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

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