Present Yr 4


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Present Yr 4

  1. 1. Wayne State University School of Medicine <ul><li>Department of Internal Medicine </li></ul><ul><li>Advice for Year IV </li></ul>
  2. 2. PLANNING YOUR SCHEDULE <ul><li>Schedule required rotations </li></ul><ul><ul><li>SUB-I—do it early, before away rotations </li></ul></ul><ul><ul><li>Ambulatory </li></ul></ul><ul><ul><li>ER </li></ul></ul><ul><li>Schedule USMLE— </li></ul><ul><ul><li>This is a high stakes exam—plan to study! </li></ul></ul><ul><ul><li>Take during first 3-4 months of year when your clerkships are still fresh </li></ul></ul><ul><ul><li>Note: programs will NOT rank applicants who have not passed Step 2 </li></ul></ul>
  3. 3. Why do electives? <ul><li>To prepare for your internship </li></ul><ul><ul><li>NOT be your internship </li></ul></ul><ul><li>To address weaknesses </li></ul><ul><li>For interest sake </li></ul><ul><li>For other reasons (wedding, etc) </li></ul>
  4. 4. Philosophy <ul><li>Balance is important </li></ul><ul><ul><li>Don’t do more than 3 elective in Medicine </li></ul></ul><ul><ul><li>Consider Urology, Dermatology, Radiology, Anesthesiology </li></ul></ul><ul><ul><li>Don’t do all the hard rotations at the beginning of the year </li></ul></ul><ul><ul><li>Plan at least one meaty rotation for the second half so you will be ready for your internship </li></ul></ul>
  5. 5. Be considerate <ul><li>There are limited positions in </li></ul><ul><ul><li>Dermatology </li></ul></ul><ul><ul><li>Emergency Medicine </li></ul></ul><ul><ul><li>ENT </li></ul></ul><ul><ul><li>Ophthalmology </li></ul></ul><ul><ul><li>Radiology </li></ul></ul><ul><ul><li>Urology </li></ul></ul><ul><li>Do NOT select these in the summer unless you are considering these fields </li></ul>
  6. 6. Medicine Electives <ul><li>Cardiology </li></ul><ul><li>Endocrinology </li></ul><ul><li>Geriatrics </li></ul><ul><li>Hematology </li></ul><ul><li>Infectious Diseases </li></ul><ul><li>Nephrology </li></ul><ul><li>Oncology </li></ul><ul><li>Pain/Palliative Medicine </li></ul><ul><li>Pulmonary </li></ul><ul><li>Rheumatology </li></ul><ul><li>Independent study </li></ul><ul><li>Research </li></ul>
  7. 7. Electives to Consider for Primary Care <ul><li>Anesthesiology </li></ul><ul><li>Dermatology </li></ul><ul><li>Radiology </li></ul><ul><li>Urology—yes urology, half the world are men! </li></ul>
  8. 8. Where to Rotate <ul><li>Rotate downtown at the DMC or VA. </li></ul><ul><li>The patients are amazing!!! </li></ul><ul><ul><li>You will see complex, sick, challenging, patients. </li></ul></ul><ul><li>You make a difference here. </li></ul><ul><li>This is where the full time faculty practice. </li></ul><ul><ul><li>These are the same faculty who taught you pathophysiology. </li></ul></ul><ul><ul><li>They know their stuff and they are committed to excellence in clinical teaching. </li></ul></ul>
  9. 9. RESIDENCY APPLICAION PROCESS AND TIMELINE <ul><li>Identify an advisor </li></ul><ul><li>Prepare CV </li></ul><ul><li>Write personal statement </li></ul><ul><ul><li>This takes the most time to prepare </li></ul></ul><ul><ul><li>Do not let it delay you application </li></ul></ul>
  10. 10. How to Ask for a Letter <ul><li>Doctor, would you be wiling to write me a strong letter of recommendation? I am applying to some very competitive programs. </li></ul><ul><li>Contact people early. </li></ul><ul><li>Give them a “deadline” </li></ul>
  11. 11. Letters of Recommendation <ul><li>You need three </li></ul><ul><ul><li>Choose the people who know you best </li></ul></ul><ul><ul><li>They don’t all have to be in Medicine </li></ul></ul><ul><ul><li>Two in medicine are enough </li></ul></ul><ul><ul><li>You can ask the Clerkship director for a composite letter if you need to </li></ul></ul><ul><li>You need a Chairman’s letter for any university program </li></ul>
  12. 12. Application Timeline <ul><li>Identify residencies </li></ul><ul><li>Register for NMRP </li></ul><ul><li>Request and assign documents-- </li></ul><ul><ul><li>USMLE transcripts, letters of recommendation, personal statement, CV </li></ul></ul><ul><li>Set up appointment for MSPE (Dean’s letter) </li></ul>
  13. 13. Interviews <ul><li>Set up interviews </li></ul><ul><li>Prepare for interviews—read about the program </li></ul><ul><li>Keeping track—use a system! </li></ul><ul><ul><li>Record the following immediately </li></ul></ul><ul><ul><ul><li>Program Name </li></ul></ul></ul><ul><ul><ul><li>Pluses and Minuses </li></ul></ul></ul><ul><ul><ul><li>Gut reaction—”Could I live here for 3 years?” </li></ul></ul></ul><ul><li>Send thank you </li></ul>
  14. 14. Ranking <ul><li>Schedule meeting with advisor to discuss rank </li></ul><ul><li>Rank programs </li></ul><ul><li>Submit rank list </li></ul><ul><li>Cross fingers </li></ul>
  15. 15. Match Day <ul><li>Get program of your choice </li></ul><ul><li>Celebrate </li></ul><ul><li>Live happily ever after </li></ul>
  16. 16. Useful Sites <ul><li> </li></ul><ul><ul><li>6673.html </li></ul></ul><ul><ul><li>7011.html </li></ul></ul><ul><ul><li>6700.html </li></ul></ul><ul><ul><li>7811.html </li></ul></ul><ul><ul><li>6710.html </li></ul></ul><ul><ul><li>7475.html </li></ul></ul><ul><ul><li>7012.html </li></ul></ul><ul><ul><li>6727.html </li></ul></ul>
  17. 17. Useful References-continued <ul><li>University of Arizona IMIG </li></ul><ul><ul><li> </li></ul></ul><ul><li>Residency and </li></ul><ul><ul><li>www.residencyand </li></ul></ul><ul><li>University of California San Francisco </li></ul><ul><ul><li> (no www) </li></ul></ul>