A D.O. Student's Guide to Residency

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A D.O. Student's Guide to Residency

  1. 1. A D.O. Student’s GuideA D.O. Student’s Guide to Residencyto Residency Where Does It End?Where Does It End? Draion M Burch, DODraion M Burch, DO Council of Interns and ResidentsCouncil of Interns and Residents American Osteopathic AssociationAmerican Osteopathic Association 1
  2. 2. Disclaimer!Disclaimer! • The goal of this lecture isThe goal of this lecture is not to persuade anynot to persuade any osteopathic medicalosteopathic medical student to pursue anystudent to pursue any particular specialty,particular specialty, residency program orresidency program or D.O./M.D. postgraduateD.O./M.D. postgraduate training. The purpose oftraining. The purpose of this lecture is to help youthis lecture is to help you make an informedmake an informed decision. Thedecision. The information in thisinformation in this lecture is subject tolecture is subject to change!change!
  3. 3. OutlineOutline • 22ndnd yearyear • CVCV • PortfoliosPortfolios • ResearchResearch • Academic FileAcademic File
  4. 4. OutlineOutline • 33rdrd yearyear • Unique RotationsUnique Rotations • Evaluations on RotationsEvaluations on Rotations • Choosing a specialtyChoosing a specialty • 44thth yearyear • BudgetingBudgeting • Scheduling and Applying for Elective RotationsScheduling and Applying for Elective Rotations • ““Audition Rotations” and Acting/Sub-Audition Rotations” and Acting/Sub- InternshipsInternships 4
  5. 5. OutlineOutline • 44thth year (con’t)year (con’t) • Boards- (COMLEX Level 2/ USMLE Step 2)Boards- (COMLEX Level 2/ USMLE Step 2) • Tips for selecting a residency programs (AOA vs.Tips for selecting a residency programs (AOA vs. ACGME)ACGME) • Preparing to Apply for ResidencyPreparing to Apply for Residency • Electronic Residency Application Service (AOA vs.Electronic Residency Application Service (AOA vs. ACGME)ACGME) • Residency Interviewing SkillsResidency Interviewing Skills • The Match and Scrambling Processes (AOA vs.The Match and Scrambling Processes (AOA vs. ACGME)ACGME) • Requirements to Start Residency (AOA vs. ACGME)Requirements to Start Residency (AOA vs. ACGME) 5
  6. 6. OutlineOutline • Post-doctoralPost-doctoral • Medical Licensing/Board Certification (AOA vs.Medical Licensing/Board Certification (AOA vs. ACGME)ACGME) • Osteopathic Approval of ACGME PostdoctoralOsteopathic Approval of ACGME Postdoctoral Training Programs -Resolution 42Training Programs -Resolution 42
  7. 7. 22ndnd yearyear 7
  8. 8. By the end of your 2By the end of your 2ndnd yearyear • Update Curriculum VitaeUpdate Curriculum Vitae • Start PortfolioStart Portfolio • Conduct ResearchConduct Research • Student Researchers are more desirableStudent Researchers are more desirable to competitive residency programs!to competitive residency programs! • Review Academic FileReview Academic File • Make copies of items in your academicMake copies of items in your academic file for your portfolio!file for your portfolio!
  9. 9. Curriculum Vitae EssentialsCurriculum Vitae Essentials • IdentificationIdentification InformationInformation • EducationEducation • Work ExperienceWork Experience • LeadershipLeadership • ResearchResearch • Publications, PosterPublications, Poster Competitions,Competitions, PresentationsPresentations • ProfessionalProfessional ExperienceExperience • ProfessionalProfessional AffiliationsAffiliations • MilitaryMilitary • Volunteer ActivitiesVolunteer Activities • Honors & AwardsHonors & Awards • Special SkillsSpecial Skills • Hobbies & InterestsHobbies & Interests • ReferencesReferences
  10. 10. Portfolio EssentialsPortfolio Essentials • Title Page withTitle Page with identificationidentification information,information, objective…objective… • Table of ContentsTable of Contents • Curriculum VitaeCurriculum Vitae • Personal StatementPersonal Statement • EvaluationsEvaluations • Clinical evaluationClinical evaluation summary,summary, recommendationrecommendation letters, etc…letters, etc… • HonorsHonors • Top 10% letters,Top 10% letters, Scholarship Awards,Scholarship Awards, Certificates, etc…Certificates, etc… • ResearchResearch • Publications,Publications, Posters, Protocols,Posters, Protocols, Papers notPapers not published, etc…published, etc… • LecturesLectures • Public RelationsPublic Relations • Newspaper articlesNewspaper articles
  11. 11. 33rdrd yearyear 11
  12. 12. Unique Rotations To ConsiderUnique Rotations To Consider • Research RotationResearch Rotation • International RotationInternational Rotation • International Research RotationInternational Research Rotation Do a research rotation at a residency program of interest!Do a research rotation at a residency program of interest! 12
  13. 13. Evaluations On RotationsEvaluations On Rotations • During your clinical years, you will receiveDuring your clinical years, you will receive grades per rotations.grades per rotations. • Try to earnTry to earn HONORSHONORS on all of your clinicalon all of your clinical rotations- especially in your specialty ofrotations- especially in your specialty of choice.choice. 13
  14. 14. By the end of 3rd yearBy the end of 3rd year Time to Choose a SpecialtyTime to Choose a Specialty • You should have narrowed down your choicesYou should have narrowed down your choices of specialties to 1-2 .of specialties to 1-2 . • You can apply to more than one specialtyYou can apply to more than one specialty via ERAS!via ERAS! • If not, don’t worry…yet! The earlier youIf not, don’t worry…yet! The earlier you decide, the easier this process will be for you.decide, the easier this process will be for you. • Once you have decided on a particularOnce you have decided on a particular specialty, apply for out rotations/electives inspecialty, apply for out rotations/electives in either this field or in one of its subspecialtieseither this field or in one of its subspecialties.. 14
  15. 15. 44thth yearyear 15
  16. 16. BudgetingBudgeting • Expenses during 4Expenses during 4thth year include:year include: • Boards USMLE Step 2 &/or COMLEX Level 2Boards USMLE Step 2 &/or COMLEX Level 2 • COMLEX Level 2 Physical Examination/Clinical SkillsCOMLEX Level 2 Physical Examination/Clinical Skills + Travel expenses to testing site+ Travel expenses to testing site • Elective RotationsElective Rotations • Application Fees, Travel expensesApplication Fees, Travel expenses • ERAS applicationERAS application • The number of programs you are applying toThe number of programs you are applying to • The number of specialties you are applying toThe number of specialties you are applying to • Transcripts (COMLEX/USMLE and MedicalTranscripts (COMLEX/USMLE and Medical School)School) • InterviewsInterviews • Travel expenses such as flights, hotels, rental cars,Travel expenses such as flights, hotels, rental cars, mealsmeals • Costs can range from ~$100-$5,000Costs can range from ~$100-$5,000 16
  17. 17. Elective RotationsElective Rotations • Visit potential residency programs by applying to doVisit potential residency programs by applying to do elective rotations or acting internships (AI)/Sub-elective rotations or acting internships (AI)/Sub- internships (Sub-I).internships (Sub-I). • Try to rotate in these residency programs betweenTry to rotate in these residency programs between July-Dec. Try to interview while you are rotatingJuly-Dec. Try to interview while you are rotating there!there! • Pursue a well-rounded medical education…this isPursue a well-rounded medical education…this is your last chance to truly see anything and everythingyour last chance to truly see anything and everything before you begin your residency or internshipbefore you begin your residency or internship.. 17
  18. 18. Elective RotationsElective Rotations • Elective rotations are just what they say. You get toElective rotations are just what they say. You get to choose what you want to do.choose what you want to do. • Complete rotations that will help you get a well-Complete rotations that will help you get a well- rounded education.rounded education. • Use this time to see various residency programs.Use this time to see various residency programs. • If a program director is in a specific subspecialty,If a program director is in a specific subspecialty, do an elective rotation in that subspecialty!do an elective rotation in that subspecialty! 18
  19. 19. Elective RotationsElective Rotations • Check hospital websites for:Check hospital websites for: • Intern and residency programs (GraduateIntern and residency programs (Graduate Medical Education Links)Medical Education Links) • Application requirements and deadlines forApplication requirements and deadlines for elective rotationselective rotations • Student (Extern) Rotation ApplicationStudent (Extern) Rotation Application Form- may be an online applicationForm- may be an online application process.process. 19
  20. 20. Elective RotationsElective Rotations • Apply for elective rotationsApply for elective rotations 3-6 months in3-6 months in advance.advance. • Hospitals will fill these rotations with theirHospitals will fill these rotations with their home medical school students before theyhome medical school students before they place students from outside schools.place students from outside schools. • However, if you apply early you will be onHowever, if you apply early you will be on the top of the “outside” school pile.the top of the “outside” school pile. • Some hospitals charge an application feeSome hospitals charge an application fee • $20-250$20-250 20
  21. 21. Elective RotationsElective Rotations • Some hospitalsSome hospitals do notdo not provide housing, travelprovide housing, travel expenses, or meals.expenses, or meals. • Apply to 2-3 rotations for the same month.Apply to 2-3 rotations for the same month. • You may be rejected from an elective rotation.You may be rejected from an elective rotation. • Cancel a rotation if you have another scheduledCancel a rotation if you have another scheduled that you plan on completing so other students canthat you plan on completing so other students can have the same opportunities as you.have the same opportunities as you. 21
  22. 22. Elective Rotation PaperworkElective Rotation Paperwork • Hospital Student Application FormHospital Student Application Form • Immunization RecordsImmunization Records • Letter of Good StandingLetter of Good Standing • Professional Liability Insurance CertificateProfessional Liability Insurance Certificate • Copy of TranscriptCopy of Transcript • Copy of USMLE Step 1/COMLEX Level 1Copy of USMLE Step 1/COMLEX Level 1 • CV or resumeCV or resume • Criminal Background Check/Fingerprint AnalysisCriminal Background Check/Fingerprint Analysis • Additional paperwork specific to the hospital mayAdditional paperwork specific to the hospital may be required.be required. 22
  23. 23. Elective RotationsElective Rotations • Most students will agree that you should try toMost students will agree that you should try to schedule one or both of the following:schedule one or both of the following: • ICU rotationICU rotation • Acting/Sub-internshipActing/Sub-internship
  24. 24. Elective RotationsElective Rotations • Most students will agree that you should try toMost students will agree that you should try to schedule one or both of the following:schedule one or both of the following: • ICU rotationICU rotation • Acting/Sub-internshipActing/Sub-internship
  25. 25. Acting/Sub-internshipActing/Sub-internship • You and another student are paired up for the month. TheYou and another student are paired up for the month. The two of you equal one intern. You assume thetwo of you equal one intern. You assume the responsibilities of an intern in terms of call, admissions,responsibilities of an intern in terms of call, admissions, and discharges.and discharges. • Glimpse of intern year while still having someone lookingGlimpse of intern year while still having someone looking over your shoulder.over your shoulder. • Chance to shine and show a particular program what youChance to shine and show a particular program what you are capable of.are capable of. • Great way to get a good letter of recommendation,Great way to get a good letter of recommendation, whichwhich carries more weight.carries more weight. 25
  26. 26. ““Audition” RotationsAudition” Rotations • Remember: rotations at hospitals you will be applyingRemember: rotations at hospitals you will be applying to for residency should be considered “Audition”to for residency should be considered “Audition” rotations.rotations. • Show the program why they should take you. GetShow the program why they should take you. Get your face seen and known. This way when theyyour face seen and known. This way when they receive your application they will remember thereceive your application they will remember the impression you left.impression you left. 26
  27. 27. BoardsBoards By now, you have completed and passed USMLEBy now, you have completed and passed USMLE Step I and/or COMLEX Level 1. Many students ask:Step I and/or COMLEX Level 1. Many students ask: • Do I need to take step 2/level 2 before I apply forDo I need to take step 2/level 2 before I apply for residency?residency? • Do I need to take the USMLE to apply to anDo I need to take the USMLE to apply to an allopathic program?allopathic program? 27
  28. 28. When to take USMLEWhen to take USMLE Step 2/COMLEX Level 2?Step 2/COMLEX Level 2? • You should take the your second set of boardsYou should take the your second set of boards (including the PE) by the(including the PE) by the late summer/early fall!late summer/early fall! 28
  29. 29. Do you need to take step 2/levelDo you need to take step 2/level 2 before residency applications?2 before residency applications? • Most residency programs would like to see step 2Most residency programs would like to see step 2 before they make their official rank order list.before they make their official rank order list. • Therefore you should take the boards (includingTherefore you should take the boards (including the PE) by the late summer/early fall.the PE) by the late summer/early fall. • Some programs may not rank you until you haveSome programs may not rank you until you have completed both parts of step 2 (CK and PE)!completed both parts of step 2 (CK and PE)! • Make sure to check with the programs you areMake sure to check with the programs you are interested in as these requirements are program-interested in as these requirements are program- dependent.dependent. 29
  30. 30. Do you need to take the USMLE to applyDo you need to take the USMLE to apply to an allopathic program?to an allopathic program? • Answer: yes & no.Answer: yes & no. • No program can deny your application if you justNo program can deny your application if you just submit your COMLEX scores; however, they maysubmit your COMLEX scores; however, they may choose to not consider you.choose to not consider you. • This is program dependent. At some programs, yourThis is program dependent. At some programs, your chances may be increased if you take the USMLE.chances may be increased if you take the USMLE. • Choosing to take only COMLEX depends on howChoosing to take only COMLEX depends on how competitive an applicant is and how competitivecompetitive an applicant is and how competitive their specialty choice is!their specialty choice is! 30
  31. 31. Reasons Not to Take the USMLEReasons Not to Take the USMLE • COMLEX is based on the COMS curriculum whileCOMLEX is based on the COMS curriculum while USMLE is based on the LCGME curriculum.USMLE is based on the LCGME curriculum. • A D.O. must pass all 3 parts of the COMLEX only toA D.O. must pass all 3 parts of the COMLEX only to be licensed as a D.O.be licensed as a D.O. • If you fail any exam and the state licensing boardIf you fail any exam and the state licensing board inquires, you must report your results- which becomesinquires, you must report your results- which becomes part of your permanent record that your state licensingpart of your permanent record that your state licensing board keeps!board keeps! • You double the cost, preparation time, etc. by takingYou double the cost, preparation time, etc. by taking both exams.both exams. • Some ACGME programs will accept candidates withSome ACGME programs will accept candidates with COMLEX only.COMLEX only. 31
  32. 32. Board PreparationBoard Preparation • Common resources for Step 2/Level 2:Common resources for Step 2/Level 2: • First Aid for Step 2First Aid for Step 2 • Boards and Wards- great resource for rotationsBoards and Wards- great resource for rotations • Crush for the BoardsCrush for the Boards • Usmleworld.com or Kaplan Question BankUsmleworld.com or Kaplan Question Bank • OMT ReviewOMT Review • SavareseSavarese • W. Crowe COMLEX ReviewW. Crowe COMLEX Review • http://www.md-do.org/NewOMMBoardhttp://www.md-do.org/NewOMMBoard %20Review02-REV.htm%20Review02-REV.htm 32
  33. 33. Miscellaneous Info about BoardsMiscellaneous Info about Boards • You can take the USMLE Step 2, without takingYou can take the USMLE Step 2, without taking USMLE Step 1.USMLE Step 1. • There is not a consensus if this is helpful,There is not a consensus if this is helpful, however, I would like to make you aware ofhowever, I would like to make you aware of this option.this option. 33
  34. 34. ResidencyResidency 34
  35. 35. Allopathic Positions you may apply toAllopathic Positions you may apply to • CategoricalCategorical • programs that begin in the PGY-1 year and provide theprograms that begin in the PGY-1 year and provide the training required for board certification in medical specialties.training required for board certification in medical specialties. • AdvancedAdvanced • programs that begin in the PGY-2 year after a year ofprograms that begin in the PGY-2 year after a year of prerequisite training.prerequisite training. • PreliminaryPreliminary • one-year programs beginning in the PGY-1 year that provideone-year programs beginning in the PGY-1 year that provide prerequisite training for advanced programs.prerequisite training for advanced programs. • PhysicianPhysician • programs that are reserved for physicians who have had priorprograms that are reserved for physicians who have had prior graduate medical education. Physician programs are notgraduate medical education. Physician programs are not available to senior U.S. medical students.available to senior U.S. medical students. 35
  36. 36. Osteopathic Positions you may apply toOsteopathic Positions you may apply to OPTION 1 (OGME-1 Resident)= Specialty TrackOPTION 1 (OGME-1 Resident)= Specialty Track • The first postdoctoral year will be the first year ofThe first postdoctoral year will be the first year of residency. This is the same as the current specialty trackresidency. This is the same as the current specialty track model. All trainees will receive residency credit for thismodel. All trainees will receive residency credit for this 1st year of training. These positions will be known as1st year of training. These positions will be known as OGME-1 Resident.OGME-1 Resident. 36
  37. 37. Osteopathic Positions you may apply toOsteopathic Positions you may apply to OPTION 2 (OGME-1 Preliminary)= Special EmphasisOPTION 2 (OGME-1 Preliminary)= Special Emphasis • The first postdoctoral year is not included in theThe first postdoctoral year is not included in the residency, but is a specific preliminary entranceresidency, but is a specific preliminary entrance requirement into the specialty to produce an enhancedrequirement into the specialty to produce an enhanced educational opportunity for that specialty. The traineeeducational opportunity for that specialty. The trainee will have been accepted into the OGME-2 specialtywill have been accepted into the OGME-2 specialty while a senior in osteopathic medical school. Thesewhile a senior in osteopathic medical school. These positions will be recorded by the AOA as Preliminarypositions will be recorded by the AOA as Preliminary interns and be known as OGME-1 Preliminary.interns and be known as OGME-1 Preliminary. 37
  38. 38. Osteopathic Positions you may apply toOsteopathic Positions you may apply to OPTION 3 (OGME- 1 Traditional)= TraditionalOPTION 3 (OGME- 1 Traditional)= Traditional Rotating InternshipRotating Internship • This first postdoctoral year is not included in theThis first postdoctoral year is not included in the residency, but is available in the format of a Traditionalresidency, but is available in the format of a Traditional Rotating Internship. It may be utilized by anyRotating Internship. It may be utilized by any osteopathic graduate uncertain of residency plans orosteopathic graduate uncertain of residency plans or those who want a single year program. These positionsthose who want a single year program. These positions will be recorded by the AOA as OGME-1 Traditional.will be recorded by the AOA as OGME-1 Traditional. 38
  39. 39. 39
  40. 40. 40
  41. 41. Choosing a Residency…Factors To ConsiderChoosing a Residency…Factors To Consider • Location and proximity to familyLocation and proximity to family • DidacticsDidactics • Volume (Surgeries, Deliveries, Procedures)Volume (Surgeries, Deliveries, Procedures) • Fellowship opportunityFellowship opportunity • Program Reputation/RankingsProgram Reputation/Rankings • Program atmosphere (residents/attendings/facility)Program atmosphere (residents/attendings/facility) • Research opportunitiesResearch opportunities • Night float vs. overnight callNight float vs. overnight call • Amount of scutworkAmount of scutwork • Board pass ratesBoard pass rates • Amount of autonomyAmount of autonomy 41
  42. 42. Information about Residency ProgramsInformation about Residency Programs • FREIDA Online WebsiteFREIDA Online Website • http://www.ama-assn.org/ama/pub/category/2997.htmlhttp://www.ama-assn.org/ama/pub/category/2997.html • DO Online Website “Opportunities”DO Online Website “Opportunities” • http://www.do-online.orghttp://www.do-online.org • Student Doctor Network WebsiteStudent Doctor Network Website • http://www.studentdoctor.net/http://www.studentdoctor.net/ • SCUTWORK WebsiteSCUTWORK Website • http://www.scutwork.comhttp://www.scutwork.com • Washington University SOM WebsiteWashington University SOM Website • http://residency.wustl.edu/http://residency.wustl.edu/ • Great website with helpful information about residencyGreat website with helpful information about residency • MDsecretsMDsecrets • http://mdsecrets.comhttp://mdsecrets.com • List of unfilled allopathic residenciesList of unfilled allopathic residencies 42
  43. 43. How do you know if aHow do you know if a program is “DO Friendly”?program is “DO Friendly”? • Look at the programs websites and see what their specificLook at the programs websites and see what their specific requirements are- also look to see if there are any DO’s inrequirements are- also look to see if there are any DO’s in the program.the program. • Some programs require passage of USMLE Step 1 toSome programs require passage of USMLE Step 1 to apply for their residency program!apply for their residency program! • If they list resident contact information (email address),If they list resident contact information (email address), contact the residents especially if there are DOs.contact the residents especially if there are DOs. • Don’t hesitate to contact the program directors orDon’t hesitate to contact the program directors or program coordinators if you have any questions!program coordinators if you have any questions! 43
  44. 44. What if I choose not to do anWhat if I choose not to do an Osteopathic Internship?Osteopathic Internship? • There are five statesThere are five states (PA, OK, FL, WV, and MI)(PA, OK, FL, WV, and MI) whichwhich require completion of an osteopathic internship inrequire completion of an osteopathic internship in order to be licensed to practice in that state.order to be licensed to practice in that state. • Without this internship or osteopathic approval you areWithout this internship or osteopathic approval you are unable to participate in a residency, fellowship, orunable to participate in a residency, fellowship, or practice in these five states.practice in these five states. 44
  45. 45. Documents Needed for ERAS ApplicationDocuments Needed for ERAS Application • Regardless of whether you are going to pursue osteopathic orRegardless of whether you are going to pursue osteopathic or allopathic postgraduate training there are specific documents youallopathic postgraduate training there are specific documents you must have.must have. • You will need:You will need: • 3-4 good letters of recommendation3-4 good letters of recommendation • (1 from your specialty choice)(1 from your specialty choice) • Updated CVUpdated CV • Personal statementPersonal statement • Dean’s LetterDean’s Letter • USMLE/COMLEX TranscriptsUSMLE/COMLEX Transcripts • Medical School TranscriptsMedical School Transcripts • PhotoPhoto 45
  46. 46. Letters of RecommendationLetters of Recommendation • You will need at least 3-4 good letters of recommendation.You will need at least 3-4 good letters of recommendation. • Don’t get them all in one specialty. Programs want to see thatDon’t get them all in one specialty. Programs want to see that you are a well-rounded candidate (not only did you do well inyou are a well-rounded candidate (not only did you do well in Pediatrics, but also Surgery and Psychiatry)Pediatrics, but also Surgery and Psychiatry) • Get an early start- ask for letters during your 3rd year!Get an early start- ask for letters during your 3rd year! • Don’t wait until a few weeks before you plan on applying onDon’t wait until a few weeks before you plan on applying on ERAS.ERAS. • Consider completing an acting internship for a final letter ofConsider completing an acting internship for a final letter of recommendation.recommendation. 46
  47. 47. Letters of Recommendation (LOR)Letters of Recommendation (LOR) • Each LOR will be accompanied by an ERASEach LOR will be accompanied by an ERAS coversheet, which includes your information, thecoversheet, which includes your information, the physicians information, and your option to waive yourphysicians information, and your option to waive your right to see the LORright to see the LOR • You may want to waive your right on the coverYou may want to waive your right on the cover sheet. This will allow the physician to give you a fairsheet. This will allow the physician to give you a fair and unbiased evaluationand unbiased evaluation.. 47
  48. 48. Packet for Preceptors to helpPacket for Preceptors to help them write your LORthem write your LOR • Curriculum VitaeCurriculum Vitae • Personal StatementPersonal Statement • Their evaluation of you during your rotationTheir evaluation of you during your rotation • Thank you letterThank you letter • ERAS coversheetERAS coversheet • Small envelope- stamped, addressed to your address inSmall envelope- stamped, addressed to your address in case preceptor wants to mail you a copycase preceptor wants to mail you a copy • Large envelope- stamped, addressed to Student AffairsLarge envelope- stamped, addressed to Student Affairs for ERAS applicationfor ERAS application 48
  49. 49. Personal Statement (PS)Personal Statement (PS) • Don’t underestimate the importance of your personalDon’t underestimate the importance of your personal statement!statement! • Don’t procrastinate!Don’t procrastinate! • Start writing it as soon as you choose a specialty.Start writing it as soon as you choose a specialty. • Have several individuals review your PS-yourHave several individuals review your PS-your advisors, residents in your specialty, the residencyadvisors, residents in your specialty, the residency program director at your medical school!program director at your medical school! 49
  50. 50. Websites to help you writeWebsites to help you write your Personal Statementyour Personal Statement • http://u101.com/articles/med-school/residency-http://u101.com/articles/med-school/residency- personal-statem.shtmlpersonal-statem.shtml • http://www.rushu.rush.edu/studentlife/career/medpsthttp://www.rushu.rush.edu/studentlife/career/medpst ate.htmlate.html • http://www.ama-http://www.ama- assn.org/ama/pub/category/6700.htmlassn.org/ama/pub/category/6700.html • http://www.residencyandfellowship.com/page3.htmlhttp://www.residencyandfellowship.com/page3.html50
  51. 51. Medical School TranscriptsMedical School Transcripts • Request copy of transcripts forRequest copy of transcripts for yourselfyourself and forand for Student Affairs (for ERAS).Student Affairs (for ERAS). 51
  52. 52. COMLEX &/orCOMLEX &/or USMLE TranscriptsUSMLE Transcripts • On MyERAS, youOn MyERAS, you mustmust release your COMLEXrelease your COMLEX transcripts!transcripts! • On the other hand, you do not have to release yourOn the other hand, you do not have to release your USMLE transcripts!USMLE transcripts! • May be changing for future classes. Make sure youMay be changing for future classes. Make sure you look into this if you took the USMLE.look into this if you took the USMLE. 52
  53. 53. Dean’s LetterDean’s Letter • Now known as theNow known as the Medical Student PerformanceMedical Student Performance Evaluation (MSPE)Evaluation (MSPE) • Your Dean’s letter is a formal institutional reflection ofYour Dean’s letter is a formal institutional reflection of your academic background and achievements.your academic background and achievements. • It isIt is NOTNOT a personal letter of recommendation.a personal letter of recommendation. • Your medical school’s student affairs uses your PersonalYour medical school’s student affairs uses your Personal & Academic File along with your Curriculum Vitae to& Academic File along with your Curriculum Vitae to write your Dean’s Letter.write your Dean’s Letter. 53
  54. 54. What does your Dean’s Letter contain?What does your Dean’s Letter contain? • Confirmation of good academic standingConfirmation of good academic standing • Anticipated Date for D.O. degreeAnticipated Date for D.O. degree • Your undergrad/grad degreeYour undergrad/grad degree • Degree, year, where conferredDegree, year, where conferred • Undergraduate Activities DescriptionsUndergraduate Activities Descriptions • Volunteer work, research activities, clubs,Volunteer work, research activities, clubs, honors, teaching, etc.honors, teaching, etc.
  55. 55. What does your Dean’s Letter contain?What does your Dean’s Letter contain? • Explanation/Description of curriculumExplanation/Description of curriculum • Grading systemGrading system • Academic achievementsAcademic achievements • Activities DescriptionsActivities Descriptions • Volunteer work, research, clubs, tutoring,Volunteer work, research, clubs, tutoring, professional associations, honors, awards,professional associations, honors, awards, fellowshipsfellowships
  56. 56. What does your Dean’s Letter contain?What does your Dean’s Letter contain? • Facilitator CommentsFacilitator Comments • Board Exam Completion (percentile included if in topBoard Exam Completion (percentile included if in top 30%)30%) • Rotations to date, including:Rotations to date, including: • Positive comments from each rotationPositive comments from each rotation • Final assessment: marginal to honorsFinal assessment: marginal to honors • Closing paragraph to summarize and recommendClosing paragraph to summarize and recommend
  57. 57. Request a copy of your Dean’s LetterRequest a copy of your Dean’s Letter • Request a copy in early Fall of Senior YearRequest a copy in early Fall of Senior Year 57
  58. 58. PhotoPhoto • Use a picture of you in your business attire- itUse a picture of you in your business attire- it looks more professional.looks more professional. Remember- you areRemember- you are interviewing for a job!interviewing for a job! 58
  59. 59. ERASERAS 59https://services.aamc.org/eras/myeras2009/
  60. 60. What is ERAS?What is ERAS? • ERAS is a service that transmits residency, fellowshipERAS is a service that transmits residency, fellowship and osteopathic internship applications, letters ofand osteopathic internship applications, letters of recommendations, MSPEs, medical school transcripts,recommendations, MSPEs, medical school transcripts, USMLE transcripts, COMLEX transcripts, and otherUSMLE transcripts, COMLEX transcripts, and other supporting credentials from you and your designatedsupporting credentials from you and your designated Dean's Office to program directors using the Internet.Dean's Office to program directors using the Internet. 60
  61. 61. 4 Components of ERAS4 Components of ERAS • MyERAS WebsiteMyERAS Website • This is where you complete your application andThis is where you complete your application and personal statement, select programs to apply to, andpersonal statement, select programs to apply to, and assign documents to be received by those programs.assign documents to be received by those programs. • Dean’s Office Workstation (Student Affairs)Dean’s Office Workstation (Student Affairs) • This is ERAS software used by staff at yourThis is ERAS software used by staff at your designated Dean's Office. From this software theydesignated Dean's Office. From this software they create the ERAS Token that applicants use to accesscreate the ERAS Token that applicants use to access MyERAS. They also use this system to scan andMyERAS. They also use this system to scan and attach supporting documents to your application,attach supporting documents to your application, such as photograph, medical school transcript,such as photograph, medical school transcript, MSPE, and letters of recommendation.MSPE, and letters of recommendation. 61
  62. 62. 4 Components of ERAS4 Components of ERAS • Program Director’s Workstation (HospitalProgram Director’s Workstation (Hospital Graduate Medical Education Office)Graduate Medical Education Office) • This is ERAS software used by program staff toThis is ERAS software used by program staff to receive, sort, review, evaluate, and rank applications.receive, sort, review, evaluate, and rank applications. • ERAS Post officeERAS Post office • This is a central bank of computers which transfersThis is a central bank of computers which transfers the applications. You can monitor the activity ofthe applications. You can monitor the activity of your files in the ERAS Post Office on the Applicantyour files in the ERAS Post Office on the Applicant Data Tracking System (ADTS).Data Tracking System (ADTS). 62
  63. 63. How does ERAS work?How does ERAS work? • Applicants receive an electronic Token from theirApplicants receive an electronic Token from their assigned Dean's office, and use it to access theassigned Dean's office, and use it to access the MyERAS Web site.MyERAS Web site. • Applicants complete their ERAS application, selectApplicants complete their ERAS application, select programs, assign supporting documents, and transmitprograms, assign supporting documents, and transmit their application to programs.their application to programs. • Schools receive notification of completed application,Schools receive notification of completed application, and start transmitting supporting documents:and start transmitting supporting documents: transcripts, letters of recommendation, photos, MSPEs.transcripts, letters of recommendation, photos, MSPEs.63
  64. 64. How does ERAS work?How does ERAS work? • Examining boards receive and process requestsExamining boards receive and process requests for score reports.for score reports. • Programs contact the ERAS Post Office on aPrograms contact the ERAS Post Office on a daily basis to download application materialsdaily basis to download application materials 64
  65. 65. 65
  66. 66. ERAS TimelineERAS Timeline • Mid June-Mid June- Download ERAS Applicant Manual willDownload ERAS Applicant Manual will be available for PDF download by chapters or in itsbe available for PDF download by chapters or in its entirety on the Web site.entirety on the Web site. • Late June-Late June- Schools may begin to generate andSchools may begin to generate and distribute MyERAS tokens to applicantsdistribute MyERAS tokens to applicants.. 66
  67. 67. ERAS TimelineERAS Timeline • July 1July 1stst -- MyERAS website opens to applicants toMyERAS website opens to applicants to begin work on applications.begin work on applications. • July 15-July 15- Osteopathic applicants may begin selectingOsteopathic applicants may begin selecting and applying to Osteopathic Internship programsand applying to Osteopathic Internship programs ONLY. Osteopathic Internship programs can beginONLY. Osteopathic Internship programs can begin contacting the ERAS Post Office to downloadcontacting the ERAS Post Office to download application files.application files. 67
  68. 68. ERAS TimelineERAS Timeline • September 1September 1stst -- Applicants may begin applying toApplicants may begin applying to ACGME accredited programs. ACGME accreditedACGME accredited programs. ACGME accredited programs may begin contacting the ERAS Postprograms may begin contacting the ERAS Post Office to download application files.Office to download application files. • November 1November 1stst -- MSPEs (aka Dean’s Letters) areMSPEs (aka Dean’s Letters) are released.released. • December-December- Military MatchMilitary Match 68
  69. 69. ERAS TimelineERAS Timeline • January-January- Urology MatchUrology Match • February-February- Osteopathic MatchOsteopathic Match • March-March- NRMP Match results will be availableNRMP Match results will be available.. • May 31May 31st-st- ERAS Post Office will close to prepareERAS Post Office will close to prepare for the next season.for the next season. 69
  70. 70. Application Process GuidelineApplication Process Guideline • Step 1:Step 1:Research/Contact programs of interest toResearch/Contact programs of interest to find out their requirements and deadlines.find out their requirements and deadlines. • Step 2:Step 2:Request your token from your designatedRequest your token from your designated Dean's Office and download your applicant manual.Dean's Office and download your applicant manual. • Step 3:Step 3:Register on MyERAS.Register on MyERAS. 70
  71. 71. Application Process GuidelineApplication Process Guideline • Step 4:Step 4:Register for your Match.Register for your Match. • Step 5:Step 5:Obtain documents and send them to theObtain documents and send them to the designated Dean's Office to be scanned and uploaded.designated Dean's Office to be scanned and uploaded. • Step 6:Step 6:Create your Profile and MyERAS Application.Create your Profile and MyERAS Application. 71
  72. 72. Application Process GuidelineApplication Process Guideline • Step 7:Step 7:Create personal statements, create a list ofCreate personal statements, create a list of recommendation writers, and authorize transmission ofrecommendation writers, and authorize transmission of your USMLE and/or COMLEX transcripts.your USMLE and/or COMLEX transcripts. • Step 8:Step 8:Search/Select programs of interest.Search/Select programs of interest. • Step 9:Step 9:Assign documents to programs.Assign documents to programs. 72
  73. 73. Application Process GuidelineApplication Process Guideline • Step 10:Step 10:Certify and submit your MyERAS applicationCertify and submit your MyERAS application then apply and pay for programs.then apply and pay for programs. • Step 11:Step 11:Check the status of your applications.Check the status of your applications. • Step 12:Step 12:Adding programs/Updating assignments andAdding programs/Updating assignments and keep your Profile current.keep your Profile current. 73
  74. 74. Using MyERAS- OverviewUsing MyERAS- Overview AccountAccount • ProfileProfile • ChecklistChecklist • MessagesMessages • PasswordPassword ApplicationApplication • HomeHome • Page One - General InfoPage One - General Info • Page Two - EducationPage Two - Education • Page Three - MedicalPage Three - Medical EducationEducation • Page Four - PreviousPage Four - Previous Residency/FellowshipResidency/Fellowship • Page Five - ExperiencePage Five - Experience • Page Six - PublicationsPage Six - Publications • Page Seven - ExamsPage Seven - Exams • Page Eight - Licensure InfoPage Eight - Licensure Info • Page Nine - State MedicalPage Nine - State Medical LicensesLicenses • Page Ten - RacePage Ten - Race • Page Eleven - EthnicityPage Eleven - Ethnicity • Page Twelve - Misc InfoPage Twelve - Misc Info
  75. 75. Using MyERAS- OverviewUsing MyERAS- Overview DocumentsDocuments • USMLE TranscriptUSMLE Transcript • COMLEX TranscriptCOMLEX Transcript • Personal StatementsPersonal Statements • Letters ofLetters of RecommendationRecommendation ProgramsPrograms • Search AllopathicSearch Allopathic ProgramsPrograms • Search OsteopathicSearch Osteopathic Programs (Visible toPrograms (Visible to Osteopathic ApplicantsOsteopathic Applicants only)only) • Programs SelectedPrograms Selected • Programs Applied ToPrograms Applied To • Preview InvoicePreview Invoice • Apply to ProgramsApply to Programs • Invoice HistoryInvoice History • Assignments ReportAssignments Report
  76. 76. ERAS Application FeesERAS Application Fees Number of Programs Per SpecialtyNumber of Programs Per Specialty AAMC FeesAAMC Fees • Up to 10Up to 10 $60$60 • 11-2011-20 $8 each$8 each • 21-3021-30 $15 each$15 each • 31 or more31 or more $25 each$25 each
  77. 77. ERAS Application FeesERAS Application Fees • Example 1:Example 1: An applicant applies to 30 emergency medicineAn applicant applies to 30 emergency medicine programs, AAMC fees are $290. (60 + (10 x $8) + (10 xprograms, AAMC fees are $290. (60 + (10 x $8) + (10 x $15)).$15)). • Example 2:Example 2: An applicant applies to 20 OB/GYNAn applicant applies to 20 OB/GYN programs, and 10 family practice programs. The fees areprograms, and 10 family practice programs. The fees are $200. ($140 for OBGYN and $60 for family residency$200. ($140 for OBGYN and $60 for family residency programs).programs).
  78. 78. ERAS Application FeesERAS Application Fees • Example 3:Example 3: An applicant applies to 23 internal medicineAn applicant applies to 23 internal medicine programs, and 7 radiology programs. The fees are $245programs, and 7 radiology programs. The fees are $245 ($185 for internal medicine programs and $60 for($185 for internal medicine programs and $60 for radiology programs).radiology programs). • Example 4:Example 4: An applicant applies to 12 internal medicineAn applicant applies to 12 internal medicine programs, 10 emergency medicine, and 8 family practiceprograms, 10 emergency medicine, and 8 family practice programs. AAMC fees are $196 ($76 for internal medicineprograms. AAMC fees are $196 ($76 for internal medicine programs, $60 for emergency medicine programs, andprograms, $60 for emergency medicine programs, and $60 also for family practice).$60 also for family practice).
  79. 79. ERAS Application FeesERAS Application Fees • Example 5:Example 5: A military applicant applies to 5 militaryA military applicant applies to 5 military family practice programs, 3 military internal medicinefamily practice programs, 3 military internal medicine programs, 2 military surgery programs, and 7 civilianprograms, 2 military surgery programs, and 7 civilian pediatrics programs. The fees are $120 ($60 for the 10pediatrics programs. The fees are $120 ($60 for the 10 programs consolidated under the military and $60 for theprograms consolidated under the military and $60 for the 7 civilian programs).7 civilian programs).
  80. 80. ERAS Application FeesERAS Application Fees • Special Instructions for Osteopathic Graduates:Special Instructions for Osteopathic Graduates: Although the ERAS 2008 fee structure is the sameAlthough the ERAS 2008 fee structure is the same for osteopathic and allopathic programs, it isfor osteopathic and allopathic programs, it is administered differently. For osteopathicadministered differently. For osteopathic internships, the fee is applied based on the totalinternships, the fee is applied based on the total number of programs applied to,number of programs applied to, regardless of theregardless of the specialtiesspecialties to which the applicant applies.to which the applicant applies. Applicants applying to allopathic programs areApplicants applying to allopathic programs are assessed based on the total number of programsassessed based on the total number of programs applied toapplied to withinwithin a specialty.a specialty. 80
  81. 81. Miscellaneous FeesMiscellaneous Fees  US (Allopathic and Osteopathic) andUS (Allopathic and Osteopathic) and Canadian ApplicantsCanadian Applicants The National Board of Medical ExaminersThe National Board of Medical Examiners (NBME) charges a flat(NBME) charges a flat $50$50 fee to US andfee to US and Canadian applicants who request transmissionCanadian applicants who request transmission of USMLE and/or NBME to programs,of USMLE and/or NBME to programs, regardless of the number of transcriptsregardless of the number of transcripts requested. The NBME fee is included on yourrequested. The NBME fee is included on your invoice and collected by the AAMCinvoice and collected by the AAMC.. 81
  82. 82. Miscellaneous FeesMiscellaneous Fees • US Osteopathic ApplicantsUS Osteopathic Applicants Osteopathic applicants may request anOsteopathic applicants may request an unlimited number of COMLEX transcripts tounlimited number of COMLEX transcripts to be sent via ERAS forbe sent via ERAS for $50$50. Applicants who. Applicants who request USMLE transcripts via ERAS also payrequest USMLE transcripts via ERAS also pay a $50 fee to the NBME for an unlimiteda $50 fee to the NBME for an unlimited number of electronic transcripts. Transcriptnumber of electronic transcripts. Transcript fees are included on your invoice and arefees are included on your invoice and are collected by AAMC.collected by AAMC. 82
  83. 83. Payment MethodPayment Method • You may use your VISA or MasterCard to pay forYou may use your VISA or MasterCard to pay for your ERAS fees online. This is the safest andyour ERAS fees online. This is the safest and fastest way to process your application.fastest way to process your application. • You also have the option to pay your ERAS feesYou also have the option to pay your ERAS fees by selecting the check/money order option,by selecting the check/money order option, printing out the invoice in the payment module,printing out the invoice in the payment module, and sending your fees by check (U.S. currencyand sending your fees by check (U.S. currency only) to the address on the invoice. Youronly) to the address on the invoice. Your application(s) may be withdrawn if payment isn'tapplication(s) may be withdrawn if payment isn't received within two weeksreceived within two weeks.. • All fees are payable in U.S. funds on U.S. banksAll fees are payable in U.S. funds on U.S. banks ONLY.ONLY. 83
  84. 84. Payment MethodPayment Method • If your check is returned for insufficient funds, youIf your check is returned for insufficient funds, you submit partial payment, or there is a problem withsubmit partial payment, or there is a problem with your credit card payment, ERAS will endeavor toyour credit card payment, ERAS will endeavor to collect fees owed and your application may becollect fees owed and your application may be withdrawn.withdrawn. • If ERAS withdraws your application due toIf ERAS withdraws your application due to nonpayment, your application will be withdrawnnonpayment, your application will be withdrawn from each program to which you applied.from each program to which you applied. 84
  85. 85. ERAS Use During the M.D.ERAS Use During the M.D. Scrambling ProcessScrambling Process • From 12 noon on the third Tuesday in March, until 12 noon onFrom 12 noon on the third Tuesday in March, until 12 noon on the third Thursday in March each year, there is a "Scramble"the third Thursday in March each year, there is a "Scramble" period. This is before the NRMP Match Day results are revealed.period. This is before the NRMP Match Day results are revealed. • During this period, applicants who did not match to a positionDuring this period, applicants who did not match to a position attempt to fill remaining positions. ERAS is available toattempt to fill remaining positions. ERAS is available to applicants to apply to a maximum of thirty (30) programs free ofapplicants to apply to a maximum of thirty (30) programs free of charge who meet the following criteria:charge who meet the following criteria: • The applicant must have participated in ERAS during theThe applicant must have participated in ERAS during the regular season. This means you must have applied to (andregular season. This means you must have applied to (and paid for) at least one program.paid for) at least one program. • The applicant's account must be paid in full no less than twoThe applicant's account must be paid in full no less than two weeks prior to the Scramble period.weeks prior to the Scramble period. 85
  86. 86. Additional “Scramble” InformationAdditional “Scramble” Information • FindAResidentFindAResident is a company created by theis a company created by the AAMC to help applicants find open residencyAAMC to help applicants find open residency positions.positions. • http://www.aamc.org/students/findaresidenthttp://www.aamc.org/students/findaresident • It is an effective resource if you wish to:It is an effective resource if you wish to: • Change specialtiesChange specialties • Change locationChange location • Switch residency or fellowship programsSwitch residency or fellowship programs 86
  87. 87. Osteopathic Match ApplicationOsteopathic Match Application • The osteopathic match occurs through the NationalThe osteopathic match occurs through the National Matching Services (NMS).Matching Services (NMS). • You will sign up in Sept. for this match after you areYou will sign up in Sept. for this match after you are provided a pin number from your medical school.provided a pin number from your medical school. • The initial fee isThe initial fee is $60$60 to sign up for this match!to sign up for this match! • http://www.natmatch.com/aoairp/http://www.natmatch.com/aoairp/ Always Register for the OSTEOPATHIC Match!Always Register for the OSTEOPATHIC Match! 87
  88. 88. Allopathic Match ApplicationAllopathic Match Application • The allopathic match occurs through the NationalThe allopathic match occurs through the National Residency Matching Program (NRMP).Residency Matching Program (NRMP). • You will sign up on Sept. 1 for this match after youYou will sign up on Sept. 1 for this match after you receive your AAMC number.receive your AAMC number. • The initial fee isThe initial fee is $45$45 to sign up for this match!to sign up for this match! • http://www.nrmp.org/http://www.nrmp.org/ 88
  89. 89. Interview SchedulesInterview Schedules • Interviews at osteopathic programs typically occurInterviews at osteopathic programs typically occur fromfrom Sept.-DecSept.-Dec.. • Interviews at allopathic programs typically occurInterviews at allopathic programs typically occur fromfrom Nov.-Jan.Nov.-Jan. • Make sure to schedule rotations and vacation timeMake sure to schedule rotations and vacation time accordingly.accordingly. 89
  90. 90. Interviewing SkillsInterviewing Skills • Before you interview, try to go through a “mock”Before you interview, try to go through a “mock” interview with a faculty member.interview with a faculty member. • Review the list of potential questions to ask duringReview the list of potential questions to ask during your interview.your interview. 90
  91. 91. Other Interviewing TipsOther Interviewing Tips • Schedule rotations appropriately for interview season.Schedule rotations appropriately for interview season. • Choose rotations which have lighter schedules.Choose rotations which have lighter schedules. • Cluster interviews-if within the same cityCluster interviews-if within the same city • i.e. CCF/Metro/UHi.e. CCF/Metro/UH 91
  92. 92. Other Interviewing TipsOther Interviewing Tips • Interact with the residents during the interview day.Interact with the residents during the interview day. • They are the best source for information. Keep inThey are the best source for information. Keep in mind some residency programs allow their residentsmind some residency programs allow their residents to serve on the committee so act appropriately withto serve on the committee so act appropriately with the residents.the residents. • Schedule interviews, even if its not at the top of yourSchedule interviews, even if its not at the top of your list.list. • A program can feel different in person. Don’t baseA program can feel different in person. Don’t base your decision on their website or literature provided.your decision on their website or literature provided. 92
  93. 93. After InterviewsAfter Interviews • You should send a “Thank You” note in aYou should send a “Thank You” note in a timely manner.timely manner. • This can be in the form of an email, phoneThis can be in the form of an email, phone call to the program director, or a hand writtencall to the program director, or a hand written thank you note.thank you note. 93
  94. 94. After InterviewsAfter Interviews • You can choose whomever you like to thank, butYou can choose whomever you like to thank, but most applicants thank their interviewers and themost applicants thank their interviewers and the program director.program director. • Make sure to get business cards from all of yourMake sure to get business cards from all of your interviewers. After each interview write downinterviewers. After each interview write down some highlights from the interview that you cansome highlights from the interview that you can mention in your thank you note. This will helpmention in your thank you note. This will help you stand out and will not look like a genericyou stand out and will not look like a generic thank you.thank you. 94
  95. 95. Letter of IntentLetter of Intent 95
  96. 96. Letter of IntentLetter of Intent • After you have finished interviewing some suggest thatAfter you have finished interviewing some suggest that you write a letter of intent to your top one to threeyou write a letter of intent to your top one to three choices.choices. • State why you want to be there are what this residencyState why you want to be there are what this residency program offers that makes you want to train there.program offers that makes you want to train there. 96
  97. 97. Letter of IntentLetter of Intent • Do not lie and say to all three programs that you areDo not lie and say to all three programs that you are ranking them #1, just say “highly ranked” to #2 & #3ranking them #1, just say “highly ranked” to #2 & #3 • This is a great way to keep in contact with a programThis is a great way to keep in contact with a program • Residency programs typically rank applicants in lateResidency programs typically rank applicants in late Jan/ early Feb.Jan/ early Feb. • Some programs rank applicants immediately afterSome programs rank applicants immediately after you interview!you interview! 97
  98. 98. After InterviewsAfter Interviews • After you have completed the interview season, you areAfter you have completed the interview season, you are now challenged to create a Rank Order List (ROL)now challenged to create a Rank Order List (ROL) • When creating a rank list remember to rank theWhen creating a rank list remember to rank the programs that you want to go to in the orderprograms that you want to go to in the order YOUYOU want them and not based on your “chance” ofwant them and not based on your “chance” of matching there.matching there. 98
  99. 99. Rank Order List (ROL)Rank Order List (ROL) • The Rank Order List (ROL) is your preferredThe Rank Order List (ROL) is your preferred rankings for the residency you are pursuing.rankings for the residency you are pursuing. • For theFor the D.O. matchD.O. match, your ROL is created on the, your ROL is created on the AOA Intern/Resident Registration Program websiteAOA Intern/Resident Registration Program website • www.natmatch.com/aoairp/www.natmatch.com/aoairp/ • For theFor the M.D. matchM.D. match, your ROL is created on the, your ROL is created on the NRMP websiteNRMP website • www.nrmp.org/www.nrmp.org/ 99
  100. 100. ROLROL • You can rank as many or as little programs as youYou can rank as many or as little programs as you like. The rankings are free for programs 1-30, afterlike. The rankings are free for programs 1-30, after which you will be charged a fee for additionalwhich you will be charged a fee for additional rankings.rankings. • Applicants will have a greater chance of matching ifApplicants will have a greater chance of matching if they rank more programs.they rank more programs. • You can only rank programs you interviewed at.You can only rank programs you interviewed at. 100
  101. 101. Match AlgorithmMatch Algorithm 101 At first look it may seem like a foreign language, but with careful observation the match really gives the applicant the advantage. Not the real match algorithm!
  102. 102. The Match AlgorithmThe Match Algorithm • The match favors the applicant!The match favors the applicant! • Here are the websites explaining the algorithms:Here are the websites explaining the algorithms: • M.D.M.D. • http://www.nrmp.org/res_match/about_res/algorithttp://www.nrmp.org/res_match/about_res/algorit hms.htmlhms.html • D.O.D.O. • http://www.natmatch.com/aoairp/ (click onhttp://www.natmatch.com/aoairp/ (click on “match process”)“match process”) 102
  103. 103. Match Algorithm ExampleMatch Algorithm Example • If your number one ranks you highly (ex. if they haveIf your number one ranks you highly (ex. if they have 12 spots and you are within the top 12) you will match12 spots and you are within the top 12) you will match at your number one.at your number one. • However, what happens if you are number 16 and theHowever, what happens if you are number 16 and the first 12 applicants all have this hospital ranked as theirfirst 12 applicants all have this hospital ranked as their number one. Then you don’t match there and younumber one. Then you don’t match there and you continue to your number 2.continue to your number 2. 103
  104. 104. Match Algorithm ExampleMatch Algorithm Example • If your number 2 has you listed highly (again if thereIf your number 2 has you listed highly (again if there are 12 spots, and you are listed within the top 12) youare 12 spots, and you are listed within the top 12) you will match.will match. • Note: Even if the 12 spots are filled by other candidatesNote: Even if the 12 spots are filled by other candidates you can “bump off” the last candidate if you are rankedyou can “bump off” the last candidate if you are ranked higher.higher. 104
  105. 105. The Match AlgorithmThe Match Algorithm • This is why you should always rank your list based onThis is why you should always rank your list based on where YOU want to go.where YOU want to go. • You can find another example involving severalYou can find another example involving several theoretical applicants at:theoretical applicants at: • http://www.nrmp.org/res_match/about_res/algorithttp://www.nrmp.org/res_match/about_res/algorit hms.htmlhms.html 105
  106. 106. Osteopathic Match TimelineOsteopathic Match Timeline JUNEJUNE • Beginning in June, students can download the Agreement form forBeginning in June, students can download the Agreement form for participation in the AOA Intern/Resident Registration Program (theparticipation in the AOA Intern/Resident Registration Program (the "Match") from this web site. To register for the Match, each student"Match") from this web site. To register for the Match, each student must return a signed Agreement to National Matching Services Inc.must return a signed Agreement to National Matching Services Inc. accompanied by the appropriate registration fee.accompanied by the appropriate registration fee. JULY - JANUARYJULY - JANUARY • Students must apply to programs independently of the Match (viaStudents must apply to programs independently of the Match (via ERAS). Programs receive applications and interview studentsERAS). Programs receive applications and interview students independently of the Match. Application deadlines for programsindependently of the Match. Application deadlines for programs vary, therefore students should check with programs regarding theirvary, therefore students should check with programs regarding their deadline dates.deadline dates. 106
  107. 107. Osteopathic Match TimelineOsteopathic Match Timeline AUGUST - SEPTEMBERAUGUST - SEPTEMBER • Each institution offering osteopathic internship positionsEach institution offering osteopathic internship positions beginning in 2007 must provide to National Matchingbeginning in 2007 must provide to National Matching Services Inc. information on the program(s) being offered byServices Inc. information on the program(s) being offered by the institution in the Match.the institution in the Match. OCTOBEROCTOBER • Recommended date by which students should return theirRecommended date by which students should return their Agreements and registration fees to National MatchingAgreements and registration fees to National Matching Services Inc.Services Inc. 107
  108. 108. Osteopathic Match TimelineOsteopathic Match Timeline Early NOVEMBEREarly NOVEMBER • By this date, a Listing of Programs participating in the Match will beBy this date, a Listing of Programs participating in the Match will be available on this web site.available on this web site. Late NOVEMBERLate NOVEMBER • By this date, instructions for submitting Rank Order Lists andBy this date, instructions for submitting Rank Order Lists and obtaining Match results will be provided to registered students andobtaining Match results will be provided to registered students and programs.programs. 108
  109. 109. Osteopathic Match TimelineOsteopathic Match Timeline Late JANUARYLate JANUARY • Final date for submission of student and program RankFinal date for submission of student and program Rank Order Lists. No Rank Order Lists or Agreements can beOrder Lists. No Rank Order Lists or Agreements can be accepted after this date.accepted after this date. Mid FEBRUARYMid FEBRUARY • Results of the Match are released to all participants in theResults of the Match are released to all participants in the Match (students and institutions), as well as to the colleges ofMatch (students and institutions), as well as to the colleges of osteopathic medicine.osteopathic medicine. 109
  110. 110. Osteopathic Match TimelineOsteopathic Match Timeline • Institutions must complete an institutional contract for each matchedInstitutions must complete an institutional contract for each matched student, and send it within 10 working days after receipt of thestudent, and send it within 10 working days after receipt of the Match results to the student for signature. Each matched studentMatch results to the student for signature. Each matched student must sign and return the contract to the institution within 30 daysmust sign and return the contract to the institution within 30 days after receiving the contract from the institution.after receiving the contract from the institution. 110
  111. 111. Allopathic Match TimelineAllopathic Match Timeline Mid AugustMid August • Applicant registration begins at 12:00 noon eastern time.Applicant registration begins at 12:00 noon eastern time. September 1September 1 • Institution / program registration begins at 12:00 noon eastern time.Institution / program registration begins at 12:00 noon eastern time. December 1December 1 • Applicant registration deadline (Note: Applicants may register afterApplicant registration deadline (Note: Applicants may register after this deadline by paying an additional late registration fee of $50.00this deadline by paying an additional late registration fee of $50.00 when registering after 11:59 PM eastern time.)when registering after 11:59 PM eastern time.) 111
  112. 112. Allopathic Match TimelineAllopathic Match Timeline Mid JanuaryMid January • Rank order list entry begins. Applicants and programs mayRank order list entry begins. Applicants and programs may start entering their rank order lists at 12:00 noon easternstart entering their rank order lists at 12:00 noon eastern time.time. Late JanuaryLate January • Quota change deadline. Programs must submit finalQuota change deadline. Programs must submit final information on quotas and withdrawals by 11:59 PM easterninformation on quotas and withdrawals by 11:59 PM eastern time.time. Late FebruaryLate February • Late registration deadline.Late registration deadline. 112
  113. 113. Allopathic Match TimelineAllopathic Match Timeline Late FebruaryLate February • Rank order list certification deadline. Applicants and programs mustRank order list certification deadline. Applicants and programs must certify their rank order lists by 9:00 PM eastern time. CERTIFIEDcertify their rank order lists by 9:00 PM eastern time. CERTIFIED applicant and program rank order lists and any other informationapplicant and program rank order lists and any other information pertinent to the Match must be entered in the R3 System by thispertinent to the Match must be entered in the R3 System by this date and time.date and time. Early March (3Early March (3rdrd Monday in March)Monday in March) • Applicant matched and unmatched information posted to the WebApplicant matched and unmatched information posted to the Web site at 12:00 noon eastern time.site at 12:00 noon eastern time. 113
  114. 114. Allopathic Match TimelineAllopathic Match Timeline Early March (3Early March (3rdrd Monday in March)Monday in March) • Filled and unfilled results for individual programs posted toFilled and unfilled results for individual programs posted to the Web site at 11:30 am eastern time.the Web site at 11:30 am eastern time. Early March (3Early March (3rdrd Tuesday in March)Tuesday in March) • Locations of all unfilled positions are released at 12:00 noonLocations of all unfilled positions are released at 12:00 noon eastern time. Unmatched applicants may begin contactingeastern time. Unmatched applicants may begin contacting unfilled programs at 12:00 noon eastern time.unfilled programs at 12:00 noon eastern time. Mid March (3Mid March (3rdrd Thursday in March)Thursday in March) • Match Day! Match results for applicants are posted to WebMatch Day! Match results for applicants are posted to Web site at 1:00 pm eastern time.site at 1:00 pm eastern time. 114
  115. 115. Allopathic Match TimelineAllopathic Match Timeline Mid MarchMid March • Hospitals send letters of appointment to matched applicants afterHospitals send letters of appointment to matched applicants after this date.this date. • Note: Any contact between programs and unmatched applicants (orNote: Any contact between programs and unmatched applicants (or their designees) prior to 12:00 noon eastern time Tuesday, March 13,their designees) prior to 12:00 noon eastern time Tuesday, March 13, 2007, is a violation of the Match Participation Agreement. Contact2007, is a violation of the Match Participation Agreement. Contact between programs and matched applicants prior to the generalbetween programs and matched applicants prior to the general announcement of 2007 Match results at 1:00 pm eastern timeannouncement of 2007 Match results at 1:00 pm eastern time Thursday, March 15, 2007, also is a violation of the MatchThursday, March 15, 2007, also is a violation of the Match Participation Agreement.Participation Agreement. 115
  116. 116. Can you participate in both matches?Can you participate in both matches? • YESYES. As a D.O. applicant you can choose to apply to both. As a D.O. applicant you can choose to apply to both the D.O. and M.D. match, the D.O match, or the M.D.the D.O. and M.D. match, the D.O match, or the M.D. match. The D.O. match occurs before the M.D. match.match. The D.O. match occurs before the M.D. match. • If you apply for both matches and you match into anIf you apply for both matches and you match into an osteopathic residency program you will automatically beosteopathic residency program you will automatically be withdrawn from the match. This match is a binding contract.withdrawn from the match. This match is a binding contract. Therefore you cannot break it to try to match in the M.D.Therefore you cannot break it to try to match in the M.D. match.match. • If you don’t match at a D.O. spot, and you applied to bothIf you don’t match at a D.O. spot, and you applied to both matches, you will then be entered in the M.D. match.matches, you will then be entered in the M.D. match. 116
  117. 117. Can you participate in both matches?Can you participate in both matches? • You can match to a D.O. intern year and then match intoYou can match to a D.O. intern year and then match into an M.D. program if that program requires a prelim yearan M.D. program if that program requires a prelim year (i.e. anesthesia, PM&R, path). You will apply to the M.D.(i.e. anesthesia, PM&R, path). You will apply to the M.D. match for a PGY-2 spot.match for a PGY-2 spot. • If you choose to pursue just the allopathic match youIf you choose to pursue just the allopathic match you should withdraw from the D.O. match on natmatch.com.should withdraw from the D.O. match on natmatch.com. There is an option for withdrawal that states you will beThere is an option for withdrawal that states you will be competing in the M.D. match.competing in the M.D. match. 117
  118. 118. Can you participate in both matches?Can you participate in both matches? • There is one exception in regards to residencyThere is one exception in regards to residency requirements. If you want to pursue an allopathicrequirements. If you want to pursue an allopathic residency in ophthalmology, youresidency in ophthalmology, you MUSTMUST do an allopathicdo an allopathic transitional year.transitional year. • The Ophthalmologic board does not recognize an AOAThe Ophthalmologic board does not recognize an AOA internship year and therefore you will not be granted boardinternship year and therefore you will not be granted board certification because you failed to complete the necessarycertification because you failed to complete the necessary requirements.requirements. 118
  119. 119. Pre-Match Contractions?Pre-Match Contractions? • Prematches are residency position offers outside of thePrematches are residency position offers outside of the match.match. • Prematches are available to D.O.s and FMGs applyingPrematches are available to D.O.s and FMGs applying to the allopathic match.to the allopathic match. • As a D.O., you can accept a prematch from anAs a D.O., you can accept a prematch from an allopathic residency program. However, if you pursueallopathic residency program. However, if you pursue this route, make sure you have a signed contract. Dothis route, make sure you have a signed contract. Do not skip the match based on a “verbal agreement”.not skip the match based on a “verbal agreement”.
  120. 120. Pre-Match Contracts?Pre-Match Contracts? • Also you may want to have an attorney look over theAlso you may want to have an attorney look over the contract for any loopholes.contract for any loopholes. • If you accept a prematch, you must withdraw from theIf you accept a prematch, you must withdraw from the match.match. • Prematches occur before Jan. 31, which is the last dayPrematches occur before Jan. 31, which is the last day programs have until they have to notify the NRMP ofprograms have until they have to notify the NRMP of the number of seats (quota) available for the matchthe number of seats (quota) available for the match
  121. 121. What if you don’t match…What if you don’t match… • If for some reason you do not match you can alwaysIf for some reason you do not match you can always scramble.scramble. • The “scramble” is a brief period of time that is set asideThe “scramble” is a brief period of time that is set aside for those applicants who did not match. The Scramblefor those applicants who did not match. The Scramble gives applicants an opportunity to contact unfilledgives applicants an opportunity to contact unfilled programs and possibly secure a position.programs and possibly secure a position. • Both matches (D.O. and M.D.) have post-matchBoth matches (D.O. and M.D.) have post-match scrambles for applicants who did not match into ascrambles for applicants who did not match into a perspective residency program.perspective residency program. 121
  122. 122. Osteopathic ScrambleOsteopathic Scramble • Students who fail to match initially are provided withStudents who fail to match initially are provided with information on programs with available positions for theminformation on programs with available positions for them to contact.to contact. • Likewise, programs with available positions are providedLikewise, programs with available positions are provided with information regarding unmatched students to contact.with information regarding unmatched students to contact. Thus, opportunities to obtain a position may still existThus, opportunities to obtain a position may still exist after the Match.after the Match. • Unmatched students may receive emails from programsUnmatched students may receive emails from programs that did not fill.that did not fill. If you have to scramble, go back to your medical school in order for themIf you have to scramble, go back to your medical school in order for them to help you!to help you! 122
  123. 123. Allopathic ScrambleAllopathic Scramble • Unmatched applicants who submitted a certified rankUnmatched applicants who submitted a certified rank order list will be given access to the Dynamic List oforder list will be given access to the Dynamic List of Unfilled Programs at 12:00 p.m. EST on Tuesday ofUnfilled Programs at 12:00 p.m. EST on Tuesday of Match Week. Applicants may not contact unfilledMatch Week. Applicants may not contact unfilled programs prior to 12:00 p.m. EST that Tuesday. Theprograms prior to 12:00 p.m. EST that Tuesday. The list is updated by the NRMP every hour to reflect thelist is updated by the NRMP every hour to reflect the number of remaining unfilled positions.number of remaining unfilled positions. 123
  124. 124. Allopathic ScrambleAllopathic Scramble • If you have already applied to a program, but thatIf you have already applied to a program, but that program still has unfilled positions, you may contact theprogram still has unfilled positions, you may contact the program and inform them that you wish to beprogram and inform them that you wish to be considered a Scramble applicant. That program will notconsidered a Scramble applicant. That program will not count towards your thirty (30) Scramble programs oncount towards your thirty (30) Scramble programs on MyERAS. Also, during Scramble, you may NOT applyMyERAS. Also, during Scramble, you may NOT apply to more than thirty (30) programs using MyERAS, evento more than thirty (30) programs using MyERAS, even if you wish to pay for them.if you wish to pay for them. 124
  125. 125. Allopathic ScrambleAllopathic Scramble • During this period, applicants who did not match to aDuring this period, applicants who did not match to a position attempt to fill remaining positions. ERAS isposition attempt to fill remaining positions. ERAS is available for applicants to apply to a maximum of thirtyavailable for applicants to apply to a maximum of thirty (30) programs free of charge who meet the following(30) programs free of charge who meet the following criteria:criteria: • The applicant must have participated in ERASThe applicant must have participated in ERAS during the regular season. This means you must haveduring the regular season. This means you must have applied to (and paid for) at least one program.applied to (and paid for) at least one program. • The applicant's account must be paid in full no lessThe applicant's account must be paid in full no less than two weeks prior to the Scramble period.than two weeks prior to the Scramble period. 125
  126. 126. Requirements to Start ResidencyRequirements to Start Residency • Each residency has its own requirements. There are alsoEach residency has its own requirements. There are also state requirements that must be completed for astate requirements that must be completed for a training license.training license. • When applying through ERAS, check with yourWhen applying through ERAS, check with your residency program for the necessary requirements priorresidency program for the necessary requirements prior to the start of residency.to the start of residency. 126
  127. 127. Licensing vs. Board CertificationLicensing vs. Board Certification ≠≠ 127 (A.T. Still’s original medical license)
  128. 128. Licensing/Board CertificationLicensing/Board Certification • Do not get these two terms confused.Do not get these two terms confused. • Your license is state dependent.Your license is state dependent. • Your certification is based on your residency training.Your certification is based on your residency training. 128
  129. 129. LicensingLicensing • You will be licensed by the state you are training in.You will be licensed by the state you are training in. • At the beginning of your residency you will be issued aAt the beginning of your residency you will be issued a “training license”“training license” • By the end of your residency you will apply for a fullBy the end of your residency you will apply for a full practicing license.practicing license. 129
  130. 130. LicensingLicensing • When thinking about licensure there is one specialWhen thinking about licensure there is one special caveat all osteopathic students need to consider.caveat all osteopathic students need to consider. • There are 5 states that require an osteopathic internshipThere are 5 states that require an osteopathic internship or its equivalent for licensure purposes. (PA, MI, WV,or its equivalent for licensure purposes. (PA, MI, WV, OK, FL)OK, FL) • Without this internship year, you can NOT train orWithout this internship year, you can NOT train or practice because you will be denied a license from thepractice because you will be denied a license from the associated state osteopathic association.associated state osteopathic association. • There are options, which we will get to later.There are options, which we will get to later. 130
  131. 131. CertificationCertification • Your certification is based on your residency training.Your certification is based on your residency training. • If you pursue osteopathic training you will be boarded byIf you pursue osteopathic training you will be boarded by an affiliated osteopathic boardan affiliated osteopathic board • (i.e. IM will be boarded by the American Board of(i.e. IM will be boarded by the American Board of Osteopathic Internists [ABOI])Osteopathic Internists [ABOI]) • If you pursue allopathic training you will be boarded by anIf you pursue allopathic training you will be boarded by an affiliated allopathic boardaffiliated allopathic board • (i.e. IM will be boarded by the American Board of(i.e. IM will be boarded by the American Board of Internal Medicine [ABIM])Internal Medicine [ABIM]) • States have no regulation over your certificationStates have no regulation over your certification 131
  132. 132. CertificationCertification • Should you choose to train in an allopathic residencyShould you choose to train in an allopathic residency program or practice in those 5 states and you are unableprogram or practice in those 5 states and you are unable to complete an osteopathic internship year, you canto complete an osteopathic internship year, you can seek to get approval of your first year of residency.seek to get approval of your first year of residency. 132
  133. 133. Importance of AOA CertificationImportance of AOA Certification • You can't be a COM Dean, Program Director, orYou can't be a COM Dean, Program Director, or DME without AOA certification!DME without AOA certification! 133
  134. 134. ““Resolution 42”Resolution 42” • If you decide to pursue an allopathic residencyIf you decide to pursue an allopathic residency program there is a path you can pursue to getprogram there is a path you can pursue to get AOA approval of your intern year.AOA approval of your intern year. 134
  135. 135. What is this “Resolution”?What is this “Resolution”? • Some students who pursue allopathic training willSome students who pursue allopathic training will mention Resolution 42.mention Resolution 42. • This is a resolution created by the AmericanThis is a resolution created by the American Osteopathic Association to help osteopathic physiciansOsteopathic Association to help osteopathic physicians remain connected to the AOA.remain connected to the AOA. • These resolutions require certain criteria to be metThese resolutions require certain criteria to be met during the intern year.during the intern year. 135
  136. 136. History of these ResolutionsHistory of these Resolutions • These resolutions began because the number ofThese resolutions began because the number of graduates of colleges of osteopathic medicine out-graduates of colleges of osteopathic medicine out- numbered the available osteopathic residency positions.numbered the available osteopathic residency positions. • In 1986In 1986 Resolution 65Resolution 65 was developed. The AOAwas developed. The AOA allowed graduates from the classes of ‘87-’89 AOAallowed graduates from the classes of ‘87-’89 AOA approval of their first year of training as long as theyapproval of their first year of training as long as they participated in the AOA match, but did not match andparticipated in the AOA match, but did not match and then pursued ACGME training.then pursued ACGME training. • In 1996 the AOA replaced Resolution 65 withIn 1996 the AOA replaced Resolution 65 with Resolution 22Resolution 22.. 136
  137. 137. History of these ResolutionsHistory of these Resolutions • Resolution 22 allowed AOA approval of the first yearResolution 22 allowed AOA approval of the first year of ACGME training if there were “specialof ACGME training if there were “special circumstances” and if the applicant completed thecircumstances” and if the applicant completed the rotational requirements of an osteopathic internship.rotational requirements of an osteopathic internship. • In 1998,In 1998, Resolution 19Resolution 19 replaced Resolution 22.replaced Resolution 22. 137
  138. 138. History of these resolutionsHistory of these resolutions • Resolution 19 did not require an osteopathic curricularResolution 19 did not require an osteopathic curricular component for approval.component for approval. • In March of 1999, the AOA suspended Resolution 19.In March of 1999, the AOA suspended Resolution 19. • In July of 2000, the AOA passedIn July of 2000, the AOA passed Resolution 42Resolution 42.. • Resolution 42 was designed to clarify the meaning ofResolution 42 was designed to clarify the meaning of “special circumstances”. It also required a commitment“special circumstances”. It also required a commitment to osteopathic principles and practice and it allowedto osteopathic principles and practice and it allowed current and past trainees a route for AOA approval.current and past trainees a route for AOA approval.138
  139. 139. Resolution 42Resolution 42 • Resolution 42 is the latest idea created by the AOA forResolution 42 is the latest idea created by the AOA for approval of the first year of ACGME training.approval of the first year of ACGME training. • Resolution 42: "Approval of ACGME Training as anResolution 42: "Approval of ACGME Training as an AOA-Approved Internship" is a policy to grant AOAAOA-Approved Internship" is a policy to grant AOA internship approval for appropriate ACGME training.internship approval for appropriate ACGME training. 139
  140. 140. Resolution 42Resolution 42 • Like previous training approval policies, the newLike previous training approval policies, the new "Approval of ACGME Training as an AOA-"Approval of ACGME Training as an AOA- Approved Internship" policy maintains a consistentApproved Internship" policy maintains a consistent theme. That is, to be eligible for AOA internshiptheme. That is, to be eligible for AOA internship approval of ACGME training the osteopathicapproval of ACGME training the osteopathic physician must complete all six of the traditionalphysician must complete all six of the traditional rotating internship’s core rotations:rotating internship’s core rotations: • 2 months internal medicine, 1 month emergency2 months internal medicine, 1 month emergency medicine, 1 month family practice, and two additionalmedicine, 1 month family practice, and two additional core rotations (internal medicine, surgery, OB/GYN,core rotations (internal medicine, surgery, OB/GYN, pediatrics, family practice, or emergency medicine) so thatpediatrics, family practice, or emergency medicine) so that a total of 6 months in these core rotations are completed.a total of 6 months in these core rotations are completed. 140
  141. 141. Resolution 42Resolution 42 • Unlike previous policies, the new "Approval ofUnlike previous policies, the new "Approval of ACGME Training as an AOA-Approved Internship"ACGME Training as an AOA-Approved Internship" policy responds to the needs of current and pastpolicy responds to the needs of current and past trainees who have completed their first year of trainingtrainees who have completed their first year of training in an ACGME-accredited program.in an ACGME-accredited program. • Like the superceded Resolution 19, specialLike the superceded Resolution 19, special circumstances must be present to request approval ofcircumstances must be present to request approval of ACGME training as equivalent to an AOA internship,ACGME training as equivalent to an AOA internship, as indicated in Resolution 42.as indicated in Resolution 42. 141
  142. 142. Changes in Resolution 42Changes in Resolution 42 Special circumstances has been Eliminated!Special circumstances has been Eliminated!
  143. 143. Results of Resolution 42Results of Resolution 42 • Not everyone that applies for Resolution 42 isNot everyone that applies for Resolution 42 is approved.approved. • As of November of 2005, a total of 937 applicants haveAs of November of 2005, a total of 937 applicants have applied under Resolution 42.applied under Resolution 42. • 557 (men), 380 (women)557 (men), 380 (women) • 544 applicants received approval (58%)544 applicants received approval (58%) 143
  144. 144. Resolution 42Resolution 42 • For more information regarding Resolution 42, you canFor more information regarding Resolution 42, you can call the AOA Division of Postdoctoral Training atcall the AOA Division of Postdoctoral Training at • (800) 621-1773, extension 8276.(800) 621-1773, extension 8276. • Bulger, J. “Approval of ACGME Training as an AOA-Bulger, J. “Approval of ACGME Training as an AOA- Approved Internship: History and Review of CurrentApproved Internship: History and Review of Current Data.” JAOA. Vol. 106 (No. 12). Dec. 2006. 708-713.Data.” JAOA. Vol. 106 (No. 12). Dec. 2006. 708-713. • You can also check out the AOA website :You can also check out the AOA website : • https://www.do-online.org/index.cfm?PageIDhttps://www.do-online.org/index.cfm?PageID =sir_postdocabtres42=sir_postdocabtres42 144
  145. 145. So what does this mean?So what does this mean? • Resolution 42 will allow approval of an allopathicResolution 42 will allow approval of an allopathic intern year to be counted as an AOA-approvedintern year to be counted as an AOA-approved internship year.internship year. • This will allow students to pursue training orThis will allow students to pursue training or practice opportunities in the states (PA, Fl, WV,practice opportunities in the states (PA, Fl, WV, Ok, MI) requiring the osteopathic internship.Ok, MI) requiring the osteopathic internship. 145
  146. 146. Additional Requirements forAdditional Requirements for Resolution 42 ApprovalResolution 42 Approval • The trainee must be a member in good standing of theThe trainee must be a member in good standing of the AOA.AOA. • Trainees are responsible for negotiating rotational changesTrainees are responsible for negotiating rotational changes with their programs.with their programs. • A trainee may attend an AOA annual meeting, stateA trainee may attend an AOA annual meeting, state osteopathic annual meeting, specialty college annualosteopathic annual meeting, specialty college annual meeting or prepare and conduct an osteopathic clinicalmeeting or prepare and conduct an osteopathic clinical presentation to satisfy the educational activity requirement.presentation to satisfy the educational activity requirement. • All osteopathic clinical presentations are reviewed andAll osteopathic clinical presentations are reviewed and subject to approval or disapproval by a representative ofsubject to approval or disapproval by a representative of the Program and Trainee Review Committee.the Program and Trainee Review Committee. 146
  147. 147. Miscellaneous InfoMiscellaneous Info
  148. 148. Can an Osteopathic Trained Resident obtainCan an Osteopathic Trained Resident obtain an Allopathic Fellowship?an Allopathic Fellowship? YES!YES!
  149. 149. Can an osteopathic physician who hasCan an osteopathic physician who has ACGME Board Certification bill forACGME Board Certification bill for treating patients with OMT?treating patients with OMT? YES!YES! 149
  150. 150. What to do with this information?What to do with this information?  Although it may seem overwhelming now, keepAlthough it may seem overwhelming now, keep this PowerPoint presentation tucked away in a safethis PowerPoint presentation tucked away in a safe place until you are beginning your 4th year, whichplace until you are beginning your 4th year, which is when I hope it becomes a very valuableis when I hope it becomes a very valuable document.document.
  151. 151. Disclaimer!Disclaimer! • The goal of this lecture isThe goal of this lecture is not to persuade anynot to persuade any osteopathic medicalosteopathic medical student to pursue anystudent to pursue any particular specialty,particular specialty, residency program orresidency program or D.O./M.D. postgraduateD.O./M.D. postgraduate training. The purpose oftraining. The purpose of this lecture is to help youthis lecture is to help you make an informedmake an informed decision. Thedecision. The information in thisinformation in this lecture is subject tolecture is subject to change!change!
  152. 152. For more information…For more information… • www.do-online.orgwww.do-online.org • Here you can find the list of D.O. residency programs:Here you can find the list of D.O. residency programs: go togo to For StudentsFor Students thenthen OpportunitiesOpportunities • http://www.ama-assn.org/ama/pub/category/2997.htmlhttp://www.ama-assn.org/ama/pub/category/2997.html • Freida online listing of M.D. residency programs:Freida online listing of M.D. residency programs: • go togo to Residency/Fellowship Training ProgramResidency/Fellowship Training Program SearchSearch • http://www.mdsecrets.comhttp://www.mdsecrets.com 152
  153. 153. For more information…For more information… • www.scutwork.comwww.scutwork.com • A peer review of residency programsA peer review of residency programs • www.studentdoctor.netwww.studentdoctor.net • A students/resident online forumA students/resident online forum • Iserson, K. “Getting into a Residency: A guide for medicalIserson, K. “Getting into a Residency: A guide for medical students”students” • Desai, S. “The Residency Match: 101 Biggest Mistakes andDesai, S. “The Residency Match: 101 Biggest Mistakes and How to Avoid Them”How to Avoid Them” 153
  154. 154. QUESTIONS?QUESTIONS? 154
  155. 155. Contact InformationContact Information Draion M Burch, DODraion M Burch, DO Region III TrusteeRegion III Trustee Council of Interns and ResidentsCouncil of Interns and Residents Vice Chair Intern-Resident CommitteeVice Chair Intern-Resident Committee Michigan Osteopathic AssociationMichigan Osteopathic Association Resident Representative Board of TrusteesResident Representative Board of Trustees American College of Osteopathic Obstetricians and GynecologistsAmerican College of Osteopathic Obstetricians and Gynecologists Dept of Obstetrics and GynecologyDept of Obstetrics and Gynecology Statewide Campus SystemStatewide Campus System Michigan State University College of Osteopathic MedicineMichigan State University College of Osteopathic Medicine St John Health System Osteopathic DivisionSt John Health System Osteopathic Division Macomb-Oakland Hospital, Macomb CenterMacomb-Oakland Hospital, Macomb Center dr.draionmburch@gmail.comdr.draionmburch@gmail.com 155

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