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Step 2 CS Changes

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In 2004, a team was created to initiate a multi-year, comprehensive review of the USMLE program. This team, called the Composite Committee, is comprised of the Federation of State Medical Boards (FSMB), the National Board of Medical Examiners (NBME), the Educational Commission for Foreign Medical Graduates (ECFMG) and the American public.

Last month this team announced some “enhancements” to Step 2 CS that are scheduled to start the middle of this year. Here is a summary of those changes. Updated practice materials for Step 2 CS will be posted to the USMLE website in March 2012.

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Happiness: Be All That You Can Be

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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.

I’m not trying to be a downer here! 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 programs turn out equally qualified clinicians. At least consider your well-being as a factor in selecting where you might be for the next three plus years of your life.

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Decision Fatigue

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This recent NYC article (“Do you Suffer from Decision Fatigue?”) is really interesting, especially when you think how decision fatigue might affect your medical school or residency application. It’s worth having the insight this article provides as you make decisions that will affect your future (where to apply, where to send secondaries, where to interview, how you make your match list or decide what school to accept).

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Happiness

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I received really bad advice when I was applying for residency: A dean told me that I would be working so hard, it wouldn’t matter where I lived. He said I should choose the most competitive program regardless of location.

I couldn’t disagree more. If you’re applying to medical school, residency, fellowship or a post bacc program, it’s essential to think about what will make you happiest. Usually, that means being near your significant other, family and friends. It might mean being in nice weather, near your religious community or in a place where you can continue your favorite hobby.

In case you don’t believe me, here‘s an article from the NYT to back me up.

As always, 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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