Residency and The Match

Once you complete medical school, you must complete a residency to practice medicine. Learn more about the Match, residencies, different specialties, and life as a resident physician.

Residency Match Success: Lessons Learned

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With medical students starting to think about the upcoming residency match season, it’s a good time to review what residency applicants can do to improve their chances of matching. Many students think that how they write their residency personal statement is all that matters, but this simply is not true. As September looms, I want to focus on factors that are still (for the most part) within the residency applicant’s control.  This article should also be useful for anyone who may be entering the match in the future.

  1. Do away electives
    These “audition electives” can really help your chances of matching at a program. Some applicants with whom I speak are often fearful of doing away electives because they believe a less than perfect performance may actually hurt their chances of matching at the program where they rotate. Indeed, this is often not the case. As the associate director of a program, I often found that applicants who demonstrated a solid (or even mediocre) performance when rotating with us were ranked higher than other applicants with slightly better stats. Most program directors would rather take a student whom they know will be a solid, “no-problem” resident than take a risk on someone with whom they have not worked.

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The Successful Match: Getting into Ophthalmology

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Of the 654 applicants who applied to ophthalmology in 2009, 196 (approximately 30%) failed to match. Similar results were noted in the 2007 and 2008 matches, making ophthalmology one of the most competitive specialties.
We recently discussed the ophthalmology residency selection process with Dr. Andrew Lee, chairman of the Department of Ophthalmology at The Methodist Hospital in Houston, Texas and Professor of Ophthalmology at the Weill Cornell Medical College. Prior to becoming chairman, Dr. Lee was professor of ophthalmology, neurology, and neurosurgery at the H. Stanley Thompson Neuro-ophthalmology Clinic at the University of Iowa Carver College of Medicine.  Following residency training at the Cullen Eye Institute at the Baylor College of Medicine, Dr. Lee completed a fellowship in neuro-ophthalmology at the Wilmer Eye Institute.

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The Successful Match: Interview with Dr. Marianne Green

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A key component of the successful match is a full understanding of the residency selection process, and the factors that influence it. Program directors are key decision-makers in this process, and their insights and experience are invaluable. In future columns of The Successful Match, we will present conversations with program directors and other key decision-makers across the different specialties.
We would like to preface these upcoming columns by highlighting the results of an important study done by Dr. Marianne Green. Dr. Green is the Associate Dean for Medical Education at the Northwestern University Feinberg School of Medicine. She is the former associate program director of the internal medicine residency program at Northwestern. Dr. Green is the recipient of multiple teaching awards, and her peers have recognized her as one of the “Best Doctors in America.”

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Getting Into Residency: Part 2

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As the current residency application cycle is winding down, the next wave of applicants is getting ready to apply for the 2009/2010 season.  As you begin thinking about your residency application, you should consider who will be writing your letters of recommendation (LORs), how you will talk about your path to residency at your interview, and how you should contact programs and follow up with them (and if this really makes a difference in outcome).
This article serves as a follow-up to the article, “Getting Into Residency: Part 1,” which was published on the Student Doctor Network in October 2008.

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Getting Into Residency: Part 1

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You were able to get into medical school so you think it will be the same process all over again when you apply for residency. But every application process has nuances and the criteria for selection and how you will be evaluated during interviews is different for residency than it was for medical school.
This two part series discusses the essential ingredients for success, including rotations, written documents, letters of reference, interviews and follow up.
While this article focuses on residency admissions, portions of this piece might also be useful for medical school and fellowship applicants.
Away Rotations and Structuring Your Fourth Year of Medical School
As soon as you have chosen your specialty, you should schedule your away rotations since these slots fill up quickly, especially at top residencies. For programs in which you are especially interested, try to schedule rotations in the summer and early fall of your fourth year to make a good impression before interview season begins.

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The Successful Match: The Importance of Mentoring

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In researching our book, we asked applicants what they found most difficult about the residency application process. A number of applicants commented on the same issue. “There’s so much conflicting information out there. How do you know what to believe? Who should you listen to?”
Applicants with mentors have a decided advantage. A joint committee of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine described a mentor as “someone who takes a special interest in helping another person develop into a successful professional.”¹ In defining the term, the committee described a fundamental difference between mentoring and advising.

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