Blog Archives

How Sesame Street Can Help You Write a Good Medical School Personal Statement

I learned an interesting fact years ago: When small children don’t understand something, they will simply tune it out and start to engage in another activity. That’s why great shows like Sesame Street use professionals to make sure their content is precisely age-appropriate. Children – and adults – don’t like being confused, and you can’t blame them.

In their personal statements, some medical school candidates make the mistake of referring to an accomplishment without explaining it. This is understandable since we are all intimately familiar with what we’ve done. The problem is that the vast majority of application readers are way too busy to do independent research or go back and forth checking an applicant’s supporting documents if she writes something that isn’t crystal clear.

I remember a talented candidate I advised who showcased an award she had won. She listed the name, but didn’t explain what it was. When I asked her, she told me the award was an academic honor given to only the top 1% of students out of several thousand. I was impressed! And, I asked her to rewrite the section so that her admissions readers would give her the credit she deserved for that extraordinary accomplishment. Because the medical school admissions process is so competitive, what you fail to adequately explain counts against you.

On a related topic, don’t expect a reader to understand something in your essay because it’s explained in your AMCAS activities. Different faculty members will approach the application in different ways, so – to get “full credit” for your accomplishments – you need to assume that your reader is seeing your essay first, independent of your AMCAS activities. Ensure your personal statement can stand alone and doesn’t rely on your AMCAS Activities section for clarification.

Contact me for help with your written materials. I have read thousands of essays, and I personally review every document sent to me.

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How to Turn the Elephant in the Room into a Cuddly Kitten

No application to medical school (or residency) is perfect, which is why it’s important you have a well-considered strategy for managing interview questions about gaps in your candidacy. Addressing a bumpy freshman year or a suboptimal first MCAT attempt with aplomb can make a big difference in how an interviewer and admissions committee perceives you.

Check out this KevinMD article I wrote a few years back that specifically addresses how to be upfront about a major deficiency in your candidacy and how to demonstrate — with evidence from the remainder of your application — that the weakness is not representative of your abilities.

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AMCAS: What’s the Big Deal about Rolling Admissions?

This year’s AMCAS application opened last week, and candidates will be able to submit beginning May 30. 

Because of rolling admissions, submitting a complete application early in the cycle has distinct advantages at many schools. That doesn’t mean you should present suboptimal written materials; instead, you should start early enough (like, yesterday) that you’re showcasing your best work.

Rolling admissions means that a school takes applications in the order in which they are received and makes decisions about interviews and then acceptances, accordingly. So, as time goes by, there are fewer interview and admissions offers remaining to be made. Think of an auditorium whose doors open to allow guests in. Those in the front of the line get the seats, and those who come later may not have a chair to sit in.

If your application is not complete, your candidacy may not be evaluated early when there are more opportunities for interviews and admissions. So, if you have not already, get started immediately. It could make a huge difference in your available opportunities.

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Medical School Letters of Recommendation: Asking the right people 

For those applying to medical school this cycle, if you haven’t already, it’s time to start asking for letters of recommendation (LOR).

Beyond simply fulfilling requirements, you want to get the strongest letters you possibly can from the most influential writers. Choosing the right individuals can be a challenge, and advisees often ask me what to look for in a letter writer. Here is my suggested wish list for potential letter-writers:

1. Explicitly state they will write you a strong LOR

2. Senior faculty

3. Weighty academic titles
4. Well known in their field
5. Spent significant time with you
6. Experienced letter-writers

Of course, all of these qualifications are not possible for all writers. But the more of these you can garner the better. 

With regard to #1, don’t be afraid to ask a potential letter-writer if she will write you “a very strong” LOR. It may seem awkward at the time you ask, but, believe me, getting a wimpy letter will be much thornier. If the faculty member says no, hesitates, or tells you in March that she has to plan her Thanksgiving get-together ;), politely thank her and move on. Although disappointing, acknowledge that she has done you a huge favor. You are far better off avoiding her letter, and you now have the advantage of substituting a stronger LOR written by someone who loves you.

With regard to #2 through 4, admissions officers are human just like the rest of us: Receiving a LOR from an accomplished, known colleague will be weighed much more heavily than one from someone deemed less successful and unfamiliar. If you are better connected to someone without a title, consider asking the professor (a more senior person who has a weightier title) if she would consider writing the LOR with significant input from your closer contact (i.e., the TA who taught your section, or the postdoctoral fellow who directly supervised your research project). That way you get a LOR that includes insight from someone who knows you, signed by a name that packs a punch.

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Pre-Med? Avoid a Big Mistake

Several years ago I was hired by a re-applicant who wanted to better understand why she did not get into medical school the prior year. She had a 3.9 GPA and a 40 on her MCAT (100% percentile). Yet, she had been rejected from all medical schools.

I looked through her materials and discovered the problem. The applicant had no clinical work at all. She had never been in the room with a patient. Many of you know that I like the saying, “No one wants to hire a chef who hasn’t been in the kitchen.” She had fallen prey to that adage.

We talked, and I advised her regarding options she had for obtaining clinical experience. Fast forward a year: The client completed a robust clinical activity and was readily accepted to medical school (and felt more confident about her career choice).

If you are a pre-med, note that robust clinical experience is critical. Working as an EMT, in a good clinical care extender program, formally as a scribe (where you can also make some money), in a hospice setting, or in a low-income clinic are just some ideas for obtaining excellent clinical exposure. (Although you might think free clinics would be thrilled to have a pre-med volunteer, many understandably require one-year commitments.) 

Shadowing is a mixed bag: Medical schools don’t know whether you’re second-assisting in the operating room or just standing in a corner being ignored. If you choose to shadow, make sure that – in your written materials – you highlight any substantive clinical skills gained. Other popular options for clinical experience include international work (although the activity is usually short-lived, which makes it less robust) and working as a volunteer in a hospital (although it might be more clerical than clinical, depending on the position; thus, the benefit of clinical care extender programs. Do your research before accepting a volunteer hospital job). I’ve also had advisees who became certified, practicing phlebotomists and others who worked in veterinarians’ offices to obtain procedural skills.

More important than getting into medical school (gasp), getting robust clinical experience will help you ensure you’ve made the right career choice. Simultaneously, you’ll demonstrate to admissions officers that you can handle the heat.

See the short video below on the importance of clinical experience:

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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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