Transcript Residency-rotation informationx

Residency/Rotation Information
session
TeAMS Program
Timeline
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Late August (beginning of 3rd year): Finish USMLE Step 1
November: Provide wish list of rotations to the faculty.
November- December: apply to Canadian electives
February (3rd year): Sign up for usmle step 2CK, usmle step 2CS. Research
any interested rotations not on the wish list that you would like to go to
March-May: apply to rotations not on the wish list
June: Take USMLE Step 2CK
July 1st: Obtain ECFMG token for ERAS registration
August: Take USMLE Step 2CS, complete Residency application on ERAS
September 2012: Take MCCEE (Canada)
September 15, 2012: Residency programs can download your application
STARTING at 8am EST. Send application today!
September 15 to Early February, 2013: Can receive interviews
Late february, 2013: deadline to submit rank list
Mid March, 2013: Match results are released!!!
For Canadian timeline go to:
http://www.carms.ca/eng/r1_1stIteration_e.shtml
Rotations
Rotations
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Applying to rotations/where to apply
Dates to complete applications
Sub-I vs. elective?
PUSH PUSH PUSH!
How to prepare for rotations
Order of the rotations
Asking for recommendations
Networking/speaking with the program director
List of programs that accepted
previous students
NY
surgery
Montefiore
Einstein
CA
IL
surgery
ped surgery
surgery
U of California Irvine
Rambam
jacobi
U of California Irvine
Technion
Einstein
CA
nephrology
Children's hospital
Keck
CA
ped emergency
Children's hospital
Keck
IL
IL
ped orthopedics
pediatrics
Rambam
Rambam
Technion
Technion
Canada
emergency medicine
Alberta hospital
University Alberta
cardiology
MU South Carolina
MU South Carolina
family
University Alberta
IL
NY
pathology
Alberta hospital
Rambam
Bellevue
IL
IL
pathology
hematology
pathology
Weiler Moses
Rambam
Rambam
Einstein
Technion
Technion
MD
NY
neuropathology
nephrology
Hopkins
Bellevue
Hopkins
NYU
endocrinology
winthrop
stony brook
Gastroenterology
Internal med
California Pacific Medical center
Rambam
Dartmouth
Technion
CA
IL
NYU
SC
surgery
MUSC
MUSC
MI
orthopedic surgery
Detroit
Wayne
IL
Orthopedics
Rambam
Technion
OH
surgery
Cleveland Clinic
Case Western
IL
ambulatory peds
St Anthony's
University Illinois
IL
neonatal
Loyola
Loyola
IL
pediatric infections
Loyola
Loyola
ny
pediatric icu
winthrop
stonybrook
IL
nicu
rambam
technion
CA
pediatric imaging
Regan hospital
UCLA
NY
radiology
NYU
NYU
medicine
Cedars Sinai
UCLA
CA
radiology
UCLA
UCLA
IL
medical imaging
Rambam
PA
neurology
Jefferson
Jefferson
NY
neurology
Bellevue
NYU
IL
Internal med
Bnei zion
Technion
MA
neurology
Boston
Boston University
NY
surgery
North Shore
Hofstra
PA
surgery
Thomas Jefferson
Jefferson
NY
SICU
NYHQ
Cornell
IL
sugery
Rambam
Technion
MI
internal
Harper
Wayne
Canada
medicine
University
U Western Ontario
Israel
Internal
Rambam
Technion
MI
nephrology
UMHS
Michigan
infectious disease
Bellevue
NYU
Internal
Rambam
Technion
Israel
rheumatology
Winthrop
Stony Brook
Internal
Detroit Receiving
Wayne
NY
pediatrics ER
Cohen Children's
Hofstra
NY
pediatric cardiology
stony brook
stony brook
NY
pediatric endocrinology
Winthrop
Winthrop
IS
pediatric neonatology
Rambam
Technion
MI
pediatric ER
Children's hospital
Wayne
Canada
Internal
Victoria
U Western Ontario
NY
pediatrics
Montefiore
Einstein
IS
pediatric cardiology
Rambam
Technion
pediaric cardiology
East Carolina
East Carolina U
NICU
Sinai Baltimore
Hopkins
pediatric em
Bellevue
NYU
pediatric picu
Rambam
Technion
General surgery
St Mary's
Mayo Clinic
surgery
Colorado hospital
University of Colorado
G.I. Surgery
UPMC
Pittsburg
Surgery
Carmel Med Center
Technion
Cardiology
Texas hospital in Dallas
University of Texas
Ped cardiology
Univ. of Michigan
University of Michigan
endocrinology
Texas hospital in Dallas
University of Texas
IL
endocrinology
Rambam
Technion
IL
Ped cardiology
Rambam
Technion
family medicine
MUSC
MUSC
Internal
Erlanger
U of Tennessee
Infectious disease
Cleveland Clinic
Case Western
nephrology
Rambam
Technion
Canada
Family Medicine
Manover District
U Western Ontario
IL
Cardiology
Rambam
Technion
IL
MI
OH
rinat
WA
Internal Medicine
Barnes
Washington Univ.
IL
Pulmonology
Rambam
Technion
IL
Gastro
Rambam
Technion
MI
Internal Medicine
St John's Mercy
St Louis University
NY
Heme/Onc
Winthrop
Stonybrook
NY
Emergency Medicine
Maimonides Med center
SUNY
IL
Internal medicine
Rambam
Technion
NY
Ped Infectious
NYU
NYU
NY
Psychiatry
Columbia
Columbia
IL
NICU
Rambam
Technion
IL
Gastroenterology
Carmel Hospital
Technion
MA
Pediatrics
Baystate
Tufts
NY
Pediatrics
Winthrop
Stonybrook
NY
Pediatrics
Winthrop
Stonybrook
Rotation checklist
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1) Titers showing immunity against: Measles, Mumps, Rubella, Varicella, and HBV.
To obtain this, have a classmate draw your blood into an orange (chem) tube and
take the tube immediately to the Rambam virology department (8th floor of the
main building). Present yourself to a virologist and they will process your order and
prepare an invoice. Currently Rambam charges NIS 200 for the titers. Take the
invoice and pay in the old building (Binyan Ha-Yashan – 2 nd left after aroma).
Return to virology in a week and get your results. Ask for it in English.
** keep in mind that some programs want positive titers within 90 days of doing the
rotation. So make sure your titer date doesn’t expire. On the other hand make sure
you do it early enough so that if you get any negative titers youll have enough time to
go the health ministry in the missile building and complete your immunizations.
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2-PHASE PPD test (2 ppd tests 1-3 weeks apart). This may be obtained from the
personnel clinic in the "stone building" at Rambam. Also ask for in English. (some
programs require it be within 5 months of rotation date and some programs
request the IGRA test for persons born outside the US/BCG vaccine or positive
history )- Recent X-ray results can also be used to rule out
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3) Letter of good standing for rotations
4) transcripts if necessary (depends on institution)
5) Insurance: You do this after you get accepted for your rotations, not before.
A. malpractice insurance
Medical malpractice insurance in the states:
http://www.academicins.com/ifmsa.html
For Canada:
Arnold Cariaga at Hub International. [email protected] OR if you are
going to UWO contact [email protected] (there is a discount for the rotations at
UWO)- MUST PAY FOR ONE FULL YEAR!!!!
B. Proof of Medical Insurance
6) HIPAA: http://www.goer.ny.gov/ ,
OSHAhttp://www.elearnonline.net/coursedesc.aspx?ClassID=463&s=
7) Letter of eligibility: Once accepted to a rotation (specifically in NY but may apply
elsewhere), you need to submit this form. To do so, you need 1) a letter of good standing
from Technion indicating the hospital, department, and dates of the rotation, 2) A
certificate showing you passed the New York infection control course. It costs $30 3) and
this form (click the link) to the address listed on it.
http://www.mssm.edu/static_files/Test2/06081716/www.mssm.edu/medschool/electives
/pdf/nys_letter_of_eligibility.pdf
8) Housing: Rotatingroom.com has some great housing if you are unfamiliar with the
area.
9) Passport picture
10) USMLE step I score (MANY PROGRAMS WILL NOT TAKE YOU WITHOUT A STEP 1)
11) copy of immunization records
Application Follow up
• Most programs do not process applications until May 1st (but this is
on an individual basis)
• Provide alternative dates for every rotation (some dates are more
popular than others, and to ensure you get a rotation, giving them
more alternatives helps your application)
• Confirm deadlines with every program via email or phone
• Persist after applications are complete to make sure they receive
the application, that they are processing, and that nothing else is
needed
• Can take between 2-6 weeks to hear back from a program on your
acceptance and scheduling
• ALWAYS be sure you get written (letter or e-mail) conformation
– Canadians- proper LETTER is necessary to get B1 visa (at border)
What is a sub-internship
• 1 month rotation that allows you to experience
what being in the intern year is like
• Sub-I are available on the floors in pediatrics,
ob/gyn, internal medicine, and surgery
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Managing your own patients
Writing patient notes
Discussing and writing orders under supervision
Presenting patients at rounds
Much more responsibility/stress overall
Elective
• Allows you the ability to experience
subspecialties under a particular field
• Easier to apply for
• Teaches you to write consults
• Much more laid back
• Less responsibility
• All in all, Sub-internships give you more
responsibilities, causing you to be more prepared for
life as an intern, and if you do well, can impress a
program to seriously consider you as part of their
house staff
• Electives give you a chance to get a taste of a particular
subspecialty without the excess work and responsibility
***you should do at least 1 sub-internship (preferably at
your 1st choice program) during your 3 months of
US/Canadian rotations- IN FIELD OF INTEREST!
Preparing for US rotations
• Presenting Patients to the staff at rounds and
at sign out
• Writing patient notes
• Familiarity with format of Lab results and
abbreviations
BE SURE TO PRACTICE DURING YOUR 3RD YEAR
CORE ROTATIONS!!!!
Things to do to stand out positively
• Positive attitude
• Hygiene, Professional Dress
– Men: Button down with tie, dress pants, white coat (purchase your
own plain short white coat)
– Women: Conservative dress, pants and button down or dress
• Ask for more responsibilities, ask to present patients, ask to do
procedures
• Volunteer to give presentations
• Be the first one there in the morning and the last one there in the
evening
• Speak with the program director in the first week and in the last
week to show your interest in the program
• Ask an attending in the department for a recommendation at the
end
Typical hours/Responsibilities
• Specialty-dependent
• In general, hours are from 630am-5pm
depending on elective vs. sub-i
• When the new shift staff decides to sign out,
you can leave unless you are on call
• If on call, you maintain the same
responsibilities. Can range in time from
overnight call to an extra 6 hours
Presenting the patient
• Identifying data (age, name, etc.)
• Chief complaints (why are they here? pt’s own
words)
• Circumstances of presentation (how did they
get here?)
• Did patient come in unconscious in an
ambulance? Did they walk in ER? Are they in
for yearly exam
• o Chief complaint
o Onset of illness
o Duration
o Intensity
o Exacerbating factors
o Remitting factors (what makes it better)
o Symptoms associated with it
• PMH (Mnemonic: CHAMIS)
o Chronic illnesses
o Hospitalizations
o Allergies
o Medications
o Immunizations
o Surgeries
• Where do they live?
o What is their living situation?
o Do they drink alcohol?
o Do they smoke tobacco?
o Sexual history – tend to include this in
psychiatry, might get “slapped if you include it
in surgery or pediatrics”
o Developmental history – very important in
psychiatry, “slapped again in surgery”
• • Vitals
• Physical Exam (learn the shorthand now – it
will help during 3rd year)
• Lab data
• Radiographic data
• Summary Statement
• Main salient facts of patient
• Differential diagnosis in order from the most life
threatening to the least
• Problem list (Why they came in? What other
studies are you recommending? OR What is the
treatment?
• Each problem should include:
Differential diagnosis
Plan for what you are going to do (working it up
and treating i
Mock Presentation (new patient)
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Mr. M is a 67 yo white male who was brought to the ER last evening at 11 pm by EMS after being discovered unconscious by neighbors. He was easily
roused but extremely short of breath so 911 was called. The pt was evaluated by ER physician and admitted to our internal medicine service. PI: At
10:30 pm, Mr. M states that he became “extremely short of breath” to the point that he could not get to the phone to call 911. He describes an
increasing productive cough with yellow sputum over the past 3 days. He states that he caught a cold 1 week prior to admission, which included
runny nose, dry cough, and shortness of breath with an onset gradually over the course of a day. He states that he felt febrile but did not take his
temperature. Pt stated that his cough was relieved somewhat by OTC Robitusin DM which he took as directed 3 times over the course of the next
day. He states that his cough became more frequent and more productive with sputum over the next day, which was ~5 days prior to admission. He
stopped taking the Robitusin and began to use an albuterol inhaler, which his psychiatrist had prescribed for him. Pt’s cough and SOB worsened over
the next few days until he was no longer able to take care of himself last evening. His only relief from SOB was to lie in bed for most of the day. He
denies hemoptysis, chest pain, dysphagia, hoarseness, or paroxysmal nocturnal dyspnea (brief focused ROS at the end of HPI). PMH: Pt has history of
COPD with which he was diagnosed 2 years ago. He was initially prescribed theophyline by his ophthalmologist but quit taking this after 1 month due
to jittery sensation. He then was admitted to this hospital one year ago with similar presentation to current but left the hospital without medical
follow-up because he felt better. He denies any problems until some episodes of SOB 6 months ago which were relieved by albuterol inhaler
prescribed by his psychiatrist. Pt has a history of non-insulin dependent diabetes mellitus diagnosed 3 yrs ago during a routine screening by his
psychiatrist. He took glyburide 5 mg bid for one month but stopped when he felt better. He also has a history of major depressive disorder diagnosed
after a period of decreased energy and crying spells 3 years ago. He was prescribed ? 250 mg bd but stopped taking it after a month because he felt
better. He has no previous suicide attempts and has never been admitted to a psychiatric facility. Currently takes no other medications other than
what we’ve said, has no known allergies, and denies previous surgeries. Social history: Pt lives alone in Lutz. He is a retired glue factory worker. He is
widowed – he was married once for 30 years to a schoolteacher who died 3 ½ years ago. He smokes 2 packs of Lucky Strikes per day and has done so
for the past 40 years. He used to drink a few beers on the weekend but denies any alcohol consumption for the past 3 years. He was born and raised
in Plant City and achieved a high school diploma. ROS (just state what was positive, remember you mentioned pertinent negatives in the opening):
ROS was positive for difficulty with night vision, constipation, and tinnitus. Vitals: Temperature 99.9OF. Blood pressure 102/60. Pulse 110.
Respiratory rate 38. Physical exam: GENERAL: Alert white male wearing a hospital gown in mild respiratory distress appearing slightly older than
stated age (this is especially important in pediatrics, a “sick appearing 3 year old” is very ominous). HENT: PERLA, NCAT (normocephalic atraumatic),
MMM (mucous membranes moist), pharynx with moderate erythema. Tympanic membranes intact. Neck supple with no lymphadenopathy or
thyromegaly. No bruits. LUNGS: Scattered rales bilaterally. Consolidation and dull to percussion in left lower quadrant. HEART: Regular rate, normal
S1 and S2, no MRG (murmurs, rubs, or gallops). ABDOMEN: Nontender, nondistended, bowel sound present. No hepatosplenomegaly. No bruits. GU:
Normal male genitalia. No masses. Testes descended bilaterally. RECTAL: Heme negative. Normal sphincter tone. Prostate normal size without
nodules. NEURO: DTRs, motor, cerebellar, sensory, and cranial nerves normal (in neuro you would go into detail). Studies: Oxygen saturation 91% on
nasal canula at 2 liters of oxygen (these details are very important – DON”T LIE OR GUESS). Arterial blood gases (ABG) normal. CBC white cell count
15,000.I n conclusion, Mr. M, a 67 yo white male admitted for SOB found to have left lower lobe pneumonia and exacerbation of COPD which led to
his presenting symptoms. Problem #1: Left lower lobe pneumonia. Will start IV Temni, check sputum cultures, which were obtained last evening,
follow-up CBC tomorrow a.m. (Why a CBC? Because it includes white cell count, which is indication of course of infection). Problem #2: COPD
exacerbation. Start albuterol nebulizer treatments. 2-4 hours. Problem #3: Fluid and electrolytes. Start IV normal saline at 120 ml/hour. Problem #4:
Psychiatric. No evidence of depression at this time.
Follow up rounds
• Introductory Statement
– John is a 32 year old white male who was admitted yesterday for chest pain
• Consults/changes in the past 24 hrs
– Cardiology was consulted last night and suggest echo/ekg and blood panel,
will follow up on this
• Subjective/objective findings overnight or over the day
– Patient felt better overnight, slept well, ate well, voided and stooled
appropriately. Temperature went up to 39C but is now 37 as of 6am
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Physical Exam findings
New Labs/Imaging
Summary statement
Problem list (with differential diagnosis)
– 1)Chest pain (DD: angina, CHF, musculoskeletal)
• Plan: labs, imaging, pain medication, call cardio, and observation
– 2)diabetes mellitus type 2
• Plan: maintain insulin medication and metformin, observe clinically
Sign out Presentation
• Very succinct presentation—updating the next
doctor*
• Summary Statement
• Changes in status or medications over the
course of the shift
• What to look out for overnight*
Writing a Patient Note
• Be familiar with admission notes, discharge
notes, follow up notes, surgical (post op/pre
op), SOAP note
• Great Website that summarizes these:
http://www.angelfire.com/md3/medstudsano
nymous/medsubweb/notes.htm
Familiarization with handwritten labs
Commonly used abbreviations
yo year-old
m male
f female
b black
w white
L left
R right
hx history
h/o history of
c/o complaining of
NL normal limits
WNL within normal limits
Ø without or no
+ positive
- negative
Abd abdomen
AIDS acquired immune deficiency syndrome
AP anteroposterior
BUN blood urea nitrogen
CABG coronary artery bypass grafting
CBC complete blood count
CCU cardiac care unit
cig cigarettes
CHF congestive heart failure
COPD chronic obstructive pulmonary disease
CPR cardiopulmonary resuscitation
CT computed tomography
CVA cerebrovascular accident
CVP central venous pressure
CXR chest x-ray
DM diabetes mellitus
DTR deep tendon reflexes
ECG electrocardiogram
ED emergency department
EMT emergency medical technician
ENT ears, nose, and throat
EOM extraocular muscles
ETOH alcohol
Ext extremities
FH family history
GI gastrointestinal
GU genitourinary
HEENT head, eyes, ears, nose, and throat
HIV human immunodeficiency virus
HTN hypertension
IM intramuscularly
IV intravenously
PRN in the circumstances of
Qd every day
Qh every hour
JVD jugular venous distention
KUB kidney, ureter, and bladder
LMP last menstrual period
LP lumbar puncture
MI myocardial infarction
MRI magnetic resonance imaging
MVA motor vehicle accident
Neuro neurologic
NIDDM non-insulin-dependent diabetes mellitus
NKA no known allergies
NKDA no known drug allergy
NSR normal sinus rhythm
PA posteroanterior
PERLA pupils equal, react to light and accommodation
po orally
PT prothrombin time
PTT partial prothrombin time
RBC red blood cells
SH social history
TIA transient ischemic attack
U/A urinalysis
URI upper respiratory tract infection
WBC white blood cells
Recommendations/Speaking to the
program director
• Most programs grant you an interview if you do a
rotation there
• Constantly express your interest in the program
• Attendings are usually enthusiastic and are willing to
write a recommendation
– You should try to get at least one US recommendation
from the state uploaded to ERAS. The attendings are
familiar with the protocol and are very willing to do this for
you
• Schedule a meeting with the program director with the
secretary 2 weeks before you finish to ensure you meet
them.
The USMLE
Applying for the USMLE
https://secure2.ecfmg.org/emain.asp?app=iwa
Step 1
• Take USMLE STEP 1 before the beginning of the third year
– You are limiting yourself severely if you do not take
(it is very hard to manage time after the beginning of
third year)—School is instituting a requirement to take
it to proceed on to 3rd year
– Programs will see that you took the test later, and it
can be held against you when they are ranking
students for residency programs
– Without passing, You will not have the same
knowledge of clinical material compared to someone
who has studied and taken it
– Taking a year off will also be held against you in
residency programs…do not use this as a cushion ***
Step 2
• Take USMLE Step 2 CK before your 4th year
rotations start.
– You need to invest all your time in impressing the
programs you are at! If you take off time to study,
your chances to get accepted decrease dramatically
• Take USMLE Step 2CS AS EARLY AS POSSIBLE—
preferably after 1st rotation!
– It can take up to 12 weeks to grade
– If you fail, it takes time to re-register and find available
dates
– It is better to take it early on so you miss as little of
your rotations as possible
All steps (Step 1, Step 2 CK, and Step 2
CS) must be taken AND passed by
December 31st, 2012 to be eligible to
rank programs and enter the
match!!!!
USMLE-useful resources
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First Aid for the USMLE Step 1
First Aid for the USMLE Step 2 CK
Crush Step 2
USMLE Step 2 Secrets
First Aid for the USMLE Step 2 CS
http://csprotocol.blogspot.com/2007/12/usml
e-step-2-cs-study-plan-for.html
The Residency Application Process
ERAS Application
• 1)register for your ERAS token on ECFMG
– Go to Oasis (ECFMG), ERAS services and request
token (available after july, 2012)
https://secure2.ecfmg.org/emain.asp?app=oasis
– Once you receive token, register token on ERAS
under the icon “register token” and afterwards,
begin applying for residency programs
https://services.aamc.org/eras/myeras2012/
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ERAS Application
• Complete all the components of the
application, including demographics, student
activities, research, CV, etc.
• Bullets will be present in the same format
• Then load documents (shown on next slide)
USMLE Transcript
• Click on USMLE transcript and click release
scores—you can send off in 2 different ways:
– 1) It is advisable (according to ECFMG and ERAS) to
automatically release your scores…the more honest
approach and schools see your scores ASAP if there
are time constraints
– 2) However, you can also release manually---this is if
you are worried about not performing well on STEP
2CS or CK and want to ensure you get interviews
• However, it will ultimately come up either way
and you want to be as honest as possible
throughout the application process
Personal Statement
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Keep to 1 page single-spaced at 12 point font
Start with an attention grabber
Look at your medical school essay for guidance
Mention positive medical experiences
Speak about your unique experiences in Israel
Do not mention negatives, Do not complain
Avoid cliches, rambling, and do not mention why you want to be a
doctor, focus on why you want to be a pediatrician, surgeon, etc.
• Creativity is good, but maintain professionalism the entire time
• Spell check, proof read, and have your advisor read and check it
over!!
Sample Personal Statement
Doctors are highly respected for their noble spirit in saving lives, as well as giving hope and bringing joy to the patients and their families. To be an effective
doctor, one has to be cognizant of and familiar with the process of learning to keep up with the innovations in the medical field through continuing
education, research, practical experience and better patient care. My wish to incorporate these realms in my personal and professional life has shaped the
wanting to pursue a career in internal medicine.
The foundation of my learning started in my family that has been pivotal in my development as a person. [not important to an application for residency.
High school was a long time ago] I have chosen a field in medicine based on my long-standing fascination with involving learning of complex and varied
nature of disease processes. I experienced the most excitement from my time in Internal medicine. Medicine offered me the opportunity to integrate my
basic science knowledge with clinical care. In no other rotation, did I have the hands-on application of basic sciences; every case was a mini-experiment in
physiology, pharmacology and pathology. My clinical experiences in medical school were the most rewarding and provided me the ability to connect and
spend time learning more about the patient's medical condition and understand their inner feelings. Working with patients of all ages and backgrounds
helped me discover that one can almost always do something specific and helpful for each patient, usually leading to an improvement of the patient’s
problem, allowing them resume an active lifestyle.
The knowledge base and practical experience acquired during medical school helped me gain experiences in a wide range of specialties and show
compassion, concern, care to the patients. I found every patient interaction to be something new and enjoyable. I particularly remember a 40 yr old male
diabetic patient who suddenly became unconscious in the ward. My initial diagnosis of hypoglycemia was correct and the IV dextrose given to the patient
helped the patient recover immediately. The satisfaction one experiences when a patient recovers from a near death to normal state is truly indescribable.
The variety of clinical encounters, procedures, and degrees of illness make internal medicine extremely appealing to me. The experience of assisting my
attendings in various procedures like pleural fluid aspiration, liver biopsy, lumbar puncture and cardio pulmonary resuscitation continued to challenge me
to learn the art and science of medicine.
Throughout my medical training, I have enjoyed learning from great teachers who taught me to think, and who made the process of learning challenging as
well as fun. On a personal level, I find my time away from medicine rejuvenating as well in spending time traveling, creative preparation and presentation of
ethnic foods and being with my husband enables me to return to work refreshed. . I feel blessed to have a husband and family who encourage me and
provide support in all walks of my life.
I am enthusiastic to train at a program that involves clinical practice, education, and research. It is my sincere hope that I will continue to grow as a
physician, not only in my knowledge base and procedural skills, but also in my humanistic attributes: to demonstrate compassion, integrity, and respect to
my patients. I perceive the medical education and practice as a place not just to survive, but also to thrive.
Letters of Recommendation
You must write the name and position of every
physician writing your recommendation and
“finalize” on ERAS
*make sure the name and contact information is
correct (verify everything with doctor)
**make sure the name and contact information
match the name and contact information
EXACTLY with what you input on ECFMG or it
WILL NOT GET PROCESSED
Uploading LORs electronically (through
ECFMG website)
LOR General Instructions for
Doctors
For LORs submitted both electronically and by mail:
• Tell doctor to include YOUR name and AAMC ID # on top of written LOR
• Have doctor write in the LOR that you have waived your right to see the
recommendation
• Tell doctor to use hospital letterhead and to sign on the bottom in “Blue
Ink” only
• If submitting electronically, follow directions on ECFMG from the last slide
For LORs submitted via mail
• Provide each doctor with a document submission form to be inserted into
a sealed envelope along with the doctor’s recommendation
• Pick up each sealed envelope including both of these documents to be
sent in a bundle by Technion Administration
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MSPE Letter
• Written by your Technion mentor
• Sit down with your mentor to discuss what you
both believe should be included in letter
• Try to obtain 3-5 sentence quotes from each of
your core rotation preceptors ASAP
– Most important is from field of choice
– Should be e-mailed to adviser w/ CC to Professor Levy
– Blank spot will appear in core that does not supply an
evaluation
• Will be uploaded to ERAS/CaRMS by Technion
CV
• MUST take copies to your interviews
• There is no specific style
– Sell yourself
– Be Unique
– Look at samples online
• Be sure it is neat and legible
• Do not add random accomplishments or
interests that can’t be backed up
• Do not add Technion logo without consent
Interviews
APPLY APPLY APPLY!
• Apply to many programs!
• Focus on regions you feel you want to be in
– Jewish area?
• California
– http://www.slideshare.net/maxedmond/ptalstep-by-step-application-guideline-presentation
Respond to Invites
• If granted an interview you will get an e-mail
from ERAS to your inbox
• Respond to the e-mail address (usually one of the
program coordinators) found in that e-mail NOT
TO ERAS!
– Dear Ms. Jackson
• If you don’t get invites to the programs you want,
call or e-mail the program to show interest
• Try to attend Resident “Meet and Greet”
• Try to attend 2nd viewings of programs of interest
Scheduling Interviews
• US
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November-February
Generally flexible with dates
Put desired towards end (remember you more)
Schedule geographically
Remember to book flights/hotels (some offer)
• Canada
– Late January-February
– INFLEXIBLE with dates (IMG days)
– Be sure to properly schedule Technion elective make-up
times
• Make sure to take out extra loans for travel!!!!
Make sure to:
◦ Be prepared
◦ Know about your program
◦ Not to ramble.
◦ Listen to the questions asked - make sure you understand what is being asked.
◦ Answer the question that was asked.
◦ Not answer a question they did not ask or add too much loosely-related information.
◦ Be comfortable with pauses, silence - stay poised and confident.
◦ Sound fresh every time - be prepared to answer the same question 20+ times
throughout the entire interview process.
◦ Smile! - highly underrated; often forgotten when nervous and tense.
◦ Consult someone from the specialty about common questions in their interviews.
◦ Always send a thank you letter after an interview.
◦ How are you today? (there are NO innocent questions) ◦ Do you have any questions? (yes...)
◦ Tell me about yourself.
◦ What are your strengths and weaknesses?
◦ Why are you interested in this specialty? (#1 question asked) ◦ What other specialties did you consider?
◦ Why are you interested in our program?
◦ What are you looking for in a program? Where else have you interviewed?
◦ Why should we choose you? What can you contribute to our program?
◦ How well do you feel you were trained to start as an intern?
◦ Describe your learning style.
◦ Tell me about....item(s) on your CV or transcript, past experience, time off, etc.?
◦ Can you tell me about this deficiency on your record? (do not discuss if you are not asked)
◦ What do you see yourself doing in five (ten) years?
◦ What do you think about...the current and future state of healthcare, this specialty, etc.?
◦ What do you do in your spare time?
◦ Present an interesting case that you had....as if you were in clinic.
◦ Tell me about a patient encounter that taught you something.
◦ What would you do if you knew one of your more senior residents was doing something wrong? (filling out H&P's
without doing the evaluations, tying someone's tubes with consent...and other ethical questions.)
◦ Which types of patients do you work with most effectively? (least effectively?)
◦ How do you make important decisions?
◦ If you could no longer be a physician, what career would you choose?
◦ How do you normally handle conflict? Pressure?
◦ What to do think about what is happening in...? (non-medical current event questions)
◦ Teach me something non-medical in five minutes.
◦ Tell me a joke. (keep it simple and tasteful)
◦ What if you do not match?
◦ Can you think of anything else you would like to add? (yes...)
◦DO YOU HAVE ANY QUESTIONS?
"Illegal" questions might include:
◦ What are your plans for a family? Are you married? Have children?
◦ How old are you?
◦ If we offered you a position today would you accept?
PRACTICE MAKES PERFECT!
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Friends
Family
Spouse
In-laws
Doctors
Residents
Mirror
Picture of interviewer
BREATH AND BE YOURSELF!!!!
STAR
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Situation- Challenge
Task- What do you have to achieve?
Action- What did you do?
Results- What was the outcome?
WHAT TO BRING TO THE INTERVIEW
• Directions
• Contact information (including name of
program coordinator and interviewers)
• Any updates to your application (anything
new)
• Several copies of your CV and personal
statement
• Something to write on (leather folder)
Attire
– Men:
• White or light blue Button down shirt
• Tie (red or blue, stripes etc)
• suit
– Women:
• Conservative dress
• button down
• Suit
• Hygiene- shower, cut nails, deodorant, haircut (1
week before) etc
THE MATCH!!!!!!!
• Pre-match – All or nothing
• 1 week prior to the match you will be notified
whether or not you matched, but not the
actual program
• Match day- program revealed
• Please note: the match is a binding contract!
– If applying to both US and Canada, matching in
one disqualifies you from the other
NRMP
• You MUST sign up to the match on the NRMP
website by:
– November 30th 2011, $50
– Doubles to $100 until Feb 22th 2012 (ROL
deadline)
• Rank Order List
– Must save and CERTIFY before ROL deadline!!!
• Applies to Canadian match as well
• http://www.nrmp.org
SOAP
• Replaces the scramble
• Via ERAS only!!!!
GET A US # !!!!!
Useful Sites
• http://medfools.com/
• https://freida.amaassn.org/Freida/user/viewProgramSearch.do
• https://services.aamc.org/eras/erasstats/par/i
ndex.cfm
Contact Information
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Pediatrics:
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Internal Medicine
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"Shoshana Bacon" [email protected]
Neurology
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Menachem Davis (also orthopedics) [email protected]
Adam Weinstein [email protected]
Emergency Medicine
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Leor Azoulay [email protected]
Surgery
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David Ozeri [email protected]
Michael pottash [email protected]
Daniel Kichura [email protected]
Family Medicine
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David Steffin [email protected]
Lipner Tzvi [email protected]
Lauren Astrug [email protected]
Chaim Arias [email protected]
Jacob Hascalovici [email protected]
Radiology
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Nathanael Sabbah [email protected]