Presentation May 2010


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  • How to evaluate programs Location Number of residents Board passing score Numbers of procedures Turn to example in my packet
  • In 2009, 1,576 applicants (788 couples) participated in the Match as couples. The figure was an all time high and represented a 6.8 percent increase from 2008. Couples enjoy great success, with match rates above 90 percent every year since 1984. In 2009, the match rate for couples was 93.1 percent, down slightly from 93.6 percent in 2008. More than 80 percent of couples are U.S. seniors, and their match rates are quite similar to those of their classmates, varying within 1 or 2 percentage points each year. Couples have the option of one partner indicating a willingness to go unmatched at a certain rank on the rank order list if the partner matches to the program that is linked to that rank.
  • Presentation May 2010

    1. 1. <ul><li>Applying to residency </li></ul><ul><li>in OB-GYN </li></ul><ul><li>Cathy Callahan, MD FACOG </li></ul><ul><li>May 21, 2010 </li></ul>
    2. 2. Goals <ul><li>Scheduling fourth year </li></ul><ul><li>Understanding ERAS </li></ul><ul><li>Understanding the match </li></ul><ul><li>Selecting residency programs Past and future </li></ul>
    3. 3. I. Scheduling fourth year <ul><li>Objectives of fourth year rotations </li></ul><ul><li>Decide if OB is for you </li></ul><ul><li>Work with a resident team </li></ul><ul><li>Learn about OB-subspecialties </li></ul><ul><li>Learn material not covered in OB-residency </li></ul><ul><li>Audition (and try-out) residency programs </li></ul>
    4. 4. Fourth year rotations Know your deadlines! <ul><li>Rotation schedules due: </li></ul><ul><li>June 4 Periods 1-3 </li></ul><ul><li>August 6 Periods 4-7 </li></ul><ul><li>October 29 Periods 8-11 </li></ul>
    5. 5. Fourth year rotations Know your guidelines July through May <ul><li>Electives (4 months) </li></ul><ul><ul><li>Audition rotations </li></ul></ul><ul><li>Medicine Selectives (3 rotations) </li></ul><ul><li>Surgical Selectives (2 rotations) </li></ul><ul><li>Vacation/Interviews (2 months…. YEAH!!) </li></ul><ul><li>3 Selectives completed from July to Jan </li></ul>
    6. 6. Fourth year rotations <ul><li>Audition rotations </li></ul><ul><ul><li>Essential for Osteopathic programs </li></ul></ul><ul><ul><li>Allopathic, most students match at programs where they did NOT rotate </li></ul></ul><ul><ul><ul><li>Look for opportunities to meet team (round on weekends, day off, early am sign-outs etc.) </li></ul></ul></ul><ul><ul><li>Minimum of two audition rotations </li></ul></ul><ul><ul><li>August rotation should not be your first choice program </li></ul></ul>
    7. 7. Fourth year rotations <ul><li>Medicine Selectives (3 months) </li></ul><ul><ul><li>Critical care </li></ul></ul><ul><ul><li>Infectious disease with special emphasis on sexually transmitted infections </li></ul></ul><ul><ul><li>Neonatal intensive care (2 weeks) </li></ul></ul><ul><ul><li>Sub-internship </li></ul></ul><ul><ul><li>Psychiatry (out patient) </li></ul></ul><ul><ul><li>Gastroenterology </li></ul></ul>
    8. 8. Fourth year rotations <ul><li>Surgical Selectives (2 months) </li></ul><ul><ul><li>Anesthesia including (obstetrics) </li></ul></ul><ul><ul><li>Surgical intensive care </li></ul></ul><ul><ul><li>Urogynecology </li></ul></ul><ul><ul><li>Gynecological oncology </li></ul></ul>
    9. 9. Fourth year rotations <ul><li>Electives </li></ul><ul><ul><li>Audition month </li></ul></ul><ul><ul><li>Dermatology </li></ul></ul><ul><ul><li>Pathology (cytopathology) </li></ul></ul><ul><ul><li>OB-GYN subspecialties </li></ul></ul><ul><ul><ul><li>Maternal fetal medicine </li></ul></ul></ul><ul><ul><ul><li>Reproductive endocrinology </li></ul></ul></ul><ul><ul><ul><li>(Urogynecolgy/gyn. oncology= surgical selectives) </li></ul></ul></ul>
    10. 10. WHEN to schedule your rotations <ul><li>Osteopathic timeline </li></ul><ul><ul><li>July 15: Programs may review ERAS And grant interviews! </li></ul></ul><ul><ul><li>Sept – Dec: Interviews </li></ul></ul><ul><ul><li>January 28: Rank list due </li></ul></ul><ul><ul><li>February 14: Match Day! Results announced </li></ul></ul><ul><ul><li>Leave time Sept - December to interview </li></ul></ul>
    11. 11. WHEN to schedule your rotations <ul><li>Allopathic timeline </li></ul><ul><ul><li>Sept 1: Programs may review ERAS And grant interviews! </li></ul></ul><ul><ul><li>Late Oct - early Jan: Interviews </li></ul></ul><ul><ul><li>February 24: rank list due </li></ul></ul><ul><ul><li>March 14: Match/Unmatch day </li></ul></ul><ul><ul><li>March 17: MATCH DAY: Results announced </li></ul></ul><ul><ul><li>Leave time November- early January to interview </li></ul></ul>
    12. 12. Resources <ul><li>FREIDA: AMA residency program directory </li></ul><ul><ul><li> </li></ul></ul><ul><li>APGO (Association of Professors of OB/GYN) </li></ul><ul><ul><li>Residency guide (Not all programs are listed!!) </li></ul></ul><ul><ul><li> (logon: vcom password: directory) </li></ul></ul><ul><li>Graduated students! </li></ul><ul><ul><li>Contact list in your e-mail inbox soon! </li></ul></ul><ul><li>Directory of Residency and Fellowship Programs in Interdisciplinary Women’s Health </li></ul><ul><ul><li> </li></ul></ul>
    13. 13. II. ERAS Application <ul><li>Your ERAS profile </li></ul><ul><li>Curriculum Vitae </li></ul><ul><li>Personal statement </li></ul><ul><li>Letters of recommendation </li></ul><ul><li>Medical School Performance Evaluation (MSPE) </li></ul><ul><li>Transcripts </li></ul><ul><li>Board Scores </li></ul>
    14. 14. II. ERAS Application <ul><li>Your ERAS profile </li></ul><ul><li>Curriculum Vitae </li></ul><ul><li>Personal statement </li></ul><ul><li>Letters of recommendation </li></ul><ul><li>Medical School Performance Evaluation (MSPE) </li></ul><ul><li>Transcripts </li></ul><ul><li>Board Scores </li></ul>
    15. 15. <ul><li>Curriculum Vitae Prepare my “C” What??? </li></ul>
    16. 17. Curriculum Vitae <ul><li>Keys to a successful CV </li></ul><ul><ul><li>Emphasize responsibility, initiative, creativity </li></ul></ul><ul><ul><li>Power words </li></ul></ul><ul><li>Suggestions </li></ul><ul><ul><li>In on-line handouts </li></ul></ul>
    17. 18. 2. Personal statement <ul><li>Keys to a successful personal statement </li></ul><ul><ul><li>Not too personal! </li></ul></ul><ul><ul><li>Short enough to read </li></ul></ul><ul><ul><li>Based on one or more stories </li></ul></ul><ul><ul><li>Interesting </li></ul></ul><ul><ul><li>No grammatical exxors! </li></ul></ul><ul><li>Suggested outline </li></ul><ul><ul><li>In on-line handouts </li></ul></ul>
    18. 19. 3. Letters of Recommendation <ul><li>Request by June (up to 4 letters per program) </li></ul><ul><li>Confidential, waive right to view </li></ul><ul><li>Must provide ERAS cover letter with request </li></ul><ul><li>Can choose which letters go to each program </li></ul>
    19. 20. Who should you ask for LOR? <ul><li>OB-GYN </li></ul><ul><li>Surgery rotation </li></ul><ul><li>Family medicine, Internal medicine </li></ul><ul><li>Any rotation where you performed well </li></ul><ul><li>Chair’s letter (sometimes requested for allopathic) </li></ul>
    20. 21. III. The Match <ul><li>National Match (osteopathic) </li></ul><ul><ul><li>June – Oct 8: Register for Match </li></ul></ul><ul><ul><li>Deadline for rank list: January 28 </li></ul></ul><ul><ul><li> </li></ul></ul><ul><li>NRMP (allopathic) (National Residency Matching Program) </li></ul><ul><ul><li>Aug 15 – Nov 30: Register for Match (may register until February 23 with late fee) </li></ul></ul><ul><ul><li>Deadline for rank list: February 23 </li></ul></ul><ul><ul><li> </li></ul></ul>
    21. 22. Allopathic residency? <ul><li>You should know: </li></ul><ul><li>4 States require osteopathic students complete </li></ul><ul><li>a DO internship for licensure </li></ul><ul><li>Pennsylvania </li></ul><ul><li>Florida </li></ul><ul><li>Michigan </li></ul><ul><li>Oklahoma </li></ul>From see Resolution 42
    22. 23. How does the match work? Residency Program’s List of desired candidates Student’s Rank List Program A (2 positions) Program B (1 position) Program C (1 position) 1. Jones <ul><li>Baker </li></ul>1. Baker 2. Baker 2. Jones 3. Smith Smith Baker Jones 1. Program B 1. Program A 1. Program B 2. Program A 2. Program B 2. Program A 3. Program C
    23. 24. Applying to AOA and ACGME programs <ul><li>Jane’s “ideal” rank list </li></ul><ul><ul><li>Osteopathic </li></ul></ul><ul><ul><li>Osteopathic </li></ul></ul><ul><ul><li>Allopathic </li></ul></ul><ul><ul><li>Allopathic </li></ul></ul><ul><ul><li>Osteopathic </li></ul></ul><ul><ul><li>Allopathic </li></ul></ul><ul><ul><li>Allopathic </li></ul></ul>What is Jane going to do!!??
    24. 25. Hint…. <ul><li>You can register for the NRMP (the allopathic matching program) by paying a late fee up until Feb 23! </li></ul><ul><li>So if you do not match osteopathic on Feb 14 th … you can still register for the allopathic match </li></ul>
    25. 26. IV. Selecting residency programs <ul><li>PEARL…. </li></ul><ul><li>CAST A WIDE NET NOW!!!! </li></ul><ul><li>Do not apply only allopathic </li></ul><ul><li>Do not narrow yourself to a geographic area </li></ul><ul><li>The time to narrow down is when submit your rank list </li></ul>
    26. 27. <ul><li>PEARL TWO </li></ul><ul><li>The only one to watch out for you is YOU!!!! </li></ul><ul><li>Play the game </li></ul><ul><li>Include back-ups </li></ul><ul><li>Never believe you are in unless you have a contract mailed to you </li></ul>
    27. 28. Pearl Three Consider a Back-up Plan <ul><li>Rotating internship </li></ul><ul><ul><li>Note: no guarantee, very difficult to match in OB after a year in RI </li></ul></ul><ul><ul><li>Consider RI where there is an OB program </li></ul></ul><ul><li>Different Specialty </li></ul><ul><li>Expand your program list </li></ul><ul><li>Never believe you are in unless you have a contract in hand (did I say this before??) </li></ul>
    28. 29. Exception <ul><li>Osteopathic students can be offered and accept an agreement outside the match from an allopathic program </li></ul>
    29. 30. Should I take USMLE? <ul><li>Take only if you think you will perform well </li></ul><ul><li>Report ONLY if score will help you </li></ul><ul><ul><li>(cut off 210 for many programs) </li></ul></ul><ul><li>Conversion score </li></ul>
    30. 31. Allopathic National statistics <ul><li>In 2009, </li></ul><ul><ul><li>245 programs, 5 programs unfilled </li></ul></ul><ul><ul><li>1185 positions offered, 1796 applicants </li></ul></ul><ul><ul><li>66% of all applicants matched </li></ul></ul><ul><li>In 2008, 72% of applicants matched </li></ul><ul><li>In 2007, the average number of programs ranked for those who matched was 9 </li></ul><ul><li>The average USMLE score was 214 </li></ul><ul><li> </li></ul>
    31. 32. So how did our applicants fare in 2010?? <ul><li>15 applicants </li></ul><ul><ul><li>2 entered osteopathic match </li></ul></ul><ul><ul><ul><li>1 matched </li></ul></ul></ul><ul><ul><li>13 entered allopathic match (1 from Class 2009) </li></ul></ul><ul><ul><ul><li>11 matched </li></ul></ul></ul><ul><ul><ul><li>2 scrambled </li></ul></ul></ul><ul><ul><ul><li>-2 chose rotating internships </li></ul></ul></ul>
    32. 33. So how did our applicants fare in 2009?? <ul><li>13 applicants </li></ul><ul><ul><li>1 entered osteopathic match (matched) </li></ul></ul><ul><ul><li>12 entered allopathic match </li></ul></ul><ul><ul><ul><li>8 matched OB-GYN </li></ul></ul></ul><ul><ul><ul><li>4 scrambled </li></ul></ul></ul><ul><ul><ul><li>-1 chose osteopathic OB -3 chose rotating internships and then other disciplines </li></ul></ul></ul>
    33. 34. So how did our applicants fare in 2008?? <ul><li>16 applicants </li></ul><ul><ul><li>2 entered osteopathic match (both scrambled) </li></ul></ul><ul><ul><li>13 entered allopathic match </li></ul></ul><ul><ul><ul><li>9 matched OB-GYN </li></ul></ul></ul><ul><ul><ul><li>4 scrambled </li></ul></ul></ul><ul><ul><ul><li>-2 chose family medicine -2 chose rotating internships </li></ul></ul></ul><ul><ul><li>3 entered military match </li></ul></ul><ul><ul><ul><li>Obtained civilian deferment (2) </li></ul></ul></ul><ul><ul><ul><li>Matched OB Army </li></ul></ul></ul>
    34. 35. What are programs looking for? <ul><li>Anecdotally </li></ul><ul><li>KEY: Board passing first try </li></ul><ul><li>USMLE: cut off 210 for many programs </li></ul><ul><li>Good clerkship grades </li></ul><ul><li>Objective Factors : Results of the NRMP Program Directory Survey </li></ul>
    35. 39.
    36. 40. Selecting residency programs Interviews <ul><li>Practice! </li></ul><ul><ul><li>sign-up for mock interview with Kathy Dalton </li></ul></ul><ul><li>What to expect </li></ul><ul><li>Questions for you to ask them…. </li></ul><ul><li>What to not do…… </li></ul><ul><li>Follow-up letters: Thank them!! </li></ul>
    37. 41. Selecting residency programs Request information from programs <ul><li>Resources: </li></ul><ul><li> </li></ul><ul><li> </li></ul><ul><li> y </li></ul><ul><li>Log on: directory </li></ul><ul><li>Password: VCOM 24 </li></ul>
    38. 42. Special situations
    39. 43. Military Match <ul><li>Same opening dates as the Osteopathic Match </li></ul><ul><li>Consider civilian and apply civilian </li></ul><ul><li>Complete materials early! </li></ul>
    40. 44. Couples Match <ul><li>Who can be a couple? </li></ul><ul><li>Anyone that chooses to be </li></ul><ul><li>Match strategies </li></ul><ul><li>Large urban areas with multiple programs </li></ul><ul><li>Rank list…. one person doesn’t match </li></ul>
    41. 45. Couples Match <ul><li>Jill is applying to OB-GYN </li></ul><ul><li>Jack is applying in Family Medicine </li></ul><ul><li>Jack and Jill’s Rank list </li></ul><ul><li>Jill Hospital A, Jack hospital A </li></ul><ul><li>Jill Hospital A, Jack Hospital B </li></ul><ul><li>Jill Hospital B, Jack Hospital C </li></ul><ul><li>Jill rotating internship Hospital A, Jack Hospital A </li></ul><ul><li>Jill no hospital, Jack Hospital A </li></ul>
    42. 46. Couples Match <ul><li>Hospital rank lists </li></ul><ul><li>Hospital A Hospital B Hospital C </li></ul><ul><li>2 spots 1 spot 3 spots </li></ul><ul><li>Jill Jack Brian </li></ul><ul><li>Brian Jill Jill </li></ul><ul><li>Sue Jack Sue </li></ul><ul><li>Jack and Jill’s Rank list </li></ul><ul><li>Jill Hospital A, Jack hospital A </li></ul><ul><li>Jill Hospital A, Jack Hospital B </li></ul><ul><li>Jill Hospital B, Jack Hospital C </li></ul><ul><li>Jill rotating internship Hospital A, Jack Hospital A </li></ul><ul><li>Jill no hospital, Jack Hospital A </li></ul>Brian’s rank list 1. Hospital A 2. Hospital B <ul><li>Sue’s list </li></ul><ul><li>Hospital A </li></ul><ul><li>Hospital C </li></ul>
    43. 47. Couples Match Couples Match
    44. 48. Tips for making it through the match as a couple <ul><li>Right of refusal </li></ul><ul><li>Visiting as many sites together as possible </li></ul><ul><li>Creating a dummy list after each interview </li></ul><ul><li>Building in back – up plans NOW </li></ul><ul><li>Remember that your day job is soooo demanding that if you do not make each other a priority, you may not have each other at the end of all this! </li></ul>
    45. 49. Additional resources On-line: Handouts <ul><li>Timeline for residency assistance </li></ul><ul><li>ERAS application assistance </li></ul><ul><ul><li>Published information on the match </li></ul></ul><ul><li>Program information </li></ul><ul><ul><li>VCOM stats </li></ul></ul><ul><ul><li>National Match statistics </li></ul></ul><ul><li>Other resources </li></ul><ul><ul><li>COMLEX to USMLE conversion </li></ul></ul><ul><ul><li>Resolution 42 </li></ul></ul><ul><ul><li>OB BLOG </li></ul></ul>
    46. 50. In sum, what to do now <ul><li>Personal statement </li></ul><ul><li>CV Update </li></ul><ul><li>Request Letters of Recommendation </li></ul><ul><li>Develop Preliminary Program List </li></ul><ul><li>BE READY TO SUBMIT BY END OF JULY! </li></ul>
    47. 51. Recommendations <ul><li>Know when your programs will interview </li></ul><ul><li>Get your application in early </li></ul><ul><ul><li>Today start on your personal statement and finish your first draft next week! </li></ul></ul><ul><ul><li>Request your letters this week! </li></ul></ul><ul><li>Consider a back-up plan if recommended </li></ul>