Blog Archives

An Oversupply of Emergency Physicians?

When I applied in emergency medicine (EM), I had only two other classmates submitting applications to the field. EM wasn’t a very popular specialty, although that would change as the show ER became hotter. Although enthusiasm for the field has generally increased over my career, medical students’ interest in EM has waxed and waned.

Recently an eight-organization consortium of EM groups analyzed the field’s workforce, demonstrating an oversupply of emergency physicians likely to appear over the next decade. There are a number of reasons proposed, including the proliferation of EM residencies and inappropriate use of physician extenders. Take a look at this piece in ACEP Now for detailed information, especially if you see EM in your future.

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Applying in Two Specialties

Most residency candidates know that their lives will be made easier if they apply in only one specialty, but some apply to a competitive field with a backup, and others are still deciding between two at the time of ERAS submission.

Here are some clarifications about what ERAS offers that will help you apply in two specialties:

1) Different personal statements can be assigned to different programs. This means you can assign your ob/gyn essay to ob/gyn programs and your internal medicine (IM) statement to IM residencies.
2) Different letters of recommendation (LORs) can be assigned to different residency programs as well. (A maximum of four letters may be assigned to each program.)

You will have only one MyERAS application. It will go to all of your programs. (Note that if you list your membership in multiple ob/gyn organizations, that will be viewed by your IM readers as well and might make them question your commitment to IM.)

If you are thinking of applying in three specialties, I’d say don’t. Navigating the application and interview process while showing commitment to each field could be miserable. If you’re at three, take a moment for some reflection, and pare your list to one or two.

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The Ins and Outs of Choosing a Specialty: The Generalist vs. The Early Committer

For many third-year medical students, this is a tough time of year. Preparing an ERAS application can be daunting, but it’s even worse if you do not know what specialty you want to practice. Here’s a short piece I wrote with my colleague David Presser MD MPH called “Choosing a Specialty: The Generalist vs. The Early Committer.” And recently, I read a complementary, but non-medical, New York Times article called “You Don’t Want a Child Prodigy” that seems like a good follow up to our piece.

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Evidence-Based Decision Making Regarding Your Planned Specialty

For those first-, second-, and third-year medical students who are trying to pick a specialty, remember to start with the facts: The NRMP published Charting Outcomes of the Match to give applicants an idea of what characteristics successful 2018 Main Residency Match candidates had. While sobering (the mean Step 2 score for successful radiology U.S. senior applicants was 249), the information is valuable as you approach the decision-making process.

If you’re just starting medical school, you can strategically plan your candidacy for success. If you’re more senior, you can decide whether you have the characteristics necessary to pursue a successful Match process.

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Yes, Sleep is a Medical Necessity

I found this short piece, “A Call for Sleep” to be an interesting and honest read. Throughout my life, I’ve had non medical people tell me that I should be used to a lack of sleep because of my training and night shifts (which I, thankfully, no longer do). If someone has fasted before, that doesn’t mean she doesn’t get hungry when she doesn’t eat!

For applicants, I’ll again say that it’s critical to consider lifestyle and priorities when choosing a specialty.

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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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