Keep Austin Weird, Not Your SLOE

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Presentation transcript:

Keep Austin Weird, Not Your SLOE Jeff Van Dermark MD FACEP Director of UGE Department of Emergency Medicine UTSW TCEP April 25, 2015

Allopathic EM Programs Emergency Medicine 167 EM/IM 13 EM/IM/Critical Care 4 EM/Peds 4 EM/FM 2

Osteopathic EM Programs 59 Programs with multiple new programs

2015 NRMP DATA 2352 Applicants 1821 PGY-1 Positions 1613 Filled by US Seniors 530 didn’t make it. 70% made it

Unfilled spots in EM 2015 7 2014 14 2013 3 2012 0 2011 5 2010 16 2009 13 2008 29 2007 6 2006 33

Why Emergency Medicine? The art of multi-tasking Undifferentiated Patient Shifts - balance / lifestyle Various career paths Community ED Academic Peds EM Toxicology EMS Wilderness Tactical, Disaster Global Health Educational Administrative

Application Process Electronic Residency Application Service (ERAS) Know the dates Numbers of applications depend on competitiveness of specialty, grades, USMLE/COMLEX scores, and other background of the student Advisors will assist

Web Resources The Primer Memorize it http://www.saem.org/docs/students/emclership_primer_manual_1.pdf?sfvrsn=2 The Textbook for EM Clerkship Directors in EM http://www.cdemcurriculum.org Society for Academic Emergency Medicine SAEM http://www.saem.org/membership/medical-students Residency Catalog Clerkship Catalog Student resource pages American College of Osteopathic Emergency Physicians (ACOEP) http://www.acoep.org/pages/gme-res-prog

Web Resources Emergency Medicine Residents Association http://www.emra.org/Content.aspx?id=280 American College of Emergency Physicians http://www.acep.org/content.aspx?id=42074 American Academy of Emergency Physicians http://www.aaemrsa.org VSAS- Visiting Student Application Servichttps://services.aamc.org/20/vsas/ FREIDA http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page

FOAM ME

Don’t Believe Just One Source Life in the Fast Lane http://lifeinthefastlane.com/emergency-medicine-clerkship-primer/ EM Advisor http://emadvisor.blogspot.com/ ALiEM http://www.aliem.com/em-match-advice-em-rotation-eras-competitive/ Boring EM http://boringem.org/2013/01/02/top-10-ways-to-rock-em-clerkship/ http://boringem.org/2014/08/18/10-tips-from-nurses/

Factors In Getting AN EM Interview USMLE Step1/COMLEX Level 1 score MSPE/Dean’s Letter USMLE Step 2 CK/COMLEX Level 2 CE score Grades from EM Clerkship SLOE (s) Away Rotation

SteP1/COMLEX Level 1 69% want a certain score 31% need it

Step1/CoMlex level 1 Bad 200-218 Avg 208 Good 230-244 Avg 236

I’m a DO, do I need to take USMLE? Yes http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935778/pdf/wjem-15-101.pdf Debate on whether Boards are interchangeable

MSPE/Dean’s Letter Comes out Oct 1 Summary of Clerkship Year Looking for Red Flags?

Grades in EM Clerkship Varying Grading Systems PDs look for the Honors Category May build into SLOE How are the tests run? What makes up the grades?

USMLE Step 2 CK/COMLEX Level 2 CE 22% want a pass rate 54% want a target 25% don’t need one

USMLE Step 2 CK/COMLEX Level 2 CE Bad 209-221 Avg 212 Good 230-250 Avg 240

Standardized Letter of Evaluation (SLOE) Top Factor for PD in granting interviews Home Away Look at template on CORD site http://www.cordem.org/files/DOCUMENTLIBRARY/SLOR/SLOE%20Standard%20Letter%20of%20Evaluation%202014.pdf

SLOE Huge Debate Group SLOE ideal Individual SLOE Can I get 5 of them? 55% of programs require 1 36% of programs request at least 1 6% require more than 1

SLOE How many students rotate in the course Grade distribution Predictions Global Assessments Narrative Discussions NOT Under your Control

SLOE Commitment Work ethic Responsibility Develop and justify differential and cohesive treatment plans Demonstrate caring nature High contact Test results Narrative Under your control

Why Do an Away…when I have Texas? 11 total EM residencies 2 Military 9 Civilian

Should I stay or should I GO? Away Electives Type Setting Reponsibilities Are you going to give me a good SLOE??!!!??

Away Electives VSAS Check program website if not in VSAS More than one away EM? Valuable Rotations Toxicology Ultrasound EMS Advanced EM electives

VSAS Permissions through your medical school Catalogs open Now through spring Applications accepted Variable but typically March 1 and on https://services.aamc.org/20/vsas/public/schools/

What should my year look like? July Home Aug Away Sept Helpful Oct Nov Dec Interview

References 2015 NRMP Advanced Data Table http://www.nrmp.org/wp-content/uploads/2015/03/ADT2015_final.pdf 2014 NRMP Program Director Survey http://www.nrmp.org/2014-program-director-survey-report-now-available/

Thanks for Participating Questions?