1. Scheduling 4 th Year & Introduction to Residency Application Process Office of Student Affairs University of North Carolina School of Medicine December 13, 2013

2. FOURTH-YEAR SCHEDULING & RESIDENCY APPLICATION MS3 CLASS MEETING AGENDA Georgette Dent, MD 8:30-9:00 amWelcome/4 th Year Graduation Requirements/EPIC update Leanne Shook 9:00-9:30 am Scheduling Your 4 th Year Courses Sheila Graham McDonald 9:30-10:00 amFinancial Aid, Debt Management and Funding Interviews Georgette Dent, MD 10:00-10:20 amHumanism in Medicine Nominations Wellness Survey 10:20-10:30 amBreak Georgette Dent, MD 10:30-11:00 amIntroduction to Residency Application Process MS4 Students 11:00 amStudent Panel

3. EPIC Training Requirement  Look for a memo to the MS3 listserv with instructions for signing up for EPIC classes with your UNCH domain account  Need to sign release form today so that we can get your UNCH domain account set up  You will get an individual email with information about your UNCH domain account  Training starts February, 2014  You will not be able to do a clinical clerkship or elective at Chapel Hill after April 4, 2014 if you have not had training!  There is a total of 8 hours of instructor-led training in Morrisville, NC  There are 1 to 2 hours of online modules that must be completed before the instructor led training  Do not sign up for a date that conflicts with an OSCE, shelf exam, exam, or dayback

4. 4 th Year Considerations Finalize specialty choice Obtain letters of recommendation Meet with college advisors, career goal advisors, and staff writer (January-August) Take CPX, Step 2 CK and CS Do “audition electives” Apply and interview for residency Prepare for internship

5. UNC’s USMLE Step 2 CK Policy Take Step 2 Clinical Knowledge by November 15, 2014 Show passing score of Step 2 CK by December 31, 2014 Lack of a passing score by December 31 means your eligibility for the Match and graduation is in jeopardy

6. UNC’s USMLE Step 2 CS Policy We recommend that you take Step 2 CS by November 1, 2014 (irrespective of SOM policy)! SOM policy mandates that you have a test date scheduled by February 18, 2015 MUST take step 2 clinical skills by the last day of the term preceding graduation (4/24/15) Will get financial aid to pay for registration Will get time off from electives/selectives to take exam

7. Step 2 CS 5 Test centers Atlanta Chicago Houston (least busy) Los Angeles Philadelphia (most busy)

8. 4 th Year Course Requirements 10 month calendar (July – April) 7 Required courses + Capstone Required Selectives AHEC Acting Internship (AI) Advanced Practice Selective Acute Care Selective Science of Medicine Selective 3 Electives (12 weeks) Clinical Practice Exam (CPX) Capstone Course (1 week)

9. Scheduling 4 th Year Forms due before 5:00 pm on March 3, 2014 Need e-mail or signature of Career Goal Advisor or Advisory College Advisor July grades go in Dean’s Letter Separate schedule sheet for July/August blocks, AHEC AI, Acute care, advanced practice and Science of Medicine selective, electives, outpatient medicine, etc. Ideally schedule one or two month(s) for interviews (depending on specialty) –October – January depending on specialty (November or December typically the best months) Schedule free period for “audition elective” Schedule time to prepare for Step 2 CK

10. August Grades Tell staff writer want August grade included Approval will be based on specialty choice Student Affairs will track the grades and try to get them posted in time for Dean’s Letter release Student Affairs can also send transcripts when grade comes in Student will have to email programs to let them know transcript has been updated

11. When do you need to decide on specialty? Can take electives/selectives in July, August and maybe September to help with specialty choice Need to decide on specialty by August 15 th (early match specialty) or September 15 th for a competitive specialty Ideally, you want your ERAS application submitted by September 15 th May decide by as late as October 1 st for some specialties (e.g. specialties that are not too competitive or competitive specialties that wait for Dean’s Letter release on October 1 st )

12. Fourth-Year Schedule Summary Preference forms due March 3 rd Take electives in specialty (ies) of choice July grades go in MSPE (Dean’s Letter) Attend Summer Workshop Friday, July 11 or Friday, August 8 G100 Bondurant Hall, 12:00 – 1:00pm Consider taking away electives (“audition”) Take the 4 required selectives Take CPX exam Take Step 2 CK and Step 2 CS exams Schedule time to interview Attend Residency Interview Workshop in October

13. Fourth Year Scheduling Leanne Shook

14. Financial Aid, Debt Management and Funding Interviews Sheila Graham McDonald

15. Humanism in Medicine Nominations https://www.surveymonkey.com/s/U NCHIM Wellness Survey https://unc.az1.qualtrics.com/SE/?SI D=SV_eG9Q0RXeDJUojZP https://www.surveymonkey.com/s/U NCHIM https://unc.az1.qualtrics.com/SE/?SI D=SV_eG9Q0RXeDJUojZP

16. Medical Student Performance Evaluation (Dean’s Letter )Process Introduction to Residency Application Process

17. Some 4 th Year Costs (estimates) Step 2 CK $580 Step 2 CS $1230 + travel costs ERAS$92 (estimate for 10 programs) NRMP$60 (estimate for up to 20 ranks) Travel costs $2000 to $10,000

18. Costs (estimates)  ERAS: Number of applications in same specialty  up to 10$92  11-20$9 each  21-30$15 each  31 or more$26 each  NRMP: 20 ranks$60 *  21 or more$30 each  * for couples $75/each for 30 ranks 6/12/201618

19. Medical Student Peformance Evaluation Packet Medical Student Performance Evaluation (MSPE or Dean’s Letter) Transcript Comments from 3rd year clerkships and July electives/selectives 1 st and 2 nd year grade distributions 3 rd year grade distribution for past 2 years Answers to AAMC questions (appendices)

20. Dean’s Letter/Medical Student Performance Evaluation (MSPE) Identifying Information Unique Characteristics Academic History Combined degrees Remedial work Leave of Absence (research, personal, medical, etc) Academic Progress Preclinical record Clinical clerkship and elective record Summary paragraph Appendices (answers to AAMC questions) New this year! College Advisors will no longer “sign” MSPE allowing them to write letters of recommendations

21. MSPE Appointment Update curriculum vitae, submit to staff writer at staffwriter@med.unc.edu! staffwriter@med.unc.edu Meet with Staff Writer, to review Medical Student Performance Evaluation (MSPE) Appointments available April – July If you are a student returning from a LOA and have completed third year you must schedule your MSPE appointment in February, March, or April! After May 1 st we’ll make appointment for you Read or listen to letter in September

22. Contact Information To Schedule appointments with Staff Writer and College Advisor: staffwriter@med.unc.edu College Advisor contact Jeri at jeri_copeland@med.unc.edu jeri_copeland@med.unc.edu

23. Career Goal Advisors Provide CGA with CV, personal statement, transcript Review your permanent record in 1001 Bondurant Encourage CGA to review your permanent record May meet CGA today Stay in touch with CGA to discuss: choices of programs & priorities activities to strengthen application number of applications/interviews electives here & away interview etiquette ranking strategies List of CGAs can be found at http://www.med.unc.edu/ome/studentaffairs/academic-assistance-and- advising/career-counseling-and-careers-in-medicine-1/career-goal-advisorshttp://www.med.unc.edu/ome/studentaffairs/academic-assistance-and- advising/career-counseling-and-careers-in-medicine-1/career-goal-advisors

24. 4 th Year Advising Meeting Required meeting with College Faculty Advisor from January to August to discuss Specialty choice Plan for selecting a specialty if undecided Competitiveness for specialty choice (s) 4 th year schedule Away electives Plan for letters of recommendation Number of programs applying to Career goal advisor Personal statement

25. Selection Criteria for Residency: Results of a National Program Director’s Survey 1207 Program directors from 20 specialties responded: 1. Grades in required clerkships 2. USMLE step 1 score 3. Grades in senior electives in specialty 4. Number of honors grades in clerkships 5. USMLE Step 2 score 6. USMLE Step 2 CS pass 7. Class rank* *UNC does not put student rank on Dean’s Letter

26. Selection Criteria for Residency: continued 8. Membership in Alpha Omega Alpha (AOA) 9. Medical school reputation 10. Medical school academic awards 11. Grades in other senior electives 12. Grades in pre-clinical courses 13. Published medical school research 14. Research experience while in medical school *Importance of items differs by specialty

27. Highly Competitive Specialties Median Step 1 and Step 2 Scores of Matched Students Step 1 Dermatology244 Orthopedic Surgery 240 Otolaryngology243 Plastic Surgery249 Radiation Oncology240 NRMP Results and Data 2013 Main Residency Match

28. Moderately Competitive Specialties Mean Step 1 and Step 2 Scores of Matched Students Step 1Step 2 Anesthesiology227238 Emergency Medicine224238 Obstetrics/Gynecology221236 PM & R216231 Radiology242 Not available NRMP Results and Data 2013 Main Residency Match

29. Less Competitive Specialties Median Step 1 and Step 2 Scores of Matched Students Step 1Step 2 Family Medicine213227 Internal Medicine226239 Neurology219232 Pathology226234 Pediatrics222 236 Psychiatry214226 NRMP Results and Data 2013 Main Residency Match

30. Percent US Seniors In Honor Society (AOA) who Matched in 2013 Source: AAMC Careers in Medicine

31. Predictors of Matching Number of programs ranked! Step 1 Step 2 Graduate of top 40 NIH ranked school AOA (medical honor society) Match Outcomes Data, August 2009

32. Can your credentials be enhanced? Step 2 Research Audition electives Joint degree Spanish If your credentials cannot be enhanced, you may need a back up plan if you are applying to a highly competitive specialty.

33. Electronic Residency Application Service (ERAS) Web-based for: Application Personal statement Photograph Assignment of LoRs MSPE/Dean’s letter Transcript Selection of programs Estimated fee of $92 Opens to applicants – Summer 2014 Opens to programs – September 15, 2014

34. Central Application Service (CAS) Specialties & the San Francisco Match Specialties: Ophthalmology www.sfmatch.org Dates: Rank order lists due and results usually released in January help@sfmatch.org

35. For the USMLE exam and the ERAS application, you will need photographs Turn in a 2x2 black and white (for transcript) and 3x4 color (for ERAS) print to 1001 Bondurant Hall But why do I need a new photograph? Photographs

36. First Year

37. Photographs Before After

38. The National Resident Matching Program (NRMP) All students enroll regardless of specialty! Estimated Fee of: $60 Matches applicants with programs based on preferences Not an application service Uniform dates nationally Eliminates pressure to make a decision before all of your options are known

39. Review of Residency Application Process Spring – Update CV, schedule appointments Spring/Summer – Dean’s Letter meeting, 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

40. Additional Helpful Resources AAMC Careers in Medicine https://www.aamc.org/cim/345598/newcim.html https://www.aamc.org/cim/345598/newcim.html AAMC Roadmap to Residency: From Application to the Match and Beyond https://members.aamc.org/eweb/upload/Roadmap%20to%20Res idency%202ndEd.pdf https://members.aamc.org/eweb/upload/Roadmap%20to%20Res idency%202ndEd.pdf NRMP Charting Outcomes in the Match – Characteristics of Applicants Who Matched to their Preferred Specialty in the 2011 NRMP Main Residency Match http://b83c73bcf0e7ca356c80- e8560f466940e4ec38ed51af32994bc6.r6.cf1.rackcdn.com/wp- content/uploads/2013/08/chartingoutcomes2011.pdf http://b83c73bcf0e7ca356c80- e8560f466940e4ec38ed51af32994bc6.r6.cf1.rackcdn.com/wp- content/uploads/2013/08/chartingoutcomes2011.pdf NRMP Program Director Survey Results http://www.siumed.edu/oec/Year4/References/NRMP%20PDSur vey%202012.pdf NRMP Program Director Survey Results http://www.siumed.edu/oec/Year4/References/NRMP%20PDSur vey%202012.pdf

41. Match Week – March 2015 ERAS Opens July 1, 2014 NRMP Registration September 15, 2014 ERAS Application Submission September 15, 2014 Rank Order List opens January 2015 Rank Order List closes February 2015

42. QUESTIONS