Blog Archives

The Good News and The Bad News…and Then More Bad News

There is a clearly-written article by Jan Greene in the current issue of the Annals of Emergency Medicine about fifteen new, U.S. medical schools that are currently being accredited and slated to open. The Association of American Medical Colleges (AAMC) estimates that this increase will lead to an additional seven thousand medical school graduates every year throughout the next decade.

Sounds great, right? More chances of getting into a US medical school!

Well, no so fast.

The idea behind opening these new schools was to preempt the impending doctor shortage, but, as Greene points out, the new medical school openings will not solve the scarcity because there are no plans to increase the number of residency spots. In fact, in fourteen years, the number of teaching hospital residency spots for which Medicare pays a share (about thirty percent) has not increased. With Medicare cuts in the works, it’s unlikely residency positions will expand or that hospitals will have extra funds for unsupported spots.

Unfortunately, this means more competition for residency spots for everyone, especially International Medical Graduates. (The domestic graduates will likely be prioritized by residency directors.) And it means no solution to the doctor shortage. Unless funding for training programs increases, which seems unlikely, future doctors should expect a bottleneck at the post-graduate level. Bad news for doctors and the American medical system.

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For Junior Medical Students

For “Junior” Medical Students: What You Can Do Now to Improve Your Chances of Matching

Matching to a residency program through the NRMP® (National Resident Matching Program) is a competitive endeavor. Even strong candidates – especially IMGs (international medical graduates) – can have difficulty getting PGY-1 (post graduate year one) positions in many specialties. Those that do match may not get their first or second choices, leaving them in suboptimal locations or programs. Read more ›

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International Medical Graduates

Matching to a residency program through the NRMP® (National Resident Matching Program) is a competitive endeavor, especially for International Medical Graduates (IMGs), formerly called “Foreign Medical Graduates.” These applicants, who graduate from medical schools outside of the United States, face difficult odds. In 2009 only 47.8% of United States citizen IMGs obtained first year positions through the Match. Of those IMGs who were not U.S. citizens, only 41.6% matched (Source: Educational Commission for Foreign Medical Graduates).

Furthermore, some IMGs complete their third- and fourth-year rotations in locations that are geographically distant from their base schools. Therefore it is more difficult for them to attain application guidance through their institutions or through senior students who have experience with the process. Because of these challenges and the poor odds, professional residency admissions consulting has become increasingly important in optimizing residency applications for IMGs and improving the odds that these candidates get into residency programs. Read more ›

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Residency Admissions

Matching to a residency program through the NRMP® (National Resident Matching Program) is a competitive endeavor. Even strong candidates – especially IMGs (international medical graduates) – can have difficulty getting PGY-1 (post graduate year one) positions in many specialties. Those that do match may not get their first or second choices, leaving them in suboptimal locations or programs. Consequently, professional residency admissions’ consulting has become increasingly important in optimizing residency applications and ensuring that candidates get into the programs they desire. Read more ›

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The Residency Match: What Should I Have Done By Now?

Matching to a residency program through the NRMP® (National Resident Matching Program) is a competitive endeavor. Even strong candidates – especially IMGs (international medical graduates) – can have difficulty getting PGY-1 (post graduate year one) positions in many specialties. Those that do match may not get their first or second choices, leaving them in suboptimal locations or programs. It’s important to get started on your application early so you are ahead of the game.

When I was in residency administration, I was impressed with candidates who submitted their applications early. I also had more time to spend on their materials, as I had not yet been inundated with applications, as I would be later in the season.

ERAS® (Electronic Residency Application System) opens July 1 and candidates can assign their materials to specific programs on September 1. Thus, before July I recommend the following:

  1. Finalize a draft of your personal statement and ERAS activities section.
  2. If applying in multiple specialties, tailor a separate personal statement for each specialty.
  3. Contact your Dean’s office (for US students) or ECFMG (Educational Commission for Foreign Medical Graduates) (for IMGs) to ask how to submit your letters of recommendation and photo to them and to get your ERAS token (code to register with ERAS).
  4. Request all letters of recommendation (excluding your summer rotations). If you are applying in multiple specialties, take advantage of the ability to assign different letters to each program.
  5. Investigate programs and contact them for special requirements or deadlines.

Getting your application in early can make a difference in how you are perceived by residency directors. To improve your residency candidacy fully, consider working with a professional when it’s time to apply. Because applicants can unknowingly undermine their chances of success with poorly compiled application materials and underdeveloped residency personal statements, a qualified, personalized residency admissions consultant provides a great advantage.

Residency consulting companies come in a variety of forms. Some are bigger businesses that focus on admissions to several types of graduate programs – not just medicine. Others are smaller and provide a medical focus, but have a pool of consultants of varying quality. Finally, elite companies offer both the medical focus and a highly experienced consultant who works one-on-one with clients. These professionals are ex-admissions officers from highly respected medical institutions. They have the inside knowledge of how residency admissions work, providing individualized guidance to optimize applicants’ personal essays, ERAS® and interview skills.

When choosing a residency admissions consulting company, a candidate should verify the company’s references and research its consultants. It is best if the company does not assign written materials to outside editors who cannot be evaluated. Elite companies that offer both the medical focus and a highly experienced consultant who works one-on-one with clients offer a large advantage for applicants, especially during these competitive times.

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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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