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 Professor of Surgery

Letters of Recommendation MSPE Crafted by OSA JoMo Meetings – Reality Therapy

April May June July Aug.

Sept.

Oct.

Nov.

Class Meeting #1 Class Meeting #2 Interview Workshop

Class Meeting

MSPE Released Oct. 1

The Process

(April-Nov. 2014)

Interviews Advocacy Call

October November December January February March

Rank List Deadline (Applicants & Programs) Match Day

The Process

(Nov. – March 2015)

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 2011 Class of 2012 Class of 2013 Class of 2014

Top of the Class

4% 6% 5% 9%

Outstanding

29% 31% 38% 55%

Excellent-Outstanding Excellent Very Good to Excellent Very Good Good

25% 37% 3% 2% 33% 27% 3% 22% 32% 3% 34% 2% -

    

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 Email 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. 302. 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  Email  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

Ranked to Match 10 20 Take Group (3 cycles) 30 40 Bubble 50 60 70 80 DNR 90 100

• • • Assume a program takes 10 categorical residents.

Assume the program interviews 100 applicants.

The advocacy call has its greatest impact on the

bubble

group.

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

2013

160 Total graduates Total residency placements Matching at University Program 157 149/157 = 94%

2014

171 164 157/164 = 96%

Specialty Match Data

Specialty Anesthesiology Dermatology Emergency Medicine Family Medicine Internal Medicine Medicine/Dermatology Neurological Surgery Neurology Obstetrics and Gynecology Ophthalmology Oral Maxillo Facial Surgery Orthopaedic Surgery Otolaryngology Pathology Pediatrics Plastic Surgery Psychiatry Radiation Oncology Radiology-Diagnostic Surgery Urology Total # of Students 4 7 17 2 32 1 3 8 % of Students Matching 2.4

4.3

10.4

1.2

19.5

0.6

1.8

4.9

10 13 3 9 8 3 14 1 4 4 7 11 3 164 6 7.9

1.8

5.5

4.9

1.8

8.5

0.6

2.4

2.4

4.3

6.7

1.8

99.7% Surgery & Surgical Specialties General Surgery Neurosurgery Ophthalmology Oral Maxillo Facial Surgery Orthopaedic Surgery Otolaryngology Plastic Surgery Urology Total # of Students 11 3 13 % of Students Matching 6.7

1.8

7.9

3 9 8 1 3 51 1.8

5.5

4.9

0.6

1.8

30% Primary Care Family Medicine Internal Medicine Pediatrics Total # of Students 2 32 14 48 % of Students Matching 1.2

19.5

8.5

29.20%

Matching at Penn, 2014

Total

HUP CHOP Scheie Penn Hospital Number of Students

42

35 5 2 0 % of Students Matching

26%

22% 3% 1% 0%

Matches at Other Premier Institutions: Class of 2014

Institution

• • • Harvard Brigham & Women’s Hospital Children’s Hospital Boston Massachusetts's General Hospital University of California San Francisco (UCSF) New York University Weill Cornell Medical Center Barnes Jewish/Washington University Johns Hopkins Columbia University Medical Center University of Michigan University of Washington University of California Los Angeles University of Texas Southwestern University of Virginia Stanford University of Chicago University of Miami Bascom Palmer University of Pittsburgh University of Texas MD Anderson

# of Students Matched

2 1 1 1 1 1 26 Total (9) (3) (14) 12 9 6 4 4 4 4 4 2 2

What You Need to Do

• Meet with JoMo before

Sept. 1 st

• • • • • Tuesdays and Friday mornings Call 215-898-7190, or email [email protected]

YOU MUST MAKE AN APPOINTMENT BEFORE MAY 15, 2014!

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 [email protected]

by June 1, 2014 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 • Next class meeting –

late May

• MyERAS opens; students may begin working on application –

Mid- April

• ERAS Opens to Programs –

Sept. 15 th