ERAS Workshop: Nut & Bolts for Applying to Residency Office of Admissions & Student Affairs 2019

Objectives Review key steps and timelines Identify responsibilities of advisees/advisors Discuss trends that will impact your match strategy Risk self-assessment MSPE Preparation Information and resources you need for success

Timeline ERAS Opens 2019 2020 6/5/2019 Begin Applying 9/6/2019 Today Apr May Jun Jul Aug Sep Oct Nov Dec Feb Mar ERAS Opens 6/5/2019 Begin Applying 9/6/2019 Available to Programs 9/15/2019 MSPE Release 10/1/2019 NRMP Registration 11/29/2019 Step 2 CK/CS Deadline 12/15/2019 Rank Order List Due 2/22/2020 Match Day 3/20/20 Maintain contact with Student Affairs and Clinical Advisors EM Video Interview Prep Study/Take Step 2 MSPE Meetings Interviews SOAP 3/16/2020 - 3/20/2020 Interview Workshops 345 days 60 days 198 days 93 days 93 days 5 days 2019

AUA Match/San Francisco Match Earlier deadlines than ERAS and results announced Early-Mid January Selected residency programs for Urology – due early Sept Ophthalmology – due mid-August Notify Student Affairs/Advisors if you are applying Will need to use ERAS for preliminary programs and for some urology programs Ann and Brandi

Your Responsibilities as an Advisee Be proactive in communicating with your advisor and Student Affairs Meeting scheduling to review 4th year, CV personal statement, application strategy, interview prep/feedback Follow up scheduling Be prepared for ALL meetings Send documents in advance if possible/requested

Your Responsibilities as an Advisee Submit timely requests for Letters of Recommendation – one month is ideal Follow through on recommendations for interview prep, parallel applications or SOAP plans  Listen to discussions regarding realistic strategies

Responsibilities of your Advisor Be available to meet with each student multiple times (3+) Respond in a timely manner to student requests/questions Attend workshops/trainings Assist with specialty exploration/selection Review of 4th year schedules for interests/balance Residency program specifics based on your experiences Write letters of recommendation/provide advice Personal statement/CV review Skills preparation & interview tips Rank order list questions Communicate with Student Affairs

Who is here to help you in Student Affairs? Application strategy/review Dr. Etezadi, Dr. Singer Specialty-Specific Data Jodi, Sam Program Data and Comparisons (Limited) Jodi, Sam ERAS Questions Brandi, Dr. Singer Transcripts Brandi MSPE Scheduling Jodi $$ To Pay for It All Leonard

Who else is here to help you? Advising Steering Committee/Match Risk-Assessment Team Melissa Piasecki Neda Etezadi-Amoli (OB/Gyn) Timothy Baker Lacy Fettic (FM) Karin Klove Lisa Calvo (IM) Kirk Bronander Steve Zuchowski(Psych) David Howard Mark Baier (EM) Ranna Nash Kathryn Eckert (Peds) Cherie Singer Ucelli/Miller (Surgery) Other advisors, as needed

Match Trends – The Good Match Rates *US Senior Match rate = 94.9% in 2019 UNR Med’s 12-yr Match rate (after SOAP) = 98.6% *Couples Match rate = 95% in 2019 UNR Med’s 7-yr Couples Match rate = 95.8% *Source: NRMP

Match Trends – The Good *Source: NRMP The Match is getting bigger with >1000 more positions in 2018 US Seniors make up the majority of successful applicants In 2018, 77.3% of US Seniors matched to their top 3 programs and 51.1 % into their top choice *Source: NRMP

Match Trends – The Good *Source: NRMP The Match is getting bigger with >1000 more positions in 2018 US Seniors make up the majority of successful applicants In 2018, 77.3% of US Seniors matched to their top 3 programs and 51.1 % into their top choice *Source: NRMP

Match Trends – The Good *Source: NRMP The Match is getting bigger with >1000 more positions in 2018 US Seniors make up the majority of successful applicants In 2018, 77.3% of US Seniors matched to their top 3 programs and 51.1 % into their top choice *Source: NRMP

Match Trends – The Not So Good All positions filled in: ENT Interventional radiology PM&R Categorical general surgery, Plastic surgery 99% of positions filled in: Orthopedic surgery EM OB/Gyn Psychiatry Anesthesiology Diagnostic radiology

Match Trends – The Not So Good Very few open positions (<20) in the Western Region across all specialties except Internal Medicine (prelim) Family Medicine Pediatrics General Surgery (prelim)

Match Trends – SOAP: A Cautionary Tale In 2018 - ~90 positions available in the SOAP on the West Coast In 2018 - ~75% of the SOAP positions available on the West Coast were preliminary/transitional years

Top 5 Reasons US Seniors DID NOT Match Did not listen to advice of advisor and Student Affairs One or more appearances before the SPCC Step 1 failure Weak letter(s) of recommendation Poor interviewing skills *Source: AAMC Group on Student Affairs Survey

How do Program Directors Screen Applicants for Interviews? Step 1 Score (94%) Letters of Recommendation (LoRs) in SPECIALTY (86%) MSPE (81%) Step 2 Score (80%) Personal Statement (78%) Grades in Required Clerkships (76%) Class ranking/quartile (70%) Any failed USMLE attempt (70%) Perceived commitment to specialty (69%) Personal knowledge of applicant (69) Source: NRMP, Residency Program Directors Survey, 2018 Dr. Kuhls

How do Program Directors Rank Applicants? Interactions with faculty and house staff during interview day (96%) Interpersonal skills (95%) Feedback from residents (86%) Step 1 Score (78%) Letters of Recommendation from specialty (72%) Step 2 Score (70%) Evidence of Professionalism/Ethics (65%) MSPE (65%) Perceived commitment to specialty (64%) Perceived interest in program (63%) Source: NRMP, Residency Program Directors Survey, 2018 Dr. Kuhls

Residency Match Risk Assessment No academic difficulties Metrics aligned with specialty choice Good interview skills Well-prepared for application process Minimal academic difficulties Professionalism/behavioral concerns Competitive specialty choice or misaligned metrics Needs interview preparation Couples matching Academic difficulties (remediation, Step 1 failure) Professionalism/behavioral concerns Competitive specialty choice or misaligned metrics Needs interview preparation Not prepared, communicative or open feedback from faculty and student affairs

Impact on Class of 2020 Assess your risk for NOT matching Be strategic Be realistic Consider range of program types (Academic, community, etc.) Interview/rank more programs Pursue a parallel plan if advised to do so with as much dedication as your primary specialty choice Close communication with your advisor and with Student Affairs Prepare for SOAP if advised to do so

MSPE Timeline June 1 – June 30 Late June – Sept. 10 September 17-30 Students schedule their MSPE appointment using online system Prepare documents for MSPE meeting Meet with advisor(s) Late June – Sept. 10 Students prepare for and complete MSPE appointments September 17-30 Students proofread individual MSPE before Oct. 1.

MSPE Meeting Preparation Complete Self-Assessment Questions Draft Noteworthy Characteristics Complete/Update CV Draft Personal Statement for Review Letters of Recommendation Requests Draft Application Strategy Reviewed with Advisor Prepare to Answer Mock Interview Qs

MSPE Meeting Review of Specialty Choice Summarize competitiveness for specialty Any recommendations for development of a parallel plan Recap of your meetings with advisor(s) Recommendations for CV and Personal Statement Review Letters of Recommendation Strategy Review of Draft MSPE including Tentative Evaluative Level Interview Preparedness Assessment with Mock Interview Match Risk Assessment

MSPE Sections

MSPE Sections

MSPE Sections

MSPE Sections

MSPE Sections SUMMARY SUMMARY The MSPE process at the University of Nevada, Reno School of Medicine assigns an evaluative level to each student based on a rubric which includes assessment of pre-clerkship and clerkship grades, USMLE Step 1 and Step 2 scores (if available), leadership, research, service, and any applicable remediation activities. Additional information on the nature of this ranking can be found on the next page. 

MSPE Sections Based on this assessment, I am pleased to present STUDENT X as a distinguished candidate for residency. STUDENT X exhibited excellence in pre-clerkship academics and clerkship activities demonstrated by honors grades and evaluations. His USMLE performance was in the top quartile of scores compared to his peers. Additional considerations were given for research activities that led to presentations and publications, as well as leadership and longitudinal service activities.  Based on this assessment, I am pleased to present STUDENT Y as an excellent candidate for residency. STUDENT X exhibited success in pre-clerkship academics and clerkship activities demonstrated by a majority of high pass grades and evaluations. His USMLE performance was at or below the median of scores compared to his peers. Additional considerations for were given for participation in research activities and longitudinal service.   Based on this assessment, I am pleased to present STUDENT Z as a very good candidate for residency.  STUDENT X completed pre-clerkship academics and clerkship activities with a majority of passing grades and exhibited USMLE performance within the lower quartile compared to his peers. Additional considerations were given for limited leadership and service, as well as longitudinal research activities.  

2020 MSPE Evaluative Rubric - Draft

MSPE Review Last week of September Class rankings and graphs will not be finalized until Sept 27th MSPEs will be available for review the week of Sept 17th-24th Be prepared to review and turn around within 24 hrs if possible Final MSPE and notes from MSPE meeting will be shared with your advisor

MSPE Appeal Process Students may submit a written appeal of their evaluative level to the Associate Dean of Student Affairs. Required to provide evidence based on the rubric. The Associate Dean will make a determination regarding the appeal. If an agreement is not reached, students may then submit a final appeal to the Senior Associate Dean for Academic Affairs.  

ERAS ERAS 2020 Opens in June ERAS ‘tokens’ have been issued by Brandi Applicants Complete application Input CV info Upload personal statement/photo Select programs Assign supporting documents (LoRs, USMLE, Personal Statement) Transmit application to programs Student Affairs (Dean's Workstation) Upload ordered UNR transcripts Upload MSPE Track status We can only see your application is you give us permission

Programs Per Specialty ERAS & NRMP Fees Programs Per Specialty ERAS Fees Up to 10 $99 11 - 20 $13 each 21 - 30 $17 each 31 or more $26 each USMLE Transcript $80 NRMP Fees Standard Registration (20 ranks) $75 Late Registration (after Nov 30) Additional $50 Couples $15 per partner Additional programs ranked $30 per program

ERAS – Avoid These Frequent Mistakes Submit your application by Sept 15th Make sure you order your UNR Med transcript Confirm that you have individually assigned your USMLE transcripts to each program Remember to send links to your letter writers and follow-up with them to make sure they can write your letter in time If you change your email address, remember to check your med.unr.edu one too! Explain any potential red flags in your application – we can help you! Note from Brandi: Brandi will let you know when it is ok to order your transcript (once all clerkship grades are posted)

Personal Statement Priorities in a personal statement: Tells people WHO you are and why your specialty choice is right for you. Don’t use your personal statement from admissions to medical school. Priorities in a personal statement: Commitment to specialty Pathway to specialty, try to focus on medical school experiences Confirming experiences for specialty decision Brief information about you - this is a match for student and programs What will you contribute to the program? Have several people read it Dr. Singer Note from Deb: I have added the last dot point – important that they have a few people read their personal statement. My thoughts would be their advisor, a PD and a resident who they respect in their area of specialty if available.

Drafting your CV What to Include (In this order): Contact Information Education Honors and Awards Work Experience (Clinical & Teaching Experience) Volunteer Experience (Extracurricular Activities, Service & Leadership) Research Presentations & Publications Professional Memberships Language Skills, Hobbies & Interests https://med.unr.edu/student-affairs/career-development/curriculum-vitae Dr. Singer

Letters of Recommendation All LoRs uploaded through ERAS LoRP Choose your letter writers well, make sure they commit to writing a strong letter Meet with them; give them all your information (CV, Statement) Use the ERAS generated LoR Request and Waiver Waive your right to see the letter! Consider backup letter writers Deadlines Oct. 1 is the priority deadline for LORs

Resources Careers in Medicine - Residency and Fellowship Program Search Careers in Medicine – Residency Preference Exercise Charting Outcomes of the Match (NRMP) ERAS tutorials (AAMC) Specialty-specific data (Internal Medicine, Surgery, etc.)

Questions???