PERSPECTIVES ON THE AMA RESIDENCY MATCH Steve S Lee, DO WesternU 2002 Assistant Professor of Medicine, Loma Linda Univ Sch...
OVERVIEW <ul><li>GENERAL PRINCIPLES FOR A APPLICATION </li></ul><ul><ul><li>AMA or AOA? </li></ul></ul><ul><ul><li>USMLE p...
SPECIALTIES AND PATHWAYS <ul><li>Refer to flowchart of specialties and subspecialties (not necessarily complete): </li></u...
PICKING A SPECIALTY <ul><li>1. LIFESTYLE/INCOME/PERSONALITY </li></ul><ul><ul><li>ER-shift wk, nights, acuity  </li></ul><...
PICKING A SPECIALTY <ul><li>2. DAY TO DAY WORK </li></ul><ul><ul><li>SURGICAL-hands on, blood </li></ul></ul><ul><ul><li>I...
PICKING A SPECIALTY <ul><li>3. DEMOGRAPHICS </li></ul><ul><ul><li>URBAN-peds endocrine, dermatopathology, hem/onc, vascula...
PICKING A SPECIALTY <ul><li>4. PATIENTS </li></ul><ul><ul><li>OB/GYN-women’s issues </li></ul></ul><ul><ul><li>PATH/RAD-mi...
PICKING A SPECIALTY <ul><li>5. MENTORS/ROLE MODELS/INFLUENCES </li></ul><ul><ul><li>Rotations (plan accordingly-timing: in...
AOA or AMA <ul><li>All things equal, AOA </li></ul><ul><ul><li>Owing your profession/familiarity </li></ul></ul><ul><ul><l...
USMLE and COMLEX? <ul><li>You must take COMLEX </li></ul><ul><li>Potential reasons to take USMLE </li></ul><ul><ul><li>Com...
RESIDENCY APPLICATION <ul><li>GENERAL POINTS: </li></ul><ul><ul><li>The process has already begun (YR 1)! </li></ul></ul><...
RESIDENCY APPLICATION <ul><li>Background information: </li></ul><ul><ul><li>Resources: </li></ul></ul><ul><ul><ul><li>AAMC...
RESIDENCY APPLICATION <ul><li>Contact programs, know particulars </li></ul><ul><ul><li>Prior trainees? </li></ul></ul><ul>...
RESIDENCY APPLICATION <ul><li>COMPONENTS OF ERAS </li></ul><ul><ul><li>Personal statement (gear these dependent on program...
RESIDENCY APPLICATION <ul><li>Important dates: </li></ul><ul><ul><li>July of 4th year: register for ERAS </li></ul></ul><u...
RESIDENCY APPLICATION <ul><li>Interviewing </li></ul><ul><ul><li>Punctuality </li></ul></ul><ul><ul><li>Ask questions – cu...
RESIDENCY APPLICATION <ul><li>Components of NRMP </li></ul><ul><ul><li>Rank Order List-do NOT rank a program that you woul...
Other special cases <ul><li>Urology, military have early match </li></ul><ul><li>Preliminary yrs (neurology, PM & R, radio...
Potential Pitfalls <ul><li>LOR-correct institution, favorable mentors </li></ul><ul><li>If possible apply to one specialty...
Finally, <ul><li>Stay involved (like today!) in OPSC, AOA, ACOFP, ACP, etc.  </li></ul><ul><li>GOOD LUCK! </li></ul>
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Residency Process

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Residency Process

  1. 1. PERSPECTIVES ON THE AMA RESIDENCY MATCH Steve S Lee, DO WesternU 2002 Assistant Professor of Medicine, Loma Linda Univ School of Medicine Clinical Instructor of Medicine, Western Univ of Health Sciences Diplomate of American Board of Internal Medicine Rheumatology Fellow 2006
  2. 2. OVERVIEW <ul><li>GENERAL PRINCIPLES FOR A APPLICATION </li></ul><ul><ul><li>AMA or AOA? </li></ul></ul><ul><ul><li>USMLE plus COMLEX? </li></ul></ul><ul><li>APPLICATION PROCESS </li></ul><ul><ul><li>ERAS </li></ul></ul><ul><ul><li>NRMP (there is a separate fee) </li></ul></ul><ul><li>INTERVIEW TIPS </li></ul><ul><li>SPECIAL CIRCUMSTANCES, PITFALLS </li></ul>
  3. 3. SPECIALTIES AND PATHWAYS <ul><li>Refer to flowchart of specialties and subspecialties (not necessarily complete): </li></ul><ul><ul><li>Other pathways: combined, research </li></ul></ul><ul><li>Still, most will probably enter primary care (internal medicine, family practice, pediatrics), commensurate with our training and also where most of the training sites are found </li></ul>
  4. 4. PICKING A SPECIALTY <ul><li>1. LIFESTYLE/INCOME/PERSONALITY </li></ul><ul><ul><li>ER-shift wk, nights, acuity </li></ul></ul><ul><ul><li>FP-continuity, broad scope/range </li></ul></ul><ul><ul><li>PATH/RAD-hospital setting, wk hrs </li></ul></ul><ul><ul><li>SURGICAL-acuity, schedule, income </li></ul></ul><ul><ul><li>IM-calls, chronic disease </li></ul></ul><ul><ul><li>OB/GYN-calls, procedures </li></ul></ul>
  5. 5. PICKING A SPECIALTY <ul><li>2. DAY TO DAY WORK </li></ul><ul><ul><li>SURGICAL-hands on, blood </li></ul></ul><ul><ul><li>IM-thinking, less procedures in general </li></ul></ul><ul><ul><li>ANESTHESIA-OR, pain clinic </li></ul></ul><ul><ul><li>DERM-office based, procedures </li></ul></ul><ul><ul><li>NEUROLOGY-aging, chronicity </li></ul></ul><ul><ul><li>PSYCHIATRY-aging, patient profiles </li></ul></ul><ul><ul><li>PEDS-patient profile, your personality </li></ul></ul>
  6. 6. PICKING A SPECIALTY <ul><li>3. DEMOGRAPHICS </li></ul><ul><ul><li>URBAN-peds endocrine, dermatopathology, hem/onc, vascular surgery, fertility, genetics, interventional cardiology, neonatal intensivist, transplant surgery </li></ul></ul><ul><ul><li>SUBURBAN/RURAL/THIRD WORLD-FP, IM, ER, general surgery, gen cardiology, peds </li></ul></ul>
  7. 7. PICKING A SPECIALTY <ul><li>4. PATIENTS </li></ul><ul><ul><li>OB/GYN-women’s issues </li></ul></ul><ul><ul><li>PATH/RAD-minimal contact </li></ul></ul><ul><ul><li>FP-broad range </li></ul></ul><ul><ul><li>IM/PEDS-adults/kids </li></ul></ul><ul><ul><li>PM & R-chronic stroke, pain </li></ul></ul><ul><ul><li>GERIATRICS-aging population, end-of-life </li></ul></ul>
  8. 8. PICKING A SPECIALTY <ul><li>5. MENTORS/ROLE MODELS/INFLUENCES </li></ul><ul><ul><li>Rotations (plan accordingly-timing: interviews) </li></ul></ul><ul><ul><ul><li>Academic, community </li></ul></ul></ul><ul><ul><li>Television (TLC, etc) </li></ul></ul><ul><ul><li>Family members </li></ul></ul><ul><ul><li>Your personal physicians (for me) </li></ul></ul><ul><ul><li>Research/work experience </li></ul></ul><ul><ul><li>Specialty meetings (AOA, ACP, ACR, ACAAI, AAFP, ACOG, ACEP) </li></ul></ul>
  9. 9. AOA or AMA <ul><li>All things equal, AOA </li></ul><ul><ul><li>Owing your profession/familiarity </li></ul></ul><ul><ul><li>Predecessors </li></ul></ul><ul><ul><li>Licensure/CME/mentors/future endeavors </li></ul></ul><ul><ul><li>Blurring lines? (recent AOA debate) </li></ul></ul><ul><li>Specialty training </li></ul><ul><ul><li>AMA vs AOA </li></ul></ul><ul><ul><li>Many programs pull fellows from within </li></ul></ul><ul><li>Geography/Family </li></ul><ul><ul><li>Review Opportunities section on DO-online </li></ul></ul><ul><li>Wherever you go, get the best training! </li></ul>
  10. 10. USMLE and COMLEX? <ul><li>You must take COMLEX </li></ul><ul><li>Potential reasons to take USMLE </li></ul><ul><ul><li>Comparator </li></ul></ul><ul><ul><li>Familiarity by ACGME Program Director </li></ul></ul><ul><li>Reasons not to take USMLE </li></ul><ul><ul><li>Money/Stress </li></ul></ul><ul><ul><li>Specialty/geography/program specific </li></ul></ul><ul><ul><li>May not be necessary (I did not take it) </li></ul></ul>
  11. 11. RESIDENCY APPLICATION <ul><li>GENERAL POINTS: </li></ul><ul><ul><li>The process has already begun (YR 1)! </li></ul></ul><ul><ul><li>Seek opinions, be introspective </li></ul></ul><ul><ul><li>Think of letter writers who are familiar with you; identify mentors </li></ul></ul><ul><ul><li>Consider family situations, but training may be priority </li></ul></ul><ul><ul><li>Plan rotations and do well </li></ul></ul><ul><ul><ul><li>If possible, come early, stay late </li></ul></ul></ul><ul><ul><ul><li>Extra reading </li></ul></ul></ul><ul><ul><ul><li>Presentation, interpersonal and organizational skills </li></ul></ul></ul><ul><ul><li>Score high (rotations, board exams) – DUH! </li></ul></ul>
  12. 12. RESIDENCY APPLICATION <ul><li>Background information: </li></ul><ul><ul><li>Resources: </li></ul></ul><ul><ul><ul><li>AAMC, NRMP, ERAS, DO-online </li></ul></ul></ul><ul><ul><ul><li>Institutional websites (ACGME, FREIDA) </li></ul></ul></ul><ul><ul><ul><li>Private books (Iserson, books, other websites) </li></ul></ul></ul><ul><ul><li>Colleagues, Dean’s office, Predecessors, OPSC </li></ul></ul>
  13. 13. RESIDENCY APPLICATION <ul><li>Contact programs, know particulars </li></ul><ul><ul><li>Prior trainees? </li></ul></ul><ul><ul><li>DO faculty? </li></ul></ul><ul><li>Access your token (Dean’s office) and register </li></ul>
  14. 14. RESIDENCY APPLICATION <ul><li>COMPONENTS OF ERAS </li></ul><ul><ul><li>Personal statement (gear these dependent on program) </li></ul></ul><ul><ul><li>LOR (likewise) </li></ul></ul><ul><ul><li>Transcripts and Dean’s letter </li></ul></ul><ul><ul><li>CV (curriculum vitae) </li></ul></ul>
  15. 15. RESIDENCY APPLICATION <ul><li>Important dates: </li></ul><ul><ul><li>July of 4th year: register for ERAS </li></ul></ul><ul><ul><li>Sept: start applying (recognize #’s and travel time) </li></ul></ul><ul><ul><li>Sept: programs start downloading your file </li></ul></ul><ul><ul><li>Nov: Dean’s letters available </li></ul></ul><ul><ul><li>Dec/Jan: military, AOA and urology matches </li></ul></ul><ul><ul><li>Dec: deadline for NRMP registration </li></ul></ul><ul><ul><li>Feb: NRMP rank order list deadline </li></ul></ul><ul><ul><li>March: Match day (unmatched lists several days prior) </li></ul></ul>
  16. 16. RESIDENCY APPLICATION <ul><li>Interviewing </li></ul><ul><ul><li>Punctuality </li></ul></ul><ul><ul><li>Ask questions – current residents </li></ul></ul><ul><ul><ul><li>Board pass rates </li></ul></ul></ul><ul><ul><ul><li>Call schedule/resident life </li></ul></ul></ul><ul><ul><ul><li>Hospital structure </li></ul></ul></ul><ul><ul><ul><li>Hospital specific (Loma Linda is vegetarian) </li></ul></ul></ul><ul><ul><ul><li>Accreditation </li></ul></ul></ul><ul><ul><li>Professionalism (dress, attitude, thank you cards) around EVERYBODY </li></ul></ul>
  17. 17. RESIDENCY APPLICATION <ul><li>Components of NRMP </li></ul><ul><ul><li>Rank Order List-do NOT rank a program that you would NOT consider attending – this is essentially a contract! </li></ul></ul><ul><ul><ul><li>How many programs? </li></ul></ul></ul><ul><ul><ul><ul><li>Costs, time </li></ul></ul></ul></ul><ul><ul><ul><li>Research programs, competitiveness w/r to you </li></ul></ul></ul><ul><ul><ul><ul><li>Hospital, affiliated programs (opposed?) </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>mentors </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Fellowships may be important depending on which ones </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Do you want to live there? (many residents stay) </li></ul></ul></ul></ul><ul><ul><li>Match day (say your prayers!) </li></ul></ul><ul><ul><ul><li>You rank your choices, programs rank potential residents </li></ul></ul></ul><ul><ul><ul><li>Process “favors” the candidate </li></ul></ul></ul><ul><ul><li>Scramble? (may not be tragic) </li></ul></ul>
  18. 18. Other special cases <ul><li>Urology, military have early match </li></ul><ul><li>Preliminary yrs (neurology, PM & R, radiology, dermatology, ophthalmology, Rad Onc) </li></ul><ul><li>Consider osteopathic internship, depending on program </li></ul><ul><li>Couples match </li></ul><ul><li>Switching programs </li></ul><ul><ul><li>There must be an opening </li></ul></ul><ul><ul><li>People may wonder </li></ul></ul><ul><li>AMA -> AOA </li></ul>
  19. 19. Potential Pitfalls <ul><li>LOR-correct institution, favorable mentors </li></ul><ul><li>If possible apply to one specialty only </li></ul><ul><li>Do everything early! Observe deadlines! </li></ul><ul><li>Always be professional; don’t badmouth people or programs </li></ul>
  20. 20. Finally, <ul><li>Stay involved (like today!) in OPSC, AOA, ACOFP, ACP, etc. </li></ul><ul><li>GOOD LUCK! </li></ul>
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