Blog Archives

How to Turn Bad Advice on its Head

As you get to know different institutions during this interview season, I encourage you to take the opportunity to reflect and consider what will make you happy in the upcoming years.

When I was a medical student applying for emergency medicine residency programs, a well-meaning dean gave me some bad advice: After interviewing at several institutions, I was determining the order of my rank list and was particularly concerned about one program that had an excellent reputation but was in a city I didn’t like. The dean told me, “You’ll be so busy during residency it won’t matter where you live.” Luckily, the advice rubbed me the wrong way, and I wholeheartedly disregarded it. Where you live for your medical training – medical school, residency, or fellowship – is as important as the quality of your training program! The reasons are several-fold:

  1. Medical training is time-consuming, and you want to be in a city you can enjoy fully when you have a few moments to blow off steam.
  2. Medical training is stressful, and you want to be in a city where you have social support.
  3. Medical training is not completed in a vacuum. Your personal life continues. If you’re single you may meet someone and end up staying in the city where you have trained for the rest of your life. If you’re in a long-term relationship you may decide to have children or may already have them. Down the road you may not want to relocate your family.

Not everyone gets the opportunity to go to medical school or train in residency and fellowship programs in a city s/he likes. But you can make choices that will increase your chances. Consider these options – and your happiness – as you make professional decisions this interview season and in the coming year.

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Residency and Medical School Interview Questions: How to Answer that Icky Decade One

“Where do you see yourself in 10 years?” the interviewer asks you, and you squirm…

A physician-administrator once complained to me that whenever he asked potential new faculty hires where they saw themselves in a decade they always said they were interested in global health or teaching. “Most of them have nothing in their CVs to support their interest in international work or education,” he remarked. “They just say it because it’s sexy.”

When asked where you see yourself in ten years, consider how you might demonstrate a clear trajectory. Throwing out activities just because they sound appealing doesn’t make you look professional or your candidacy seem well-synthesized. The idea is to have a path you can back up, defend, and easily justify. This doesn’t mean you’re stuck with what you’ve done even if you didn’t like it. You could point out that having tried myocardial bench research, you realize that your real interest is in clinical investigations of new cardiac markers.

Many medical school applicants say they don’t know what field they want to go into. Of course not! And many residency applicants don’t know if they want to do a fellowship. That’s okay. Again, the point is to focus on your previous strengths and achievements and leverage them.

Contact me for help with tough interview questions. (If you’re planning to seek mock interview help from me, please do it now. I’m booking several weeks in advance.)

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Understaffing is Affecting Patient Care

I am only middle aged, and yet, so many of my cohort, including myself, have recently left clinical medicine. There are layer upon layer upon layer of reasons: Even before the pandemic, burnout and discouragement about the current healthcare system were big problems amongst providers. Then, COVID facilitated more departures because of the need to stay home to care for children or even illness and death, sadly. Finally, the national workforce shortage and economic cuts have led to a real crisis in our medical system. 

See this piece by Dr. George Hyde, a pediatric resident at Harbor UCLA, as he describes how understaffing is directly harming patient care.

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Medical School Help: What are the Next Steps Once the AMCAS is In?

Once you’ve submitted your AMCAS, what can you do next to best prepare for what’s to come in the medical school admissions process?

Here are a few tips:

1. Start drafting secondary essays. Even if you haven’t yet received the prompts, you can begin to craft responses to common themes like “how would you add diversity to our school?” and “describe an extracurricular activity that might be of interest to the committee.” Good writing takes time, but if you wait for the onslaught of secondary applications, you won’t be able to impart your essays with your highest quality effort.

2. Get a head start on preparing for the medical school interview. Practice, practice, practice. Start mocking up answers to interview questions so that you distinguish yourself.

3. Consider what you want. Do some soul searching to determine what you are really seeking geographically, philosophically, and educationally. You want to make considered decisions when the time comes.

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Is There a Doctor on Board?

Those are words no physician wants to hear. Even as an emergency physician, I hated the few times I heard that phrase. Fortunately, the passengers I tended to were not terribly ill, but this story, written by a medical student who cared for a critically ill passenger, is well told and worth the read.

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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:

Listen to Dr. Finkel’s interview on the FeminEm podcast: