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The Number One Strategy for Crushing Medical School and Residency Interviews

Google had a problem. As a 2012 New York Times article described it, Google executives were growing increasingly aware that they were not hiring enough women. Worse still, they were attracting negative attention about it. So, Google did what Google does best: They amassed data and mined it.

In their analysis, among other findings, Google concluded that the company was overlooking women, who tended to be more modest than comparable male applicants during interviews. The interviewers inappropriately perceived the women applicants to be less accomplished, and the candidates were not offered jobs. (Once they understood the problem, Google reported that they altered their internal hiring policies, accordingly.)

No matter what your gender, the story is instructive in understanding how to strategically approach your medical school or residency interview: I call it, Let Your Story Show Your Glory.

Let’s start with this overarching strategy, one that can be gleaned from the Google story: The interview process is a persuasive one. Your role is to convince medical schools or program directors you deserve a slot at their institutions. The best way to persuade is with facts, just like a lawyer does when s/he is trying a case in front of a judge. Saying you are compassionate or hardworking is not convincing, and it doesn’t distinguish you from the scores of other candidates the interviewer is meeting. You need to prove your worth by highlighting your academic, clinical, research, community service, leadership, international, and teaching achievements.

When mentoring applicants, I hear them ask: Michelle, if I showcase my accomplishments in my interview, doesn’t that mean I’m being redundant? My answer: Absolutely! Think of the medical admissions process like building a house. Your AMCAS/ERAS/ResidencyCAS and letters serve as one layer of that house – like scaffolding. In other words, your accomplishments are conveyed simply and succinctly there. The personal statement is your opportunity to apply a thicker layer, one in which you flesh out your achievements, thus persuading the reader of your distinctiveness (plumbing, pipes, electrical). Finally, the interview is your chance to add on the thickest peel (exterior, roof).

Discussing your accomplishments in detail can seal the interviewer’s positive impression of you.

If you still feel shy about drawing attention to your achievements, I can assure you that, occasionally, interviewers do not leave adequate time to review materials for the candidates they will ultimately judge, or they are asked to interview such a large number of applicants that they might understandably get candidates confused. If you treat every interview as though it were a “blind” one, you address these obstacles. Determine in advance how you want your interviewers to remember you when they represent you to the committee, and tailor your interview to leave that impression. At the end of the week, when your interviewer asks what others thought of the “young woman who volunteered with Mother Teresa while doing malaria research and competitive hammer-throwing,” all the other admissions officers will know immediately she is referring to you.

Remember: You can say you are smart or caring or that you want to heal the world, but to admissions committees and program directors, who you are is what you’ve done…and what traits and skills you’ve honed accordingly.

[A version of this blog was previously published on the Varsity Tutors website, where I was part of their Admissions Expert Series.]

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Fraud Squad

Earlier this month, the Wall Street Journal published a piece on Cal Tech’s “fraud squad,” a group of four professionals who review admitted students’ credentials to confirm they’re valid. The squad is looking for fabricated extracurriculars, awards, and research, but the WSJ article also mentions concerns about AI use for essays. (I’ll link to the article here, but you’ll need to create a free, temporary account to read the piece.)

I heard an excellent conversation about this topic on the Your College Bound Kid podcast (episode 665), a discussion I’d recommend hearing. Where I differ slightly is that I would suggest avoiding AI even for brainstorming a personal statement. It’s just too easy to go from there to introducing language that is not authentic to the candidate.

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The Residency and Medical School Application Process: Moving Past Impostor Syndrome

First described by psychologists Drs. Suzanne Imes and Pauline Rose Clance in the 1970s, impostor syndrome (IS) occurs among high achievers who can’t easily internalize their successes. They often externally attribute their accomplishments to luck and worry others will eventually realize they’re frauds.

Recognize this phenomenon of self-doubt? You’re not alone.

Although many people suffer in silence (because they don’t want their perceived deficiencies revealed), IS is quite common, especially in medical school. According to one often-cited 2016 study by Villwock et al, almost a quarter of male medical students and nearly half of female students surveyed suffered with IS. A 2026 metaanalysis by Abouelmagd et al reported the overall pooled prevalence of IS was 49%. The phenomenon can be associated with depression, burnout, and anxiety. The American Psychological Association offers a few tips for overcoming IS including speaking to mentors, recognizing where you excel, and talking to a professional.

Here’s a fun article on IS by Joelle Borhart MD, the Program Director of the MedStar Georgetown University/Washington Hospital Center Emergency Medicine Residency Program. I also recommend Amy Cuddy’s TED talk with over 77 million views.

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“Optional” Secondary Essays: Are They Really?

Optional secondary essays are a conundrum because it’s hard to know if they are truly non-mandatory: Will an institution see a non-response as lazy or truly discretionary?

How to approach these essays depends on two things – the prompt itself and your candidacy.

The beauty of a generic “additional comments” section is that it is intentionally vague. It’s your chance to provide details, context, or qualifications that the structure of the application didn’t allow you to present. For that reason, if you have a candidacy without any red flags, I lean toward using a nonspecific “additional comments” space to both highlight who you are and any exceptional aspects of your candidacy that you’d want a reader to know before making an interview decision. One good option in this circumstance is to pick something completely nonmedical that distinguishes you and is nowhere else to be found in your application. Since an interview isn’t guaranteed, don’t save your best material for an in-person meeting. (On the other hand, if you have a large weakness in your candidacy, you usually want to use an optional, generic prompt or a more focused one to gingerly address the issue. See the next paragraph for guidance.)

Sometimes an optional essay is more pointed. Two cycles ago, an applicant forwarded me this prompt: “Please describe any extenuating circumstances that may have affected your medical or non-medical service experiences, including any circumstances that impacted your engagement in activities, academics, and MCAT that would have helped to prepare you for medical school.” If you have no major deficiencies in your candidacy, there’s no need to write this essay. On the other hand, you should draft a response to this prompt if there’s a big elephant in the room. While, in general, I tell applicants to avoid highlighting standard weaknesses, sometimes someone has a big problem that’s important to address head on. It’s better that you write your own story than let someone else do it.

Bottom line: Optional essays are frequently worth completing because this process is so competitive. And, if you have a big weakness, you should leverage an optional prompt to explain extenuating circumstances.

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How Fast Do You Need to Submit Your Secondaries?

I’ve received several questions recently asking in what time frame secondary essays need to be submitted.

Frankly, this is a hard question to answer because the sooner you can get secondaries in, the better, but if you don’t do quality work, you could bomb your candidacy. 

The question reminds me of one I get frequently: What MCAT scores should I target? Well, the higher the better, but there are downsides to fixating on a number. 

So, while you might have heard the popular belief that you must get your secondary applications submitted within two weeks, that’s completely arbitrary. What you want is to do outstanding work as efficiently as possible.

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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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