Not everyone has a 3.99 BCPM or a 99th percentile on her MCAT. In my recently-published Student Doctor Network article, you’ll learn how to acknowledge your candidacy’s deficiencies, while providing persuasive evidence that you’ve overcome obstacles. These techniques work well for residency and fellowship interviews also.
Blog Archives
Four Ways to Save $ in the Medical School and Residency Interview Processes
1. If you are ambivalent about an institution, schedule your interview later. By late-season you may decide not to interview there at all, saving you some money.
2. Group your interviews geographically. If you think this is impossible, consider this: There is nothing wrong with calling an institution you are waiting to hear from and politely letting the assistant know you have been invited to interview at a nearby school/program. Let him/her know you would like to save money by flying out to the area once, and ask if the admissions committee/ residency might be willing to let you know now if the institution will be offering you an interview. Believe it or not, this technique sometimes works.
3. Check out travel web sites daily or better yet, set an alert on Kayak, Hopper, or Google flights. Occasionally, a low price is available only if you catch it quickly.
4. Consider staying with students/residents if the institution offers. Hotels can be expensive, and sometimes you can gather useful information about the school/program this way. Just beware that anything you do or say may be repeated to the admissions committee/residency. (Make sure to write a thank you note.)
How the Show ER and New Residency Programs Change the Economy of a Specialty
Here’s an interesting piece called “Are There Too Many Emergency Physicians?” by Thomas Cook MD, an emergency medicine program director. Dr. Cook chronicles the growth of emergency medicine residency positions from a total of 1821 in 2015 to 2488 in 2019. This rapid growth in the field may lead to an oversupply of emergency physicians.
The paradox here is that only recently there was a shortage of emergency physicians. And back when I graduated from medical school in the mid-1990s, almost no one was applying for emergency medicine. In my class of around 150 students, there were three of us. As the popularity of the show “ER” waxed, the number of applicants to the field swelled. Then, years later, the field contracted again.
Other fields have also recently seen a boom in the number of residency spots, including family medicine, psychiatry, and anesthesiology. Of course, opening up more residency positions is a good thing for medical students (especially international medical graduates) and patients, but the growth in certain fields may lead to a change in the economy of those specialties. It will be an interesting experiment.
The Week I Spent 138 Hours in the Hospital
During my internship, on my surgical rotation, I once spent 138 hours in the hospital in one week. If you think this isn’t mathematically possible, I will tell you that I was on call from Monday morning to Tuesday evening, from Wednesday morning to Thursday evening, in-house on Friday, and then on call from Saturday morning until the next Monday morning. (I had to stay in-house that Monday until evening rounds were over too.) As you can imagine, I was barely human by the end. How this schedule was good for patient care is beyond me.
I thought of that ghastly time recently when reading this article in the New York Times called “How Job Stress Can Age Us” written by Dr. Dhruv Khullar. The author reports on a study, “Physician-Training Stress and Accelerated Cellular Aging” that assessed the DNA of 250 first-year medical residents around the country. Researchers examined the saliva samples of these residents, focusing on their telomeres – the bumpers at chromosome ends that prevent DNA damage – before and after the first year of residency. Researchers found that the DNA of first-year residents aged six times faster than normal.
Six times faster.
I found this both shocking, upsetting, and validating. Residency training is as hard as we think it is.
What I would strongly recommend is that you compare residency programs’ hours before you create your Match list. Strangely, many applicants don’t even consider this important issue when making decisions about their next three to five years. Also, many residencies support physician wellness programs and night coverage. Especially in the setting of severe burnout among doctors, your happiness should be a primary factor in your career choices. If you’re not sure, consider your shrinking telomeres.
Tags: Match, Medical Career, Physician Burnout, residency
Are you a Residency Candidate Applying in More than One Specialty? Read this.
If you’re planning to apply in more than one field, you have a challenging road ahead of you, and you should strategize accordingly. Remember that, although your ERAS activities cannot be individualized to different residency programs, your personal statement and letters of recommendation can. Demonstrating commitment to each field through your essay and letters will be a challenge, so take time to write thoughtfully, and make sure you speak candidly to your faculty recommenders.
Above all: Ensure that you assign the correct specialty-specific documents to the correct programs!
Tags: Eras, Residency Applicants, Specialty
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
Listen to Dr. Finkel’s interview on The Visible Voices podcast:
Listen to Dr. Finkel’s interview on the White Coat Investor podcast:
Listen to Dr. Finkel’s interview on the FeminEm podcast: