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Senior Editor. First Aid Board Series. First Aid for the Match. Free Medical Books MedbooksVN You will be asked to provide proof of the expenses in the form of a cancelled check, day care provider contract, or a written statement from the provider. Special offers and product promotions Pre-order Price Guarantee! Order now and if the Amazon. USMLE forum. Join us and.

Related LibGuides Health. File Name: first aid for the match 6th edition pdf. S i nce most U. It is free of charge and tne also available from the public affairs offices of U. At the same time, primarily i nternal medicine. Foreign orders must be accompanied by an i nternational money order or the equivalent, payable i n U? Clinical clerkships: Medical students in the United States perform hospital rotations called clinical clerkships.

This means that students must have completed the basic medical s c i e n c e component of th e medical school curriculum by the beginning of the el igibil ity period selected. If such an experience or opportu nity comes up after ghe apply, be sure to inform the programs accordingly. Editorial Reviews. The version for independent applicants covers the same topics as the general student handbook. Part I of the directory organizes the programs by hospital.

Part II lists programs by specialty type and is much more useful. You should receive the edition for the previous Match at no cost upon registration. You will also receive a revised edition for your Match year late in the fall.

This can be a real eye-opener and can also give you a better feel for regional trends in competitiveness. It tracks Match trends and puts you and your target specialty into perspective in terms of the ratio of number of applicants to positions. The central Web site for NRMP data and statistics contains several publications that are worth perusing www. Again, do not let yourself get lost or overwhelmed by all the data.

Instead, use it as a tool to candidly assess how competitive you are for a given specialty. You get one or two Universal Applications free when you sign up for the Match. There should be no need to purchase additional copies. Because you send a photocopy of the Universal Application to the few programs that accept it, simply photocopy your application if you need more copies ie, as a worksheet. For detailed advice on completing the Universal Application, see Chapter 7.

You will also receive one free program designation and acknowledgment card with your Universal Application. This self-addressed card to acknowledge receipt of your application is a bit useless, as it has no space for the program secretary to acknowledge receipt of other materials, such as letters of recommendation and medical school transcripts. You can easily design a more useful acknowledgment card yourself see application status postcard, p.

Advanced Copy of Results and Data, Match. National Resident Matching Program. Handbook for U. Medical Students, Match. National Resident Matching Program Web site www. After years of training, you are almost a doctor. There are many things to learn and do in order to transition to the next stage as resident. Despite what you have heard from friends and colleagues, the fourth year of medical school is full of events and deadlines, so it is important to stay organized and avoid procrastination.

An advisor should be both counselor and advocate. If your advisor is an internist and you want to go into internal medicine, you may already be in great shape. In selecting an advisor, you should seek someone who is savvy about a wide variety of factors regarding your career choice and the Match see Figure He or she should be familiar with the strong and weak points of your candidacy and should know you well enough to offer personal, honest advice.

You should also seek an advisor who is familiar with the programs in which you are interested. For example, an advisor who trained on the East Coast may not be familiar with West Coast programs. Similarly, if you are interested in academic medicine, you should not choose an advisor who is primarily involved in private practice or vice versa. Your advisor should be able to answer a range of questions about the application process, from matters of fact What are the requirements for this residency program?

How many schools should I apply to? Start by asking students in the class ahead of you about outstanding faculty members in your discipline. Your current medical school advisor may also have some suggestions. The dean of students can often guide you to the appropriate advisors. Ask the department chair or the residency director at your school whom they would recommend.

The best advisors are faculty members who are involved in residency selection and who have advised applicants in previous years. This may be with a different adviser, depending on whether your school already has a program in place for assigning students to mock interviewers. At some medical schools it is the program director or chair of the department who makes these phone calls.

Often, this choice is made out of fear that your former mentor will be insulted if he or she is excluded from your residency plans. Such faculty members, however, may or may not be the best advisors for you, especially if they are not actively involved in the residency application process at your school. Start looking for an advisor early, as they are often pressed for time. Know if your specialty requires an in-house subinternship. If so, schedule it early, as these tend to book quickly!

Conventional wisdom says that you should do at least one acting internship or AI, also called a subinternship, externship, junior internship, or senior clerkship in your target specialty early in your fourth year or late in your third year at some schools.

In addition, a strong letter of recommendation from an attending physician on this rotation is usually critical to a competitive application. Some programs will expect at least one letter of recommendation from an AI if you did one as part of your application.

Students interested in internal medicine, for example, often rotate on cardiology, infectious disease, or emergency medicine before beginning an internal medicine AI. This warm-up rotation allows you to acquire the experience, knowledge, and skills both interpersonal and intellectual that are necessary for success on your AI. The rotation also ensures that you will enter the AI refreshed and enthusiastic.

If you choose to do a second AI, either by requirement or by desire, note that there are good reasons for doing them early as well as for postponing them. If you do the second AI early, it offers you a chance at a strong letter of recommendation especially if third-year performance was weak. Also, it would spread out the tougher rotations more evenly over fourth year to prevent having two or three months of intense AIs in a row.

Be careful. An away rotation is a double-edged sword—you can stumble as well as shine. Remember that you will probably be compared with medical students at that institution who are already familiar with the hospital environment and its faculty. See Chapter 4 for the trends in each specialty. For the rest of you, consider doing away rotations only if you are aiming for a long-shot program in which you would not otherwise have a chance. If people from your medical school have matched at the program you are considering, keep in mind that the program likely has a positive impression of your medical school, so an away rotation may actually diminish your candidacy.

Otherwise, you risk exposing yourself to unnecessary scrutiny. Away subinternships can hurt as much as they help. Use the fourth year to learn new things and have fun, not to reproduce your internship. In addition, you might consider taking some electives that may not be available to you again.

Your career advisor should have some good suggestions for fourth-year electives, as will students in the class ahead of you. Some options to consider are to travel abroad and do an international elective. You may never see those strange parasitic diseases you learned so much about in the second year here in the United States, but they are out there!

This might be interesting for you on a personal level and will provide excellent conversation for those low points in the interview. Your school may finance a trip to a national meeting if you present.

Some students take a light rotation during September of their fourth year or take two weeks off during that period so that they can attend to residency applications. Consider spending part of your vacation at a major national meeting in one or two of your top specialty choices, either late in your third year or early in your fourth year. A list of national meetings is published regularly in JAMA as well as on specialty organization Web sites see Table Most of these conferences have special reduced registration rates for medical students.

Your career advisor can provide more detailed information about the best ones to attend. You can preview programs in the specialty by looking at research posters or by listening to scheduled faculty talks.

Spending time at a major meeting will provide you with valuable insights and perspectives and can also make you a more knowledgeable and interesting candidate during interviews. You may want to take one of two approaches to vacation during the fourth year. Those students applying to ten or more programs should probably use at least some of their vacation time for interviews in December and January, as described above.

Algonquin Rd. For the majority of students, interview dates run from November to early February. Most students take a month off for interviews starting right before or after the winter break. However, unless you are considering a smaller number of programs in a limited geographic area, a two-week winter break is usually not enough.

That said, you should keep in mind that with the exception of your AI, most of your fourth year will consist of elective time. These rotations expect a degree of absenteeism from fourth-year medical students. Attendings were students once, too, and recognize the hassles involved in interviewing across the country.

Most will understand if you miss a day or two here and there. Students who interview in January may have a slight advantage over those who interview earlier. If you interview early, consider revisiting programs that you plan to rank highly both to refresh your memory and to reiterate your interest to the selection committee; however, make sure that your preferred programs allow revisits, as some programs frown upon it.

If you plan to visit many programs in the Northeast or upper Midwest, however, January may be a bad month because of winter traveling conditions. A half-hour trip from the airport to the university thus turned into a two-and-a-half-hour ordeal. So allow extra time during snow season for visiting programs in these areas.

See that big arch in St. Louis, eat some chowdah in Boston, and try and make it to the beach in January in San Diego! In addition to having a good time, you will learn what each city is like at its best, which will help you when you return home to make ROL-related decisions.

The month featuring Match Day March for most applicants is generally not a good time to be vacationing or doing electives outside the country. A certain percentage of U.

This is especially true if you are trying to match in a competitive specialty. If you must be out of the country, make contingency plans with your dean and advisor, and get access to a fax machine. Finally, there is only one Match Day, when you get to celebrate with your classmates. Do not miss out on this opportunity to enjoy the fruits of your labor with your classmates. This is even true if you matched early; it is not a day to be missed.

American Academy of Dermatology Web site www. American Academy of Emergency Medicine Web site www. American Academy of Family Physicians Web site www. American Academy of Neurology Web site www. American Academy of Ophthalmology Web site www. American Academy of Orthopaedic Surgeons Web site www. American Academy of Pediatrics Web site www.

American Association of Neurological Surgeons Web site www. American College of Chest Physicians Web site www. American College of Emergency Physicians Web site www. American College of Obstetricians and Gynecologists Web site www. American College of Physicians Web site www. American College of Preventive Medicine Web site www. American College of Radiation Oncology Web site www. American College of Radiology Web site www. American College of Surgeons Web site www.

American Geriatrics Society Web site www. American Medical Association Web site www. American Medical Student Association Web site www. American Psychiatric Association Web site www. American Society of Anesthesiologists Web site www.

American Society for Clinical Pathology Web site www. American Urological Association Web site www. College of American Pathologists Web site www. Radiological Society of North America Web site www. Reference directories. JAMA 21 , Society for Academic Emergency Medicine Web site www. Factors used by program directors to select residents. J Med Educ 61 1 —21, Ironically, this life decision comes at an early time during your medical education.

The beginning of the fourth year, when third-year experiences are still clear in your mind, is the best time to choose a career and residency type. There are fewer exams and call nights, leaving ample time to contemplate this critical decision.

The spring and summer months before the fourth year allow time to further explore career options with electives and subinternships. Rotations at an away site during this time may provide an important new perspective by allowing you to work with different faculty members in a novel environment. Scheduling these rotations and electives to occur early in the fourth year will help you make a specialty decision sooner and allow you more time to optimize your application.

Any lingering indecision could have a negative impact on the application process that fully begins in September. Nonetheless, some students need additional time to explore their options. There are three major reasons that some students fail to make a choice of specialty by the fall of the fourth year: 1.

No single career choice stands out above the others. Late or inadequate exposure to the specialty. In order to answer these questions, you must be honest with yourself. Only then will you be able to let your innate values, goals, and expectations guide you toward an appropriate specialty choice.

Are they still valid? If not, what has changed and why? Is it the long-standing patient relationships, the ability to immediately help others, the intellectual challenge, the prestige, or using the newest technology to help patients? What skills interpersonal, communication, technical, analytical, etc. In which types of patient encounters do you feel that you are not reaching your full potential?

With which group of resident and attending physicians did you feel inspired, feel part of the group, and most enjoy working? In addition to thinking about the questions listed above, it may also be helpful to review the categories that are commonly used in choosing a specialty; you may even elect to use a list or spreadsheet format to relate each item as a pro or con for the specialties you are considering.

Reviewing the Fellowship and Residency Electronic Interactive Database Access System FREIDA online physician workforce information to compare hours, salaries, and job satisfaction data from among the various specialties is a good idea. For students in U. There is also information covering a range of different typical and atypical career paths, as well as detailed statistics and demographic information for each specialty.

Family and lifestyle are increasingly considered to be critical factors. This questionnaire allows you to rank values and interests related to medicine and then informs you how well your answers match with members who are part of particular specialties.

If you need more help, additional references are listed at the end of the chapter. Throughout the process of choosing a specialty, however, you should always remember: reading current literature and data about specialty choices can be helpful, but do not let it distract you from the heart of this very personal decision. So when time has run out and a decision must be made in order for the matching process to proceed, you should determine what you most enjoy doing and then go for it!

If you are content with what you are doing, factors such as salary, workload, and prestige will usually become secondary. The profession of medicine offers an incredible variety of opportunities, so students should have found an attractive choice by the fall of their fourth year.

If the fall of your fourth year has arrived and you still have no attractive specialty choice in sight, good counseling is imperative.

Meetings with your senior advisor and associate dean of students should be scheduled immediately if they have not already taken place. A student attempting to choose between medicine and family medicine, for example, might compare the diversity of experiences in family medicine to the more frequent diagnostic challenges and fellowship opportunities found in medicine.

For other students, career preferences may meet up with the harsh realities of competition. For example, a student may realize in the fall of senior year that he or she is unlikely to match in programs such as dermatology, orthopedics, or plastic surgery.

It should be noted, however, that few educators will recommend that students take a year away from medicine completely, since such a hiatus may lead students to stray from their career choice despite the considerable investment they have already made in both time and effort.

However, if a specialty decision can absolutely not be made, there are a few other solutions to consider. One excellent choice may be a year dedicated to medical research, particularly if you are interested in pursuing an academic career or are preparing for a competitive residency.

Another possibility, if you are unable to select a specialty, is to pursue a transitional-year or a preliminary-year residency position.

A yearlong training program may allow you to explore a specialty you are considering, can sometimes be counted toward your residency program once it is chosen, and will keep you involved in clinical medicine. Matching into a transitional or preliminary year, however, may require you to reapply for a categorical residency position during the next match cycle.

Preliminary year. The preliminary year differs from a categorical position in that a preliminary year is a one-year position meant for people going into a specialty anesthesia, radiology, etc. A preliminary year may be a better option than a transitional year for the undecided student.

Some programs will offer up to four months of elective time that may be used to obtain additional experiences and hence facilitate the decision-making process.

Some program directors for these programs will enthusiastically support tailoring the year for this purpose. Choosing and Matching in Your Specialty of the preliminary year.

For example, if you have completed a preliminary year in internal medicine and wish to continue and complete the internal medicine residency, you would need to apply for and be accepted into a program with an open second-year spot. Transitional year. However, most transitional programs will allow only limited time working in each specialty and therefore may only frustrate students who could not choose a specialty under the much more favorable circumstances of their fourth year.

When time has run out and a career decision must be made, take solace in knowing that all the facts and experiences you need are already in your mind. Choose the area of medicine that has appealed to you most! Do not delay decision making. Do not carve out another year of indecision.

While the process of actually choosing a specialty can be extremely nerveracking, once the decision is made, your work is far from over. Now begins the process of applying for and matching into your chosen specialty.

Nonetheless, there are some overarching objective measures that will help every student understand how to have a competitive application. All of these aspects of medical education, beyond the basic test scores and letters, will enhance your overall application and help make you more competitive when it comes to rankings for the Match. The summer and fall of the fourth year will move quickly and will require organization and constant effort toward preparing the application.

Start the process early once the important choice of specialty is made. Schedule meetings with advisors or faculty members from that department so that they can appropriately guide you and help you focus your application.

Forming these relationships early in the process will help you as the application season moves along—these same mentors can later help you practice interviews, suggest strong programs, and perhaps even contact faculty members at your most desired program. You should begin researching programs within the specialty, drafting the personal statement, and seeking letter writers as soon as possible.

You should update your CV, making sure to include information on awards, publications, and meaningful activities from medical school. Planning the timing of Step 2 exams is especially important for those considering early match specialties. Selection criteria for residency: Results of a national program directors survey.

Acad Med 84 3 —, It is not intended as a basis for the complex and critical process of specialty selection. Fields that tend to have higher percentages of IMGs include family medicine and primary care. A graph showing the yearly unmatch rate is also shown. Note that this represents the unmatch rate for U. For example, students applying in plastic surgery frequently also apply in general surgery and rank the general surgery programs below the plastic surgery programs.

Finally, a graph of the median income over several years is shown. Physician Compensation and Production Survey Physician Compensation and Production Survey, to San Francisco Match data and statistics www.

This begins with the preoperative evaluation, extends through the intraoperative management, and continues in the postanesthesia care unit, as well as potentially in the intensive care unit and pain management centers.

Anesthesiologists function as highly trained consultants and are held in high regard for their extensive knowledge of physiology and pharmacology and for their technical skills. The desirable aspects of the practice of anesthesiology include intense handson care of patients, brief but positive doctor-patient interactions, a vast range of patient ages and health, career mobility, and above-average incomes. The consul- A good understanding of pharmacology, as well as the ability to make rapid decisions under pressure, are important in anesthesiology.

Although job opportunities are not as lucrative as in prior years, there is no shortage of job opportunities for new graduates. ACGME-accredited fellowship training in cardiothoracic anesthesia, pediatric anesthesia, critical care, or pain management is available and competitive. Most prestigious programs emphasize strong clerkships scores, above average USMLE scores, high medical school class standing, and strong letters of evaluation.

Demonstration of an interest in physiology and pharmacology, either through strong basic science scores or research projects, is appealing. In addition, because anesthesiologists manage a multitude of medical conditions intraoperatively, strong clerkship grades in internal medicine are considered important. Many anesthesiology programs are transitioning from a preliminary year plus three years of anesthesiology training to an integrated four-year program.

Be sure to research each program to determine if you will need to apply for a preliminary year, and depending on the program, inquire whether interviews for separate preliminary positions can be made during the same visit. Ideal candidates commonly demonstrate strong interpersonal skills and proactive learning style, and have a passion in areas of life outside of medicine.

Most resident education occurs during one-on-one interactions with an attending; therefore, candidates who can portray themselves as affable, organized, articulate, and quick-minded tend to be ranked higher. The ideal candidate also asks insightful questions about the residency program, such as the strength of the surgery department and its relationship with the anesthesiology department, board pass rates of graduates, research opportunities, exposure to subspecialties within anesthesiology, and the types of positions that graduates are offered.

Anesthesiologists view their jobs as stressful, requiring extreme vigilance and adaptability. It would be wise to save questions regarding call schedules, vacation, and lifestyle for the informal sessions with current residents.

Programs in which candidates do not have ample opportunity to meet with residents should raise suspicions. This free career information packet includes general articles of marginal value on the specialty itself, a directory of anesthesiology training programs as listed in the Graduate Medical Education Directory, and a directory of fellowships for specialized training in pain management.

Obstetrical and gynecologic procedures 3. Cardiothoracic procedures 5. Dermatology residents are trained to diagnose and treat both adult and pediatric patients. They see patients with malignant and benign disorders of the skin, as well as patients who present with the skin manifestations of systemic diseases. It is this breadth of training that attracts many physicians.

Training in dermatology requires one year of internship followed by three years of residency. A strong preliminary medicine year is recommended since dermatology has a heavy emphasis on internal medicine, but any training involving clinical patient care, such as surgery or a transitional medicine year, may be acceptable. Be sure to check with individual programs to see which types of preliminary-year training they will accept.

A small number of programs offer dermatology residency positions combined with a preliminary year in internal medicine. While the dermatology residency is not overwhelmed with in-hospital hours, it requires a lot of studying.

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