Residency/Rotation Information session TeAMS Program.

Residency/Rotation Information session

TeAMS Program

Timeline• 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

• 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 surgery U of California Irvine U of California Irvine IL ped surgery Rambam Technion

surgery jacobi Einstein

CA nephrology Children's hospital Keck

CA ped emergency Children's hospital Keck

IL ped orthopedics Rambam TechnionIL pediatrics Rambam Technion

Canada emergency medicine Alberta hospital University Alberta

cardiology MU South Carolina MU South Carolina

family Alberta hospital University AlbertaIL RambamNY pathology Bellevue NYU

pathology Weiler Moses EinsteinIL hematology Rambam TechnionIL pathology Rambam Technion

MD neuropathology Hopkins Hopkins NY nephrology Bellevue NYU

endocrinology winthrop stony brook

CA Gastroenterology California Pacific Medical center DartmouthIL Internal med Rambam Technion

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

Israel Internal Rambam Technion

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

IL Surgery Carmel Med Center Technion

Cardiology Texas hospital in Dallas University of Texas

MI 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

OH Infectious disease Cleveland Clinic Case Western

rinat

nephrology Rambam Technion

Canada Family Medicine Manover District U Western Ontario

IL Cardiology Rambam Technion

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• 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.

• 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

• 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 insuranceMedical malpractice insurance in the states:http://www.academicins.com/ifmsa.htmlFor 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 Insurance6) 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.pdf8) Housing: Rotatingroom.com has some great housing if you are unfamiliar with the area.9) Passport picture10) USMLE step I score (MANY PROGRAMS WILL NOT TAKE YOU WITHOUT A STEP 1)11) copy of immunization records12) criminal record – (US/Canada)

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– 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

abbreviationsBE 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 complainto Onset of illnesso Durationo Intensityo Exacerbating factorso Remitting factors (what makes it better)o Symptoms associated with it

• PMH (Mnemonic: CHAMIS)o Chronic illnesseso Hospitalizationso Allergieso Medicationso Immunizationso 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)• 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• 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/medstudsanonymous/medsubweb/notes.htm

Familiarization with handwritten labs

Commonly used abbreviationsyo year-oldm malef femaleb blackw whiteL leftR righthx historyh/o history ofc/o complaining ofNL normal limitsWNL within normal limitsØ without or no+ positive- negativeAbd abdomenAIDS acquired immune deficiency syndromeAP anteroposteriorBUN blood urea nitrogenCABG coronary artery bypass graftingCBC complete blood countCCU cardiac care unitcig cigarettesCHF congestive heart failureCOPD chronic obstructive pulmonary disease

CPR cardiopulmonary resuscitationCT computed tomographyCVA cerebrovascular accidentCVP central venous pressureCXR chest x-rayDM diabetes mellitusDTR deep tendon reflexesECG electrocardiogramED emergency departmentEMT emergency medical technicianENT ears, nose, and throatEOM extraocular musclesETOH alcoholExt extremitiesFH family historyGI gastrointestinalGU genitourinaryHEENT head, eyes, ears, nose, and throatHIV human immunodeficiency virusHTN hypertensionIM intramuscularlyIV intravenouslyPRN in the circumstances ofQd every dayQh every hour

JVD jugular venous distentionKUB kidney, ureter, and bladderLMP last menstrual periodLP lumbar punctureMI myocardial infarctionMRI magnetic resonance imagingMVA motor vehicle accidentNeuro neurologicNIDDM non-insulin-dependent diabetes mellitusNKA no known allergiesNKDA no known drug allergyNSR normal sinus rhythmPA posteroanteriorPERLA pupils equal, react to light and accommodationpo orallyPT prothrombin timePTT partial prothrombin timeRBC red blood cellsSH social historyTIA transient ischemic attackU/A urinalysisURI upper respiratory tract infectionWBC 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 USMLEhttps://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

• 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/

usmle-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/

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• 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 StatementDoctors 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 slideFor 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

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/ptal-step-

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– 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!

• Friends• Family• Spouse• In-laws • Doctors• Residents • Mirror• Picture of interviewer

BREATH AND BE YOURSELF!!!!

STAR

• 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.ama-assn.org/Freida/user/view

ProgramSearch.do

• https://services.aamc.org/eras/erasstats/par/index.cfm

Contact Information• Pediatrics:

– David Steffin [email protected]– Lipner Tzvi [email protected]– Lauren Astrug [email protected]– Chaim Arias [email protected]

• Internal Medicine– David Ozeri [email protected]– Michael pottash [email protected]– Daniel Kichura [email protected]

• Family Medicine– Leor Azoulay [email protected]

• Surgery– Menachem Davis (also orthopedics) [email protected]– Adam Weinstein [email protected]

• Emergency Medicine– "Shoshana Bacon" [email protected]

• Neurology– Jacob Hascalovici [email protected]

• Radiology– Nathanael Sabbah [email protected]