1. Residency Workshop Summer 2012 July 13 & August 3 Dr. Kevin Biese Dr. Georgette Dent Office of Student Affairs University of NC School of Medicine

2. The goal is a successful match How do we get there? 1) Choose your specialty Do electives/selectives Meet with College Advisor Careers in Medicine website 2) Prepare application Meet with Alice Pelland for MSPE Meet with Career goal advisor(s) Sign up for ERAS (and/or CAS) Fill out & submit application (Big 3) 1.Solicit LORs 2.Write personal statement 3.Decide on program list 3) Wait for interviews to roll in! 4) Register for NRMP (and SF, Military, or AUA) & submit ROL 6/11/20162

3. Choosing a specialty: When to decide? Take electives/selectives in July, August & September to help with specialty choice Ideally, need to decide on specialty and apply by September 15 th May decide as late as October 1 st (Dean’s Letter release date) Can apply in more than one specialty if truly can’t decide July grade will be last grade on Transcript 6/11/20163

4. Selection Criteria for Residency: Results of a National Program Directors Survey Green, Marianne MD; Jones, Paul MD; Thomas, John X. Jr PhD Academic Medicine: March 2009 - Volume 84 - Issue 3 - pp 362- 367 (Link at end of presentation) 6/11/20164

5. Highly Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Orthopedic Surgery 0.8240 Radiation Oncology0.8240 Plastic Surgery0.9249 Otolaryngology0.9243 Dermatology1.0244 Radiology1.3240 Match Outcomes Data, August 2011 6/11/20165

6. Moderately Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Emergency Medicine1.0223 General Surgery1.1227 Obstetrics/Gynecology1.3220 Anesthesiology1.3226 Med/Peds1.3230 Pediatrics1.4221 Match Outcomes Data, August 2011 6/11/20166

7. Less Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 PM & R1.7214 Psychiatry1.8214 Neurology1.8225 Internal Medicine1.8226 Pathology1.9226 Family Medicine2.1213 Match Outcomes Data, August 2011 6/11/20167

8. Can your credentials be enhanced? Step 2 Research Audition electives Joint degree Spanish If your credentials cannot be enhanced, then you may need a back up plan if you are applying to a competitive specialty. 6/11/20168

9. 2012 Match Post-Mortem 98% Match Rate (national average 95%)

10. Graduation requirements: USMLE Step 2 CK Take Step 2 Clinical Knowledge by November 15, 2012 Show passing score of Step 2 CK by December 31, 2012 Lack of a passing score by December 31 means eligibility for the Match and graduation is in question 6/11/201610

11. Graduation requirements: USMLE Step 2 CS Show proof of registration by February to participate in the NRMP Take Step 2 Clinical Skills by April 27 to graduate in May 2013 »Exam taken after March will not be graded until June/July »Some program directors like to see a passing score to interview or rank students Should have gotten financial aid for registration Can take time off from electives/selectives for exam 6/11/201611

12. Step 2 CS 5 Test centers »Philadelphia »Atlanta »Los Angeles »Chicago »Houston 6/11/2016 12

13. Choosing a specialty: What if I can’t decide? Talk to your Advisory College Advisor Talk to Career Goal Advisors in the specialties you are interested in Consider matching in a transitional or preliminary year Apply to more than one specialty Delay residency »Graduate studies »Research year 6/11/201613

14. How do we get there? 1) Choose your specialty Do electives/selectives Meet with College Advisor Careers in Medicine website 2) Prepare application Meet with Alice Pelland for MSPE Meet with Career goal advisor(s) Sign up for ERAS (and/or CAS) Fill out & submit application (Big 3) 1.Solicit LORs 2.Write personal statement 3.Decide on program list 3) Wait for interviews to roll in! 4) Register for NRMP (and SF, Military, or AUA) & submit ROL 6/11/201614

15. Medical Student Performance Evaluation (MSPE) Update  July 20 – last date to meet with staff writer to review draft letter  August 1 – Any CV updates due so that letter can be completed. Remember to send anything you may have promised to send, especially MPH details.  September – review final letter prior to release. Wait for notification that your letter is ready.  October 1 – MSPEs released 6/11/201615

16. College Advisor Meeting Discuss your career choice Discuss your ability to match in that specialty Ways to enhance your application Discuss personal statement and letters of recommendation 6/11/201616

17. Career Goal Advisor(s) Discuss with your CGA: »Your reasons for choosing the field »Your realistic ability to match »Ways to strengthen your application »Whether to do away electives »Program choices and priorities »Number of applications and interviews »Ranking strategies »Listing: http://www.med.unc.edu/md/fourthyear/career-goal- advisors http://www.med.unc.edu/md/fourthyear/career-goal- advisors 6/11/201617

18. Electronic Residency Application Service (ERAS) The application for the “regular match” Important dates: »07/01/2012Access to “MyERAs” »09/15/2012Submit application/ Transcript released »10/01/2012Dean’s letter »05/31/2013Application info purged Check individual program dates After application is submitted, only Profile section can be changed http://www.aamc.org/audienceeras.htm

19. How ERAS Works

20. The MyERAS Program Enter CV information in MyERAS After certification, information cannot be changed »except profile (name, email, address, AOA, phone#, ID#, USMLE#) Enter names of letter of recommendation writers Select programs Import personal statement(s) Assign letters and personal statements for each program Supply 3x4 color (ERAS) and 2x2 black & white (SOM file) photos to SA 7/10/201220

21. 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 »www.aamc.org/eraswww.aamc.org/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

22. Surgical Specialty Matches Ophthalmology »Central Application Service (CAS) & San Francisco (SF) Match Opens in June Target dates to submit application: 9/1/12 »SF Match ROL certification: 1/8/13 Match results released to schools: 1/15/13 Unfilled vacancies announced: 1/18/13 www.sfmatch.org help@sfmatch.org Urology »ERAS and AUA Match »Important dates Registration opens: Summer 2012 ROL Certification: 1/4/13 Match Day: 1/23/13 http://www.auanet.org/content/residency/residency-match.cfm

23. Letters of Recommendation 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 writer ERAS cover sheet Most programs want 3-4 letters »At least 1-2 from chosen specialty Letters from graduate work or research mentors make great 4 th letters MSPE is not a LOR 6/11/201623

24. Letters of Recommendation Deadline for letters is a month earlier than last year Ideally need letters by September 15 or October 1 at the latest Faculty have 3 ways to submit letter »Email to Student Affairs at ERAS@med.unc.edu ERAS@med.unc.edu »Mail paper copy to Student Affairs at CB# 9535, 1001 Bondurant Hall »Load letter directly into ERAS (new this year) 6/11/201624

25. Personal statement Aim for 600-650 words (one page max) 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? 6/11/201625

26. 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 6/11/201626

27. How many programs should I apply to? 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 6/11/201627

28. Average number of applications and target #programs on ROL for Highly Competitive Specialties Dermatology5509 Orthopedics4712 Urology4310-12 Radiology4113 Plastic Surgery2911 Radiation Oncology3411 Match Outcomes Data, August 2011 6/11/201628 Apps ROL

29. Average number of applications and target # programs on ROL Moderately Competitive Specialties Emergency Medicine2711 Anesthesiology2513 General Surgery2211 Obstetrics/Gynecology2311 Pediatrics1710 Match Outcomes Data, August 2011 6/11/201629 AppsROL

30. Average number of applications and target # programs on ROL Less Competitive Specialties Internal Medicine1610 Physical Medicine & Rehabilitation1911 Psychiatry16 9 Pathology16 9 Family Medicine12 8 Match Outcomes Data, August 2011 6/11/201630 Apps ROL

31. Match is Becoming More Competitive

32. The goal is a successful match How do we get there? 1) Choose your specialty Do electives/selectives Meet with College Advisor Careers in Medicine website 2) Prepare application Meet with Alice Pelland for MSPE Meet with Career goal advisor(s) Sign up for ERAS (and/or CAS) Fill out & submit application (Big 3) 1.Solicit LORs 2.Write personal statement 3.Decide on program list 3) Wait for interviews to roll in! 4) Register for NRMP (and SF, Military, or AUA) & submit ROL 6/11/201632

33. Interviews The most important component to program directors in selection of residents How many should you do? »Check “Charting the Outcomes of the match” for specialty specific data »There is a limit to what you can do… 20 interviews is about max 25 would be Herculean 30 would be lethal! Interview workshop to be held: October 19 6/11/201633

34. The goal is a successful match How do we get there? 1) Choose your specialty Do electives/selectives Meet with College Advisor Careers in Medicine website 2) Prepare application Meet with Alice Pelland for MSPE Meet with Career goal advisor(s) Sign up for ERAS (and/or CAS) Fill out & submit application (Big 3) 1.Solicit LORs 2.Write personal statement 3.Decide on program list 3) Wait for interviews to roll in! 4) Register for NRMP (and SF, Military, or AUA) & submit ROL 6/11/201634

35. 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.orghttp://nrmp.org

36. NRMP Dates to Remember 09/01/2012 Registration opens 11/30/2012Application deadline (sans late fee) 1/15/2013Rank order listing opens 2/20/2013Late registration deadline ($50) Final rank order certification (9pm EST!) 3/11/2013Matched/Unmatched info posted online 3/12/2013Re-Match (SOAP) 3/15/2013MATCH DAY!

37. Costs ERASNumber of applications in same specialty up to 10$92 11-20$9 each 21-30$15 each 31 or more$25 each NRMP 20 ranks$50 * 21 or more$30 each * for couples $65/each for 30 ranks 6/11/201637

38. Costs SF Match/CAS$100 registration plus: 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$60 unlimited copies 6/11/201638

39. Predictors of Matching Number of programs ranked!!!!!! »Applying to more programs, means more interviews, means more programs you can rank! Step 1 Step 2 Graduate of top 40 NIH ranked school AOA (medical honor society) Match Outcomes Data, August 2009 6/11/201639

40. Matching 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

41. Matching 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 1.UNC-CH 2.Duke 3.UNC-CH 4.Duke 5.Boston Children's 6.Boston Children's 7.Boston Children's 8.Boston Children’s

42. Review of Residency Application Process Spring – Update CV, schedule appointments Spring/Summer – MSPE (Dean’s Letter) appointments, have photo taken, attend summer ERAS & ranking strategies workshop, take CPX Summer/Fall – Sign up with NRMP, request LORs, write personal statement, research & apply to programs Fall/Winter – Take Step 2 CK and at least register for Step 2 CS, Interview Winter – Submit rank order list

43. Tips for the successful match: 6/11/201643

44. Wisdom Be honest and forthright about your own profile Don’t leave out information—it will be found Be truthful with yourself Listen to advice Hear what is said Give yourself enough options 6/11/201644

45. On-line Resources Careers in Medicine: http://www.aamc.org/students/cimhttp://www.aamc.org/students/cim 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.aamc.org/programs/cim/chartingoutcomes.pdfhttp://www.aamc.org/programs/cim/chartingoutcomes.pdf »ERAS: http://www.aamc.org/students/eras/http://www.aamc.org/students/eras/ »VSAS: http://www.aamc.org/programs/vsas/start.htmhttp://www.aamc.org/programs/vsas/start.htm »NRMP: http://www.nrmp.org/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_Residen cy__Results_of_a.24.aspx http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residen cy__Results_of_a.24.aspx »FREIDA: http://www.ama-assn.org/ama/pub/education-careers/graduate-medical- education/freida-online.shtmlhttp://www.ama-assn.org/ama/pub/education-careers/graduate-medical- education/freida-online.shtml » AAMC Roadmap to Residency: From Application to the Match and Beyond www.aamc.org/publicationswww.aamc.org/publications Click “Student Affairs” 6/11/201645

46. Match Day! UNC School of Medicine - Match 2012