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 The Ernest F. Rosato - William Maul Measey Professor in Surgical Education

The Process (April-Nov. 2015) 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 2016) 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 2012 Class of 2013 Class of 2014 Class of 2015 Top of the Class6%5%9%7% Outstanding31%38%55%53% Excellent-Outstanding33%22%-3% Excellent27%32%34% Very Good to Excellent3% 2% Very Good---- Good---1%

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 157/164 = 96%158/167 = 95%

Specialty Match Data Primary Care # of Students % of Students Matching Family Medicine42.4 Internal Medicine Pediatrics148.5 Total % Specialty # of Students % of Students Matching Anesthesiology95.4 Dermatology63.6 Emergency Medicine116.6 Family Medicine42.4 Internal Medicine Medicine/Dermatology10.6 Medicine-Pediatrics31.8 Neurological Surgery31.8 Neurology42.4 Obstetrics and Gynecology74.2 Ophthalmology84.8 Oral Maxillo Facial Surgery31.8 Orthopaedic Surgery53 Otolaryngology74.2 Pathology42.4 Pediatrics148.5 Plastic Surgery63.6 Psychiatry21.2 Radiation Oncology21.2 Radiology-Diagnostic10.6 Surgery137.8 Urology00 Total Surgery & Surgical Specialties4427 General Surgery137.8 Neurosurgery31.8 Ophthalmology84.8 Oral Maxillo Facial Surgery31.8 Orthopaedic Surgery53 Otolaryngology74.2 Plastic Surgery63.6 Urology00

Matching at Penn, 2015 Number of Students % of Students Matching Total41 25% HUP3120% CHOP74% Scheie32%

Matches at Other Premier Institutions: Class of 2015 Institution# of Students Matched Harvard Brigham & Women’s Hospital Massachusetts's General Hospital Mass Eye and Ear Infirmary 17 Total (9) (7) (1) University of California San Francisco (UCSF)11 Johns Hopkins7 Northwestern7 Icahn SOM at Mount Sinai6 Columbia University Medical Center5 Yale New Haven Hospital5 University of California Los Angeles4 Baylor College3 University of Washington3 Weill Cornell Medical Center3 University of Michigan2 Duke University2 NYU School of Medicine2 Stanford2 Vanderbilt University2 Walter Reed National Military Medical Center2 Barnes Jewish/Washington University1 University of Miami Bascom Palmer1

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, 2015! 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 to be uploaded by writers Next class meeting – late May MyERAS opens; students may begin working on application – May ERAS Opens to Programs – Sept. 15 th

Letters of Recommendation From ERAS: ERAS opens in May At this point, you will add LoR Authors in your MyERAS Application and only after that, your LoR Authors will be able to upload their letters for you. In order to do this, each of your LoR Authors will need to set up an account and upload their letters using the information you will provide to them (unique link and instructions) once you have access to your application in May. Taking a year out? Ask for letter now and let the writer know the new process. They may hold the letter until 2017 season opens and upload it then, or send it to and it will be sent back to them to upload when you apply.