Blog Archives

Ten Ways to Improve your Medical School Application

As we know, New Year’s resolutions are notoriously hard to realize. But there are smart tips for executing them, including making sure goals are specific and truly achievable within a reasonable time frame. That’s why starting early with your candidacy for medical school is important. The beginning of the year is a great time for pre-meds to redouble their efforts toward their medical school goals. This past cycle, applications to medical school increased again, 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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Responses from Program Directors are as Valuable as the Email They’re Written On

A residency candidate asked me to review an email a program director (PD) had sent him after interview day. The candidate wanted to know if I had any insights into the PD’s intent: Was the PD sending a generic note or was he really interested in the applicant?

I told the applicant honestly: Who knows and who cares?

I wasn’t trying to be dismissive. The point is that it’s impossible to know what a PD is thinking. Unfortunately, I’ve seen applicants heartbroken by false hope they read into a PD’s comments. More importantly, what a PD says should not affect your rank list anyway. The algorithm requires you to put your first choice first and your second second, etc. (More on that in an upcoming January blog post.)

As they say, kisses aren’t contracts and presents aren’t promises. Don’t put deep thought into those PD notes because they don’t guarantee a thing and, as we say in clinical medicine, they don’t change management.

To create a plan for your residency candidacy, secure a Strategy Session with me here.

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I’m Worried about Emergency Medicine

While my career has been a good one until now, I’m increasingly worried about the field of emergency medicine. See my October 21 blog on the current dearth of emergency medicine jobs. The American College of Emergency Physicians (ACEP) recently published a report on the future of the field’s workforce, concluding that there will be nearly 10,000 too many emergency physicians by 2030.

Dr. Thomas Cook published a piece recently called A Few Feasible Solutions to EM’s Workforce Crisis. He demonstrates a healthy skepticism for the possible solutions that ACEP proposed. See his piece here.

In the meantime, corporate emergency medicine is depleting some physicians. A group has even considered unionizing.

In addition, burnout has been a big problem for the field – even before the pandemic. 

Medical students, as great as the specialty of emergency medicine is in many ways, I would be remiss if I didn’t tell you to consider these issues seriously when making a decision about your future field.

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AAMC Report on Residents 2021

The AAMC recently published their Report on Residents 2021. Of note,

  • The percentage of medical residents who identify as Black or African American and as Hispanic, Latino, or of Spanish origin has increased since last year.
  • Women make up the vast majority in obstetrics and gynecology (85.2%) and pediatrics (72.7%).
  • Only 27.0% of the 2020-21 graduates intended to train in the specialties they had listed as their preference when they began medical school.
  • The majority of medical residents (57.1%) who completed residency training from 2011 through 2020 practice in the state where they completed their residencies.
  • In a tip of the hat to my favorite state, physician retention after medical residency is highest in California (77.8%).

There are more goodies; the information is summed up in this table.

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Medical School Interviews: Preparing for your Virtual MMI

While the majority of medical school interviews are traditional, an increasing number of institutions (including dental schools) are using the MMI platform. The MMI (multiple mini interview) is a format that uses several timed stations to assess applicants’ interpersonal skills and judgment. Despite the virtual approach, a number of schools are still using MMI. A few things to note about MMI interview questions:

1) They are not always medically related. You may be asked to manage an everyday problem (e.g. a disagreement at the supermarket).

2) They are not always situational. You need to be prepared for conventional questions too (e.g. What are your three greatest strengths?).

3) Schools are trying to assess whether you can skillfully employ important techniques and demonstrate professionalism. Underlying topics might include your ability to offer effective counseling, your understanding of patient-doctor confidentiality, your ability to diffuse a heated situation, or your capacity to admit wrongdoing, etc.

4) Make sure you know what structure the school is using and employ the right mindset: Working with an actor is different from executing a group project (especially remotely!), which is, in turn, different from answering questions about your opinions. 

5) Practice MMI questions before you “go” to your interview. Even if you have excellent social skills, there are techniques you should hone to expertly manage the challenging MMI format. 

Contact me for help. 

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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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