1. Residency Workshop Summer 2014 July 11 & August 8 Bondurant Hall G100 Dr. Georgette Dent & Dr. Robert Gwyther Office of Student Affairs

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 (e.g. Characteristics of Entering Residents, etc) 2) Prepare application Meet with Ashley Olsson for MSPE Meet with Career goal advisor(s)/College advisors 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 6/14/20162

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 6/14/20163

4. Top 10 Screening Criteria for Interviews Results of an NRMP Program Directors Survey 1. USMLE Step 1 Score (94%) 2. Letter of recommendation in the specialty (86%) 3. Medical School Performance Evaluation (84%) 4. USMLE Step 2 (80%) 5. Personal statement (78%) 6. Graduate of U.S. allopathic medical school (75%) 7. Grades in required clerkships (70%) 8. Gaps in medical education (70%) 9. Honors in clinical clerkships (69%) 10. Perceived commitment to specialty (69%) http://www.nrmp.org/wp-content/uploads/2014/05/GSA-2014-Web-Post.pdf 6/14/2016 4

5. Highly Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Dermatology1.0244 Orthopedic Surgery 0.8240 Otolaryngology0.9243 Plastic Surgery0.9249 Radiation Oncology0.8240 Radiology1.3240 Match Outcomes Data, August 2011 6/14/20165

6. Moderately Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Anesthesiology1.3226 Emergency Medicine1.0223 General Surgery1.1227 Med/Peds1.3230 Obstetrics/Gynecology1.3220 Pediatrics1.4221 Match Outcomes Data, August 2011 6/14/20166

7. Less Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Family Medicine2.1213 Internal Medicine1.8226 Neurology1.8225 Pathology1.9226 PM & R1.7214 Psychiatry1.8214 Match Outcomes Data, August 2011 6/14/20167

8. Percent US Seniors In Honor Society (AOA) who Matched in 2011 Source: NRMP Charting Outcomes in the Match – Characteristics of Applicants Who Matched to their Preferred Specialty in the 2011 NRMP Main Residency Match

9. 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 or parallel plan 6/14/20169

10. Graduation requirements: USMLE Step 2 CK 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 eligibility for the Match and graduation is in question 6/14/201610

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 25 to graduate in May 2014 »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 6/14/201611

12. Step 2 CS 5 Test centers »Philadelphia »Atlanta »Los Angeles »Chicago »Houston 6/14/2016 12

13. 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 6/14/201613

14. 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 6/14/201614

15. 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 Ashley Olsson 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 6/14/201615

16. Medical Student Performance Evaluation (MSPE) Update  July 26 – 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 6/14/201616

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/ome/studentaffairs/ac ademic-assistance-and-advising/career- counseling-and-careers-in-medicine-1/career- goal-advisors http://www.med.unc.edu/ome/studentaffairs/ac ademic-assistance-and-advising/career- counseling-and-careers-in-medicine-1/career- goal-advisors 6/14/201617

18. 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 »https://www.aamc.org/services/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

19. 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 7/10/201319

20. Electronic Residency Application Service (ERAS) The application for the “regular match” Important dates: »04/15/2014Access to “MyERAs” »09/15/2014Submit application/ Transcript released »10/01/2014MSPE »05/31/2015Application info purged Check individual program dates After application is submitted, only Profile section can be changed https://www.aamc.org/students/medstudents/eras/

21. Surgical Specialty Matches Ophthalmology »Central Application Service (CAS) & San Francisco (SF) Match Opens in June Target dates to submit application: 9/3/14 »SF Match ROL certification: 1/6/15 Match results released to schools: 1/13/15 Unfilled vacancies announced: 1/14/15 www.sfmatch.org help@sfmatch.org Urology »ERAS and AUA Match »Important dates Registration opens: Summer - June 2014 ROL Certification: 1/5/15 Match Day: 1/21/15 http://www.auanet.org/education/urology-and-specialty-matches.cfm

22. 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 6/14/201622

23. Letters of Recommendation 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 6/14/201623

24. 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? 6/14/201624

25. 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 6/14/201625

26. 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 6/14/201626

27. Average number of applications and target #programs on ROL for Highly Competitive Specialties Dermatology7009 Orthopedics6612 Plastic Surgery2911 Radiology5213 Radiation Oncology7811 Urology5210-12 CiM and NRMP data 6/14/201627 Apps ROL

28. Average number of applications and target # programs on ROL Moderately Competitive Specialties Anesthesiology3413 Emergency Medicine3711 General Surgery4211 Obstetrics/Gynecology3411 Pediatrics2310 CiM and NRMP data 6/14/201628 AppsROL

29. Average number of applications and target # programs on ROL Less Competitive Specialties Family Medicine19 8 Internal Medicine2810 Pathology22 9 Physical Medicine & Rehabilitation2411 Psychiatry24 9 CiM and NRMP data 6/14/201629 Apps ROL

30. 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 Ashley Olsson 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 6/14/201630

31. Interviews The most important component to program directors in selection of residents How many should you do? »At least enough for your target ROL number »Check “Charting the Outcomes of the match” for specialty specific data Interview workshops to be held on August 29 & September 26 If you do not have enough interviews by November, you are at risk for not matching and need a plan B! 6/14/201631

32. LGBT ISSUES Most program directors are primarily concerned with whether or not you can do the job and not as concerned about your personal life You should not hide who you are If there is a problem it is better to find it out before your match Environment has changed for the better during the past few years Some programs are interested in LGBT applicants for reasons of diversity Timely information can sometime be obtained off of the web Partner benefits may be an issue 6/14/201632

33. Ranking Criteria Results of a 2014 NRMP Program Directors Survey 1. Interactions with faculty during interview/visit (93%) 2. Interpersonal skills (93%) 3. Interactions with housestaff during interview/visit (88%) 4. Feedback from current residents (82%) 5. USMLE Step 1 score (80%) 6. Letters of recommendation in the specialty (74%) 7. USMLE Step 2 score (71%) 8. Medical School Performance Evaluation (68%) 9. Perceived commitment to specialty (67%) 10. Evidence of professionalism and ethics (64%) http://www.nrmp.org/wp-content/uploads/2014/05/GSA-2014-Web-Post.pdf 6/14/2016 33

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 Ashley Olsson for MSPE Meet with Career goal advisor(s)/College advisors 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 6/14/201634

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 09/15/2014Registration opens ($60.00) 11/30/2014Application deadline ($50.00 late fee after this date) 1/15/2015 Rank order listing opens 2/25/2015Final rank order certification (Before 9pm EST!) 3/16/2015 Matched/Unmatched info posted online 3/19/2015SOAP (fka Scramble) concludes 3/20/2015MATCH DAY!

37. Costs ERASNumber of applications in same specialty up to 10$95 11-20$10 each 21-30$16 each 31 or more$26 each NRMP 20 ranks$60 * 21 or more$30 each * for couples $75/each for 30 ranks 6/14/201637

38. Costs SF Match/CAS$100 registration plus: 1-10 apps$60 each 11-20$10 each 21-30$15 each 31-40$20 each > 41$35 each AUA Match$75 no limit NBME$75 unlimited copies 6/14/201638

39. 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

40. 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

41. 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

42. Tips for the successful match: 6/14/201642

43. What puts you at risk for not matching? Competitiveness issues: academic/professionalism problems (e.g. USMLE, grades, no research) Apply to more programs Apply to back up specialty Well crafted personal statement to provide context to record Try to enhance credentials (e.g. early Step 2, research year, do well 4 th year) Away electives Attitudinal/interpersonal issues: poor interviewer; ambivalent about medicine or specialty Take electives to better define specialty choice Do practice interviews Geographical issues: Apply to more than one specialty Do elective and/or research in targeted location Couples need to apply to at least one big cold city

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 6/14/201644

45. On-line Resources Careers in Medicine: https://www.aamc.org/students/medstudents/cim/https://www.aamc.org/students/medstudents/cim/ Personal Career Assessment »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: https://www.aamc.org/students/medstudents/vsas/https://www.aamc.org/students/medstudents/vsas/ »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” 6/14/201645

46. Match Day! 6/14/2016 46