The Factor Of Eight 12 10

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

Agenda
What is AmeriClerkships?
Discussion of Residency Selection Criteria
How AmeriClerkships Will Help
Questions & Answers
We Eat & Drink!!
One on One Personal Interviews

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.

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

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

Step 1 Scores by Preferred Specialty

Step 2 Scores by Preferred Specialty

Factor of Eight
High USMLE® scores and single attempts

Typical Types of Clinical Experience
Observerships
May negatively impact an IMG CAF application: Disregard for Residency Applicant Requirements
Minimal to no patient Interaction of any kind and typically uninsured
Research
Minimal to No Direct Patient Interaction
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

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

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).

Factor of Eight

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.

Factor of Eight

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

Factor of Eight
Fourrecent Letters of Recommendation from US licensed physicians, documenting US hands-on clinical experience and acculturation (not research or observerships)

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

Factor of Eight

The ERAS® Application Timeline
August 15, 2011 MyERAS® website opens for applicants to begin process of application.

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.

Factor of Eight

The Interview
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

Factor of Eight

Immigration Status

Factor of Eight

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.

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%!

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?

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

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!

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

The Factor Of Eight 12 10

by AmeriClerkships Medical Society

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