Let’s Talk a Little Pre-Med Heresy Keith Bradley, MD CEO/CMO National Alliance of Research Associates Programs (NARAP)
Feb 22, 2016
Let’s Talk a Little Pre-Med Heresy
Keith Bradley, MDCEO/CMO
National Alliance of Research Associates Programs (NARAP)
Why Listen to this Guy?
Why Listen to this Guy?
• West Point
Why Listen to this Guy?
• West Point• Notre Dame
Why Listen to this Guy?
• West Point• Notre Dame• St. Clare’s Hospital (Hell’s Kitchen)
Why Listen to this Guy?
• West Point• Notre Dame• St. Clare’s Hospital (Hell’s Kitchen)• Tulane University School of Medicine
Why Listen to this Guy?
• West Point• Notre Dame• St. Clare’s Hospital (Hell’s Kitchen)• Tulane University School of Medicine• Medical College of Pennsylvania – EM
Why Listen to this Guy?
• West Point• Notre Dame• St. Clare’s Hospital (Hell’s Kitchen)• Tulane University School of Medicine• Medical College of Pennsylvania – EM• Norwalk Hospital
Why Listen to this Guy?
• West Point• Notre Dame• St. Clare’s Hospital(Hell’s Kitchen)• Tulane University School of Medicine• Medical College of Pennsylvania – EM• Norwalk Hospital• Lincoln Med and Mental Health Center (S. Bronx)
Why Listen to this Guy?
• West Point• Notre Dame• St. Clare’s Hospital(Hell’s Kitchen)• Tulane University School of Medicine• Medical College of Pennsylvania – EM• Norwalk Hospital• Lincoln Med and Mental Health Center (S. Bronx)• Bridgeport Hospital / Yale Emergency Medicine
Why Listen to this Guy?• West Point• Notre Dame• St. Clare’s Hospital(Hell’s Kitchen)• Tulane University School of Medicine• Medical College of Pennsylvania – EM• Norwalk Hospital• Lincoln Med and Mental Health Center (S. Bronx)• Bridgeport Hospital / Yale Emergency Medicine• St. Vincent’s Medical Center
Why Listen to this Guy?
• > 30 years as an academic emergency physician
Why Listen to this Guy?
• > 30 years as an academic emergency physician– hundreds of medical students and residents
Why Listen to this Guy?
• > 30 years as an academic emergency physician– hundreds of medical students and residents
• 7 years as a Health Professions Adviser
Why Listen to this Guy?
• > 30 years as an academic emergency physician– hundreds of medical students and residents
• 7 years as a Health Professions Adviser– hundreds of pre-health professional students
Why Listen to this Guy?
• > 30 years as an academic emergency physician– hundreds of medical students and residents
• 7 years as a Health Professions Adviser– hundreds of pre-health professional students
• Research Associates Programs x 20 years
Why Listen to this Guy?
• > 30 years as an academic emergency physician– hundreds of medical students and residents
• 7 years as a Health Professions Adviser– hundreds of pre-health professional students
• Research Associates (RA) Programs x 20 years– thousands of RAs
Agenda
• Help you see the process of preparing for a career in the health professions from a different perspective
Agenda
• Help you see the process of preparing for a career in the health professions from a different perspective
• Recruit you
Agenda
• Help you see the process of preparing for a career in the health professions from a different perspective
• Recruit you – Line RA as a college undergrad
Agenda
• Help you see the process of preparing for a career in the health professions from a different perspective
• Recruit you – Line RA as a college undergrad– Chief RA as a college graduate
Heresies
• “Pre- Med”
• Why do you go to medical school ?
• Research is very important, but …
• Significant clinical experience not optional
• Post-Bac is the preferable option
Heresies
• “Pre- Med”
“Pre-Med”
• No “Pre- anything”
“Pre-Med”
• No “Pre- anything”
• Career begins with “I think I might want to be a ____.”
“Pre-Med”
• No “Pre- anything”
• Career begins with “I think I might want to be a ____.”– you want to be in control of for how long or short
“Pre-Med”
• No “Pre- anything”
• Career begins with “I think I might want to be a ____.”– you want to be in control of for how long or short
• Career Building ≠ just getting into medical school
“Pre-Med”
• No “Pre- anything”
• Career begins with “I think I might want to be a ____.”– you want to be in control of how long or short
• Career Building ≠ just getting into medical school– medical school is a means not an end
Heresies
• “Pre- Med”
• Why do you go to medical school ?
Why You Go to Medical School?
• Do you want to go to medical school to become a physician?
Why You Go to Medical School?
• Do you want to go to medical school to become a physician?
• Go to medical school to become a resident;
Why You Go to Medical School?
• Do you want to go to medical school to become a physician?
• Go to medical school to become a resident;finish a residency to become a physician
Why You Go to Medical School?
• Do you want to go to medical school to become a physician?
• Go to medical school to become a resident;finish a residency to become a physician
• Only a physician can practice medicine
Why You Go to Medical School?
• Do you want to go to medical school to become a physician?
• Go to medical school to become a resident;finish a residency to become a physician
• Only a physician can practice medicine• Medical training ≈ a medieval craft
Why You Go to Medical School?
• Do you want to go to medical school to become a physician?
• Go to medical school to become a resident;finish a residency to become a physician
• Only a physician can practice medicine• Medical training ≈ a medieval craft
– medical student = apprentice
Why You Go to Medical School?
• Do you want to go to medical school to become a physician?
• Go to medical school to become a resident;finish a residency to become a physician
• Only a physician can practice medicine• Medical training ≈ a medieval craft
– medical student = apprentice– resident = journeyman/woman
Why You Go to Medical School?
• Do you want to go to medical school to become a physician?
• Go to medical school to become a resident;finish a residency to become a physician
• Only a physician can practice medicine• Medical training ≈ a medieval craft
– medical student = apprentice– resident = journeyman/woman
– physician = master craftsman/woman
Getting a Residency = Immediate Goal
Getting a Residency = Immediate Goal
• PG training for 3, 5, 7 years … to “forever”
Getting a Residency = Immediate Goal
• PG training for 3, 5, 7 years … to “forever”
• Competitive Residencies: A RODEO
Getting a Residency = Immediate Goal
• PG training for 3, 5, 7 years … to “forever”
• Competitive Residencies: A RODEO
– Anesthesiology
– Radiology
– Dermatology
– Emergency Medicine
– Orthopedics, Ophthalmology, Otolaryngology
Getting a Residency = Immediate Goal
• PG training for 3, 5, 7 years … to “forever”
• Competitive Residencies: A RODEO
• The Residency Dilemma
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
– retiring
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
– retiring, dying
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
– retiring, dying, quitting early
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
– retiring, dying, quitting early• working fewer hours
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
– retiring, dying, quitting early• working fewer hours … thank goodness
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
– retiring, dying, quitting early• working fewer hours … thank goodness
↑ Demand
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
– retiring, dying, quitting early• working fewer hours … thank goodness
↑ Demand• more health care available
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
↓ Supply• aging work force
– retiring, dying, quitting early• working fewer hours … thank goodness
↑ Demand• more health care available• “Baby Boomers” getting older
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
Problem: 85,000 doctor shortfall by 2020
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
Problem: 85,000 doctor shortfall by 2020
Solution: 30% increase in AAMC MS 1 slots by 2015
Residency Dilemma – 30% by ‘15Benchmark Year = 2002
Residency Dilemma – 30% by ‘15Benchmark Year = 2002
• 16,000 MD graduates
Residency Dilemma – 30% by ‘15Benchmark Year = 2002
• 16,000 MD graduates– last med school expansion in 1970’s
for physician shortage
Residency Dilemma – 30% by ‘15Benchmark Year = 2002
• 16,000 MD graduates– last med school expansion in 1970’s
for physician shortage– end of federal money for med schools in 1980’s
for physician oversupply
Residency Dilemma – 30% by ‘15Benchmark Year = 2002
• 16,000 MD graduates– last med school expansion in 1970’s
for physician shortage– end of federal money for med schools in 1980’s
for physician oversupply
• 24,000 PGY 1 positions
Residency Dilemma – 30% by ‘15Benchmark Year = 2002
• 16,000 MD graduates– last med school expansion in 1970’s
for physician shortage– end of federal money for med schools in 1980’s
for physician oversupply
• 24,000 PGY 1 positions– 15% USIMG and 15% FMG
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
Problem: 85,000 doctor shortfall by 2020
Solution: 30% increase in AAMC MS 1 slots by 2015
Issue: ask wrong question, get wrong answer
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
Problem: 85,000 doctor shortfall by 2020
Solution: 30% increase in AAMC MS 1 slots by 2015
Issue: ask wrong question, get wrong answer
Only licensed residency grads practice medicine,
Residency Dilemma – 30% by ‘15AAMC Statement on the Physician Workforce
Problem: 85,000 doctor shortfall by 2020
Solution: 30% increase in AAMC MS 1 slots by 2015
Issue: ask wrong question, get wrong answer
Only licensed residency grads practice medicine, not “doctors”
Residency Dilemma - Do the Math30% by ’15
Residency Dilemma - Do the Math30% by ‘15
• ↑ 2002 AAMC slots by 30% ≈ 5,000 → 21K
Residency Dilemma - Do the Math30% by ‘15
• ↑ 2002 AAMC slots by 30% ≈ 5,000 → 21K
• Osteopathic ≈ 1/5 of med school grads → 4 K
Residency Dilemma - Do the Math30% by ‘15
• ↑ 2002 AAMC slots by 30% ≈ 5,000 → 21K
• Osteopathic ≈ 1/5 of med school grads → 4 K
• Off-Shore ≈ 2.5 K
Residency Dilemma - Do the Math30% by ‘15
• ↑ 2002 AAMC slots by 30% ≈ 5,000 → 21K
• Osteopathic ≈ 1/5 of med school grads → 4 K
• Off-Shore ≈ 2.5 K
24K residency slots
Residency Dilemma - Do the Math30% by ‘15
• ↑ 2002 AAMC slots by 30% ≈ 5,000 → 21K
• Osteopathic ≈ 1/5 of med school grads → 4 K
• Off-Shore ≈ 2.5 K
24K residency slots – 27.5K med grads
Residency Dilemma - Do the Math30% by ‘15
• ↑ 2002 AAMC slots by 30% ≈ 5,000 → 21K
• Osteopathic ≈ 1/5 of med school grads → 4 K
• Off-Shore ≈ 2.5 K
24K residency slots – 27.5K med grads = - 3.5 K
Residency Dilemma - Do the Math30% by ‘15
• ↑ 2002 AAMC slots by 30% ≈ 5,000 → 21K
• Osteopathic ≈ 1/5 of med school grads → 4 K
• Off-Shore ≈ 2.5 K
24 K – 27.5 K = - 3.5 K
… and no additional physicians!
Residency Dilemma - Consequences
Residency Dilemma - Consequences
• Competition for all residency programs
Residency Dilemma - Consequences
• Competition for all residency programs
• Earlier decision on medical specialty
Residency Dilemma - Consequences
• Competition for all residency programs
• Earlier decision on medical specialty
• Medical school > competitive, < collaborative
Residency Dilemma - Consequences
• Competition for all residency programs
• Earlier decision on medical specialty
• Medical school > competitive, < collaborative
• Off-Shore option has very great risk
Selecting PGY1s
Selecting PGY1s
• 97% of MS1s MD, DO
Selecting PGY1s
• MS1s MS4s are “smart enough”
Selecting PGY1s
• MS1s MS4s are “smart enough”– able to compete on MCATs
Selecting PGY1s
• MS1s MS4s are “smart enough”– able to compete on MCATs – pass USMLE
Selecting PGY1s
• MS1s MS4s are “smart enough”– able to compete on MCATs – pass USMLE – pass Specialty Boards
Selecting PGY1s
• MS1s MS4s are “smart enough”– able to compete on MCATs – pass USMLE – pass Specialty Boards = fully qualified physician
Selecting PGY1s
• MS1s MS4s are “smart enough”– able to compete on MCATs – pass USMLE – pass Specialty Boards = fully qualified physician
master craftsman/woman
Selecting PGY1s
• MS1s MS4s are “smart enough”
• How many times can you cut the cream?
Selecting PGY1s
• MS1s MS4s are “smart enough”
• How many times can you cut the cream?
• More important “other” criteria
Selecting PGY1s
• MS1s MS4s are “smart enough”
• How many times can you cut the cream?
• More important “other” criteria– hardest workers
Selecting PGY1s
• MS1s MS4s are “smart enough”
• How many times can you cut the cream?
• More important “other” criteria– hardest workers– nice, interesting, fun to teach
Selecting PGY1s
• MS1s MS4s are “smart enough”
• How many times can you cut the cream?
• More important “other” criteria– hardest workers– nice, interesting, fun to teach– bring something extra to the table?
Heresies
• “Pre- Med”
• Why you go to medical school ?
• Research is very important, but …
• Significant clinical experience not optional
• Post-Bac is the preferable option
Research Is Very Important, But …
Research Is Very Important, But …
Bench Clinical
Research Is Very Important, But …
Bench
• traditional
• more available
• discernment
Clinical
Research Is Very Important, But …
Bench
• traditional
• more available
• discernment
Clinical
• new
• less available
• career-building!
Research Is Very Important, But …
Bench
• traditional
• more available
• discernment
>>> research career
Clinical
• new
• less available
• career-building!
Research Is Very Important, But …
Bench
• traditional
• more available
• discernment
>>> research career
Clinical
• new
• less available
• career-building!
>>> clinical career
Heresies
• “Pre- Med”
• Why you go to medical school ?
• Research is very important, but …
• Significant clinical experience not optional
• Post-Bac is the preferable option
Significant clinical experience not optional
• Why?
Significant clinical experience not optional
• Why?– discernment– qualification– development
Significant clinical experience not optional
• Why?– discernment– qualification– development
• Shadowing is not significant
Significant clinical experience not optional
• Why?– discernment– qualification– development
• Shadowing is not significant– short time, little commitment, passive
Significant clinical experience not optional
• Why?– discernment– qualification– development
• Shadowing is not significant– short time, little commitment, passive, but available
Significant clinical experience not optional
• Why?– discernment– qualification– development
• Shadowing is not significant– short time, little commitment, passive, available
• Working with patients is significant
Significant clinical experience not optional
• Why?– discernment– qualification– development
• Shadowing is not significant– short time, little commitment, passive, available
• Working with patients is significant– long time, huge commitment, active
Significant clinical experience not optional
• Why?– discernment– qualification– development
• Shadowing is not significant– short time, little commitment, passive, available
• Working with patients is significant– long time, huge commitment, active– usually need “two letters” (e.g., MD, DO, RN, PA, PT)
Significant clinical experience not optional• Why?
– discernment– qualification– development
• Shadowing is not significant– short time, little commitment, passive, available
• Working with patients is significant– long time, huge commitment, active– usually need “two letters” (e.g., MD, DO, RN, PA, PT)– except …
Getting Clinical Experience
RA Programs
Getting Clinical Experience
RA Programs• Research Associates (RAs) enroll patients and
their visitors in clinical studies in the ED
Getting Clinical Experience
RA Programs• Research Associates (RAs) enroll patients and
their visitors in clinical studies in the ED– SOAP as a physician
Getting Clinical Experience
RA Programs• Research Associates (RAs) enroll patients and
their visitors in clinical studies in the ED– SOAP as a physician– Study Protocol as a RA
Getting Clinical Experience
RA Programs• Research Associates (RAs) enroll patients and
their visitors in clinical studies in the ED– SOAP as a physician– Study Protocol as a RA
• One, 4-hour shift per week
Getting Clinical Experience
RA Programs• Research Associates (RAs) enroll patients and
their visitors in clinical studies in the ED– SOAP as a physician– Study Protocol as a RA
• One, 4-hour shift per week• Clinical + Research
National Alliance of Research Associates Programs
NARAP
National Alliance of Research Associates Programs
NARAP• growing consortium of hospitals around the
country
NARAP Member Institutions
CT Hartford Hospital/UConn
Lawrence & Memorial
St. Vincent’s
DC Georgetown
MA UMass
MO St. Louis UniversityNJ Hackensack U.
Medical Center
NY University of Rochester
NV University of Nevada
PA Jefferson
TX Seton / U Texas, Austin
VT UVM
WA Pullman Regional
National Alliance of Research Associates Programs
NARAP• growing consortium of hospitals around the
country • utilizing the RA model
National Alliance of Research Associates Programs
NARAP• growing consortium of hospitals around the
country • utilizing the RA model • produce large scale, clinical studies over short
time frames with minimal cost
National Alliance of Research Associates Programs
NARAP• growing consortium of hospitals around the
country • utilizing the RA model • produce large scale, clinical studies over short
time frames with minimal cost• Tobacco Cessation study:
National Alliance of Research Associates Programs
NARAP• growing consortium of hospitals around the
country • utilizing the RA model • produce large scale, clinical studies over short
time frames with minimal cost• Tobacco Cessation study:
- > 19,000 participants, thousands of RAs
National Alliance of Research Associates Programs
NARAP• growing consortium of hospitals around the country • utilizing the RA model • produce large scale, clinical studies over short time
frames with minimal cost• Tobacco Cessation study:
- > 19,000 participants, thousands of RAs- 4th largest prospective, interventional study ever in U.S.
Heresies
• “Pre- Med”
• Why you go to medical school ?
• Research is very important, but …
• Significant clinical experience not optional
• Post-Bac is the preferable option
Post-Bac is the Preferable Option
Post-Bac is the Preferable Option
Guiding Concepts
Post-Bac is the Preferable Option
Guiding Concepts
• College ≠ getting into medical school
Post-Bac is the Preferable Option
Guiding Concepts
• College ≠ getting into medical school
• MCATs takes 400 hours of prep for success
Post-Bac is the Preferable Option
Guiding Concepts
• College ≠ getting into medical school
• MCATs takes 400 hours of prep for success
• Career-building, not just admissions
Post-Bac is the Preferable Option
Guiding Concepts
• College ≠ getting into medical school
• MCATs takes 400 hours of prep for success
• Career-building, not just admissions
• Remember, residency is the immediate goal
2nd semester, Junior Year
2nd semester, Junior Year
Best Semester of Your Life …
2nd semester, Junior Year
Best Semester of Your Life … Academically
2nd semester, Junior Year
Best Semester of Your Life … Academically
• Upper level major courses
2nd semester, Junior Year
Best Semester of Your Life … Academically
• Upper level major courses
• Best electives
2nd semester, Junior Year
Best Semester of Your Life … Academically
• Upper level major courses
• Best electives
• Cost of Attendance ≈ $ ___ K per semester
2nd semester, Junior Year
Best Semester of Your Life … Academically
• Upper level major courses
• Best electives
• Cost of Attendance ≈ $ ___ K per semester
• No second chance
2nd semester, Junior Year
Best Semester of Your Life … Academically
• Upper level major courses
• Best electives
• Cost of Attendance ≈ $ ___ K per semester
• No second chance
• Ramping up
MCAT
MCATA “Useless” Test, Except …
MCATA “Useless” Test, Except …
• material you will never use again
MCATA “Useless” Test, Except …
• material you will never use again
• format you will never endure again
MCATA “Useless” Test, Except …
• material you will never use again
• format you will never endure again
• purpose you should never face again
MCATWhy spend 400 hours getting ready for MCATs?
MCATWhy spend 400 hours getting ready for MCATs?
• Get into medical school … Duh!
MCATWhy spend 400 hours getting ready for MCATs?
• Get into medical school … Duh!
• Become an expert test-taker
MCATWhy spend 400 hours getting ready for MCATs?
• Get into medical school … Duh!
• Become an expert test-taker – USMLE
MCATWhy spend 400 hours getting ready for MCATs?
• Get into medical school … Duh!
• Become an expert test-taker – USMLE – Specialty Boards
MCAT 400 Hour Prep Timeline
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical School
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical School
Activity No later than
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical School
Activity No later than
matriculate August after graduation
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical School
Activity No later than
matriculate August after graduation
interview 1st semester, Sr year
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical School
Activity No later than
matriculate August after graduation
interview 1st semester, Sr year AMCAS
1 July, after Jr year
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical School
Activity No later than
matriculate August after graduation
interview 1st semester, Sr year AMCAS
1 July, after Jr year MCAT
mid–May, after JR year
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical School
Activity No later than
matriculate August after graduation
interview 1st semester, Sr year AMCAS
1 July, after Jr year MCAT mid–
May, after Jr year
MCAT prep 2nd semester, Jr year
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolIssues
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolIssues• January to mid-May ≈ 20 weeks
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolIssues• January to mid-May ≈ 20 weeks
assume study 5 d/wk = 4 hours of study per day
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolIssues• January to mid-May ≈ 20 weeks
assume study 5 d/wk = 4 hours of study per day• Out of “best academic semester of your life,”
spend 4 hours/day cramming for a test
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolIssues• January to mid-May ≈ 20 weeks
assume study 5 d/wk = 4 hours of study per day• Out of “best academic semester of your life,”
spend 4 hours/day cramming for a test that is only useful if you
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolIssues• January to mid-May ≈ 20 weeks
assume study 5 d/wk = 4 hours of study per day• Out of “best academic semester of your life,”
spend 4 hours/day cramming for a test that is only useful if you– get a competitive score for medical school admissions
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolIssues• January to mid-May ≈ 20 weeks
assume study 5 d/wk = 4 hours of study per day• Out of “best academic semester of your life,”
spend 4 hours/day cramming for a test that is only useful if you– get a competitive score for medical school admissions– learn to be an expert test-taker
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolConsequences
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolConsequences
• Not “the best academic semester of your life”
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolConsequences
• Not “the best academic semester of your life”• Not ramping up
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolConsequences
• Not “the best academic semester of your life”• Not ramping up
• Don’t really do 400 hours prep → Oops on MCAT
MCAT 400 Hour Prep Timeline
If ... Graduation --> Medical SchoolConsequences
• Not “the best academic semester of your life”• Not ramping up
• Don’t really do 400 hours prep → Oops on MCAT
→ forced post-bac year(s)
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac Year
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac Year
Activity No later than
matriculate August after PB year
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac Year
Activity No later than
matriculate August after PB year
interview fall semester, PB year
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac Year
Activity No later than
matriculate August after PB year
interview fall semester, PB year
AMCAS 1 July of PB year
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac Year
Activity No later than
matriculate August after PB year
interview fall semester, PB year
AMCAS 1 July of PB year
MCAT September, Sr year
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac Year
Activity No later than
matriculate August after PB year
interview fall semester, PB year
AMCAS 1 July of PB year
MCAT September, Sr year
MCAT prep summer, Between Jr – Sr years
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac Year
• MCAT prep from mid-May to mid-September
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac Year
• MCAT prep from mid-May to mid-September
• ≈ 20 weeks, 5 days / week → 4 hours per day
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearAdvantages
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearAdvantages• 2nd semester, Junior =“best semester of your life”
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearAdvantages• 2nd semester, Junior =“best semester of your life”
– better grades, better ramping up
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearAdvantages• 2nd semester, Junior =“best semester of your life”
– better grades, better ramping up• 1 “bad” summer
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearAdvantages• 2nd semester, Junior =“best semester of your life”
– better grades, better ramping up• 1 “bad” summer
– has to be done sometime!
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearAdvantages• 2nd semester, Junior =“best semester of your life”
– better grades, better ramping up• 1 “bad” summer
– has to be done sometime!– still time for work, maybe even a little fun
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearAdvantages• 2nd semester, Junior =“best semester of your life”
– better grades, better ramping up• 1 “bad” summer
– has to be done sometime!– still time for work, maybe even a little fun
• Oops on MCAT
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearAdvantages• 2nd semester, Junior =“best semester of your life”
– better grades, better ramping up• 1 “bad” summer
– has to be done sometime!– still time for work, maybe even a little fun
• Oops on MCAT,time to take again and stay on schedule
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearMore Advantages
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearMore Advantages• Post-bac year ≠ “year-off,” = YEAR-ON
MCAT 400 Hour Prep Timeline
If ... Planned Post-Bac YearMore Advantages• Post-bac year ≠ “year-off,” = YEAR-ON
• Apply with
– optimal grades
– MCATs
– accomplishments from YEAR ON
Post-Bac Year On
Post-Bac Year On
• Do what you may never have the chance to do again
Post-Bac Year On
• Do what you may never have the chance to do again
• Career-Build = Clinical Research → Residency
Post-Bac Year On
• Do what you may never have the chance to do again
• Career-Build = Clinical Research → Residency• Take 1st year of med school before med school
Post-Bac Year On
• Do what you may never have the chance to do again
• Career-Build = Clinical Research → Residency• Take 1st year of med school before med school
– be an MS1 with time → more clinical research!
Post-Bac Year On
• Do what you may never have the chance to do again
• Career-Build = Clinical Research → Residency• Take 1st year of med school before med school
– be an MS1 with time → more clinical research!• Make money
Post-Bac Year On
• Do what you may never have the chance to do again
• Career-Build = Clinical Research → Residency• Take 1st year of med school before med school
– be an MS1 with time → more clinical research!• Make money
– knock down undergraduate debt
Post-Bac Year On
• Do what you may never have the chance to do again
• Career-Build = Clinical Research → Residency• Take 1st year of med school before med school
– be an MS1 with time → more clinical research!• Make money
– knock down undergraduate debt• Have fun!
Post-Bac Year OnNARAP Chief Research Associate
Post-Bac Year OnNARAP Chief Research Associate
• Middle managers of RA Programs at NARAP Affiliates
Post-Bac Year On
Post-Bac Year OnNARAP Chief Research Associate
• Middle managers of RA Programs at NARAP Affiliates
• Involved in all aspects of clinical research from initial concept through publication
Post-Bac Year OnNARAP Chief Research Associate
• Middle managers of RA Programs at NARAP Affiliates
• Involved in all aspects of clinical research from initial concept through publication
• Networking with top clinical researchers at residency programs
Post-Bac Year OnNARAP Chief Research Associate
• Middle managers of RA Programs at NARAP Affiliates
• Involved in all aspects of clinical research from initial concept through publication
• Networking with top clinical researchers at residency programs
• Residency application:
Post-Bac Year OnNARAP Chief Research Associate
• Middle managers of RA Programs at NARAP Affiliates
• Involved in all aspects of clinical research from initial concept through publication
• Networking with top clinical researchers at residency programs
• Residency application:– published author in a clinical journal
Post-Bac Year OnNARAP Chief Research Associate
• Middle managers of RA Programs at NARAP Affiliates
• Involved in all aspects of clinical research from initial concept through publication
• Networking with top clinical researchers at residency programs
• Residency application:– published author in a clinical journal– start/help manage a RA program to get their research
done
NARAP RAs and Chief RAs
www.theNARAP.org
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