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"So now what do I do?"

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Ray King

on 12 September 2013

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Transcript of "So now what do I do?"

"So NOW what do I do?"
Preparing for clinicals, residency, and beyond



Clinical Rotations
Applying for Residency
Be true to yourself.....lots and lots of self-reflection.
Be REALISTIC!
Be focused and super-OCD
Goals
Pass USMLE Step I
Excel in clinical rotations
MATCH into the specialty and institution of your choice
Preparing for USMLE Step I
Start early and develop a habit
Review basic science on a daily basis...15-30minutes a day
Practice, practice, and practice USMLE-style questions
It's NOT a sprint....it's a marathon
Use available resources
www.NBME.org
Create an account, read the instructions, take sample questions
Kaplan
USMLE World
Timeshare an account/split the cost
Start your 5th semester....a few questions a day
Increase the number of questions weekly
Take notes on the explanations, especially on the ones your got wrong
Remember, much of USMLE is about pattern recognition and STAMINA
Make a detailed schedule
Nail down the exact
start
and
end
date of your 5th semester
Apply through Ross to get a token to send to ECFMG to get approved to take USMLE Step 1
As soon as you pass the NBME Comp examination!!
Set up an ACTUAL date and location to take your exam....give yourself a
DEADLINE
Allow yourself 4-6 weeks of dedicated study time.....diminishing returns on anything longer
Purchase a full-length NBME practice tests at 2-3 points during your study period
ie. Beginning, 1/2 way, last week
Acronyms and Definitions
USMLE
: United States Medical License Examination
Step 1: After basic sciences (ie. MS-II)
Step 2-CK (Clinical Knowledge): Anytime during your clinical rotations...preferable after your cores.
Step 2-CS (Clinical Skills)
Step 3: After your intern year
*** 7 years limitation between Step 1 and 3
NBME
: National Board of Medical Examiners
ECFMG
: Educational Commission for Foreign Medical Graduates

Ray King, M.D., Ph.D. Dept. of Surgery
Jessica Van Beek-King, M.D. Dept. of Otolaryngology/Head & Neck Surgery
Medical College of Georgia- Georgia Regents University

Acronyms and Definitions
Clerkship
: Generic term for 3rd and 4th year rotations
Core Rotation
:
Internal Medicine: 12 weeks
Surgery: 12 weeks
Obstetrics/Gynecology: 6 weeks
Pediatric Medicine: 6 weeks
Psychiatry: 6 weeks
Family Medicine 6 weeks
Elective Rotation
:
8 weeks of elective in Medicine subspecialties
4 weeks of elective in Surgery subspecialties
30 weeks total of electives
Sub-Internship
: same as an elective, but focused on your choice of specialty

Timing is
EVERYTHING
!
Starting thinking about your field of specialty
Medical vs. Surgical
University-based vs. Community-based
Academic vs. Private Practice
Fellowship training????
Urban vs. Rural locale
Planning on starting a family during residency?
Have a rough calendar from now till graduation.....then refine it monthly
Work backwards from anticipated graduation date
Sample Schedule
Regardless of which semester cycle you started, every year PGY-1's start on
July 1st
Say you intend to graduate June of 2016....working backwards:
Application for residency (ERAS) needs to be ready to submit
September 1st 2015
USMLE Step 2 CK/CS completed between spring and summer of 2015
All letters of recommendation received and submitted to ECFMG to be scanned by September 1st 2015
Start working on your CV and personal statement EARLY
Sept 1, 2015
Feb 2016
Sept 2016
June 2016
March-August 2015
May/June 2014
ERAS Application Ready for Submission
Step 2 CK/CS completed and passed, or at least scheduled
4-6 letters of recommendation received and sent to ECFMG for scanning
Personal Statement completed and edited
Chosen programs set to receive your application packet
Make sure all your fees are paid
Make sure the boxes to submit your USMLE scores are all checked
Submit you Rank List
Remember, NRMP match favors the APPLICANT
Rank ONLY the programs that you actually want
You can always change your rank list until the deadline
Keep a spreadsheet or diary of your thoughts and opinions of each program
Don't be fooled by "we really want you" letters from programs....remember, they are recruiting you as much as you're trying to match
INTERN YEAR STARTS
CONGRATULATIONS! WELCOME TO THE BOTTOM OF THE TOTEM POLE....AGAIN!
USMLE Step 1 Prep
You should have a date set and location selected
You can ALWAYS change the date depending on your level of preparedness
Plan on taking the examination sometime that summer, July or August.
The sooner you pass Step 1, the sooner you can start rotations
Preparing your ERAS application
Schedule your away electives/sub-internship rotations
Start writing your personal statement
Start asking for letters of recommendation
Chair or program director preferable
No letters from residents or friends of the family
Should have majority of letters from people in your intended field
Update your CV
Determine if your chosen field is early match or regular ERAS
GRADUATION DAY
MARCH 15 2016
MATCH DAY
There is no longer the "scramble" if you do not match.
You will re-submit your application to ERAS to apply for the open slots that did not fill
Interview Period
How to shine during your clerkship
First to arrive....last to leave...EVERY TIME.
Don't leave until told to do so
Always offer to help
Be enthusiastic, at least ACT interested
Be nice to the nurses and staff
Be prepared on patients and cases
It's ok to ask the senior residents for pointers and tips
Ask questions.....at appropriate times (ie. NOT when the patient's exsanguinating)
Dress professionally
Clean white coat
Nothing gaudy....you don't want to be remembered for your clothes or cologne
Learn to say, "I don't know"
NEVER, EVER, EVER, EVER, EVER
LIE or make up stuff
2013 Match Stats
Types of Applicant
2011 Match Rates and Step Scores
Internal Medicine
3 years of Residency
2-3 years of Fellowship training
Generalist/Hospitalist
Cardiology
Nephrology
Pulmonary/Critical Care
Infectious Disease
Gastroenterology
General Surgery
5 years of Residency
1-3 years of Fellowship
Some programs require 1-2 years of research
Some have combined programs, ie Vascular, Plastic, etc
General Surgery
Vascular
Pediatric
Plastics
Endocrine
Surgical Oncology
Colorectal
Trauma/Acute Care/Critical Care
Pediatric Medicine
3 years Residency
1-3 years Fellowship
Cardiology
Gastroenterology
Neonatology/Intensive Care
Application Tips
Program Coordinators are the gate keepers of your application
Due to the high number of applications, cut-offs are determined by Step 1 scores
Your Step 1 score will get you the interview....your personality, LORs, and interview will get you the job
Get your application in on DAY 1
Schedule interviews as soon as you get them
Keep a meticulous calendar
Have two suits, light travel bag, decent shoes
Get frequent flyer accounts
Have a PDF version of your entire application with you
Always try to make it to the pre/post interview dinners
Have a stack of Thank You cards and stamps with you
Full transcript