Transcript Career Goal Advisor Workshop Spring 2011 Dr. Georgette Dent Office of Student Affairs Larry Keith Advisory College University of NC School of Medicine.

Career Goal Advisor Workshop
Spring 2011
Dr. Georgette Dent
Office of Student Affairs
Larry Keith Advisory College
University of NC School of Medicine
Objectives
1. Coordinate activities of Career Goal Advisors
with College Advisors
2. Discuss career advising programs in view of
increased competitiveness of match (e.g.
back up plans, coordination of away electives
and program lists)
3. Review 4th year activities (curriculum,
residency application, boards, interviews,
etc.)
Career Goal Advisors
Versus
College Advisors
College Advisors vs Career Goals Advisors
• Advisors assigned at
matriculation
• Meet each semester with
each student
• Review strengths and
weaknesses
• Advocate for struggling
students
• Assist with scheduling,
shadowing, summer
research
• Miscellaneous
• Explain your specialty
• Review the students
grades, Step scores,
evaluations – Will they
match?
• Suggest fourth year
courses, schedules value of
research year, mph
• +/- letter writer
• Point them towards
programs
What do students want to know?
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Will they match?
Do they need to do away electives?
How many letters do they need, and from whom?
How many programs should they apply to?
How important is research?
When should they take Step 2 CK & CS?
What are “good” programs?
Career Goal Advisor(s)
• Discuss with your CGA:
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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-goaladvisors
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Increased
Competitiveness
of Match
“Jaws of Death”
Match has become more competitive
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Highly Competitive Specialties:
Ratio of US Seniors to Position
Median Step 1 Scores for Matched Students
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Plastic Surgery
Dermatology
Orthopedic Surgery
Otolaryngology
Radiation Oncology
Radiology
Ratio
Step 1
1.5
1.3
1.2
1.1
1.1
0.9
242
242
238
240
238
238
Match Outcomes Data, August 2009
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Average number of applications and
target #programs on ROL for
Highly Competitive Specialties
Apps
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Dermatology
Orthopedics
Urology
Radiology
Plastic Surgery
Radiation Oncology
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55
47
43
41
29
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ROL
8
12
10-12
12
9
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Match Outcomes Data, August 2009
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Moderately Competitive Specialties:
Ratio of US Seniors to Positions
Median Step 1 Scores for Matched Students
General Surgery
Emergency Medicine
Obstetrics/Gynecology
Anesthesiology
Med/Peds
Pediatrics
Ratio
0.9
0.9
0.8
0.8
0.8
0.7
Step 1
224
222
219
224
225
219
Match Outcomes Data, August 2009
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Average number of applications and
target # programs on ROL
Moderately Competitive Specialties
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Emergency Medicine
Anesthesiology
General Surgery
Obstetrics/Gynecology
Pediatrics
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Apps
ROL
27
25
22
23
17
10
12
11
10
8
Match Outcomes Data, August 2009
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Less Competitive Specialties:
Ratio of US Seniors to Position
Median Step 1 Scores for Matched Students
Pathology
Psychiatry
PM & R
Neurology
Internal Medicine
Family Medicine
Ratio
0.6
0.6
0.6
0.6
0.5
0.4
Step 1
227
216
214
225
225
214
Match Outcomes Data, August 2009
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Average number of applications and
target # programs on ROL
Less Competitive Specialties
Apps
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Internal Medicine
Physical Medicine & Rehabilitation
Psychiatry
Pathology
Family Medicine
16
19
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16
12
ROL
9
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7
8
6
Match Outcomes Data, August 2009
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Choosing a specialty: How
competitive am I ?
• Charting the Outcomes of the Match
» Compares step scores by specialty with
percentages of students who have matched
» Shows number of programs ranked and how
many students matched
» Data regarding AOA status, research projects,
NIH funded school
» http://www.aamc.org/programs/cim/chartingout
comes.pdf
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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 362367 (Link at end of presentation)
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UNC SOM Unmatched Students
• 2010
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6 Unmatched students
Dermatology: 3
Anesthesiology: 1
Ob/Gyn: 1
General surgery: 1
• 2011
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6 Unmatched students
Orthopaedic surgery: 3
Otolaryngology: 1
Preliminary surgery: 1
Neurology: 1
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Predictors of Matching
• Number of programs ranked!!!!!!
» Applying to more programs, means more
interviews, means more programs you can
rank!
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Step 1
Step 2
Graduate of top 40 NIH ranked school
AOA (medical honor society)
Match Outcomes Data, August 2009
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th
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Year
Curriculum
Boards
Applying for residency
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Letters of Recommendation
Personal statement
Mix and number of programs
Away electives
Interviewing
Important Dates
• ERAS opens – July 2011
• Program directors can review applications – September
1, 2011
• Dean’s letter released – November 1, 2011
• Last day to withdraw from match – February 22, 2012
• Match Day – Friday, March 16th (Scramble replaced by
SOAP)
• Early Matches outside NRMP
» Military: December 2011
» Ophthalmology: January 2012
» Urology: 2012
Graduation Requirements
• Required Selectives
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AHEC Acting Internship (AI)
Advanced Practice Selective
Acute Care Selective
Integration Selective
• 12 Weeks of electives
• Capstone Course
http://www.med.unc.edu/md/fourthyear/electives-selectives
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Graduation Requirements
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Step 1
Step 2 CK (Pass by December of 4th year)
CPX (usually take July or August)
Step 2 CS (Register by 3rd week February of 4th year, take
by end of spring semester)
Choosing a specialty: When to decide?
• Can take electives/selectives in July, August and
maybe September to help with specialty choice
• Note: 4th year scheduling preferences due in early
April!
• Ideally, need to decide on specialty and apply by
September 1st for competitive specialties
• May decide by as late as October 15th for a
specialty that’s not too competitive (Is this true?)
• Can apply in more than one specialty if truly can’t
decide
» Still best to decide before interviewing!
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“The Application Big 3”
Advice from Career Goal Advisors is critical!
1. Letters of recommendation
2. Personal statement
3. Program list
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Letters of Recommendation
• Waive your right to read the letter
• Ask faculty if they can write a “strong” letter
• Give writer your CV, personal statement and
ERAS cover sheet
• Deadline for letters is September 1st
• Most programs want 3-4 letters
» At least 1-2 from chosen specialty
• Letters from graduate work or research
mentors make great 4th letters
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Personal statement
• Aim for 600-650 words (one page max)
• Questions to consider
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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?
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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
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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
• Cancel interviews with 2 weeks notice
• If you are a less competitive candidate for a
specialty, you should apply to more than the
average number of programs
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Early Transcript
• Student Affairs will automatically send one in
early September
» Should have all of your 3rd year grades
• You might not want one sent if you have had
academic difficulty in the 3rd year
» Consult with Dr. Dent if not sure
• Contact Ann Farabee by September 1
([email protected]) if you do not
want an early transcript sent
• Contact Ann Farabee if you want a transcript
sent before November 1
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Interview Dates:
November Predominate
MS 4 Survey 2009 Match (n=71)
* Early match specialties
Interview Dates:
December Predominate
MS 4 Survey 2009 Match (n=71)
Interview dates:
January Predominate
MS 4 Survey 2009 Match (n=71)
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
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
On-line Resources
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Careers in medicine: http://www.aamc.org/students/cim
Charting outcomes of the match:
http://www.aamc.org/programs/cim/chartingoutcomes.pdf
ERAS: http://www.aamc.org/students/eras/
VSAS: http://www.aamc.org/programs/vsas/start.htm
NRMP: 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_Residency__Results_of_a.24.aspx
FREIDA: http://www.ama-assn.org/ama/pub/educationcareers/graduate-medical-education/freida-online.shtml
AAMC Roadmap to Residency: From Application to the Match
and Beyond
www.aamc.org/publications Click “Student Affairs”
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Researching Specialties
http://www.ama-assn.org/cgi-bin/freida/freida.cgi
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Match Day!
UNC School of Medicine