Residency Workshop Summer 2017 AIM Apply Apply Interview Match June 9th G100 Bondurant Hall Dr. Georgette Dent Office of Student Affairs

Residency Workshop Agenda Apply Interview Match

Apply: Meet with your College Advisor! Individualized attention Match is new to you, but not to them Fill out form so they will have basic info about your plan They can read your personal statement Is you plan realistic? Are you applying to enough programs Do you need a parallel plan? Are you getting enough support from your chosen specialty’s department? Are you torn between 2 (or more) specialties?

Apply: ERAS ERAS Application Big 3 MSPE Letters of recommendation Personal Statement Program List MSPE

Apply: ERAS Residency Specialties Anesthesiology Dermatology Diagnostic Radiology Emergency Medicine Emergency/Internal Medicine Family Practice Internal Medicine Internal Med/Family Med Internal Med/Pediatrics Internal Med/Preventive med Internal Medicine/PM & R Internal Med/Psychiatry Nuclear Medicine Neurology & Child Neurology Neurodevelopmental Disabilities Neurosurgery https://www.aamc.org/services/eras/ Obstetrics/Gynecology Otolaryngology Orthopedic Surgery Pathology Pediatrics (all tracks) Pediatrics/Emergency Medicine Pediatrics/PM & R Physical Medicine & Rehabilitation (PM & R) Plastic Surgery Preventative Medicine Psychiatry Psychiatry/Family Medicine Radiation Oncology Surgery Transitional Year Urology (AUA match) ARMY & NAVY PGY-1

Apply: Application Deadlines September 1 – You need 2 photos 3x4 color jpeg file for ERAS 2x2 B&W or color for SOM file September 15 Submit application S0M will submit your transcript Mid-late September – Your final MSPE review October 1 – MSPEs released 11/15/2018

Costs ERAS Number of applications in same specialty Up to 10 $99 each 31 or more $26 each 11/15/2018

Apply: ERAS Application Documents Faculty are responsible for : Letters of recommendation (LORs) You are responsible for: Completing MyERAS application Personal Statement Requesting USMLE transcript Photograph We are responsible for: Medical school transcript Medical Student Performance Evaluation (MSPE/Dean’s Letter) 11/15/2018

Apply: LORs ERAS Application Big 3 MSPE Letters of recommendation (LORs) Personal Statement Program List MSPE

Apply: Letters of Recommendation (LORs) Waive your right to read the letter Ask faculty if they feel that they know you well enough to write letter Give writer your CV, personal statement Give LoR Authors letter request forms 11/15/2018

Apply: Letters of Recommendation (LORs) Most programs want 3-4 letters At least 1-2 from chosen specialty Letters from graduate work or research mentors make great 4th letters MSPE is not a LoR Departmental LORs: Medicine, Ob/Gyn, Pathology, Surgery Prelim LORs: Needed for surgery and internal medicine programs Emergency medicine: Standardized letter of recommendation (SLOR) 11/15/2018

Apply: Portal for Letters of Recommendation You need to inform your letter writers the following: All LoRs must be uploaded to the ERAS system using the ERAS Letter of Recommendation Portal (LoRP) LoRs must be uploaded by either the LoR Author or his/her designee. Designees may be anyone the author chooses as long as they are not a member of the hospital (in an advising role) or medical school staff supporting students in the application process.  Ideally LoRs should be submitted by September 15 or October 1 (at latest) ERAS allows for a maximum of 4 letters 11/15/2018

Apply: Preliminary Program LORs Need at least one general surgery LOR if applying to a prelim surgery program Need at least one internal medicine LOR if applying to an internal medicine program Can otherwise send the same letters that you are sending to your categorical programs The prelim program directors know that you are applying to another specialty 11/15/2018

Apply: PS ERAS Application Big 3 MSPE Letters of recommendation (LORs) Personal Statement (PS) Program List MSPE

Apply: Personal statement Aim for 600-650 words (one page max) Have your college advisor read it! It’s all about your narrative Questions to consider Why am I interested in this field? What do I want in a residency program? What are my professional goals? Why should a residency choose me? What accomplishments should I highlight? What contributions can I make to the specialty? What contributions can I make to the residency program? What outside interests do I have? 11/15/2018

Apply: Personal statement Do Write a statement that someone who knows you well can pick out of a stack Provide insight into who you are and what you have achieved Write about something you would like to discuss in an interview Address a problem in your application if you can put a positive spin on it Don’t Restate your CV/application Be too cute or out there unless you have vetted it with several people Use the entire statement to address problems in your application—try to keep it positive 11/15/2018

Apply: Personal statement You can have an infinite number of PS Can have a few target PS, e.g. Research PS Community program PS Georgraphic PS Otolaryngology Must write a different PS for each specific program you are applying to Preliminary Programs Same PS as categorical with the addition of a sentence or two about how the preliminary spot fits with your long term career goal 11/15/2018

Apply: Program List ERAS Application Big 3 MSPE Letters of recommendation (LORs) Personal Statement Program List MSPE

Apply: Program List How many programs should I apply to???? Need to assess your competitiveness Need to research programs Need to discuss with your college advisor and career goal advisor Need to decide if you are applying to two specialties i.e. a parallel plan 11/15/2018

Median Step 1 Scores for Matched Students in Selected Popular Specialties Step 1M Step 1U Family Medicine 221 208 Internal Medicine 233 210 Neurology 231 216 Pathology 233 210 PM & R 226 210 Psychiatry 224 214 Charting Outcomes of the Match, 2016 M=matched students U=unmatched students

Median Step 1 Scores for Matched Students in Selected Popular Specialties AGENDA Step 1 M Step 1 U Anesthesiology 232 209 Emergency Medicine 233 220 General Surgery 235 218 Med/Peds 236 227 Obstetrics/Gynecology 229 214 Pediatrics 230 207 Charting Outcomes of the Match, 2016

Median Step 1 Scores for Matched Students in Highly Competitive Specialties AGENDA Step 1M Step 1U Dermatology 249 239 Neurosurgery 249 238 Orthopedic Surgery 247 238 Otolaryngology 248 240 Plastic Surgery 250 240 Radiation Oncology 247 238 Radiology 240 221 Charting Outcomes of the Match, 2016

Preliminary Programs Typically internal medicine, surgery, or transition year How many do you apply to? Wide range based on strength of your credentials and which specialty Surgery: less competitive Transition year: most competitive Internal Medicine: in between Personal Statements Can use essentially the same PS Add a sentence about how prelim training will help with categorical specialty Letters of Recommendation (LoRs) Need at least one from the specialty (except for Transition programs) Departmental letter is a good idea 11/15/2018

Apply: Average Number of Program Specialty 2017 Orthopedic Surgery 80 Internal Medicine 39 Dermatology 76 Psychiatry Neurosurgery 67 PM & R 38 Urology Neurology 34 Radiation Oncology 62 Pediatrics 33 Plastic Surgery 58 Vascular Surgery 32 ENT Family Medicine 31 General Surgery 54 Pathology 28 Obstetrics/Gynecology 51 Medicine/Pediatrics 26 Emergency Medicine 49 Preliminary Medicine (1 year spot) 21 Anesthesiology 42 Preliminary Surgery (1 year spot) 16 Transitional Year (1 year spot) 12 Eras

Researching Programs

Apply: Program List How many programs should I apply to???? Confirm that your number is reasonable by checking with both your college advisor and your career goal advisor Applying to programs is not the expensive part of the application—interviewing is. Err on the side of applying to too many programs and have the good fortune to decline interviews If you are a less competitive candidate for a specialty, you should apply to more than the average number of programs 11/15/2018

AAMC Careers in Medicine Diminishing Returns Data on CiM website for the following specialties: • Emergency medicine • General surgery • Internal medicine • Obstetrics and gynecology • Otolaryngology • Pediatrics https://www.aamc.org/cim/480042/applysmartgs.html

Apply: MSPE Medical Student Performance Evaluation New guidelines November 2016 Identifying Information Noteworthy Characteristics (limited to 3) Academic History Academic Progress Summary Medical School Information Performance levels included for Medicine, Neurology Ob/Gyn, Pediatrics, Psychiatry and Surgery Mid-late September – Your final MSPE review October 1 – MSPEs released 11/15/2018

The goal is a successful match How do we get there? Apply Interview Match

Apply: How do programs decide who to interview???

Average number of applications and target # programs on ROL* Apps ROL* Family Medicine 19 10 Internal Medicine 28 11 Pathology 22 10 Physical Medicine & Rehabilitation 24 13 Psychiatry 24 10 *ROL=Rank order list CiM and NRMP data 11/15/2018

Average number of applications and target # programs on ROL Apps ROL Anesthesiology 34 14 Emergency Medicine 37 12 General Surgery 42 12 Obstetrics/Gynecology 34 12 Pediatrics 23 11 CiM and NRMP data 11/15/2018

Average number of applications and target #programs on ROL for Highly Competitive Specialties Dermatology 70 9 Orthopaedic Surgery 66 12 Plastic Surgery 29 9 Radiology 52 14 Radiation Oncology 78 11 Urology 52 10-12 CiM and NRMP data Apps ROL 11/15/2018

Interview: Program Director USMLE Decision Points Do I want to invite this applicant for an interview? If so, then score needs to be available by September 15th This means you need to take Step 2 CK by mid-August and take Step 2 CS by mid-July Do I want to place this applicant on my ROL? If so, score needs to be available by end of January You should be ok if you follow SOM policy and your scores are available by November 1st 11/15/2018

Interviews Interviews typically occur October to January We will have mock interviews in September Some programs and specialties start offering interviews in September Other programs and specialties don’t start offering interviews until after the MSPE is released in October Dermatology and Orthopaedic surgery, for example Programs make more offers than spots, so will need to check phone and email regularly 11/15/2018

Interview: Mock Interviews   · Residency Interview Workshop – September 15, 2017 – 12-1pm in G100 Bondurant Hall        Discuss with your advisor who knows longitudinally Real Interview practice ·        You are videotaped in the SIMS Lab ·        Given immediate feedback from a seasoned faculty member ·        Provided access to recorded video for your review and self critique ·        Help you improve your interviewing skills ·        Dates for Mock Interviews 9/21, 9/22, 9/28 and 9/29 ·        30 Minute Sessions ·        Session registration coming soon 11/15/2018

Interview: Participate in Survey 11/15/2018

Interview: Survey & Parallel Plans Advisory College survey Data will be sent to your advisor Advisors can provide real time support If you are not on track to meet your target ROL number by Halloween, then you should consider a parallel plan or you risk being unmatched Parallel plans can include applying to a less competitive specialty or planning on doing research or going to graduate school and trying again 11/15/2018

Advisor College Residency Match Survey Interview: Participate in Survey Advisor College Residency Match Survey Our goal is to support you in real time, but for this we need data! Advisors will use these data to support you through the match process Look for survey around 10/1! 11/15/2018

Interview: Emergency Medicine Structured Video Interview Logistics When applying through ERAS, you will need to indicate that you are applying in Emergency Medicine and then you will be sent a link with instructions. The application can check your technology and you can do some practice questions so that you can become comfortable with one-way interviews. The interview will consist of 6 questions. Three questions will be focused on interpersonal skills and 3 questions will be focused on professionalism. The question will be on the screen for 30 seconds and you will have 3 minutes to respond to the question. Once you click on a question, you cannot go back, you can only go forward, but you can stop between questions. The interviews can be done 24/7. Program directors and applicants will be sent a score for the video. The videos are being scored by a third party with lots of experience in scoring video interviews. 11/15/2018

Interviews: Emergency Medicine Structured Video Interview Pointers Do practice questions first so that you can get comfortable with one-way interviews. Think about experiences that have shaped you, lessons learned, patients that have made an impact on you. Think about 3 to 5 qualities that everyone should know about you. Be sure to look into the camera when you are giving your response, not the screen. Use a laptop, not a smartphone. Dress professionally. Use a background that will not be distracting. Make sure you are not doing weird stuff with your hands. Make sure you have a good connection. Let your personality shine! 11/15/2018

Interview: LTBGQ Issues Most program directors are primarily concerned with whether or not you can do the job and not as concerned about your personal life You should not hide who you are If there is a problem it is better to find it out before your match Environment has changed for the better during the past few years Some programs are interested in LGBT applicants for reasons of diversity Timely information can sometime be obtained off of the web Partner benefits may be an issue Check out our LGBT Guide to Residency Applications 11/15/2018

The goal is a successful match How do we get there? Apply Interview Match

MATCH: National Residency Matching Program (NRMP) The NRMP provides a uniform date of appointment for residency and fellowship positions Everyone needs to register Registering with NRMP does not register you with ERAS and vice versa NRMP is a binding agreement Web address: http://nrmp.org

Match: National & UNC Match Overview 2011 2012 2013 2014 2015 2016 2017 UNC Match rate 96% 98% 93% 97% National Match rate (US Seniors) 94% 95% Number of unmatched students* 6 3 9 7 * Number of PGY1 unmatched students prior to SOAP

Match: NRMP Dates to Remember 09/15/2017 Registration opens ($75.00) 11/30/2017 Application deadline ($50.00 late fee after this date) 1/15/2018 Rank order listing opens 2/21/2018 Final rank order certification (Before 9pm EST!) 3/12/2018 Matched/Unmatched info posted online 3/15/2018 SOAP (fka Scramble) concludes 3/16/2018 MATCH DAY!

Match: NRMP Costs NRMP 20 ranks $75* 21 or more $30 each * for couples $90/each for 30 ranks 11/15/2018

Match: Surgical Specialty Matches Ophthalmology Central Application Service (CAS) & San Francisco (SF) Match Opens in June Target dates to submit application: 9/6/17 SF Match ROL certification: 1/4/18 Match results released to schools: 1/11/18 Unfilled vacancies announced: 1/12/18 www.sfmatch.org help@sfmatch.org Urology ERAS and AUA Match Important dates Registration opens: Summer - June 2017 ROL Certification: 1/4/18 Match Day: 1/19/18 http://www.auanet.org/education/urology-and-specialty-matches.cfm

Match: Surgical Specialty Match Costs SF Match/CAS $100 registration plus: 1-10 apps $60 each 11-20 $10 each 21-30 $15 each 31-40 $20 each > 41 $35 each AUA Match $75 no limit NBME $80 unlimited copies SF Match fees correct 11/15/2018

Match: Strategies for Couples Target large cities Sign up in NRMP as individual, but indicate matching as a couple Enter partner’s NRMP code (partner enters your code) Couple ranks the same number of programs Computer treats couple as a linked pair only Can mix types of programs, institutions, specialties, geographic locations in each pair of ranks Rank acceptable programs

Match: Strategies for Couples He – Internal Medicine 1. UNC-CH 2. Duke 3. Duke 4. UNC-CH 5. Mass General 6. Brigham & Women’s 7. Boston University 8. No match She – Pediatrics UNC-CH Duke Boston Children's Boston Children’s

Tips for the successful match: 11/15/2018

Match: What puts you at risk for not matching? Competitiveness issues: academic/professionalism problems (e.g. USMLE, grades, no research) Apply to more programs Apply to back up specialty Well crafted personal statement to provide context to record Try to enhance credentials e.g. early Step 2, research year, do well 4th year Away electives Attitudinal/interpersonal issues: poor interviewer; ambivalent about medicine or specialty Take electives to better define specialty choice Do practice interviews Geographical issues: Apply to more than one specialty Do elective and/or research in targeted location Couples need to apply to at least one big cold city

Match: On-line Resources Careers in Medicine: https://www.aamc.org Personal Career Assessment Medical Specialties ApitudeTest http://www.med-ed.virginia.edu/specialties/ Temperament Sorter http://www.advisorteam.com/temperament_sorter/register.asp?partid=1 Match Charting outcomes of the match: http://www.nrmp.org/new-charting-outcomes-match/ ERAS: https://www.aamc.org/students/medstudents/eras/ VSAS: https://www.aamc.org/students/medstudents/vsas/ NRMP: http://www.nrmp.org/ Selection Criteria for Residency: Results of a National Program Director’s Survey: http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residency__Results_of_a.24.aspx FREIDA: https://www.ama-assn.org/life-career/search-ama-residency-fellowship-database AAMC Roadmap to Residency: From Application to the Match and Beyond https://www.med.unc.edu/pedclerk/resources/pedsres/aamc%20guide%20to%20match.pdf 11/15/2018

Match Day!