Everything You Ever Wanted to Know About the Match* (*But Were Afraid to Ask) Or, the World According to JoMo, the Program Director Jon B. Morris, M.D. Associate Dean for Student Affairs Professor of Surgery

The Process (April-Nov. 2014) AprilMayJuneJulyAug.Sept.Oct.Nov. JoMo Meetings – Reality Therapy Letters of Recommendation Class Meeting #1 MSPE Released Oct. 1 Class Meeting #2 Interview Workshop Class Meeting MSPE Crafted by OSA

The Process (Nov. – March 2015) OctoberNovemberDecemberJanuaryFebruaryMarch Advocacy Call Interviews Rank List Deadline (Applicants & Programs) Match Day

Anatomy of the MSPE Identifying Information Unique Characteristics (Two 125 word paragraphs) Academic History ( matriculation, graduation, combined degree, repeat/remediate, adverse actions, gaps, leaves of absence ) Academic Progress (the “cut and paste”) Preclinical Basic Science Core Clinical Electives Combined Degree Summary MD/PhD Summary Masters Degree Summary Summary Paragraph Bottom Line

MSPE Bottom Line Distribution Class of 2011 Class of 2012 Class of 2013 Class of 2014 Top of the Class4%6%5%9% Outstanding29%31%38%55% Excellent-Outstanding25%33%22%- Excellent37%27%32%34% Very Good to Excellent3% 2% Very Good2%--- Good----

AOA  Alpha Omega Alpha Honor Medical Society  Criteria/Selection  1/6 th of Class Eligible  Academics  Research  Extra Curricular  Selection Process  Students Notified by Sept. 1 (ERAS)  Will be Mentioned in MSPE

JoMo’s Rules  Everything is Discoverable  Nothing is Off the Record  Everything Gets Back to the Program Director

High Contact Areas: Applicants and Programs  Phone  Conversations   Receptions  Tours  Interviews

The Interview – The Basics Are You a Human Being? Did You Do Your Homework?

Post-Interview Strategy: Rules of Engagement PD/Applicants may volunteer information but cannot coerce or pressure each other.

Required Reading Manipulation and the Match By Carl Erik Fisher, M.D. JAMA, September 23/30, 2009 – Vol No. 12

The Goal of Coercion PDs – want to convince all applicants that they are takes. Applicants – want to convince all programs they are coming.

The Tools of Coercion Letters Phone Calls Second Visits

The Language of Coercion Applicants:  I loved your program.  I will be ranking you highly.  You are at the top of my list.  I would be honored and thrilled to train at your program.

The Language of Coercion Program Directors  How are your other interviews going?  If you want to match with us, let us know.  How seriously are you considering our program?  Why would you want to come to our program?

Rising on a Rank Order List Be a Superstar Passive Osmotic Ascent Advocacy Call

Rank Order List Strategy: Getting to the Top Assume a program takes 10 categorical residents. Assume the program interviews 100 applicants. The advocacy call has its greatest impact on the bubble group. Take Group (3 cycles) Bubble DNR Ranked to Match

Why Would a PD Respond to an Advocacy Call? PD is a human being PDs want applicants that want their program The selection process is not infallible

Why Some Don’t Match Applied to inadequate number of programs Disconnect between academic record and career choice Interview Performance Bad luck

The Golden Rule of ROL Creation Only rank programs where you would be willing to train. Do not rank any program that you do not wish to attend.

Penn Med Residency Match Data Total graduates Total residency placements Matching at University Program 149/157 = 94%157/164 = 96%

Specialty Match Data Specialty # of Students % of Students Matching Anesthesiology42.4 Dermatology74.3 Emergency Medicine Family Medicine21.2 Internal Medicine Medicine/Dermatology10.6 Neurological Surgery31.8 Neurology84.9 Obstetrics and Gynecology106 Ophthalmology137.9 Oral Maxillo Facial Surgery31.8 Orthopaedic Surgery95.5 Otolaryngology84.9 Pathology31.8 Pediatrics148.5 Plastic Surgery10.6 Psychiatry42.4 Radiation Oncology42.4 Radiology-Diagnostic74.3 Surgery116.7 Urology31.8 Total % Surgery & Surgical Specialties # of Students % of Students Matching General Surgery116.7 Neurosurgery31.8 Ophthalmology137.9 Oral Maxillo Facial Surgery31.8 Orthopaedic Surgery95.5 Otolaryngology84.9 Plastic Surgery10.6 Urology31.8 Total5130% Primary Care # of Students % of Students Matching Family Medicine21.2 Internal Medicine Pediatrics148.5 Total %

Matching at Penn, 2014 Number of Students % of Students Matching Total42 26% HUP3522% CHOP53% Scheie21% Penn Hospital00%

Matches at Other Premier Institutions: Class of 2014 Institution# of Students Matched Harvard Brigham & Women’s Hospital Children’s Hospital Boston Massachusetts's General Hospital 26 Total (9) (3) (14) University of California San Francisco (UCSF)12 New York University9 Weill Cornell Medical Center6 Barnes Jewish/Washington University4 Johns Hopkins4 Columbia University Medical Center4 University of Michigan4 University of Washington4 University of California Los Angeles2 University of Texas Southwestern2 University of Virginia2 Stanford1 University of Chicago1 University of Miami Bascom Palmer1 University of Pittsburgh1 University of Texas MD Anderson1

What You Need to Do Meet with JoMo before Sept. 1 st Tuesdays and Friday mornings Call , or YOU MUST MAKE AN APPOINTMENT BEFORE MAY 15, 2014! No JoMo = No MSPE Remember Early Match Programs - Ophthalmology, Urology Unique Characteristics Paragraphs Submit to OSA by June 1 st

Unique Characteristics Paragraphs Due to by June 1, These paragraphs should be no more than 250 words total. An additional paragraph may be added for time spent doing a year out. Each paragraph is to be written in the third person. See the Student Portal for samples. Paragraph 1: The introduction is a succinct chronology of a student’s entry and progress through medical school. Pre-matriculation academic, social or employment background characteristics may be included. Paragraph should include: College, degree date, major, minor Advanced Degrees Membership in honors societies, graduation honors, significant extra-curricular activities If you did not enter med school immediately after graduation, describe your activities Paragraph 2: Paragraph should include: Employment, extra-curricular activities (e.g. triathlon, raised quintuplets, etc..), committees, class officer Fellowships, awards, accomplishments If you took a year off, please include your activities

What You Need to Do Personal Statement Solicit Letters of Recommendation Next class meeting – late May MyERAS opens; students may begin working on application – Mid- April ERAS Opens to Programs – Sept. 15 th