Scheduling 4th Year &Introduction to Residency

Application Process Office of Student Affairs

University of North Carolina School of Medicine

December 18, 2015

Residency Application & SchedulingMSIII CLASS MEETINGFriday, FEBRUARY 27, 2009 1:00-2:00pmG202 MBRBAGENDA1:00 pm Dr. Georgette Dent/ Welcome/Course

Requirements/USMLE Leanne Shook Scheduling Your 4th Year Courses1:15 pm Dr. R. Gwyther Advanced Care Selective1:20 pm Dr. M. Meyers Integration Selective1:25 pm Dr. Georgette Dent/

Residency Application Process,Dr. Robyn Stewart Dean’s Letter Preparation

1:35 pm Mrs. Sheila Graham McDonald Financial Aid, Debt Management and Funding Interviews

1:45 pm Mr. Dan HillIndividual 4th Year Disability Insurance Policy

*You will have an opportunity to visit multiple specialty career goal advisors to hear

about their programs and application requirements.

FOURTH-YEAR SCHEDULING & INTRO TO RESIDENCY APPLICATION PROCESS

MS3 CLASS MEETING  

AGENDA

Georgette Dent, MD8:00 am to 8:15 am Welcome, Overview, & Graduation Requirements

Leanne Shook8:15 am to 8:35 am Scheduling Your 4th Year Courses

Cheryl McNeil, MD Preparing for Step 2 CS8:35 am to 8: 45 am

Georgette Dent, MD8:45 am to 9:15 am Intro to Residency Application Process

Sheila Graham McDonald 9:20 am to 9:50 am Financial Aid, Debt Management and

Funding Interviews

9:50 am to 10:00 am Break

MS4 Students10:00 am to 10:50 am Student Panel Benny Joyner, MD Ethics Survey10:50 am to 11:00 am

Julie Byerley, MD, MPH Town Hall Meeting11:00 am to noon

4th Year Course Requirements(Accelerated 4th Year)

• 13 month calendar

• Begins 3/28/16 and ends 4/28/2017

• http://www.med.unc.edu/md/curriculum/calendars

• 10 Required courses + Capstone

• Required Selectives

• AHEC Acting Internship (AI)

• Additional AI

• Advanced Practice Selective

• Acute Care Selective

• Science of Medicine Selective

• Electives (5 4-week electives or 20 weeks)

• Capstone Course (1 week)

4th Year Course Requirements(MPH, MBA, year-long research year students graduating in 2017)

• 7 Required courses + Capstone

• Required Selectives

• AHEC Acting Internship (AI)

• Acute Care Selective

• Science of Medicine Selective• MPH & year-long research students may replace with elective

• Advanced Practice Selective• MPH students may replace with elective

• Electives (3 4-week electives or 12 weeks)• MPH students who complete MPH by August 2016 get credit for 1 4-week elective

• MBA students making good progress get credit for 2 4-week electives

• Capstone Course (1 week)

4th Year Considerations

• Finalize specialty choice

• Obtain letters of recommendation

• Meet with college advisors, career goal advisors,

and staff writer (January-June)

• Take CPX, Step 2 CK and CS

• Do “audition electives”

• Apply and interview for residency

• Prepare for internship

Patient Data Confidentiality Reminder

• Do not put patient data on your laptop• Use encrypted thumb drives for clinical work• Thumb drives are easy to lose so don’t put patient

data on them unless they are encrypted

4th Year Exam Requirements

• Clinical Practice Exam (CPX)

• Students will have a choice of dates

• Plan is to start late April/May and extend to August

• Step 2 Clinical Knowledge (CK)

• USMLE World

• Crush Step 2 or Secrets of Step 2

• Step 2 Clinical Skills (CS)

• First Aid for Step 2 CS

• Tips from Dr. McNeil

• We must have passing Step 2 (CK & CS) results by November 1st, 2016

When should you take Step 2?

• Step 2 CK• Take in April• Score typically takes 3 to 4 weeks to

return• Step 2 CS

• Take by June 30th, if want program directors to see score

• Must take by September 10th, to be in compliance with policy

• Can get administrative excuses from electives/selectives to take exam

When should you take Step 2 CK?

Step 2 CS 2016 Reporting Schedule

2016 Reporting Schedule - Step 2 CS Calendar released April 7, 2015

Testing Period Reporting Start Date Reporting End Date

J anuary 1 - J anuary 30 March 2 March 23

J anuary 31 - March 19* April 13 May 11

March 20 - May 21 J uly 6 August 3

May 22 - J uly 16 August 17 September 14

J uly 17 - September 10 October 12 November 9

September 11 - November 5 December 14 J anuary 11, 2017

November 6 - December 31 February 1, 2017 February 22, 2017

*No Step 2 CS exams will be delivered March 13 through 19.

Step 2 CS

• 5 Test centers• Atlanta• Chicago• Houston (least busy) • Los Angeles• Philadelphia (most busy)

When do you need to decide on specialty?

• Can take electives/selectives in April to August

• Need to decide on specialty by August 15th (early

match specialty) or September 15th

• Ideally, you want your ERAS application submitted by

September 15th

Scheduling 4th Year

• Forms due by February 1, 2016

• Need e-mail or signature of Career Goal Advisor or

Advisory College Advisor

• April to July grades/comments go in Dean’s Letter

• Separate schedule sheet for July block, AHEC AI,

Acute Care, Advanced Practice and Science of

Medicine selective, electives, outpatient medicine,

etc.

• Ideally schedule one or two month(s) for

interviews (depending on specialty)– October – January depending on specialty (November or

December typically the best months)

• Schedule free period for “audition elective”

• Schedule time to prepare for Step 2 CK

Fourth Year Scheduling

Leanne Shook

Cheryl McNeil, MD

Preparation for Step 2 CS

Introduction to Residency Application Process

• Medical Student Performance Evaluation

• UNC SOM Match statistics

• Career Goal & College Advisors

• Letters of recommendation (LORs)

• Interview selection criteria

• NRMP Specialty specific Match data

• Signing up for ERAS & NRMP

• Photographs

• Humanism Society

Medical Student Peformance Evaluation Packet• Medical Student Performance Evaluation (MSPE

or Dean’s Letter)• Transcript• Comments from 3rd year clerkships and April to

July electives/selectives• 1st and 2nd year grade distributions• 3rd year grade distribution for past 2 years• Answers to AAMC questions (appendices)

Dean’s Letter/Medical Student Performance Evaluation (MSPE)• Identifying Information• Unique Characteristics• Academic History

• Combined degrees

• Remedial work

• Leave of Absence (research, personal, medical, etc)• Academic Progress

• Preclinical record

• Clinical clerkship and elective record• Summary paragraph• Appendices (answers to AAMC questions)• College Advisors will no longer “sign” MSPE allowing

them to write letters of recommendations

MSPE Appointment

• Update curriculum vitae, submit to staff writer at staffwriter@med.unc.edu by January 5th!

• Meet with Staff Writer, to review Medical Student Performance Evaluation (MSPE)

• Appointments available January – June• If you are a student returning from a LOA and have completed third year

you must schedule your MSPE appointment from January to March!

• After March 1st we’ll make appointment for you

• Read or listen to letter in September

UNC School of Medicine - Match 2015

Class of 2015 Placements (183)

UNC SOM Match Statistics Overview

2011 2012 2013 2014 2015

UNC Match rate

96% 98% 93% 97% 97%

National Match rate (US Seniors)

94.1% 95.1% 93.7% 94.4% 93.9%

Number of unmatched students

6 3 9* 7** 6

*Includes 4 partially unmatched students needing PGY1 year** Includes 2 partially unmatched students with PGY1 year only &1 partially unmatched student needing a PGY1 year

4th Year Advising Meeting• Required meeting with College

Faculty Advisor from January to August to discuss• Specialty choice

• Plan for selecting a specialty if undecided

• Competitiveness for specialty choice (s)

• 4th year schedule

• Away electives

• Plan for letters of recommendation

• Number of programs applying to

• Career goal advisor

• Personal statement

Career Goal Advisors

• Provide CGA with CV, personal statement, transcript• Review your permanent record in 1001 Bondurant • Encourage CGA to review your permanent record• May meet CGA today• Stay in touch with CGA to discuss:

• choices of programs & priorities• activities to strengthen application• number of applications/interviews• electives here & away• interview etiquette• ranking strategies

List of CGAs can be found at http://www.med.unc.edu/ome/studentaffairs/academic-assistance-and-advising/career-counseling-and-careers-in-medicine-1/career-goal-advisors

ERAS Web Portal for Letters of Recommendation

• You need to inform your letter writers the following:• All LoRs must be uploaded to the ERAS system using the ERAS Letter

of Recommendation Portal (LoRP)• LoRs must be uploaded by either the LoR Author or his/her

designee. • Designees may be anyone the author chooses as long as they are not a

member of the hospital (in an advising role) or medical school staff supporting students in the application process.

• Specifically, the Office of Student Affairs is no longer able to upload LoRs on your behalf.

• Ideally LoRs should be submitted by September 15 or October 1 (at latest)

• ERAS allows for a maximum of 4 letters

04/21/23 25

Selection Criteria for Interviews: Results of a National Program Director’s Survey1207 Program directors from 20 specialties responded:1. Grades in required clerkships

2. USMLE step 1 score

3. Grades in senior electives in specialty

4. Number of honors grades in clerkships

5. USMLE Step 2 score

6. USMLE Step 2 CS pass

7. Class rank**UNC does not put student rank on Dean’s Letter

Selection Criteria for Residency: continued

8. Membership in Alpha Omega Alpha (AOA)

9. Medical school reputation

10. Medical school academic awards

11. Grades in other senior electives

12. Grades in pre-clinical courses

13. Published medical school research

14. Research experience while in medical school

*Importance of items differs by specialty

http://www.nrmp.org/wp-content/uploads/2014/09/Charting-Outcomes-2014-Final.pdf

Median Step 1 Scores for Matched Students in Selected Popular Specialties

Step 1M Step 1U• Family Medicine 218 201• Internal Medicine 231 210• Neurology 230 208 • Pathology 231 217• PM & R 220 211 • Psychiatry 220 205

Charting Outcomes of the Match, 2014M=matched studentsU=unmatched students

04/21/23 29

Median Step 1 Scores for Matched Studentsin Selected Popular Specialties

Step 1 M Step 1 U

• Anesthesiology 230 208• Emergency Medicine 230 215

• General Surgery 232 213• Med/Peds 233 223• Obstetrics/Gynecology 226 209• Pediatrics 226 206

Charting Outcomes of the Match, 2014

04/21/23 30

Median Step 1 Scores for Matched Studentsin Highly Competitive Specialties

Step 1M Step 1U

• Dermatology 247 239• Neurosurgery 244 232• Orthopedic Surgery 245 231• Otolaryngology 248 239• Plastic Surgery 245 236 • Radiation Oncology 241 237• Radiology 241 221

Charting Outcomes of the Match, 2014

31

UNC SOM Mean Step Scores by Specialty (2013-2015)(469 students)

Specialty N Mean Range Mean Range

Anesthesiology 29 234.72 198 259 250 214 276

Dermatology 12 247.92 231 263 260 246 279

Emergency Medicine 43 233.47 188 259 246 206 269

Family Medicine 55 222.05 192 263 243 199 281

General Surgery 24 232.5 211 261 247 226 270

Med Peds 22 245.14 209 266 261 229 283

Medicine 93 234.58 190 276 249 207 281

Neurology 8 239.88 225 248 240 219 262

ObGyn 46 228.57 200 256 246 200 270

Opthalmology 10 236.7 218 259 246 230 271

Orthopaedics 11 239.45 231 256 253 237 266

Otolaryngology 11 243.55 222 268 251 223 275

Pathology 6 237.83 197 251 245 198 266

Pediatrics 47 225.57 190 258 248 203 272

Paychiatry 16 217.44 190 239 234 205 262

Radiology Diag 11 245.27 228 258 254 234 271

Radiology Onc 9 241.44 210 260 249 234 266

Surgery Prelim 12 223.2 191 254 236 213 264

Average number of applications per student from Electronic Residency Application Service (ERAS)

NationalUNC

Anesthesiology 34 22 Dermatology 70 77 Emergency Med 37 35 Family Medicine 19 20 Gen Surgery 42 40 Internal Medicine 28 21 Urology 52 65 DX Radiology 52 29

Average number of applications per student from Electronic Residency Application Service (ERAS)

National UNC

Ob/Gyn 34 32 Orthopedics 66 74 Pathology 22 17 Pediatrics 23 23 PM & R 24 30 Plastic Surgery 29 29 Psychiatry 24 19 Radiation Onc 78 82

Can your credentials be enhanced?

• Step 2• Research• Audition electives• Joint degree• Spanish

If your credentials cannot be enhanced, you may needa back up plan if you are applying to a highly competitive specialty.

Electronic Residency Application Service (ERAS)• Web-based for:

• Application• Personal statement• Photograph• Assignment of LoRs• MSPE/Dean’s letter• Transcript• Selection of programs

• Estimated fee of $97• Opens to applicants

– Spring 2016• Opens to programs –

September 15, 2016

Central Application Service (CAS) Specialties & the San Francisco Match

• Specialties:• Ophthalmology

• www.sfmatch.org

• Dates:• Rank order lists

due and results usually released in January

• https://www.sfmatch.org/MatchCalendar.aspx

• For the USMLE exam and the ERAS application, you will need photographs

• Turn in a 2x2 black and white (for transcript) to 1001 Bondurant Hall. You will need to upload an 3x4 color photo to ERAS

But why do I need a new photograph?

Photographs

PhotographsFirst Year

PhotographsBefore

After

The National Resident Matching Program (NRMP)

• All students enroll regardless of specialty!

• Estimated Fee of: $65• Matches applicants with

programs based on preferences

• Not an application service• Uniform dates nationally• Eliminates pressure to

make a decision before all of your options are known

Review of Residency Application ProcessSpringSpring – Update CV, meet with College – Update CV, meet with College Advisor/Career Goal Advisor, review MSPE with Advisor/Career Goal Advisor, review MSPE with staff writer, take Step 2 CK and Step 2 CSstaff writer, take Step 2 CK and Step 2 CS

Spring/SummerSpring/Summer – Write personal statement, – Write personal statement, request LoRs, work on ERAS application, have request LoRs, work on ERAS application, have photo taken, attend or watch summer ERAS photo taken, attend or watch summer ERAS workshopworkshop

Summer/FallSummer/Fall – Research programs, submit ERAS – Research programs, submit ERAS application, attend interview preparation application, attend interview preparation sessions, sign up with NRMP, sessions, sign up with NRMP,

Fall/WinterFall/Winter –Interview–Interview

WinterWinter – Submit rank order list– Submit rank order list

Match Week – March 2017• ERAS Opens Spring 2016

• ERAS Application Submission

September 15, 2016

• NRMP Registration November 30, 2016

• (price increases on 12/1)

• Rank Order List opens January 2017

• Rank Order List closes February 2017

Link to survey is: https://unc.az1.qualtrics.com/SE/?SID=SV_4ZuNUi5ySBpvB5z

STONE TRAVEL FELLOWSHIPSSTONE TRAVEL FELLOWSHIPS The Kevin R. Stone, MD ‘81 Travel Fellowships or Stone Travel Fellowships will be given annually to up to four MS4 students in good academic standing interested in a personally and professionally significant four-week elective rotation outside of North Carolina. Funds can be used to cover travel, lodging and food. Approx. value $3,000. Kevin R. Stone, MD’81 in grateful appreciation for his medical education and seminal travel experiences while a student at the UNC School of Medicine established this award in 2014-15. Dr. Stone believes firmly that the opportunity for medical students to travel domestically or internationally for a four-week elective rotation during their fourth year can be transformational to their professional careers and personal lives, while providing an opportunity to enrich the collective medical experience in North Carolina, yet, most students are unable to afford the cost of an away rotation.  Submission RequirementsInterested candidates should apply for the Stone Travel Fellowship in writing to Dr. Julie Byerley, Vice Dean for Education by May 1, 2016 for a fall 2016 award date.  The Application consists of a one page or less description of where (domestic or international) the fourth-year student wishes to travel for an elective rotation and include how the rotation will inspire their education and impact the medical community of North Carolina. ·         Please address and remit all applications directly to Dr. Julie Byerley, Vice Dean for Education via email at Julie_Byerley@med.unc.edu·         The email subject line: Stone Travel Fellowship Selection will be made by Dr. Julie Byerley, Vice Dean for Education in consultation with Dr. Georgette Dent, Associate Dean for Student Affairs based on MS4’s proposed away rotation’s potential for significant educational experience and with consideration of financial need. Upon completion of the away rotation, each Stone Fellow will publish and/or present about their experience for the benefit of the greater Carolina medical community and the report will be

posted on the Stone Fellowship webpage. 

The North Carolina Rural Promise Scholarship

We are offering $40,000 one-time scholarships, for up to 15 UNC SOM students who plan to enter the fields of Family Medicine, Pediatrics, Internal Medicine, OB/Gyn, Psychiatry, or General Surgery, who make a commitment to serve a rural county in our state.

On-line Resources

Careers in Medicine: https://www.aamc.org/students/medstudents/cim/ Personal Career Assessment

Medical Specialties ApitudeTest

http://www.med-ed.virginia.edu/specialties/ Temperament Sorter

http://www.advisorteam.com/temperament_sorter/register.asp?partid=1 Match

Charting outcomes of the match: https://www.aamc.org/44826/search.html?q=charting+outcomes+of+the+match&x=0&y=0

ERAS: https://www.aamc.org/students/medstudents/eras/ VSAS: https://www.aamc.org/students/medstudents/vsas/ NRMP: http://www.nrmp.org/ Selection Criteria for Residency: Results of a National Program Director’s Survey:

http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residency__Results_of_a.24.aspx

FREIDA: http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.shtml

AAMC Roadmap to Residency: From Application to the Match and Beyond www.aamc.org/publications Click “Student Affairs”

04/21/23 48

QUESTIONS

Financial aid, debt management, & funding interviews

Sheila Graham McDonald