Blog Archives

You Don’t Have to Go to Every Party You’re Invited to, or Taking the Fifth

The goal of every medical school, dental school, residency, and fellowship interview is to distinguish yourself from everyone else to demonstrate you’re worthy of a competitive spot.

So what happens when you get this (ugly) question:  

If there were one reason not to accept you, what would it be?

When a (salty) faculty member asks you this interview question, her motivation might be to determine whether there’s a weakness in your application that she’s missing. Or she may be assessing how you manage stressful situations by posing a question that is unpleasant.

While you need to be honest throughout the entire application process, you do not need to volunteer information that might harm you. So, for a charged question like this one that opposes your goal, you might answer, “While every candidacy has room to improve, I have a strong application.” Then you can use the question as an opportunity to mention the strengths of your candidacy. Remember: You have a duty to further your candidacy, not damage it. 

Contact me for mock interview help. I still have some October slots open, as of this writing. 

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Nailing the Residency or Medical School Interview (or “Just the Facts, Ma’am”)

Google had a problem.

As an oldie but goodie New York Times article describes it, over a decade ago Google executives were growing increasingly aware they were not hiring enough women, and they were attracting negative attention about it. So, Google did what Google does best: They amassed data and mined it.

In their analysis, among other findings, Google concluded that the company was overlooking women who tended to be more modest than comparable male applicants during interviews. The interviewers inappropriately perceived the women applicants to be less accomplished, and the female candidates were not offered jobs. (Once they understood the problem, Google asserts they altered their internal hiring policies accordingly.) 

This story is instructive in understanding the importance of your residency or medical school interview.

Let’s start with your overarching strategy, one that can be gleaned from the Google story: The residency and medical school interview processes are persuasive ones. Your role is to convince faculty that you deserve a slot at their institutions. The best way to persuade is with facts, just like a lawyer does when s/he is trying a case in front of a judge. Saying you are compassionate or hardworking is not convincing, and it doesn’t distinguish you from the scores of other people the interviewer is meeting. You need to prove your worth by highlighting your academic, clinical, research, community service, leadership, international, and/or teaching achievements.

When mentoring applicants, I hear them ask: Michelle, if I showcase my accomplishments in my residency/ medical school interview, doesn’t that mean I’m being redundant? My answer: Absolutely! Think of the medical admissions process like building a house. Your ERAS®/AMCAS® and letters serve as one layer of that house – like scaffolding. In other words, your accomplishments are conveyed simply and succinctly there. The personal statement is your opportunity to apply a thicker layer, one in which you flesh out your achievements, thus persuading the reader of your distinctiveness (plumbing, pipes, electrical). Finally, the interview is your chance to add on the thickest peel (exterior, roof). Discussing your accomplishments in detail can seal the interviewer’s positive impression of you. 

Applicants also ask me if showcasing their achievements is bragging. Not if you state “just the facts, ma’am,” meaning you can be polite, confident, and accurate without being arrogant. When candidates still feel shy about drawing attention to their achievements, I remind them that occasionally residency and medical school interviewers don’t leave adequate time to review materials for the candidates they will ultimately judge, or they are asked to interview such a large number of applicants they might understandably get candidates confused. If you treat every residency and medical school interview as though it were a “blind” one, you address these obstacles. 

Determine in advance how you want your interviewers to remember you when they represent you to the committee, and tailor your interview to leave that impression. At the end of the week, when your interviewer asks what others thought of the “young woman who volunteered with Mother Teresa while doing malaria research and competitive hammer-throwing,” all the other admissions officers know immediately she is referring to you.

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Medical School and Residency Interview Questions: How to Handle the Illegal Ones

In the United States, a professional interview is subject to basic legal rules. Specifically, admissions officers and residency directors should refrain from asking interview questions that are not relevant to the position the interviewee is seeking. Questions about race, religion, sexual orientation, and marital or family status fall into this category.

If you are asked these types of questions, you can respond by addressing the intent of the question without revealing personal information. (“I think you’re asking if my home life will affect my ability to carry out my medical school studies or my clinical duties. I can assure you it won’t, and I’ll complete my full tenure here at your school.”)

If you have the opportunity to give feedback to the institution about your interview questions or experience, you can consider doing so after the interview. When I was interviewing for residency, I was asked by a faculty member if I had a boyfriend. After the interview day, I talked to a faculty mentor at my school who reported the situation to the other institution. The faculty member who asked me the illegal question was no longer permitted to interview.

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Mom and Dad May Think You Have Good People Skills, But That’s Not Enough When It Comes to Interviews

Every year I am hired by re-applicants for medical school and residency who tell me that the year before they received multiple interview invitations, thought they performed well on interview day, but then were left with no offers in the spring. 

This is the truth: Interviews are hard. You need to strategically respond to criticisms of your candidacy, showcase the strengths of your application, be prepared for awkward or even – sometimes – illegal questions, all while seeming fresh and enthusiastic.

There are applicants who spend months studying for their MCAT or Boards, but don’t spend even an hour practicing for their interviews. It’s a naive disconnect. 

If you can mock interview with someone who has been on a medical school admissions committee for years or a faculty member who has strong experience with residency applications, go for it. If not, check out my mock interview services here. Don’t rely on a friend or family member with no experience.

Here is a funny, less-than-one-minute, stop-motion video to guide you on this topic. 

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It’s Not Personal

When I was in my second year of medical school, a third-year student came to speak to our class about being on the wards. (The student is now a vice chair in emergency medicine here in California.) He gave an animated talk about how important it was to recognize that when residents, attendings, or nurses hollered at us on our clinical rotations, 99% of the time, it wasn’t personal; they were just experiencing stress associated with patient care. He likened the situation to Boston traffic – how drivers lean on their horns for little cause because they are simply frustrated about their days.

It’s not personal, he said. What great advice.

I say the same to my clients. I’ve had applicants complain that faculty were wholly unprepared – reading their applications for the first time during the interview itself. Remember: It’s not personal. This process is arduous, and most candidates, faculty, deans, and program coordinators are tired and doing their best, especially in a pandemic. When things are rough, give others the benefit of the doubt. It will help you get through this anxiety-producing process with your sanity intact.

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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:

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