Blog Archives

Medical School and Residency Admissions: It’s Not Personal

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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Reciprocal Liking

When I was at Harvard, we interviewed a residency applicant about whom I was enthusiastic, but when we sat down to talk about the candidate’s credentials, one of my colleagues put the kibosh on the applicant’s prospects. As it turned out, the candidate had made it clear (at least in my colleague’s eyes) that he did not want to leave California. “If he’s not interested in us, why should we be interested in him?” my colleague asked.

Although you hope institutions will like you, keep in mind that institutions want to see that you are serious about them as well. 

There is a psychological principle called Reciprocal Liking: People tend to have positive feelings for those whom they perceive have positive feelings for them. Apply Reciprocal Liking to institutions when you interview. Be so familiar with the school/program that you implicitly convey you are excited and sincere about spending the next several years there. Know details about the institutional priorities, extra clinical opportunities, location, and associated hospitals. Make sure to have specific questions for your interviewer, ones that demonstrate your intimate knowledge of the institution and your belief that you could be a contributor and leader.

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Check Out the AAMC Virtual Medical School Fair

The AAMC (Association of American Medical Colleges) will be holding a live informational fair Wednesday, October 29 and Thursday, October 30. There will be sessions with staff from medical schools, postbac programs, and the AAMC. Registering also affords you 15% off a one- or two-year subscription to the Medical School Admissions Requirements (MSAR®) website.

You can register here. I offer individually-tailored, one-on-one assistance for pre-meds and candidates applying to postbaccalaureate programs, but there’s no downside to hearing more general tips from the AAMC itself.

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How to Turn that Elephant in the Room into a Cuddly Kitten

No medical school or residency application is perfect: That’s why it’s important you have a well-considered strategy for managing interview questions about gaps in your candidacy. Addressing a bumpy freshman year (pretty common) or a suboptimal Step 2 score with aplomb can make a big difference in how an interviewer, admissions committee, or program director perceives you.

Check out this KevinMD article I wrote a few years back about how to be upfront regarding a major deficiency in your candidacy and how to demonstrate strategically — with evidence from the remainder of your application — that the weakness is not representative of your abilities.

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Avoid the Trite

The goal of your written materials (and your interview) is to distinguish yourself from everyone else to demonstrate that you are worthy of a competitive medical school, residency, fellowship, or postbaccalaureate slot.

Therefore, it’s critical that you avoid flowery or trite language: Using it does the opposite of making you distinctive. When I’m editing, I often reference a piece by Lisa Miller called, “When Did Everything Become a ‘Journey’?” about the overuse of the word. Miller cites linguistics professor Jesse Egbert who notes that “journey,” as a noun, has almost doubled in American English since 1990. 

In her piece, Miller also includes a wry quote from a Los Angeles clinical psychologist who describes the word “journey” as “eye-rollingly cheapened.” In editing personal statements, I see the word used frequently – maybe once in every four essays I revise.

Good writing takes a lot of time – brainstorming, outlining, and many drafts. Make sure your written materials are the best they can be by being diligent about your process (and by getting 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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