Clinical Curriculum Timeline Office of Medical Student Programs Rising Seniors’ Meeting 1/22/09

u M3 accomplishments u Graduation requirements u Deadlines for MSPE Early Match NRMP Match ERAS Goals for This Meeting

OMSP Senior Team u Dr. Robert Rosen u Dr. Mary Anderson u Ms. Jill Volk u Ms. Jennifer Sale u Ms. Jan Schmidt u Ms. Ria Majeske u Ms. Gloria Watkins u Additional assistance from OMSP staff –Ms. Cheryl Stoneking –Dr. Keith Boyd, Dr. Susan Jacob

Clinical Skills Assessment u Performance measure of M3 year developed by course directors u Format is similar to the Step 2 CS exam u Provides feedback for the continued development of these clinical skills u ½-day exam at the Northwestern Clinical Skills Center; bus transportation will be arranged u Occurs in May/June with schedule aligned to core rotation –Stay tuned to for your scheduled date

Planning Your M4 Year u Requirements for graduation u Timelines u Senior Lotteries – Senior Core and Elective u Strategies for the M4 year u Planning for your residency application

Graduation Requirements u 42 weeks M3 core clerkships u 4-week Neurology core clerkship completed by March (rising M3s now have as M3 core) u 4-week Subinternship by completed by April u Minimum 28 weeks of electives u Total of at least 78 weeks of clinical weeks u Taking the USMLE 2 – CK & CS by Dec. 31 The Target – Graduation – June 12, 2010

Senior Timeline u MSPE u Early Match u NRMP u ERAS u USMLE u M4 Coursework Let’s review the single-page timeline in the handout to highlight

July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June M4 Year Electives for LOR ERAS Application MSPE Interviewing Ranking Match Neurology Subinternship 28 Elective weeks Full Schedule in Place You’re a Real Doc 12 th USMLE 2 CK/CS

First Step is the Lotteries u Cheryl Stoneking, Director of Medical Student Systems u Senior core lottery for Neurology and Subinternship u Electives lottery for electives not requiring course director approval

Strategies for the M4 Lottery u Neuro taken early allows more flexibility for USMLE 2 CK & CS u Subinternship taken early can be helpful for residency application but not necessary u Focus on electives most important to you u You will probably change your schedule when September rolls around so don’t worry about perfect schedule u You do not need to fill an entire schedule in lottery

Elective Requirements u 28 weeks of electives u No more than 8 weeks in a subspecialty for credit u No more than 10 weeks away at LCME or ACGME programs for credit u No more than 3 two-week electives for credit u “Flex elective” requirement (8 weeks medical, 4 weeks surgical, 4 weeks ED/ICU) u Full Schedule in place by January 15

Electives u Research electives for credit must be approved by OMSP (4 weeks credit for a project that will extend longer). Must be with Rush faculty. u Can take more than 78 weeks of clinical rotations u Some electives always require course director approval for enrollment u 4-week add/drop requirement (a few are 8-week) u Away electives may be on different calendar u Away electives will count toward the “flex elective” requirement

Stroger Electives u Stroger electives are not “away” electives u Stroger electives are designated “8xx” u Additional paperwork for Stroger electives may be required u Requests for dropping must follow rules u Spots available in lottery but if not used may be released to non-Rush students

Electives u Always check Oasis for course specific information – need for course director approval, add/drop period, contact person, first day of clerkship u Waitlisted students should check Oasis regularly to see if slot has opened u If slot opens, to alert us u Priority for waitlist given to earliest requestor u PLEASE DON’T BANK ELECTIVES

FAQ – 2-Weekers ? u Consider a 2-week rotation when calendar for away electives off u Consider a 2-weeker when scheduling USMLE 2 CK & CS u 2-weekers include anatomy, palliative care, Ophtho, ENT, Nuc Med, palliative care and others u Maximum of three 2-weekers for credit

Away Electives Should I do an away elective?

FAQ – Should I do an away elective? u Will give you perspective of geographic suitability u Will give you firsthand info on a particular program u May make you more competitive for a particular program u Won’t help you with other programs in area

FAQ – When should I do an away? u Early if you want to see an area, make contacts to get an interview, or know the program of your dreams u Late (January) if you have interviewed and know the program of your dreams Remember: no more than 10 away weeks or 8 weeks in a subspecialty for credit

Away Electives u Individually arranged u Must be at LCME or ACGME program and approved by OMSP u Non-Rush (non-Stroger) locations appearing in Oasis are informational only u Must go through away rotation application process u Process starts in April/May since schools won’t assign until their own students taken care of

Away Electives Application Process u Contact program of interest for their materials and timeline u AAMC on-line links at u Completed application is submitted to OMSP, Gloria Watkins, for approval u At that time pick up an away clerkship approval form and submit with each application u You will be contacted via when paperwork is ready for you to pick up and submit to the away institution – allow 10 days

VSAS – Visiting Student Application Service u Second year of program u Will be used by 63 schools this year u Loyola is only Chicago area school u Information available at

Criminal Background Checks u May be required by visiting school u Visiting school may assist since state- specific rules

Away Electives Paperwork! u Once you confirm that an away rotation will take place, you must notify to have this rotation entered into your Oasis schedule u You must make sure the RMC evaluation is provided to the away team and returned to us

Immunizations u Must be complete and updated for away electives and Stroger u Must be complete and updated for Rush u PPD update should be done at Lifetime. Call for appointment June 1 to July 15

Planning Your M4 Year u Use early electives for Letters of Recommendation (July-Sept) u Month off to interview gives more flexibility (usually Dec or Jan) u No interviewing or USMLE during Neuro or SubI u Limited time off for interviewing during elective at discretion of course director but never more than two days in a 4-week elective u Avoid USMLE on first day of an elective

Getting a Residency u ERAS – Electronic Residency Application Service u LOR – Letters of Recommendation u MSPE – Medical Student Performance Evaluation u NRMP – National Residency Matching Program

June July Aug Sept Oct Nov Dec Jan Feb Mar Residency Application Process LOR ERAS MSPE Interviewing Ranking Match Day 18 th NRMP registration

ERAS - Electronic Residency Application Service u April – Class Meeting to discuss Preparing for residency application and MSPE u Mid July – Class Meeting to discuss process u July 15 – Tokens ed u Sept 1 – Post Office Opens; target for completion ERAS application u Sept 1 – Transcripts uploaded to ERAS u Watch individual program deadlines

LOR – Letters of Recommendation u July, August, Sept, Oct – Do rotations for LOR u Sept 1 – Begin to solicit letters from faculty u Sept 15 – Deadline for receipt of grades in OMSP to be included in final transcript u Oct 15 – Target for LORs to be uploaded to ERAS. Watch individual program deadlines!

NRMP – National Residency Matching Program u August 15 – NRMP opens for registration u Nov 30 – DEADLINE TO REGISTER u Rank Order List – 3 rd week of February u Match Day – 1 st Thursday after the Ides of March (March 18, 2010)

MSPE – Medical Student Performance Evaluation u May/June/July – Meet with Dr. Anderson u Oct – Review of final letter and transcript u Nov 1 – National MSPE release to all residency programs

Early Match Specialties San Francisco Match - u Child Neurology – complete CAS late Aug 2009 u Ophthalmology – complete CAS early Sept 2009 AUA – American Urological Association u Deadlines vary but target Sept 1 u Most programs will use ERAS CAS – Central Application Service

Interviewing Advice u Plan ½ to full day for each interview u Research the program before you interview u Plan time between interview days (for travel, preparation, recovery, etc.) u Try to group interviews in the region together u Know your own application materials u Practice interview questions

Successful match Paul Jolly, PhD. Charting Outcomes in the Match. Characteristics of Applicants Who Matched to Their Preferred Specialty in the 2005 NRMP Main Residency Match 2nd Edition. Association of American Medical Colleges. August 2007.

Residency Selection Criteria Most important Academic Selection Criteria CriteriaRank Grades in required clerkships1* USMLE Step 1 score 2† Grades in senior electives of specialty3 Number of honors grades in clerkships4 USMLE Step 2 score5 USMLE Step 2 CS pass6 Class rank7 Membership in Alpha Omega Alpha8 Medical school reputation9 Medical school academic awards10 Grades in other senior electives11 Grades in pre-clinical courses12 Published medical school research13 Research experience while in medical school14 Marianne Green, MD, Paul Jones, MD, John X. Thomas, Jr., PhD. A Comparison of Residency Selection Criteria From 1996 to AAMC Central Group on Educational Affairs meeting, NS {

Residency Selection Criteria Most Important Selection Criteria CriteriaRank Had Disciplinary Action In Medical School 1 Received A Failure In A Required Clinical Clerkship 2 Failed USMLE Step 2 CK Prior To Passing 3 Failed USMLE Step 2 CS Prior To Passing 4 Failed USMLE Step 1 Prior To Passing 5 Taken Extended Time To Graduate For Academic Reasons 6 Applied To More Than One Specialty 7 Graduates In Lower 25% Of Class 8 Grades In Required Clerkships 9 Received A Failure In A Pre-clinical Course 10 Letter Of Recommendations From Faculty 11 USMLE Step 1 Score 12 Grades In Senior Electives of Specialty 13 Number Of Honors Grades In Clerkships 14 USMLE Step 2 score 15 Marianne Green, MD, Paul Jones, MD, John X. Thomas, Jr., PhD. A Comparison of Residency Selection Criteria From 1996 to AAMC Central Group on Educational Affairs meeting, 2007.

Criteria for Ranking CriteriaMean Rank Interview Interpersonal Skills4.851 Interview Interactions with Housestaff4.692 Interview Interactions with Faculty4.693 Interview Evidence Professional Attributes4.604 Letter Rec from Colleague in Specialty4.395 Clerkship Grade in Desired Specialty4.276 Interview Leadership Qualities4.257 Graduation from LCME Accredited School4.228 USMLE Step 1 score4.209 Clerkship Honors in Desired Specialty4.1710

July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June M4 Year Electives for LOR ERAS Application MSPE Interviewing Ranking Match Neurology Subinternship 28 Elective weeks Full Schedule in Place You’re a Real Doc 12 th USMLE 2 CK/CS

OASIS Lotteries M4 Neurology/Sub-Internships M4 Neurology/Sub-Internships Friday, 1/30 at 5 p.m.  Tuesday, 2/3 at 10 a.m. Results posted Wednesday, 2/4 at 5 p.m. Friday, 1/30 at 5 p.m.  Tuesday, 2/3 at 10 a.m. Results posted Wednesday, 2/4 at 5 p.m. M4 Electives M4 Electives Friday, 3/13 at 5 p.m.  Tuesday, 3/17 at 10 am. Results posted Tuesday, 3/18 at 5 p.m. Friday, 3/13 at 5 p.m.  Tuesday, 3/17 at 10 am. Results posted Tuesday, 3/18 at 5 p.m. M3 Grids/Sites Lotteries Friday, 2/22  Wednesday, 3/5

OASIS login

OASIS Neu/Sub-I All options are pre-filled for you. Customize the order and SAVE

OASIS Senior Lotteries Electives Lottery Electives Lottery Friday, 3/13 at 5 p.m.  Tuesday, 3/17 at 10 a.m. Results posted on OASIS Wednesday, 3/18 at 5 p.m.

OASIS Electives Lottery 1: ADD clerkships for EACH course/date/site combination to build your personal list.

OASIS Electives Lottery –set the order 3: Re-Order and/or drop preferences Use the Checkbox to indicate drop Use the Checkbox to indicate drop

OASIS Senior Lotteries Problems or questions: Problems or questions: (monitored 7 days/week during lotteries) (monitored 7 days/week during Telephone: Office of Clinical Curriculum x (weekdays only)