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The Residency Match: What Should I Have Done By Now?

Matching to a residency program through the NRMP® (National Resident Matching Program) is a competitive endeavor. Even strong candidates – especially IMGs (international medical graduates) – can have difficulty getting PGY-1 (post graduate year one) positions in many specialties. Those that do match may not get their first or second choices, leaving them in suboptimal locations or programs. It’s important to get started on your application early so you are ahead of the game.

When I was in residency administration, I was impressed with candidates who submitted their applications early. I also had more time to spend on their materials, as I had not yet been inundated with applications, as I would be later in the season.

ERAS® (Electronic Residency Application System) opens July 1 and candidates can assign their materials to specific programs on September 1. Thus, before July I recommend the following:

  1. Finalize a draft of your personal statement and ERAS activities section.
  2. If applying in multiple specialties, tailor a separate personal statement for each specialty.
  3. Contact your Dean’s office (for US students) or ECFMG (Educational Commission for Foreign Medical Graduates) (for IMGs) to ask how to submit your letters of recommendation and photo to them and to get your ERAS token (code to register with ERAS).
  4. Request all letters of recommendation (excluding your summer rotations). If you are applying in multiple specialties, take advantage of the ability to assign different letters to each program.
  5. Investigate programs and contact them for special requirements or deadlines.

Getting your application in early can make a difference in how you are perceived by residency directors. To improve your residency candidacy fully, consider working with a professional when it’s time to apply. Because applicants can unknowingly undermine their chances of success with poorly compiled application materials and underdeveloped residency personal statements, a qualified, personalized residency admissions consultant provides a great advantage.

Residency consulting companies come in a variety of forms. Some are bigger businesses that focus on admissions to several types of graduate programs – not just medicine. Others are smaller and provide a medical focus, but have a pool of consultants of varying quality. Finally, elite companies offer both the medical focus and a highly experienced consultant who works one-on-one with clients. These professionals are ex-admissions officers from highly respected medical institutions. They have the inside knowledge of how residency admissions work, providing individualized guidance to optimize applicants’ personal essays, ERAS® and interview skills.

When choosing a residency admissions consulting company, a candidate should verify the company’s references and research its consultants. It is best if the company does not assign written materials to outside editors who cannot be evaluated. Elite companies that offer both the medical focus and a highly experienced consultant who works one-on-one with clients offer a large advantage for applicants, especially during these competitive times.

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What is the Scramble?

The National Resident Matching Program (NRMP ®) Scramble is an oftentimes confusing process that tends to generate a lot of questions. The Scramble is a system used to fill unfilled residency positions. Some medical residency programs will have available residency slots even after the NRMP has completed the Match; these positions become available during the Scramble period so that those applicants who did not get a residency position can vie for them.

The Scramble calendar (for 2010) is as follows: Read more ›

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How to Make a List of Programs to Target for Your Medical Residency Application

Because getting into residency continues to get harder each year, the submission of a strong residency application is critical. It’s important too, to ensure you create a realistic list of programs to target. When I review re-applicants’ candidacies to see what went wrong the year before, I oftentimes note that the applicants did not have realistic expectations.

If an applicant’s scores, letters of recommendation and medical school grades are suboptimal, there is little to no chance that person will match into a competitive specialty like dermatology, radiology and ophthalmology. Furthermore, even if an applicant is pursuing a less competitive specialty, the candidate must show early commitment to the field. That could mean research, successful rotations in the specialty and presentations or attendance at national conferences. Too often I see applicants pursue specialties for which their application demonstrates no particular connection. Read more ›

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How to Make a List of Schools to Target for Your Medical School Application

Because getting into medical school continues to get harder each year, the submission of a strong medical school application is critical. It’s important too, to ensure you create a realistic list of medical schools to target. When I review re-applicants’ candidacies to see what went wrong the year before, I oftentimes note that the students did not have enough schools on their lists and that they did not have realistic expectations.

I recommend starting with the Medical School Admission Requirements (MSAR) book, a guide to United States and Canadian medical schools created by the Association for American Medical Colleges (AAMC). This book offers you hard data about mean grade point averages and average MCAT scores, so that you can ensure you are a competitive candidate before you apply. Read more ›

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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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