This year applications to medical school increased 18%, so the process has gotten even more competitive.

As always, I recommend a very focused approach that allows you to do more of what you want and less of what you don’t. Think research will help your candidacy but don’t like being in the lab? Consider public health or clinical investigations. Think volunteerism will bolster your application but don’t like being one of a crowd in a group project? Start your own social justice initiative.

There are definitely necessary elements to any robust medical school candidacy (clinical experience, strong grades), but being a pre-med can also be fun, mind-broadening, and career-affirming.

Here are ten ways to improve your medical school application that will give you direction but also leeway to be a happy applicant – not just a strong one.

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Crossing Fingers for a Happier 2021

Medical school and residency training usually decrease one’s happiness for several reasons: Happiness researchers have demonstrated that a feeling of control and the amount of spare time one has both correlate with happiness. Both of those factors are limited during med school and residency. Relationships are also correlated with happiness, and those can be squashed during medical training as well.

Especially considering how difficult 2020 has been, I want to encourage applicants to consider this happiness quotient when selecting an institution and training program. If you are able, maximizing your contentment by choosing an institution that fosters your greatest happiness is key. Geography; proximity to family, friends and community; and a location that provides an opportunity to enjoy hobbies during limited free time is significant.

Excellent training is important, but, in the end, many medical schools and residency programs turn out equally qualified clinicians. Prioritize your well-being as a factor in selecting where you might be for the next several years of your life.

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Your Residency Application: What to Do if You Receive No or Few Interview Invitations?

1. Don’t panic.

2. Try contacting – in a professional manner – all institutions to which you have sent your ERAS. You can send an email and call. When you call, be calm, respectful, and enthusiastic. Do not demand to speak to the program director! Let the person who answers the phone know that you are very interested in the program and would appreciate the opportunity to interview. Offer to be on an interview wait list if necessary.

3. Ask faculty to make calls or send emails on your behalf. This strategy is especially helpful if the faculty member has a tie to the institution and/or has a weighty title. (Yes, the system is broken in many ways.) 

4. Prepare for the Supplemental Offer and Acceptance Program (SOAP). Note that SOAP is not a separate program from the residency Match. So a) your main residency Match user status must be active and b) your credentials must be verified by the Rank Order List Deadline in order to participate in SOAP. Here is more information on SOAP.

5. Make a plan for what you will do if the Match and SOAP don’t work out for you. What will you do next year? How will you improve your written materials, interview skills, and overall candidacy? Consider getting comprehensive help and an honest assessment from me or a faculty member who is highly experienced in residency admissions – the sooner the better to improve a candidacy and prepare for a re-application. Also, as sad as this sounds, if this is not your first defeat in the Match/SOAP process, it might be time to consider other career options like research or industry. Sometimes it’s simply recognizing that one door is closing to see another one opening. 

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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 Visible Voices podcast: 

 

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