Blog Archives

An Offer You Can’t Refuse

I speak to a few lucky medical school and residency applicants who are asked to write their own letters of recommendation. If you have this opportunity, first, realize that it is not unethical to write your own letter if you’re asked. If you’d like to explore the scruples of this issue, take a look at this New York Times ethicist column about this exact topic.

The mistake I see candidates make in these situations is that they feel awkward about showcasing their accomplishments fully in their letters. If you have this opportunity, write a glowing letter. Be effusive and full-throated in your compliments to yourself. After all, the letter writer can always tone it down if s/he doesn’t agree. But if s/he does, you have bolstered your candidacy tremendously.

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Yes, Doctors in Training Should Work Fewer Hours

Here’s a NYT piece by Dr. Dhruv Khullar, a current resident in training, regarding duty hours. His points in the last few paragraphs are his best. I remember doing – and I am not exaggerating – a 138-hour work week once during residency. I can assure you that I was not the best doctor I could be.

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Accelerated Medical School Programs

Great Opportunity or Impending Mess?

I’m sure many of you read last week’s news that NYU and other medical schools will be offering a three-year, accelerated medical school program to eligible applicantsmedical school programs

I greeted this news with both encouragement and concern. On the one hand, it’s reassuring that low- and medium-income students who cannot afford the exorbitant costs of a medical education will have the option to pursue their career dreams with less (although still significant) financial burden. Shaving off $20 to $50,000 of tuition and living costs can mean opening up the medical career to those who are understandably terrified of decades of loan repayment.

On the other hand, the NYU accelerated medical students will need to choose their specialties when they apply to medical school. In return, they will be guaranteed a residency slot when they graduate, but presumably, these applicants would have matched successfully to a residency position if they had been in a traditional program. After all, they are being accepted to a strong medical school and are competitive applicants. (NYU expects these students to stay in the top half of their class academically in order to continue in the accelerated program.)

Asking students to pick a specialty prior to even completing one day of clinical rotations begs the question of whether these future physicians will be satisfied in their fields. Studies have shown that doctors who are more dissatisfied provide lesser patient care and are more likely to leave medicine, which will worsen the accelerating doctor dearth.

Take a look here to read the NYT’s article regarding NYU’s new program, and make your own conclusions.

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The Nobel Prize and the Match

Some of you may have heard about last week’s economics Nobel Prize announcements, but you may not know that one of the Nobel winners created the current Match algorithm. Previously, residency applicants would try to game the Match because of an algorithm flaw, but now the system is much fairer. See this interesting NYT article for details.

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Wall Street versus Medical School?

This NYT article regarding college students’ recruitment to Wall Street is compelling. The author highlights the financial incentives that direct students to financial careers  – and away from graduate degrees like medicine.

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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: