Blog Archives

How are Residency Programs Managing the $100,000 Fee for New H-1B Visa Applications?

The Association of American Medical Colleges (AAMC) recently published a piece on the effect H-1B visa fees will have on the Match, hospitals, and access to medical care going forward unless there is an exception made for the healthcare field. The article also explains the distinctions between the H-1B and J-1 visas for physicians.

Andrea Price-Carter, MPA, director of health equity advocacy and government relations for the AAMC points out that J-1 and H-1B visa holders do not displace U.S. medical graduates, and instead, fill gaps where there is a shortage of needed professionals.

Here’s the AAMC piece.

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AAMC Report on Residents 2025

Yearly, the Association of American Medical Colleges publishes a report with residency statistics. The 2025 edition has some interesting data:

  1. In 2024, women accounted for 50.2% of residents and fellows, representing a persistent increase that has been noted over the past years.
  2. Only approximately 29.4% of medical students list the same specialty preference on their graduation questionnaire as they did on their matriculating student questionnaire.
  3. US osteopathic (DO) seniors saw a 92.6% PGY-1 Match rate, the highest ever.

You can find more information here.

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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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Residency Applicants Have a Looming Date Ahead

Here’s a quick reminder for residency candidates: Programs can start reviewing ERAS applications and MSPEs at 9 am EST on September 24.

There is an advantage to submitting your ERAS so that it’s in the first batch program directors (PD) see. As one of my PD friends wrote to me, since the residency application is arguably one of the biggest steps in one’s medical career, getting the application in as early as possible should be a given.

On the other hand, if your application is not in its optimal form, waiting a few days is preferable to submitting an inferior ERAS that will be tossed into the “do not invite” pile. 

Contact me ASAP for help with your residency application.

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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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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:

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