S TROLLING T HROUGH THE M ATCH The Beginning of the End … or the end of the beginning Presented by Owen P. Phillips, M.D. and Debbey Hester.

STROLLING THROUGH THE MATCHSTROLLING THROUGH THE MATCH

The Beginning of the End…or the end of the beginning

Presented by Owen P. Phillips, M.D. and Debbey Hester

Career Connections:● Part 1: AAMC Careers in Medicine (CiM)

Appraising The Challenge Self Assessment Surveying Alternatives Evaluating Alternatives Achieving Commitment

● Part 2: Residency Exploration Day (January)● Part 3: Post Match 2013 w/M4 Panel● Part 4: Strolling Through the Match (STTM)

PREPARING FOR YOUR FUTURE

● Medical Student Performance Evaluation (MSPE)● Letters of Recommendation● RECAP: Preparing Your Credentials

● Curriculum Vitae● Personal Statement

● Applying for Residency Nat’l Resident Matching Program (NRMP) Electronic Residency Application Service (ERAS) Military, Urological, & San Francisco Match

STTM OVERVIEW

THE APPLICATION TEAMTHE APPLICATION TEAMLetter Writers

● Owen Phillips, M.D. ● Gerald Presbury, M.D.● Renate Rosenthal, Ph.D.● David Stockton, M.D. (Knoxville)● Robert C. Fore, M.D. (Chattanooga)● The Faculty (excluding the MSPE)

Application Coordinator● Debbey Hester

910 Madison Avenue, Suite 1043Memphis, TN 38163

Tel: 448-5684 | Fax: 448-7085

http://www.uthsc.edu/medicine/students

OUR CONTACT INFORMATION

Preparation for Success●Be certain about career choice

Narrow it down - or come see me●Talk with Clerkship Director (and others) to answer

nagging worries about career choice(s)●Once certain about career choice, talk with department

chair competitiveness of specialty, where to apply,

outside rotations, etc.●Get CV together

Getting Ready for the MatchGetting Ready for the Match

Preparation for Success●Write your personal statement●Consider who should write you letters of

recommendation contacting his/her secretary to schedule an

appointment provide copy of cv, personal statement & ERAS

cover letter (download from SA web page)●Debbey Hester schedules ALL MSPE appointments

Scheduling begins July 8th; Appointments begin July 15th

Instructions for scheduling MSPE appointments will be sent via UTHSC email late June

Getting Ready for the MatchGetting Ready for the Match

Strolling Through the Match April 29, 2013

Curriculum Vitae

●One page ●Good quality paper●White or near white●Ordered and structured


Personal Statement

A Personal Statement tells…● Why I chose medicine● How I chose my specialty● Where I see myself● Insight into family and very special interests

PERSONAL STATEMENTPERSONAL STATEMENT

Summary● CV & PS quality will not make or break you● May induce a great deal of interest and augment ‘the

numbers and grades’● Poor grammar or sloppiness may hurt● Bring a good copy of CV and personal statement with

you when you meet with faculty about writing a reference letter

CV & PERSONAL STATEMENTCV & PERSONAL STATEMENT

Medical Student Performance Evaluation (MSPE)Medical Student Performance Evaluation (MSPE)


The MSPE is a comprehensive assessment regarding comparative performance.

● It should describe, in sequential manner, the student’s performance, as compared to peers, through 4 full years of school.

● It should be an assessment of both academic performance and professional attributes.

● It should be 2-3 pages in length and appropriately formatted with appendices.

THE MSPE…


Is neither a letter of recommendation nor a prediction of future performance

in residency

THE MSPE…


Format● Identifying Information

Identifies you as a fourth year medical student at the University of Tennessee Health Science Center AOA distinction with Class Rank

automatically included if applicable● Personal Comments / Noteworthy Achievements

demonstrated leadership research abilities community service significant challenges/hardships

THE MSPE…


Format● Academic History

graduation and matriculation dates breaks, gaps, LOA transfer school and dual degreed program

information, if applicable explanation of remediated coursework explanation of adverse actions

THE MSPE…


Format● Academic Progress

basic sciences & introduction to clinical medicine (PCC/DRS)

required clinical core clerkships and electives reported thru mid-October

THE MSPE…


Format● Summary

summative assessment of comparative performance relative to peers

reference to unique characteristics / accomplishments

overall performance in basic medical sciences & clinical clerkships with emphasis on professional attributes

THE MSPE…


Format● Overall Medical Student Performance

Rating GPAs taken from GPA/Class Rank

report (available early September)

THE MSPE…

Indicates percentage of class in each category; not an indication of class rank.

OVERALL MEDICAL SCHOOL PERFORMANCE

Outstanding(0.00-0.00)

Excellent(0.00-0.00)

Very Good(0.00-0.00)

Satisfactory(0.00-0.00)

15% 25% 50% 10%


Format● Appendices

A – bar graph of performance relative to peers in each preclinical course

B – bar graph of performance relative to peers in each core clinical clerkship

C – assessment of professional attributes relative to peers **

D – bar graph showing overall performances relative to peers

E – medical school information page

THE MSPE…

** Not currently included in the MSPE


Letters of RecommendationsLetters of Recommendations

For instructions visit https://www.aamc.org/students/medstudents/eras/


Generally 3 - 4 are required; recommend 4● department chair of your chosen specialty● senior faculty member usually in specialty of choice (i.e.,

faculty with whom you did JI)● other faculty member(s), not necessarily in specialty, who

knows you well● schedule appointment EARLY to review your professional

goals and answer questions● LOR appointments schedule through faculty member’s

office, not Student Affairs● provide a CV, personal statement, transcript, and list of

programs; download and attach Cover Sheet from MyERAS!● don’t be shy about discussing your strengths or extenuating

circumstances

LETTERS OF RECOMMENDATION

Chair’s letterChair’s letter• Call the department to set up an appointment - do

not email• The chair is expecting you - even if you have never

met• The interview as well as your performance on the

rotation will be enough for him to write you a letter• Bring a list of programs you are applying to • Ask about your competitiveness for specialty

and/or programs and listen to the feedback

Questions so far?Questions so far?• Knowing career choice- now or very soon• Uncertain? Talk to folks now!• Look at evaluations from clerkships- now• Are you in an early Match? Know the deadlines• Personal statement and CV– now• LORs- should have an idea on who should write• Chair’s letter- probably beginning July or August• MSPE- we will send out a notice about scheduling• More questions– call me!• Worried- call me!

The Electronic Residency Application Service (ERAS)The Electronic Residency Application Service (ERAS)~ an electronic application delivery service

ERASERASWhat is ERAS ?Electronic “application delivery service ” used to transmit applications, letters of recommendation, MSPEs, transcripts, and other supporting credentials from applicants and medical schools to residency program directors using the Internet.• Tokens will be distributed via UT email to applicants in

late June• MyERAS available (but not live) for applicants mid July• ERAS Post Office opens September 1st; available for

transmission of documents to programs• Required for NRMP, Urology and Military matches. Visit

http://www.sfmatch.org for application requirements for San Francisco Match.

http://www.sfmatch.org/

ERASERAS· ERAS is comprised of four main components:

· MyERAS is the Web site where applicants (YOU) complete the MyERAS Application· select programs, assign documents to be received by programs (i.e.,

personal statement, request USMLE, etc.)

· DWS is the software used by the designated dean's office. · scan and attach supporting documents to the application (i.e., photo,

medical school transcript, MSPE, and LoRs.)

· PDWS is the ERAS software used by program staff to receive, sort, review, evaluate, and rank applications.

· ERAS Post Office is the central bank of computers that transfer the application materials from USMLE, applicants and their designated dean's office to residency programs.

· Students should NOT for a completed application before submitting application; evolving process.

· No supporting documents can be transmitted through ERAS UNTIL THE STUDENT SUBMITS HIS/HER APPLICATION!

· Set target date to have as much of your application ready to transmit by September 15th; including photo

ERASERASHow Does ERAS work? • Applicants receive electronic token in late June to register with MyERAS;

begin completing online ERAS application. – Worksheet from ERAS applicant resource page– Copy of AMCAS application from Registrar’s Office; allow 2 days

• Applicants certify/submit ERAS applications to programs beginning September 1st– USMLE receives requests to upload USMLE scores to ERAS Post Office

• Transcript includes scores posted at time applicant submits ERAS application

• School begins uploading support documents July 1st• School begins transmitting support documents September 1st• Programs begin downloading applications September 1st; make interview

offers early September• Applicants should set a target date of September 1st for completing entire

application and should track applications using ERAS ADTS!!!

ERASERAS

ERAS is NOT the same as NRMP…• You must register for ERAS separately from

NRMP• ERAS – Late June/Early July• NRMP – September 1st

• ERAS is required to transmit supporting documents for applicants enrolled in the NRMP, the Urology match and for some branches within the military match.

ERASERASHow much does ERAS cost?

● ERAS processing fees are based on the number of programs to which you apply per specialty

● Check ERAS website for pricing

Is there a deadline for submitting ERAS applications to Student Affairs?

● No. However, SA recommends your ERAS application be completed and ready to transmit by September 1st

Programs set their own deadlines; check web sites

APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCY~ the mechanics of the application process


APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCYPATHS of Residency Application

•Advanced specialties with own Match•US Armed Forces•National Resident Matching Program (NRMP)

APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCYAdvanced specialties with own Match

Early Match | Results faxed to our officeo San Francisco Matching Program

http://www.sfmatch.org Neurology, ophthalmology, and plastic surgery Must register for the NRMP for preliminary year Uses ERAS for prelim year only

o American Urological Association Residency Matching Program

www.auanet.org/content/residency/residency-match.cfm Register for NRMP as a backup Uses ERAS Registration early June

APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCYUS Armed Forces (Military Match)

Should also enroll in the NRMP Automatically withdrawn by NRMP if matched

by military Results faxed to our office in January

The National Resident Matching Program (NRMP)The National Resident Matching Program (NRMP)~ a coordinated matching service


APPLYING FOR RESIDENCYAPPLYING FOR RESIDENCYNational Resident Matching Program (NRMP)

http://www.nrmp.org The Match - service for matching applicants to

programs Provides uniform date of MSPE

o Absolutely NO MSPE will be released prior to 1 October Registration for NRMP begins September 1st

THE NRMPTHE NRMPCategories/Tracks of Internships

● Preliminary (P) Serves as prerequisite for additional post graduate

medical education in other disciplineso Ex. Prelim medicine, Prelim Surgery

● Transitional Year (P) May/ may not serve as preliminary year Undecided about specialty

● Advanced (A) Begins PGY 2 and requires 1-2 years of preliminary training

o Ex. Radiology (A), Anesthesiology (A), Dermatology (A)

● Categorical (C) Offer positions for PGY1 with no preliminary training required

o Ex. Family Medicine, Surgery, Internal Medicine, Medicine-

Pediatrics, Ob/Gyn, Pediatrics , Psychiatry

THE NRMP - MATCHING AS A COUPLETHE NRMP - MATCHING AS A COUPLEParticipating as a Couple

When two individuals are registered for the same specialties matching service (e.g., NRMP), they may participate in that Match as a couple

• Couple’s match is not a separate match from the NRMP!• Each partner of a couple enrolls individually in the match• The NRMP allows couples to form pairs of choices on their rank order

lists, which then are considered in rank order in the Match• Partners can be matched into positions in the same institution or in

different institutions• Couples are encouraged to talk to us for assistance with preparing their

rank order lists for the Match or for questions

MATCHING AS A COUPLEMATCHING AS A COUPLE

IMPORTANT TO REMEMBER!

Partners listed as a couple are treated by the Match solely as a couple. If one partner does not match, neither partner will match.

If one partner wishes to withdraw, both partners must uncouple before either can withdraw.

QUESTIONS ABOUT THE APPLICATION PROCESS?QUESTIONS ABOUT THE APPLICATION PROCESS?

● Know whether your specialty needs you to apply to a preliminary year

● Couples matching? Come see Deb Hester● Should you have a parallel plan or backup

specialty choice? We will talk about that next – but the answer for almost everyone should be YES

MATCH TRENDS~ Total positions vs. Total Applicants (including IMGs, previous grads, etc.)

MATCH TRENDS~ Total positions vs. Total Applicants (including IMGs, previous grads, etc.)

Over the past several years, the competition for residency positions has heightened.

http://www.nrmp.org/data/main.jpg

Percent of Matches by Choice in 2012For 2013- Unmatched rate nation-wide was 6.7%Percent of Matches by Choice in 2012For 2013- Unmatched rate nation-wide was 6.7%

Ratio: Applicants Ranking Specialty First/Available positionsby Preferred Specialty-- 2011 last year we have dataRatio: Applicants Ranking Specialty First/Available positionsby Preferred Specialty-- 2011 last year we have data

NRMP: Charting the Outcome of the Match 2011

Chart 2 shows the ratios of U.S. seniors and independent applicants to available positions in each specialty. All specialties except Dermatology, Neurological Surgery, Orthopaedic Surgery, Otolaryngology, Plastic Surgery, and Radiation Oncology have enough positions to accommodate all U.S. seniors who prefer that specialty. As the number of applicants has increased in recent years, fewer specialties have offered enough positions for all applicants who prefer that specialty.

USMLE Step Scores of Matched Applicantsby preferred Specialty and Applicant Type (2011)USMLE Step Scores of Matched Applicantsby preferred Specialty and Applicant Type (2011)

NRMP: http://www.nrmp.org/data/index.html

WHAT TO DO!!WHAT TO DO!!

● Right- size● Consider parallel plan- a preliminary year

or alternate career choice

● Meet with the experts● Me or specialty advisors

● We had 17 students who did not match into either a PGY1 or PGY2 or both in 2013

NRMP IMPLEMENTED IN 2012NRMP IMPLEMENTED IN 2012

S.O.A.P.The NRMP Board of Directors implemented changes to Match Week 2012 with a new Supplemental Offer and Acceptance Program for unmatched applicants and unfilled programs.

S.O.A.P.S.O.A.P.• Designed to help streamline, equalize, and automate the process for

students who are not matched initially;

Under SOAP, the NRMP makes available the locations of unfilled positions so that unmatched students can submit applications for these positions through the AAMC’s Electronic Residency Application Service® (ERAS®).

After receiving applications through ERAS, residency program directors create a list of candidates in order of preference and the NRMP offers positions in that order in a series of up to eight rounds.

Applicants are able to receive multiple offers in a single round; if an offer is accepted, it is binding.

S.O.A.P. - Applicant EligibilityS.O.A.P. - Applicant Eligibility

S.O.A.P. - Program ParticipationS.O.A.P. - Program Participation

Match Week ScheduleMatch Week Schedule

At the End of the Match (before S.O.A.P. week)

At the End of the Match (before S.O.A.P. week)

• There were 0-1 U.S. positions available for S.O.A.P.

–Dermatology - Radiation Oncology

–Thoracic Surgery - Plastic Surgery–Orthopedic Surgery - Neurosurgery

–Physical Medicine and Rehabilitation

Begin working on CV/personal statement NOW!

Review your student evaluations (910 Plaza #1043) NOW!

Begin familiarizing yourself with NRMP and ERAS via their websites:

http://www.nrmp.org/

http://www.aamc.org/audienceeras.htm

NOW!

Register and begin entering ERAS application online July 1

Begin scheduling appointment for MSPE with Debbey HesterAppointments begin July 16th; end October 24th*

July 7

Begin registering online for the NRMP 12:00 Noon EST September 15

Begin transmitting ERAS applications to programs (Target Date) September 1

MSPE released to all programs November 1

SOAP eligibility confirmed by Student Affairs March 14

NRMP Online notification of “matched” or “unmatched” March 17

Match Day Class of 2014 March 21

REMINDER OF TIMELINE 2012-13

EMAIL EMAIL How important is EMAIL?

● EXTREMELY IMPORTANT! Pay attention to ANY email coming to you from Student Affairs! Check daily!

● Programs accepting applications via Email communicate using Email, including announcements, questions about one’s application and interview offers

● Student Affairs uses Email to notify you of important developments and/or alerts as it relates to ERAS or other issues involving the application process or Student Affairs Student Affairs uses UT accounts only! Avoid using HOTMAIL with ERAS due to

incompatibility issues with the ERAS software

Stay on top of your application: set target dates and pay attention to deadlines!

SUMMARY

Avoid waiting until the last minute to apply or ask for letters of support.

SUMMARY

SUMMARY

Rumors cause problems…

Contact our office when you have questions or have concerns about your application!

Office of Student Affairs

http://www.utmem.edu/medicine/students

Tel: 901.448.5684

910 Plaza, Suite 1043

CLICK, CALL OR COME BY!

Wrapping it up…

• Everyone should match• You should take our advice• If you hear a rumor, confirm with us• There are some realities to this process

The Heartburn: Will I match?The Heartburn: Will I match?

• Number of medical school graduates going up

• Number of graduates of osteopathy schools entering match going up

• Number of residency spots are NOT going up

AAMC reported trendsAAMC reported trends

Worse newsWorse news• Unmatched students had a hard time matching into

any residency slot during S.O.A.P. week even in Preliminary slots

• At the end of the Match in the U.S., 1200 unmatched students

• At last count, 600 students in the U.S. have no residency position for July, 2013

• From 2008-2013• 50 students went unmatched to a PGY1 position

• 2008 9/149 6.0%• 2009 5/136 3.7%• 2010 8/143 5.6%• 2011 8/146 5.4%• 2012 8/149 5.3%• 2013 12/156 7.6%

THEN UT HEARTBURN EXPERIENCE

THEN UT HEARTBURN EXPERIENCE

Family MedicineGeneral Surgery

Medicine/PediatricsObstetrics & Gynecology

Orthopaedic SurgeryOtolaryngology

Physical Medicine & Rehabilitation PediatricsUrology

THE UT HEARTBURN: UNMATCHED SPECIALTIES FOR 2012-2013 MATCHES

THE UT HEARTBURN: UNMATCHED SPECIALTIES FOR 2012-2013 MATCHES

• We don’t want any SOAP participants• Come in early to see me; Let’s talk about your

application and goals• I believe in a back-up plan or a decision about

‘what’s the worst thing that could happen to you’

• Everyone is here to help you get into the specialty you want; So please…..Let us!

Let us helpLet us help

QUESTIONS?

2013

NRM

P SU

MM

ARY

2013

NRM

P SU

MM

ARY

S TROLLING T HROUGH THE M ATCH The Beginning of the End … or the end of the beginning Presented by Owen P. Phillips, M.D. and Debbey Hester.

Documents

match slide

nformation slide

structured slide

f uture slide

academic performance

residency t

students performance

mspe appointments scheduling