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  • Have your Personal Statements & Curriculum Vitae been professionally edited?Has your Common Application Form been reviewed and edited?Do you have at least 12 weeks of insured hands-on US clinical experience?Do you have 3-4 Letters of Recommendation by supervising physicians from insured hands-on clinical experience in the US?Do you have 3-4 Clinical Performance Evaluations by supervising physicians from insured hands-on clinical experience in the US?Do you plan to pass USMLE® Steps 1, 2CK, and 2CS in the next 2 months?Are you BLS, ACLS, and PALS Certified? Do you belong to any US Medical Associations?

Transcript

  • 1. Insured US Hands-On Clinical Experience and Complete Medical Residency Entry and Re-Entry Assistance
    The Factor of Eight:
    The Eight Necessary Factors to be Accepted
    into a US Medical Residency Program
  • 2. Agenda
    What is AmeriClerkships?
    Discussion of Residency Selection Criteria
    How AmeriClerkships Will Help
    Questions & Answers
    We Eat & Drink!!
    One on One Personal Interviews
  • 3. Our Mission
    It is our Mission to identify and prepare top residency applicants,
    who will become stronger medical residents to improve healthcare in the United States.
  • 4. AmeriClerkships Medical Society
    Residency Strategists
    Omer Malik & Truly Tyler
    President and Chief Clinical Officer
    Pedram Mizani, MD, MHSA
    Former Chief Resident at Morehouse School of Medicine, Department of Family Medicine
    Member of the American Academy of Family Physicians
    Member of the California Medical Association – President’s Circle
    Member of the American Medical Association – International Medical Graduate Section
    Chairman of the Southern California College of Osteopathic Medicine
    Website: www.AmeriClerkships.org
    Facebook: AmeriClerkships Medical Society
    Twitter: @AmeriClerkships
    Butterfly™: butterfly.americlerkships.org
  • 5. Factor of Eight
    HighUSMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Four recent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 6. Step 1 Scores by Preferred Specialty
  • 7. Step 2 Scores by Preferred Specialty
  • 8. Factor of Eight
    High USMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Four recent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 9. Typical Types of Clinical Experience
    Observerships
    • May negatively impact an IMG CAF application: Disregard for Residency Applicant Requirements
    • 10. Minimal to no patient Interaction of any kind and typically uninsured
    Research
    • Minimal to No Direct Patient Interaction
    • 11. Majority of time not accepted by Residency Programs as Hands-On Clinical Experience
    Continued Medical Education (CME)
    • Staying Up to Date with Medicine – not Hands-On Clinical Experience
  • US Insured Hands-On Clinical Experience
    What is it?
    Supervised by US licensed teaching attending physicians
    Fully supervised patient interaction
    Covered with professional medical liability insurance
    Patient histories & SOAP notes
    Non-invasive physical examinations
    Physician & patient interaction
    Post interaction case discussions
    Networking
  • 12. US Insured Hands-On Clinical Experience
    Preferred by majority of residency admission committees
    An introduction to US healthcare and Health Management Organizations a.k.a. Acculturation
    Familiarity with US culture & Graduate Medical Education
    Greater patient safety
    Objective peer and attending evaluations
  • 13. Examples of HOCE Requirements
    University of Buffalo, Family Medicine Residency requires that IMG applicants have six months clinical experience inpatient OR outpatient, in the past 2 years.
    Floyd Medical Center, Family Medicine Residency requires IMG applicants to have completed at least one year of documented clinical training in the United States as well as three Letters of Recommendation from faculty who have directly supervised clinical performance.
    Yale School of Medicine, Internal Medicine Residency seeks a minimum of eight weeks of hands-on direct clinical experience in a US or Canadian accredited teaching hospital. We will not interview candidates who have not obtained this required clinical experience. Observerships without direct clinical responsibility do not meet these criteria.
    University of California, San Francisco, Family Medicine Residency states that, “Since clinical and cultural preparedness are also a key to success here, prior clinical experience in the United States is helpful. Letters of Recommendation from these experiences will further strengthen an IMG applicant's documentation of overall readiness to begin residency training in the US ”
    Oregon Health and Science University, Internal Medicine Residency states that,IMGs must be ECFMG certified at time of application, must have at least one year of clinical experience in the US or in a health care system similar to the US and have graduated from medical school within the last six years. Please note that externships, observerships, or research work do not count as clinical experience.
    University of Rochester, Pediatrics Residency states that IMGs must complete at least eight weeks of clinical training in an ACGME-approved pediatric program or a similar program in the United States, Canada or England. Observerships and research are not acceptable as clinical training.
    Duke University, Family Medicine Residency requires applicants to have completed at least one year of clinical patient care in an ACGME accredited program in the United States by day one of residency (an observership does not count).
  • 14. Factor of Eight
    High USMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Four recent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 15. Acculturation
    What is it?
    Acculturation: is the exchange of cultural features that results when groups of individuals having different cultures come into continuous first hand contact
    1,337 residents in 2007-2008 academic years, and 1,344 in 2008-2009 were either dismissed or withdrew from residency (ACGME); the greater majority of this attrition were in specialties that are most populated by IMGs (AMA FREIDA).
    ACGME Data Resource Book. Academic Year 2008-2009.Department of Applications and Data Analysis: Accreditation Council Graduate Medical Education. 92. http://www.acgme.org/acWebsite/dataBook/2008-2009_ACGME_Data_Resource_Book.pdf. Accessed on September 17, 2010.
    AMA FREIDA Training Statistics 2009.https://freida.ama-assn.org/Freida/user/specStatisticsSearch.do?method=view Specialty&pageNumber=2. Accessed on September 17, 2010.
  • 16. Factor of Eight
    High USMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Four recent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 17. Activities Since Graduation
    Nothing
     Un-insured hands-on clinical experience in the US by IMGs
     Employed by US physicians as Medical Assistants, but doing much more
    12+ months of study time for USMLE® board preparation, and nothing else
    Observerships or Research (rather than strengthening your Factor of 8)
    Masters or PhD programs (rather than strengthening your Factor of 8)
    Teachers & Advisors (rather than strengthening your Factor of 8)
    Insured Patient contact anywhere in the world
    Continuing Medical Education
    Insured Patient contact anywhere in the US
     Insured US Hands-on Clinical experience and acculturation
    Factor of Eight
  • 18. Factor of Eight
    High USMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Fourrecent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 19. Letters of Recommendation
    ERAS® will allow you to upload up to four supporting documents
    73% of Program Directors found Foreign LORS “worthless”
    Should document residency-relevant experience within 12 months of application date, should favorably recommend an applicant to programs
  • 20. Factor of Eight
    High USMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Four recent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 21. The ERAS® Application Timeline
    August 15, 2011 MyERAS® website opens for applicants to begin process of application.
  • 22. The ERAS® Application Timeline
    September 1, 2011 Applicants begin applying to residency programs through ERAS®.
    Interviews occur from September through December, peaking in mid-November.
    Apply early in September for best chance of securing interviews.
    November 30, 2011 Applicant registration deadline
    Note: Applicants may register for $50 until 11:59 p.m. eastern time. After this deadline, applicants can register by paying an additional $50 late registration fee ($100 total fee) until February 23, 2011, when registration closes.
  • 23. Factor of Eight
    High USMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Four recent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 24. The Interview
    Interview skills and English competency
    Personal qualities
    Self-motivation
    Self-direction
    Caring and compassionate
    Focus on teamwork
    Leadership
    Teaching ability
    Humility
    Enthusiasm
    Interpersonal skills
    Communication skills
    Awareness of American culture, aka Acculturation
  • 25. Factor of Eight
    High USMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Four recent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 26. Immigration Status
  • 27. Factor of Eight
    High USMLE® scores and single attempts
    Insured US “hands-on” clinical experience and acculturation – up to one academic year (36 Weeks)
    Medical school graduation date and US medical residency related activities since graduation
    Four recent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)
    On-time submission of a complete ERAS® application
    Interview skills and English competency
    US immigration status
    ECFMG® Certification and passing USMLE® Step 3, if taken though not required
  • 28. ECFMG® Certification
    ECFMG® acts as the registration and score-reporting agency for the USMLE for foreign medical students/ graduates, or in short, it acts as the designated Dean's office for International Medical Graduates (IMGs) in contrast to the American Medical Graduates (AMGs).
    It conducts three examinations: Step 1, Step 2CK, Step 2CS. The ECFMG® certificate is issued to a physician if he or she passes the three exams within a time period of seven years.
  • 29. USMLE® Step 3
    AmeriClerkships Recommendation:
    Review and Prepare through Kaplan Medical
    Do not sit for Step 3 immediately after board review
    Only sit for Step 3 after 6 months of insured HOCE, or 1 year of internship
    Typically taken after first year of residency
    Some residency programs prefer to teach their residents how to pass the exam with high scores
    Two day dynamic patient care exam
    Diagnosis and treatment based
    High Stakes Examination
    Passing= 4% increase in Competitive Index; failing = -6%
    Comparison: 1 US LOR + HOCE evaluation = +4%!
  • 30. Pop Quiz
    When should you submit your ERAS® application?
    Why do so many residents fail to complete residency?
    Your LORs should be written within how many months of submitting to ERAS®?
    What are the Factor of Eight?
  • 31. Pre-Residency Guidance with AmeriClerkships
    Hands-on Insured Clinicals with US Physicians
    Network of over 700 top teaching attending physicians
    114 metropolitan cities & 54 specialties
    Clinical evaluations + Opportunity to gain LORs
    Teaching, Community, Hospitalist & Nursing Hospital Guarantee
    Document Revision
    Personal Statement
    Curriculum Vitae
    Common Application Form & ERAS
    Consultative Services
    Virtual Residency Clinics: webinars that cover topics for IMGS relevant to the residency timeline
    One-on-one sessions
    Conducted by former Residency Admissions Committee Members
  • 32. Steps to Enrollment with AmeriClerkships
    Step 1: Assess your Residency Applicant Competitive Index (go to butterfly.americlerkships.org), and consult your Residency Strategist to ensure that you meet minimum qualifications
    Step 2: Select your specialty or specialties of focus or core and elective rotations
    Step 3: Choose your clinical product
    Step 4: Choose your clinical features, i.e., Hospital Guarantees and Premium Elective Specialties
    Step 5: Choose your enrollment timeframe and primary location
    Step 6: Choose your supplemental residency entry consultative services
    Step 7: Choose your essential residency document services
    The Next Step: Provisional Enrollment!
  • 33. Contact Us!
    Telephone: 877-MD-Clerkships (877-632-5375)
    Operating Hours: Monday to Friday, 9:00 AM to 5:00 PM (Pacific Standard Time)
    Email: Enrollment@AmeriClerkships.org
    Website: www.AmeriClerkships.org
    Facebook: AmeriClerkships Medical Society
    Twitter: @AmeriClerkships
    Butterfly™: butterfly.americlerkships.org