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Preparing for 4th Year and the Match Danielle Maholtz, OMSIV Summary Licensing Exams: timing, preparation, to USMLE or not to USMLE? Scheduling Electives and VSAS Roadmap to 4th year ERAS: selection of programs and cost Interviews, travel and budget Preparing the ROL Match Day and SOAP Licensing Exams COMLEX Level 1: Second year COMLEX Level 2 CE: Third year COMLEX Level 2 PE: In Conchahocken, PA Register early (summer/fall of 3rd year) for best dates COMLEX Level 3: Intern year COMLEX is accepted for Licensure in all 50 states Board Certification is a separate process: Board exams are taken at the end of residency To USMLE or not to USMLE? If you plan to complete your residency and fellowship within an AOA program, USMLE is not required ACGME Program Director Survey 94% of program directors selected USMLE/COMLEX Level 1 score as most important factor in selecting applicants to interview with an importance rating of 4.1/5 31% of programs state they use USMLE Step 1 score only to know if applicants PASSED 36% of program directors state they use COMLEX Level 1 score to know if applicants PASSED and an additional 41% of program directors state they use it to see if students hit a target score Total of 77% USE COMLEX Level 1 (12% less than USMLE Step 1) 65% look at ethics and professionalism with an importance factor of 4.5/5 If you plan to apply for ACGME programs, check with each individual program to see if they require Step 1, Step 2 or both and what their minimum scores are Check Freida (https://login.ama-assn.org/account/login) Preparing for Licensing Exams: Level 1 Study for your classes: Lots of pharmacology and pathology on Level 1/Step 1 First Aid +/ Doctors in Training, Kaplan, PASS program, Pathoma, etc. Question Banks: USMLE World, COMBANK, COMQuest Make a schedule and allow yourself some time for exercise, sleep and family Schedule Exams a few days apart if you choose to do both COSGP Medical Education Research COMLEX Level 2 Your COM will send you an email when you are eligible to register Cognitive Evaluation (CE) Similar format and study resources as for Level 1 Material tested is less basic science and more clinical Performance Evaluation (PE): 12 standardized patients 6 hour clinical skills exam at the NBOME testing center in PA 14 min encounter + 9 min SOAP note 8-10 weeks for scores to be reported Ideally, you want passing PE scores at the time that ERAS opens (September 15th) so try to schedule your COMLEX PE during summer of 3rd year (May, June, July) Licensure vs Board Certification You apply for a license through the state in which you practice Requires all 3 steps of COMLEX Some residencies cover cost – different based on state Board Certification is specialty specific and requires completion of residency training AOA Board Certification American Board of Medical Specialties (ABMS) Dual Certification is available CME will be based on which Board certification is obtained http://osteopathic.org/inside-aoa/development/aoa-boardcertification/Pages/default.aspx http://www.abms.org/About_ABMS/ Scheduling Electives and Core Rotations Check to see what requirements your school has and make sure you schedule blocks to fulfill them Electives: Some schools have max number of weeks in a single specialty (ex: 16 weeks max in Pediatrics) If you can, schedule vacation weeks that allow sufficient time to study for Level 2 and travel to PA for Level 2 CE You may need to schedule vacation time for interviews and/or COSGP meetings Check your school policies and MAKE SURE you meet all requirements for graduation Audition Rotations/SubInternships Pros “Mandatory” for some osteopathic programs: you are more likely to be ranked if you rotate there Try out a program Prove yourself See an area of the country that you may want to train in Some programs offer courtesy interviews to Sub-Interns Adventure! Cons Not always necessary for allopathic programs Expensive!! Double rent vs living out of suitcases People will see your shortcomings in addition to your strengths so you have to perform at your peak at all times Learning a new system (EMR, hospital layout, etc) every month is a challenge Away Electives Call the medical student coordinator at the host site Program specific application process Check the website of the program you’re interested in rotating at Visiting Student Application Service (VSAS) – vsas.aamc.org Centralized application service: Upload required documents and assign them to specific programs ($15 per application) Check application opening dates, required forms (specific immunization forms) Earliest opening date for Applications is February 1 but many programs take applications beginning in March, April or May for Fall rotations Helpful Resources & Ideas Try to schedule in August, September and/or October (new interns in July Interview season is October-January Rental cars are MUCH cheaper if you go through Hotwire.com or a similar site Now is a great time to apply for a credit card which gives you airline miles if you don’t already have one! Housing Check with the host site about visiting student housing Websites - Rotatingroom.com, Airbnb.com, craigslist.com Consider rotating in places where you have generous friends/family with an extra room Preparing for ERAS and the Match Registration for the Match Registration for NMS and NRMP are separate from ERAS! National Matching Service: Osteopathic Match $60 Registration fee. Deadline: Nov 1, 2014 to avoid late fee. https://www.natmatch.com/aoairp/applregister.html National Resident Matching Program: Allopathic Match $65 registration fee. Deadline Nov 30, 2014 to avoid late fee. http://www.nrmp.org Match Prism tracking App for iPhone and Android ERAS: Electronic Residency Application Service Documents: COMLEX/USMLE transcripts, LORs, Personal Statement(s)- assign these to programs Application: General Info, Licenses (ACLS, etc.), Medical Education Medical School Honors/Awards Membership in Honorary/Professional Societies Education and Prior Training Experience: Research, work, volunteer Publications: Peer Reviewed Articles/Abstracts, Other articles, Oral Presentations Languages Hobbies and Interests Other Awards and Accomplishments Programs Search and Apply to MD and DO programs Assign documents to the programs you apply to You can have multiple personal statements Most programs require 3 LORs but will take up to 4 EM may require a SLOE (standard letter of evaluation) Some programs will require a LOR form the Department Chair Applicant Document Tracking System (ADTS) allows you to see when your documents are downloaded ERAS Application Fees: Programs Up to 10 - $95 total Programs 11-20 - $10 each Programs 21-30 - $16 each Programs 31 or more - $26 each Requesting COMLEX Scores $75 Requesting USMLE Scores $75 Helpful Resources and Hints Start ERAS early! It will take several hours to enter all of your amazing accomplishments. The Personal Statement (PS) might be the hardest thing you write in med school. Revise, Revise Revise! Have people proofread your application and Personal Statement. Don’t embellish your CV just to fill space but be sure to include any presentations you’ve given for your SGA or COSGP. They count! Check each program’s website for application requirements. Some want your PS to address a specific topic or have LOR specifications. Number of programs you apply to will depend on your specialty and qualifications. Researching Programs and Specialties Opportunities.osteopathic.org FREIDA: https://login.ama-assn.org/account/login Osteopathic GME Match Report: http://data.aacom.org/aacomas/do_gme_match_report2012.asp NRMP Charting Outcomes in the Match: http://b83c73bcf0e7ca356c80e8560f466940e4ec38ed51af32994bc6.r6.cf1.rackcdn.com/wpcontent/uploads/2013/08/resultsanddata2013.pdf NRMP Charting Outcomes in the Match: Specialties Match http://b83c73bcf0e7ca356c80e8560f466940e4ec38ed51af32994bc6.r6.cf1.rackcdn.com/wpcontent/uploads/2013/06/NRMP-Charting-Outcomes-in-the-MatchSpecialties-Matching-Service-1st-Edition-Published-May-2013.pdf Interviews and Budgeting Most people do between 6-12 interviews Interview invitations will start being issued within days of ERAS opening and continue well into December. Respond ASAP to get your choice of dates. Check your spam folder! Some programs will pay for your hotel Event with residents the night before, Interview day usually ~8a-2p. Details in program email. If you’re doing an elective at a site where you end up getting lots of interviews, try to schedule them so that you can drive. Use a spreadsheet and/or Google Calendar to keep track of logistics and program details that are important to you. Outline Options Program title and location University vs community based Interview offered? Research opportunities Interview date Moonlighting Travel and lodging plans International elective Number of residents Salary Residency start date Preparing the Rank Order List ROL opens for Osteopathic Match Participants on Jan 7, 2015due Jan 23, 2015 ROL opens for Allopathic Match Participants on Jan 15, 2015due February 25, 2015 Must certify your ROL prior to deadline but can make changes up until the deadline Rank programs in order of your training preferences, not how you think the programs will rank you. Match Day and SOAP (Supplemental Offer and Acceptance Program) Friday before Match week: email notification of SOAP eligibility-does not mean that you didn’t match! Find out WHETHER you have matched on Monday of Match week SOAP (the scramble): applicants apply for any unfilled spots through ERAS Find out WHERE you matched on Friday of Match week Osteopathic Match: February; Allopathic Match: March If you Match in the Osteopathic match you MUST withdraw your application from the Allopathic Match! To participate in the osteopathic scramble, you must have registered for the NMS Match (even if you don’t rank any programs) **If you do the Allopathic Match you cant scramble into Osteopathic programs until after the Allopathic scramble** Side Note Criteria for AOA Recognition of ACGME PGY1 Training The applicant must be an AOA member in good standing The applicant must complete the application for AOA training recognition The ACGME must submit a letter listing PGY1 core rotations Applicants must participate in an osteopathic educational activity Attend 1 category 1-A CME sponsored educational conference for minimum of 8 CME credits Osteopathic clinical presentation for peer residents Develop an original research paper on a clinical or educational topic in osteopathic medicine May present at a category 1-A CME sponsored conference in a specialty area that includes an osteopathic component if you have completed residency Overall Timeline Third Year Fall – Register for COMLEX Level 2 CE and PE January – Contact programs for possible rotations February – VSAS opens March/April – Submit VSAS applications Fourth Year July 15 – AOA ERAS Application Submission Begins September 15 – MD ERAS Application Submission Begins October-January – Interviewing November 1 – NMS Match Registration Due November 30 – NRMP Match Registration Due January 15 – NMS ROL Due February 25 – NRMP ROL Due February – NMS Match Day March – NRMP Match Day May/June - Graduation Questions?