Transcript WELCOME BACK! August 3, 2015 Dr. Georgette Dent Office of Alumni Affairs and Student Affairs University of NC School of Medicine.

WELCOME BACK!
August 3, 2015
Dr. Georgette Dent
Office of Alumni Affairs and Student Affairs
University of NC School of Medicine
Welcome Back MS2s!
Agenda
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Welcome: Dr. Dent
MS2 Co-Presidents: Karli and Trent
ExamSoft: Katie Smith
Financial Aid Services: Sheila McDonald
Step 1: Drs. Hadler, Ingersoll, and Dent
Epic Training & Application Phase Planning: Dr. Dent
Brief introduction to the Match: Dr. Dent
Application Phase Update: Dr. Chuang
11/7/2015
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Thank You!
Orientation Committee
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Amalia Osborne
Jon Pozner
Melissa Rolfsen
Katie Sample
Kristen Westfall
Class of 2018
11/7/2015
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Thank You!
Advocates!
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Arthur Affleck
Monique Araujo
Ben Banasiewicz
Jake Bowling
Tiffany Dyer
Matt Meyers
Max Nagle
Amalia Osborne
Jon Pozner
Melissa Rolfsen*
Mike Ropero-Cartier
Katie Sample
Kristen Westfall
11/7/2015
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MS2 WMS Co-Presidents
ExamSoft
Katie Smith
Office of Student Affairs
University of NC School of Medicine
Financial Services
Sheila McDonald
Office of Student Affairs
University of NC School of Medicine
Financial Aid
Class of 2018 Meeting
Email:
[email protected]
Phone:
919-962-6118
Financial Aid Disbursement
• Pay all Past Due Balances
• Give Cashier permission to deduct other non related
tuition/fee charges
• Loans Disbursed from Direct Loans on Friday, July 31st
(does not mean refund available)
• Refunds Disbursed the week of August 3, 2015
Fall 2015 Charges
In-State
Out-of-State
10,918.50
24,358.00
Fees
967.52
967.52
Health Insurance
863.50
863.50
Total w/Hlth Ins.
12,749.52
26,189.02
863.50
863.50
11,886.02
25,325.52
Tuition
Less Hlth Insurance
Total w/o Hlth Ins.
USMLE
• Included in the Cost of Education is USMLE cost
• $600 Step I Exam Cost
• $1088 Step I Review Materials
Know What You’ve
Borrowed
2015-16 Interest Rates
• 5.84% fixed - Direct Unsubsidized Stafford Loan
• 6.84% fixed - Direct Graduate Plus Loan
• offered only status on your award
• you initiate the loan by completing a credit check
application and Master Promissory Note (MPN)
Both loans will accrue interest over the life of the loan at the
rates above –don’t borrow if you don’t need it!!
Finding Federal Loans
www.nslds.ed.gov
To access provide your:
Social Security #
Date of Birth
First 2 letters (last name)
PIN # (www.pin.ed.gov)
Financial Resources
www.aamc.org/FIRST
Financial Information, Resources, Services and
Tools (FIRST)
Medloans Organizer and Calculator
• upload your NSLDS Data
• compare repayment options
• SALT and My Money 101
• basic financial education program (more info to come)
Contacting the FAO
 1001 Bondurant Hall
 Sheila Graham-McDonald
 Debbie Williams
 Denitra Price
 Email
 [email protected]
 Telephone
 919-962-6118
Step 1 Overview
Drs. Hadler, Ingersoll, & Dent
Office of Student Affairs
University of NC School of Medicine
The Basics
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When do I sign up?
How do I sign up?
What is the SOM policy?
What products should you use to prepare?
How much time should you study?
When should you take the exam?
What does it all mean?
The Basics
• When should you sign up?
» September 2015
• How do I sign up
» Online sign up
» Student Affairs will certify your application & provide picture
» Certified application should be ready by September 15th
• What is the SOM policy?
» Must take exam before starting Application Phase
» Must pass before November 1st of Application Phase
» In the unlikely event of a fail, finish current clerkship and plan on
delaying your second clerkship so you can retake Step 1
» Can do electives if you do not need 16 weeks to prepare
Application Process
• Apply online – NBME Licensing Examination Services
• Certification/Proof of Enrollment
» contact Tiffany Pitt (Assistant Registrar) in 1001 Bondurant Hall, CB# 9535
962-8337
• Testing accommodations available
» contact Deborah Ingersoll (Educational Resources Coordinator) in1050
Bondurant Hall, 843-6171
• Computerized exam offered at testing centers worldwide including 10
centers in NC
» Asheville, Charlotte, Greensboro, Greenville, Raleigh, Wilmington
Basics
• What products should use to prepare
» First Aid
» Question bank
• USMLE World is probably best
» Everyone should have a schedule or plan
» Be wary of sales pushes using fear to encourage you to
spend $100s on products that do not fit your life or study style
and that you are not going to use
A Few Best Practices
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Start preparing for Step 1 by reading the appropriate sections of First Aid with each course
as it is in session.
Use First Aid and a question bank (e.g. Kaplan, USMLE World) electronic question banks
as core Step 1 study materials during the December-February study period following
Foundation Phase.
Develop a feasible plan of study that includes reading/studying, doing questions in
question banks, and ongoing review of topics already studied.
Do not wait until you have studied all content before taking a practice test.
Identify weak areas and use subject-specific review materials (Board Review Series,
Lippincott for pharmacology or pathology).
Do random questions in 50 minute blocks.
Review correct and incorrect answers and understand why the correct answer is correct
and why others are wrong.
Keep a running list of topics that will require additional study.
Best Practices
It is gratifying to study what you like, but…you must resist
the temptation to study what you already know!!!
A key to success is efficiently figuring out what you do not
know and learning as much of it as possible before the exam!
Popular Step 1 Preparation
Materials
Pros and cons of these products included in posted powerpoint!
Step 1 Review Aids and Question
Banks cont.
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
After the exam
Resources
USMLE & the Match
Results from the 2012-13 UNC SOM Step 1 Study Analysis – March 2013
Step 1 Review Aids and
Question Banks
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
After the exam
Resources
USMLE & the Match
Resource
Pathoma
% who
purchased
Recommendation
% who ranked as
% who used Ranking (1=best, 5=worst) a Top 3 resource Aug
Nov/Dec Jan/Feb Mar
May
87.9
77.3
1.64
48.5
34
5
5
2
12
First Aid
100
98.5
1.12
90.9
26
5
8
7
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Firecracker
43.9
12.2
3.33
0.0
9
4
4
1
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Kaplan Qbank
18.2
10.6
3
1.5
2
2
1
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Practice Exams
69.7
68.2
1.47
25.8
0
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45
USMLE World
98.5
95.5
1.05
90.9
1
2
8
15
35
Clinical Microbiology Made
Ridiculously Easy
39.4
19.7
2.62
0.0
5
1
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3
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BRS Books
31.8
16.7
3
0.0
1
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Pharmacology flashcards
34.9
15.2
3.04
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1
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Lippincott's Illustrated
Reviews: Pharmacology
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3.33
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High-Yield Immunology
4.5
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3.5
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High-Yield Gross Anatomy
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3.5
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High-Yield Neuroanatomy
19.7
9.1
3.1
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DIT
45.5
43.9
2.19
27.3
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7.6
6.1
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1.5
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1.5
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USMLE Rx Qbank
Microbiology flashcards
Preliminary data form Class of 2016
Approximately 1/3 class responding
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
After the exam
Resources
USMLE & the Match
Pros
• Comprehensive material, detail orientated
• Organized
• Covers many topics
• Great memorization techniques
• Multiple formats to keep you interested
• Good if you’re someone who thrives with rigid structure and schedule imposed by
someone else (e.g., you just follow along with the recorded lectures)
• Quizzes reinforce materials and help with memorization
• Well structured review plan
Cons
• A lot to cover in short amount of time
• Expensive
• Time consuming to watch all the videos
• Workbook (and lectures) lacked SO many of the important, truly high yield topics
for Step 1
• No explanations – more or less restates the book
• Boring at times to watch for 10hrs/day
• Recite Step 1 at times
http://www.doctorsintraining.com
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
After the exam
Resources
USMLE & the Match
Pros
• Excellent review
• Satisfying explanations for a lot of the tough pathologies
• Clever mnemonics for remembering some of the key features
• Can speed up the recordings to at least 1.5x.
• Great to use in parallel with the clinical parts of FirstAid (in fact, I found that
NOT using the pathology section of First Aid, but relying on the corresponding
section of Pathoma instead was a more efficient use of my time.
• Good pictures and diagramming by the speaker.
• Cheaper than DIT
Cons
• Doesn’t cover ALL the pathologies you’re responsible for
• Recorded lectures are largely a verbatim recapitulation of the text
http://www.pathoma.com/
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
After the exam
Resources
USMLE & the Match
Pros
• Same format as real thing
• Great companion to First Aid!
• Lengthy explanations to each question that provides lots of important learning
points
• Great learning!
• Has Iphone and Android apps so you can do questions from anywhere
• Supplements First Aid very well
• Questions that were probably a little harder than the actual Step 1, but they had
good explanations for the answers and it highlighted important facts that need to
be memorized for Step 1
• MUST have for Step 1 (and Step 2, for that matter)
Cons
• Expensive, though worth it!
http://www.usmleworld.com/
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
Pros
• Questions help teach you how to really read every word of question stems and
answer choices
Cons
• Little more esoteric and unrealistic
• Seemed to focus on trying to trick you instead of increase your Step 1 knowledge
After the exam
Resources
USMLE & the Match
http://www.kaptest.com/
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
Pros
• Cheapest qbank
• Biggest qbank
Cons
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Many questions slightly easier than UWorld counterparts—stems have more of
the obvious keywords you’re trained to look for
After the exam
Resources
USMLE & the Match
https://www.usmle-rx.com/
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
After the exam
Pros
• Good way to gauge how well your studying is preparing you for realistic
questions very similar to those on real USMLE Step 1
• Provides a score that is very predictive of your actual step 1 score
Cons
• Somewhat expensive ($60 each)
• Keep in mind that scores are not an exact predictor and could be a little higher or
lower
Resources
USMLE & the Match
http://www.nbme.org/
Educational Policy
Application Process
Scheduling the test
Best Practices
Taking the exam
After the exam
Resources
USMLE & the Match
Spaced repetition flashcards: flashcards that
you rate how well you remember it, then
computer figures out when to show it to you
next
Take home message
• Have a plan
• Be true to your study style
• Do not feel compelled to spend a lot of
money on materials that you do not have
either the time on inclination to use
• Everyone should get First Aid and a question
bank
• Usefulness of other resources depend on
your individual learning style
• More info at upcoming PDX Session!
Basics
• When should I take the exam?
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Late January early February likely to be the best time
USMLE Step exams not offered the first 2 weeks of January
Take at least a week completely off before start studying
Should plan on spending 4 to 6 weeks preparing for the exam
Students who take exam in January might consider taking
elective in February (this will be uncommon)
Resources and Contacts
• USMLE Web Site
» http://www.usmle.org/
• National Board of Medical Examiners
» The National Board of Medical Examiners®
• Prometric web site
» http://www.prometric.com
• AAMC Careers in Medicine
» https://www.aamc.org/cim/
Application Phase Schedule
Information Form
• Form will be from one45
• Due date is August 31, 2015
• Need to stay in Chapel Hill
• Children
• Medical Issues
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Your physician must complete medical attestation form
You may need to work with campus accessibility office
• Central Program site preferences
• Greensboro, Raleigh, Wilmington
• Wilmington program
• Let us know if you are interested!
• Additional info will follow!
Application Phase Scheduling
• Students will be assigned to trimesters
• If a clerkship offers specialty rotations, the
clerkship coordinator will contact you prior to
the start of the trimester to inquire about
preferences. Specialty rotations depend on
availability.
Epic@UNC
• Training is required for all students (including students
in Asheville and Charlotte programs)
• Classes are on Tuesday and Wednesday afternoons a
few times a month from 1:30-5:30 pm
• Must attend both days to get credit
• Classes will be scheduled from August 2015 to
February 2016
• Classes held at Hedrick Building (Friday Center)
• Cannot start Transition Course on February 29, 2016
without having completed training.
Urine Drug Screens
• Required for some sites
• We can help with the cost if it is for a required
rotation
• Alcohol
• Amphetamines
• Barbiturates
• Benzodiazines
• Cocaine
• Opiates (including various synthetic opiates)
• Phencyclidines
• Marijuana
Application Phase Curriculum
Dr. Alice Chuang
Office of Student Affairs
University of NC School of Medicine
Match Overview
Office of Student Affairs
University of NC School of Medicine
Presentation Agenda
• How do you apply to a residency?
• Competitiveness of various specialties
• Clinical curriculum scheduling issues
How do You Apply to Residency?
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Select Specialty
Request Individualization Phase schedule
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Attend required class meeting December 16th 2016
Meet Career Goal Advisor (specialty specific advice)
Meet with college advisor
Set up audition (away) electives (if necessary)
Schedule time to prepare for Step 2
Schedule time to interview
Sign up for Electronic Residency Application Service (ERAS)
• Update CV
• Meet with Staff Writer for Medical Student Performance Evaluation
(MSPE aka Dean’s Letter)
• Submit ERAS application by September 15 of Individualization Phase
» Write personal statement
» Get recommendation letters (3 or 4)
» Select programs
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Interview (typically October to January Individualization Phase)
Sign up for National Residency Matching Program (NRMP) and
finalize rank order list (ROL)
Selecting a Specialty
• What type of patients?
» Kids, adults, elderly, women, mix
» Acute, chronic &/or psychiatric disorders
» Surgical or non-surgical problems
• What type of setting?
» Clinic
» Hospital
» Operating room
» Emergency room
• Thinking or doing?
COS (Career Opportunities Series)
12 pm in G202 MBRB
Thursday, August 27, 2015 – Neurology
Thursday, September 24, 2015 – OB/GYN
Thursday, October 29, 2015 – Radiology Oncology
Thursday, November 19, 2015 – Orthopaedics
Thursday, December 3, 2015 – Emergency Medicine
Thursday, January 28, 2016 – TBD
Thursday, February 25, 2016 – TBD
MS2 Brown Bag Workshops
12pm
Advisors are no longer connected to PDX!
PDX Small Group Sessions now referred to as Brown Bag Workshops with
topics relevant to where you are in medical school
Lunch Provided!
Attendance optional but you won’t want to miss these fun, casual sessions
where important topics are discussed with your Advisor, Upperclassmen and
Colleagues
Earn valuable college points for attending!
August 20, 2015
September 17, 2015
November 5, 2015
More info to come!
What Can Your Advisor Do For You
• Required meetings through out fall semester to review your academic
progress, review your method for staying well and balanced, and so
much more!
• Answer questions about the curriculum.
• Discuss issues related to Step 1 preparation
• Provide guidance/resources for career goal development - assist
students in creating his or her personal physician identity with regards
to career choice and professionalism
• Discuss whether or not you might want to go on leave (LOA) after
Application Phase (research, international, public health, business
school, other graduate program)
• Personal Counseling - provide support and resources for students who
are encountering challenging personal circumstances (e.g. personal or
family member illness, family tragedy, etc.)
• Act as a liaison/sounding board for students who have experienced
mistreatment when the student does not feel comfortable approaching
administration or the mistreatment liaison
• Your Advisor is your strongest Advocate!
Your Advocates are planning some AWESOME wellness events!
Take a break, relax, and have a little fun!
Earn College Points!
Friday, September 25, 2015 – Evening
Thursday, October 29, 2015 – Noon Hour
Friday, November 20, 2015 – Evening
Friday, December 11, 2015 – Evening
Friday, January 22, 2016 – Evening (take a little break from your Step 1
studying)
Thursday, February 18, 2016 – Noon Hour
Saturday, April 23, 2016 – Annual
Family Day/COLLEGE CUP!!
11/7/2015
*Dates Subject to Change
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Presentation Agenda
• How do you apply to a residency?
• Competitiveness of various specialties
• Clinical curriculum scheduling issues
Assess Competitiveness of
Specialty
• Ratio US seniors:per position
• Average USMLE scores of applicants
• Average number of applications per
student by specialty
• Percent of applicants who are members of
AOA
Step 1 and the Match
Ratio of Positions to US Seniors
Median Step 1 Scores for Matched Students
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Family Medicine
Internal Medicine
Neurology
Pathology
PM & R
Psychiatry
Ratio*
2.3
2.0
1.8
2.1
1.6
1.7
Step 1
218
231
230
231
220
220
*Ratio of spots to US Seniors applying
Match Outcomes Data, August 2014
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Competitive Specialties:
Ratio of Positions to US Seniors
Median Step 1 Scores for Matched Students
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Anesthesiology
Emergency Medicine
General Surgery
Med/Peds
Obstetrics/Gynecology
Pediatrics
Radiology
11/7/2015
Ratio
Step 1
1.4
1.3
1.3
1.2
1.3
1.4
1.7
230
230
232
233
226
226
241
Match Outcomes Data, August 2014 53
Highly Competitive Specialties:
Ratio of Positions to US Seniors
Median Step 1 Scores for Matched Students
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Dermatology
Orthopedic Surgery
Otolaryngology
Plastic Surgery
Radiation Oncology
Ratio
Step 1
1.1
1.0
1.1
1.0
1.1
247
245
248
245
241
Match Outcomes Data, August 2014
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Percent US Seniors In Honor Society (AOA)
who Matched in 2011
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50
40
30
20
10
0
Source: NRMP Charting Outcomes in the Match – Characteristics of
Applicants Who Matched to their Preferred Specialty in the 2011
NRMP Main Residency Match
Predictors of Matching
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Number of programs ranked
Step 1
Step 2
Graduate of top 40 NIH ranked school
AOA (medical honor society)
» Top 25% of class nominated summer of
Application Phase
» Foundation Phase grades do not count!
(really!)
What puts you at risk for not matching?
• Competitiveness issues: academic/professionalism problems (e.g.
USMLE, grades, no research)
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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 4th
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
Presentation Agenda
• How do you apply to a residency?
• Competitiveness of various specialties
• Clinical curriculum scheduling issues
Match Considerations
Individualization Phase
• Away (audition electives) especially for surgical
specialties or for geographic reasons
• One or two months off for interviews
• Taking electives in specialty area (e.g.
anesthesiology, dermatology, emergency
medicine, radiology, etc.)
• Taking Step 2 CK and/or Step 2 CS early
• Taking electives/selectives to get additional
letters of recommendation (LORs)
• You will be able to take electives starting in
March of 2017!
Dual Degree Application Deadlines
• MD/ MPH or MD/MBA Programs
o Done after Application Phase
o Can take 4th year electives before starting grad school
o Early admission deadline typically in October and late
admission deadlines in the spring
o Can complete MD and Masters in 5 years
On-line Resources
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Careers in Medicine: https://www.aamc.org/students/medstudents/cim/
Personal Career Assessment
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Medical Specialties ApitudeTest
• http://www.med-ed.virginia.edu/specialties/
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Temperament Sorter
• http://www.advisorteam.com/temperament_sorter/register.asp?partid=1
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Match
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Charting outcomes of the match: http://www.aamc.org/programs/cim/chartingoutcomes.pdf
ERAS: http://www.aamc.org/students/eras/
VSAS: https://www.aamc.org/students/medstudents/vsas/
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_Residen
cy__Results_of_a.24.aspx
FREIDA: http://www.ama-assn.org/ama/pub/education-careers/graduate-medicaleducation/freida-online.shtml
AAMC Roadmap to Residency: From Application to the Match and Beyond
www.aamc.org/publications Click “Student Affairs”
11/7/2015
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Questions?
Office of Student Affairs
University of NC School of Medicine