Blog Archives

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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15 ERAS Tips to Boost your Residency Candidacy

Over the years, I’ve cultivated several tips for crafting the best ERAS Experience Section. I’ve included 15 important ones below:

1. Include relevant pre-professional accomplishments from college. If you conducted research, for example, list and describe it. Do not include high school achievements unless they were truly unique (worked at the White House, sang on Broadway, published in Nature ;)).

2. As of 2023, you have only 10 slots, so avoid minor activities (like an afternoon health fair). 

3. Write in a streamlined fashion. Avoid verbiage. Of note, you can choose three most meaningful activities, but you only have 300 characters for each. So while you want to explain why the activity was impactful, you’ll need to keep your writing here especially tight.

4. Use full sentences. It’s a formal application, and you want to make your written materials as readable as possible.

5. Avoid most abbreviations. Ones you think are common might not be familiar to the reader.

6. Avoid contractions; they are too informal for an ERAS (but okay for this blog entry ;)). 

7. Make sure you spell out your accomplishments clearly. If your reader doesn’t understand an activity, you won’t get “full credit” for what you’ve done. Make no assumptions – not even that the reader has reviewed the experience’s introductory information (position title, location). 

8. Write about yourself and your role – not an organization. For example, don’t use the space to discuss Physicians without Borders. Use it to discuss the specifics of your role at Physicians without Borders.

9. Use numbers to be persuasive. Saying that the conference you organized had 500 participants says a lot.

10. Unless your PI won the Nobel, avoid using supervisors’ and/or doctors’ names in your descriptors as they will be meaningless to the majority of your readers.

11. Do your best not to leave the “Medical School Awards” section blank. Even if you have to simply include clerkships in which you obtained honors (or high honors), fill that section out.

12. If you have not already, consider joining your specialty’s national organization and listing it under the “Membership in Honorary/Professional Societies” section. If you are applying in two fields, take this advice, though. 

13. Try to end your entries with a sentence about how the experience you just described will help you as a future specialist. Making that connection for the reader furthers your candidacy. 

14. As with all good writing, avoid redundant language. Having the word “research” three times in two lines is distracting and demonstrates a lack of originality. 

15. Get help. Don’t submit your residency application without having it reviewed by someone with a lot of experience. (I started Insider Medical Admissions in 2007.) You do not want to put forward suboptimal materials for a process that is this important and competitive.

(Please note that there are a few changes to this year’s ERAS, including the use of Thalamus for interview scheduling. For more information, see this AAMC page.)

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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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