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How Some Colleges Make Their Acceptance Rates Look More Impressive

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Those of you who read this blog regularly know that I’m a huge fan of Mark Stucker, the earnest, knowledgeable, and sweet college admissions expert who produces the Your College Bound Kid Podcast. There are many similarities and differences between college admissions and medical school admissions. Still, the economics and incentives of the college process are really fascinating and reflect on how strange and faulty both systems are.

Mark covered a really interesting topic in episode 604: Tactics some colleges use to make their acceptance rates look more impressive. While the techniques are technically ethical, they’re certainly not student centered! Listen to the episode (at about seven minutes in) here.

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Medical School and Residency Admissions: It’s Not Personal

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When I was in my second year of medical school, a third-year student (who later also went into emergency medicine, as I did) came to speak to our class about being on the wards. 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. He likened the situation to Boston traffic – how drivers lean on their horns simply because they are frustrated about their days.

It’s not personal, he said.

I say the same to those I mentor. Applicants get an interview at one highly ranked institution but rejected at what is considered a lesser one with no clear cause. Faculty interviewers mix candidates up with one another; some turn up wholly unprepared – reading applicants’ AMCASes or ERASes for the first time during the interview itself. 

Remember: It’s not personal. This process is arduous and cruel, and most candidates, faculty, and program coordinators are tired and doing their best in a dysfunctional system.

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Great Podcast Episodes for College Applicants on Pre-med Paths

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For those high school students already considering a career in medicine, I recommend a recent, two-part Your College Bound Kid (YCBK) podcast series. YCBK is run by Mark Stucker, a genial college counselor who covers a panoply of topics on the college admissions process. 

He and his colleague Susan Tree recently spoke about what pre-med students should be looking for and avoiding when considering colleges. They get down to the nitty-gritty, including inflated medical school acceptance statistics, specific institutions that offer mentored research programs, and the corporatization of modern medicine. The episodes are number 537 and 539.

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Implicit Bias in Medical School Admissions

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I participated in a great Harvard Medical School webinar on implicit bias in medicine with cardiologist Dr. Quinn Capers IV, who is a dean at UT Southwestern Medical School. Dr. Capers has published work documenting racial and gender bias in medical school admissions, among other realms. He has also published recommendations on how clinicians and medical educators can mitigate implicit bias in patient care and candidate selection. 

In the webinar, Dr. Capers covered strategies to reduce or neutralize implicit bias, including 

1. Common identify formation – Ask interviewee questions about interests and activities that you share in common.

2. Perspective taking – Take the perspective of a member of the group against which you have unconscious bias.

3. Consider the opposite – When data seem to point to one conclusion, briefly look for information supporting the opposite conclusion before making a final decision.

4. Counter stereotypical exemplars – Spend time with or focus on individuals you admire from groups against which you have a bias.

Dr. Capers described providing an implicit bias “cheat sheet” that included these strategies to medical school interviewers at The Ohio State College of Medicine, where he previously worked. If you have a chance to hear a lecture by Dr. Capers, make sure to grab the opportunity.

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How to Use the MSAR to Your Advantage

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The Medical School Admission Requirements (MSAR) is an online database that allows users to search, sort and compare information about U.S. and Canadian medical schools.The 2020 MSAR came out last month, and if you are applying to medical school, I’d recommend purchasing it ($28 for one year) because it provides so much information about schools and their admissions statistics. The MSAR allows you sort and compare schools by median MCAT scores, AMCAS GPAs, and other criteria.

You should use the MSAR to help determine which schools are in your range and which are “reach” schools. While it’s fine to have a lot of “reach” schools (if you can afford it), it’s critical to ensure you are applying wisely to schools that match your numbers. The advantage of the MSAR is that you can make evidence-based decisions. I’ve found some applicants have eye-opening experiences when they thoroughly review schools’ statistics and either realize that their numbers are low and that they should apply accordingly or, happily, that they have numbers that match with top schools. Either way, reviewing the data is critical to good decision making.

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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: