Blog Archives

Residency Applicants, Thinking about How to Create your Rank Order List? Check out this easy advice.

For those of you who are starting to think about your Match rank order list, please make sure you follow this (simple) strategy: Rank your first choice first, your second second, etc. The Match algorithm is mathematically quite complicated, but because the process always begins with an attempt to match an applicant to the program most preferred on the applicant’s rank list, you do not want to try to “game” the system.

For example, I’ve had applicants tell me that they plan to rank a less preferred institution higher because that program has more residency slots. That’s a no-no. The applicant will actually be harming him/herself with that strategy.

Here’s a video the NRMP created last year to better explain the Match algorithm. Here’s also a less-than-one-minute Guru on the Go© video “NRMP Ranking to Avoid a Spanking” to emphasize your optimal ranking strategy.

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Happy Medical Training: An Oxymoron?

Medical school and residency training usually decrease one’s happiness for several reasons. Happiness researchers have demonstrated that a feeling of control and the amount of spare time one has both correlate with happiness. Both of those factors are limited during med school and residency. Relationships are also correlated with happiness, and those can be squashed during medical training as well.

I’m not trying to be a downer here! I want to encourage applicants to consider this happiness quotient when selecting an institution and training program. A lovely client recently emailed me to ask if he should consider medical schools’ residency program director scores in deciding where to matriculate. (He had already gotten multiple acceptances!) I advised him to consider where he would be happiest instead. If you are able, maximizing your contentment by choosing an institution that fosters your greatest happiness is key. Geography; proximity to family, friends and community; and a location that provides an opportunity to enjoy hobbies during limited free time are significant.

Excellent training is important, but, in the end, many programs turn out equally qualified clinicians. At least consider your well-being as a factor in selecting where you might be for the next three plus years of your life.

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Match Day and Financial Security

First, congratulations to all of my residency applicant advisees: I am thrilled by the enormous success the Match brought to these candidates in a variety of fields. If you have not yet updated me, please send me an email.

Second, now that residency applicants have a professional plan for their next few years, they also need a financial plan. You could choose to work many fewer years, work in an environment you prefer, or go to part-time if you start to make good financial decisions right now.

CrispyDoc.com is a financial literacy blog for the newly minted physician. (Yes, you.) Here’s a recent blog entry about how to simply start to manage your financial portfolio without a financial advisor (even if that portfolio is tiny or you have significant debt). You can use Dr. CrispyDoc’s advice and call up Vanguard or Fidelity (I get no kickback from them) and tell them you need help setting up what you have read. Whala! You are already making good decisions that will earn you compound interest and give you more control as you move through your career.

Here are more posts from Crispy Doc on finances, early retirement for doctors, raising a family, career choice, hedge funds, Costco and more.

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Residency Match!

Congratulations to so many successful Insider Medical Admissions applicants in dermatology, plastic surgery, internal medicine, psychiatry, anesthesia… and many others. You should feel good about your hard work.

And speaking of hard work… It’s time for third year medical students (and graduated IMGs) to get started on a plan for this coming Match season. As of this writing, I have a few Strategy Sessions slots left in April. Advising discussion topics at this time of year should include creating a fourth year schedule, if/where to do away rotations, potential letter writers, crafting an outline for a personal statement, understanding how to write solid ERAS activity descriptors, reviewing an individual’s prospects in a desired field – using data, and producing a timeline for the application process. Also, note that some applicants contact me to discuss their current indecision about what field to pursue, and that’s fine too; those conversations should happen soon.

Here is a list of my residency services. Contact me for help.

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Congratulations!

Many congratulations are due to those residency applicants who had a successful Match. I would really appreciate hearing from this year’s clients regarding their Matches. 

On a related note, unfortunately, as of July 1, the Accreditation Council for Graduate Medical Education (ACGME) will allow first-year residents to work 24+ hours without a break. I’ll come out as saying that I think this is a very poor idea.

I remember a horrible week during my internship in which I worked 138 hours (absolutely true). I still have nightmares about the experience. I also remember surgical resident friends who were “rewarded” with operating the morning after being on-call all day and night.

Here’s an NPR piece and a Forbes piece on the topic. Extreme hours lead to danger for patients and residents and keep talented folks out of 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: