CLASS OF 2016 RESIDENCY APPLICATION & MATCHING PROCESS DECEMBER 1, 2014 DGSOM Office of Student Affairs and Class of 2015 Jason Bergschneider Lee Miller, M.D. Meredith Szumski, Ed.D. PANELISTS Natasha Cuk (Internal Medicine) Taemin Oh (Neurosurgery) Toni Riveros (Emergency Medicine) Caitlin Rugg (Orthopaedic Surgery) Jason Scapa (Pathology) Karren Takamura (Orthopaedic Surgery) WHAT’S ON THE AGENDA? Application Timeline & Requirements • Scheduling for Year 4 (Step 2, Away Rotations, etc.) • Selecting a College and College Foundations Requirements • Process for obtaining LORs/Chairs Letters • Early Match, Military Match, Couples Match • ERAS & NRMP The MSPE Process • Unique Characteristics Assignment • What’s included Career Choice and Competitiveness • Advising resources • Data sources • AOA SUPPORT IN 3RD & 4TH YEAR CHOOSING YOUR CAREER RESEARCH AND TIME OFF THE COLLEGES SUPPORT IN 3RD & 4TH YEAR CHOOSING YOUR CAREER You do not have to make this decision now. There are many resources available to help guide you through this process. AAMC’s Careers In Medicine DGSOM’s Virtual Advisor DGSOM’s Resident Roundtable discussions These resources are still available to you, make sure to utilize them! Questions/Advice? Mitsue Yokota myokota@mednet.ucla.edu Margi Stuber, MD mstuber@mednet.ucla.edu SUPPORT IN 3RD & 4TH YEAR RESEARCH AND TAKING TIME OFF If you decide to apply to a competitive specialty and have concerns that you do not have enough research… Do your homework NRMP’s Data and Research Reports AAMC’s “Roadmap to Residency” ERAS’s FACTS You may not necessarily need to take a year off There are research opportunities you can get involved with during 3rd and research electives in 4th year. Questions/Advice? Shamar Jones snjones@mednet.ucla.edu SUPPORT IN 3RD & 4TH YEAR RESEARCH AND TAKING TIME OFF Percent of UCLA applicants who participated in research activities Research Experience(s) Same Field as Match? Clinical 70% 50% Basic Science 30% 16% Social/Health Policy 41% 14% STTP 46% 16% WSMRF 32% 14% Research Preceptorship 30% 21% SUPPORT IN 3RD & 4TH YEAR ADVISING IN THE FOURTH YEAR (COLLEGES) The Colleges are designed to provide guidance and support during your fourth year and you will receive mentoring specific to your specialty. Informational Meeting January 15th Questions and Advice? Aurora Reyes amreyes@mednet.ucla.edu Academic Medicine College Acute Care College Applied Anatomy College Drew Urban Underserved College Primary Care College SUPPORT IN 3RD & 4TH YEAR SPECIALTY SPECIFIC ADVISING (THE COLLEGES) Which LORs/PS to include Which programs to consider Which interviews to accept Which programs to rank RESIDENCY APPLICATION BASICS Letters of Recommendation Curriculum Vitae Personal Statement MSPE LETTERS OF RECOMMENDATION LETTERS OF RECOMMENDATION OVERVIEW Who: What : When: Faculty (MD or PhD) Knows you well Is well-known 4 LORs total (1-2 from Yr. 3) Medicine or Surgery Any with LOD Ask in Yr. 3 and follow-up in Yr. 4 LETTERS OF RECOMMENDATION WHICH ARE USED? (RANKED BY GRADUATING SENIORS) OBTAINING AN LOR: LOGISTICS 1. Whenever possible, ask in person and ask in advance Allow at least 4 weeks for them to write - let them know your deadlines/timelines 2. Ask if they can write a strong letter of recommendation on your behalf. 3. Best to provide Letter Writer with your CV, Personal Statement (rough draft), and an ERAS Letter Request Form. LOR TIMELINE/LOGISTICS 1. Your letter writer will upload the LOR directly to ERAS. 2. Based on the information provided in the ERAS LRF You can keep track of your LORs and all residency application documents through ADTS (Applicant Document Tracking System). AAMC is revising the LOR procedure beginning with the 2015-16 application season. We will keep you apprised of all updates as we receive them. SPECIAL LORS: CHAIRS LETTERS & SLOES Who typically needs a Chair’s Letter? Internal Medicine Ob/Gyn Orthopaedic Surgery Pediatrics Urology Anyone applying to preliminary medicine or transitional medicine programs List of Chairs at UCLA/DGSOM MedNet Directory Dr. Tillisch’s Chairs Letter Form Standardized Letter Of Evaluation (SLOE) is a specialized LOR used by Emergency Medicine. Universal Supplemental Medical Student Evaluation is an extra form requested by a handful of programs in Orthopaedic Surgery. THE CV & PERSONAL STATEMENT CV OVERVIEW Who: What : CV specifically for the Match Relevant information from medical school that encompasses the following: Education Work Research Volunteer When: For use throughout Yr. 3/Yr. 4 Where: Submit to mentors/letter writers Use content to populate ERAS Submit for AOA consideration You must have a draft ready when we meet in May ERAS Application Worksheet (2015) CV EXAMPLE (IN ERAS FORMAT) CV EXAMPLE (ERAS FORMAT - CONTINUED) PERSONAL STATEMENT OVERVIEW Who: What : 1 page written statement for application Statement of purpose every applicant writes when applying to programs When: For use throughout Yr. 3/Yr. 4 Drafting/editing begins now Where: Submit to mentors/letter writers Upload to ERAS You must have a draft ready when we meet in June PERSONAL STATEMENT EXAMPLE Revise, Revise, Revise! PERSONAL STATEMENT & CV TIMELINE SPRING Aim to have a first draft of the personal statement and CV for your letter writers. Have your peers and family members give input on this draft. *see Roadmap to Residency for details about the Personal Statement* SUMMER Have a mentor from your chosen specialty read your updated CV and personal statement then schedule a one-on-one appointment with the Graduate Student Resource Center. Make a Writing Appointment http://gsrc.ucla.edu/gwc/ THE MEDICAL STUDENT PERFORMANCE EVALUATION (MSPE) MSPE OVERVIEW Who: What : Drafted by you, compiled by SAO, finalized and signed by Dr. Miller (and Dr. Calmes for Drew students) Performance Evaluation Unique Characteristics Academic History Years 1 & 2 Core Clerkship Evaluations Elective Evaluations (if any) Summary When: Where: Draft of UC due in February (MSPE Questionnaire) Meetings with Deans in spring/summer Part of application to residency Used for licensure Use for future application to fellowship MSPE SECTIONS: IDENTIFYING INFORMATION MSPE SECTIONS: UNIQUE CHARACTERISTICS UNIQUE CHARACTERISTICS We are pleased to offer this Medical Student Performance Evaluation for Jill Bruin as a candidate for your post-graduate training program. Jill spent her early years as a globetrotter while her parents found stable footing on their career journeys. Born in New York City, she bounced to New Jersey and Australia, before landing in Irvine, California where she attended Sage Hill School. There she put her versatile strengths on display. She competed in crosscountry, soccer, and track and field, captaining each team. Jill was editor-in-chief of the school newspaper, a student ambassador, a member of the Honor Committee, and was selected by the faculty to give the senior speech at the end-of-year Awards Ceremony. She participated in community service for six years with the National Charity League and through Sage’s Service Learning program. Of note, volunteering with young girls at an underserved elementary school helped her realize her passion for helping people. At Claremont McKenna College, Jill majored in Science and Management, a blend of biology and economics. She received the Rose Hills Foundation Scholarship and graduated cum laude with honors, and was a member of Phi Beta Kappa. Jill completed her senior thesis working with Beckman Coulter, doing strategic planning for commercialization of new laboratory equipment. She also did research in a cognitive neuroscience lab, which resulted in a publication. Never giving up on her athletic pursuits, she was a four-year, two-sport varsity athlete, participating in both soccer and track and field. As a senior, Jill was voted captain of the track and field team. Always looking to take on greater challenges, she was co-chair of the Student Athletic Advisory Committee. Highlighting her athletic and academic achievements, Jill received the Female Scholar Athlete award, given to the athlete with the highest GPA. MSPE SECTIONS: UNIQUE CHARACTERISTICS - CONTINUED While in medical school at UCLA, Jill continued to excel and has remained involved with athletics while also staying engaged in her research and community service. She volunteered extensively at our student-run mobile clinics, providing care to the underserved around Los Angeles. Additionally, she was appointed mentorship co-chair for UCLA’s American Medical Women’s Association chapter. She created opportunities for mentorship between undergraduates and current medical students, as well as between medical students and physicians. With regards to her research, Jill explored how virtual reality simulators and task deconstruction can be used to teach residents surgical skills. Her research resulted in a paper, on which she is the first author. Ever the athlete, Jill ran the NYC Marathon and continued to play competitive soccer. Jill has received a Letter of Distinction in Pediatrics which, in a pass/fail grading system, is our way of acknowledging an exemplary performance on the required clerkships. MSPE SECTIONS: 1ST & 2ND YEAR SUMMARY Years One and Two Jill’s academic performance during the basic science years was excellent; at the completion of her second year, she accumulated very high marks from all with whom she worked. Although fairly reserved, she was always engaged and offered profoundly insightful comments and questions that spurred the learning of the class as a whole. One instructor referred to her “quiet competence” and another remarked on her “good clinical instincts; understands how to apply what she is learning to the patients under discussion.” As part of the DGSOM First and Second Year Selective Program, students are required to take at least one seven-week course of their choosing during the first two years. Jill successfully completed four selectives: “Ethnic Diversity in Diet and Nutrition,” “Medical Genetics,” “Surgical Anatomy,” and “Introduction to Biomedical Research” all in an excellent fashion. In June 20XX, she passed USMLE Step 1 with a score of 224. MSPE SECTIONS: CLINICAL EVALUATIONS Systems-Based Healthcare (Required) For the duration of the 3rd year Center for Health Sciences Jill is a bright, caring, and very likable student. She is an active participant in class and helps make for lively discussions. Jill has shown her leadership skill when running the class discussions. She will volunteer when someone is needed. Her presentations are excellent. She has completed all the tasks of the System Based Healthcare course in a great and timely manner. She shows an appreciation for patient care issues and has much to contribute. She will make a great physician. Jill received a Letter of Distinction in Systems-Based Healthcare MSPE SECTIONS: FINAL SUMMARY EXAMPLE 1 (Top Notch/AOA) Jill Bruin is absolutely terrific, excelling academically and contributing significantly to our institution and to the academic community. As a leader and team member, she takes pride in thoroughly understanding the needs of those she represents, and to that end, her integrity is beyond reproach. In the clinical arena, faculty members praise her strong knowledge base, her mature skillset, and her compassionate humanistic approach to patient care. In short, Jill represents all of the attributes we hold most dear in the profession. Her outstanding accomplishments throughout her clinical training are reflected by her wonderful USMLE Step 2 score of 250, and even more importantly by the three Letters of Distinction that Jill was awarded—a feat achieved by only 24% of the class. Consistent with all of the above, Jill was elected to Alpha Omega Alpha this fall. If you’re looking for an incredibly warm, sincere, talented individual with a tremendous work ethic, great clinical skills and delightful people skills, you have found her, and we’re so proud that Jill will be representing UCLA as she makes her mark in the years ahead! We are pleased to present Jill U. Bruin for your consideration. EXAMPLE 2 (Clinically Strong/Academic Issues) Joe Bruin is a bright and compassionate individual who stands out above the rest as a leader and role model. His initial performance on USMLE Step 1 should not in any way deter a program from recruiting this wholly capable student. Instead, we ask that you note his praiseworthy clinical evaluations to obtain a more accurate picture of his abilities and skills. Faculty members note Joe’s outstanding interpersonal abilities, depth of knowledge, clinical judgment, and ability to work seamlessly with the team. Furthermore, he earned two Letters of Distinction on the clerkships—a feat achieved by only 37% of his class. Joe is a most gifted teacher, whose expertise in social sciences adds to the richness that he will bring to his program. Joe’s enthusiasm is unparalleled and one would be hard-pressed to find someone with more dedication to his patients and team. If you’re looking for a bright, exceptionally mature and talented applicant with strong clinical skills, a fantastic work ethic, and the most delightful people skills, then you have found him! We are pleased to present Joe U. Bruin for your consideration. THE WINTER BREAK ASSIGNMENT DGSOM’S MSPE QUESTIONNAIRE DGSOM’S MSPE QUESTIONNAIRE OVERVIEW Questionnaire 2. Unique Characteristics Section http://www.medstudent.ucla.edu/mspequestionnaire/ 1. Complete the UC writing exercise You can save your progress and re-edit before final submission All info is kept confidential and used in your MSPE unique characteristics section Complete by February 1 THE UNIQUE CHARACTERISTICS DRAFT Unique Characteristics Childhood (very brief) High School (very brief) College Work Experience Medical School Plans for the Future Outside Interests Summary TIMEFRAME & NEXT STEPS February 1st Finalize and submit the DGSOM MSPE Questionnaire June- September Take CPX Exam College Foundations Sub-I’s/Electives March-April Apply to Away Electives Select College Submit Year 4 Schedule September Review and sign off on MSPE Submit Application on ERAS May-July MSPE Meetings w/ Deans October 1st MSPE released nationwide MSPE MEETING WITH DEAN SAO will schedule. It doesn’t matter when you meet with the Dean, your MSPE will still be released on October 1. Materials to bring to meeting: 1. 2. 3. 4. 5. Curriculum Vitae (CV) Personal Statement (draft) 4th year electives schedule List of potential/confirmed letter of recommendation writers List of Programs you’re considering (if known) TIMEFRAME STAYING ON TRACK DURING YEAR 3 1. 2. 3. 4. 5. 6. 7. Begin clinical rotations and record your reflections on the Clinical Rotation Evaluation (CiM website). Review Charting Outcomes in the Match to assess your qualifications and competitiveness for specialties. Conduct informational interviews or participate in preceptorships. Join appropriate specialty associations and organizations to make contacts and learn more about the specialties you're considering. Meet with your College Chair to discuss your top specialty preferences. Complete the Specialty Indecision Scale (CiM website) if you're having difficulty making a decision. Complete the Choosing Your Specialty (CiM website) exercise. TIMEFRAME STAYING ON TRACK DURING YEAR 4 1. 2. 3. 4. 5. 6. 7. Research residency training programs through the AMA's FREIDA Online or its Graduate Medical Education Directory (i.e., the "Green Book"). Rate your preferences using the Residency Preference Exercise. Begin reviewing and comparing residency programs. April/May - ERAS® service opens for applications. Register with the ERAS service and begin preparing residency applications (i.e., CV, letters of recommendation, personal statements). June - Register for early Match programs, if applicable. Begin applying to programs and transmitting applications through ERAS service (September 15). TIMEFRAME STAYING ON TRACK DURING YEAR 4 (CONT’D) 8. 9. 10. 11. 12. 13. 14. 15. Register with the National Resident Matching Program® (NRMP®) for the Main Residency Match (September 15). Take USMLE Step 2. Medical Student Performance Evaluation (MSPE) released on October 1 (nationally). Interview with residency programs (October – January). Rate programs using the Residency Preference Exercise. Early Match deadline (early January). Rank your selections for the NRMP Main Residency Match (mid-February). Match Day (third Friday in March). AWAY ELECTIVES VSAS OVERVIEW VSAS® is an AAMC application designed to streamline the application process for senior "away" electives at U.S. LCME medical schools and independent academic medical centers that are members of the Council of Teaching Hospitals and Health Systems (COTH). The service requires only one application for all participating institutions, effectively reducing paperwork, miscommunication, and time. VSAS also provides a centralized location for managing offers and tracking decisions. AWAY ELECTIVES DGSOM POLICIES AND PROCEDURES UCLA & UCR students – Monica Perkins (UCLA SAO) handles the processing of paper “Away” applications and final approval rests with the Associate Dean for Student Affairs, Dr. Lee Miller DREW students – The Drew SAO handles the processing of paper “Away” applications and the final approval rests with the Associate Dean for Student Affairs, Dr. Daphne Calmes ALL STUDENTS – Monica Perkins handles verification for all VSAS applications Contact Information: Monica Perkins David Geffen School of Medicine Student Affairs Office 12-159 CHS, Box 951720 Los Angeles, CA 90095-1720 Phone: (310) 825-6282 Fax: (310) 794-9574 mperkins@mednet.ucla.edu Joe Corrao CDU/UCLA Medical Education Program Charles Drew University of Medicine & Science 1731 E. 120th Street Los Angeles, CA 90095 Phone: (323) 563-4888 Fax: (323) 563-4957 josephcorrao@cdrewu.edu STUFF YOU DON’T NEED TO WORRY ABOUT MSPE Appointments w/ Dr. Miller and Dr. Calmes Senior Photos We will email you (in no particular order) Don’t worry! Everyone’s MSPE is released nationally on the same day, regardless of when it was completed. Free and taken during College Foundations Automatically uploaded to ERAS LORs We will share the new LOR process when ERAS releases the info You can verify they are in ERAS (when website is live) at: https://services.aamc.org/eras/myeras2016 Transcript The SAO will upload it to ERAS 9/25 If you need it before then, just email jbergschneider@mednet.ucla.edu and he will upload an unofficial one HOW COMPETITIVE AM I? SHOULD I DO AN AWAY ROTATION? HOW DOES AOA WORK? WHAT’S THE DEAL WITH EVAL ADJECTIVES? HOW MANY PROGRAMS DO I HAVE TO APPLY TO? WILL I MATCH? RUMORS AND THE FACTS Adjectives Rankings In the MSPE, DGSOM does not use a legend to link adjectives to performance (i.e. “superior=top 1%) but some schools do. DGSOM is a true pass/fail school. There is not mention of ranking in the MSPE. LODs (from class of 2015) # LODs 9 8+ 7+ 6+ 5+ 4+ 3+ 2+ 1+ Count 1 1 4 3 5 15 12 22 28 Sum 1 2 6 9 14 29 41 63 91 Rounded % 1 3.5 5 8 17 24 37 54 RUMORS AND THE FACTS AOA The formula is not released because the Delta Chapter (not the school) sets it every year but… no scores from Years 1 & 2 or shelf exams are used. Selection criteria is determined annually by the Chapter, who may consider (in alphabetical order): • • • • • • Academic/clinical performance Extracurricular involvement including research, community service, teaching, and leadership Honors and awards received Letters of Distinction Professionalism USMLE Step 1 score Data used in the election process are de-identified and managed by the Student Affairs Office. Chapter members and student copresidents are not provided the names of applicants under consideration. ACCURATE DATA AND RELIABLE ADVISING HOW WE ADVISE IN THE SAO 1. 2. 3. Surveys throughout application process Internal Database and NRMP Data Weekly updates using ERAS for school-specific trends ACCURATE DATA NRMP-CHARTING OUTCOMES IN THE MATCH ANESTHESIOLOGY Anesthesiology Percentile Distribution for All Matched Seniors 2010-12 Nationally # of matched seniors mean # of programs ranked mean # of work exp mean # of volunteer mean # of research mean # of publications % AOA members mean USMLE Step 1 mean USMLE Step 2 14.3 2.5 5.9 2.0 2.1 7.7 226.2 235.6 UCLA 24 13.5 2.6 6.3 2.4 3.5 16.7 229.6 239.1 Average # of applications submitted (2011-2012) 31 Interview Trail Survey #3 Results (11.5.14) Completed Survey: Response Rate: Specialty Anesthesiology Dermatology Emergency Medicine Family Medicine General Surgery Internal Medicine Neurology Neurosurgery Ob/Gyn Ophthalmology Orthopaedic Surgery Otolaryngology Pathology Pediatrics PM&R Psychiatry Radiation Oncology Radiology Urology 114 67% # of Applicants 10 (1 grad) 10 (2 grads) 15 16 11 (2 grads) 40 3 2 17 (2 grads) 8 12 (2 grads) 3 5 11 2 7 1 (+~1 grad) 3 6 Avg # Apps Sub 31 87 40 27 52 30 27 50.5 40 74 57 17 34 44 18 71.5 20 62 Avg # Intrvws Recvd 10/6/14 (n=149) 5.8 0 4.3 8.9 3.7 4.9 5 1 3.3 2.6 1 offer 1 offer 4 6.4 3 5 1 offer 3 5 Avg # Intrvws Avg # Intrvws Recvd 10/27/14 Recvd 11/5/14 (n=146) (n=114) 12.2 14.4 (n=5) 4 offers 1.3 (n=7) 12.6 19.9 (n=9) 12.6 14.6 (n=12) 10.5 12.6 (n=5) 11.6 15 (n=26) 13.5 * (n=1) * * (n=0) 9.2 12.4 (n=9) 10.1 11.3 (n=7) 1.4 3.3 (n=10) 5 13.5 (n=2) 10.3 11.3 (n=3) 12.8 14 (n=7) * * (n=1) 8.8 9.6 (n=3) 2 6 (n=2) * * (n=0) 12.6 16.5 (n=4) *Too few respondents COMBINING DATA AND ADVISING KNOWING WHAT WORKS FOR MOST UCLA STUDENTS Rank 10 Interview 10-20 Apply 40+ WORDS OF WISDOM: GET THE FACTS Know who/what to trust Utilize official data Ask us if you need help! What worked for someone else may not work for you—trust your instincts! RESOURCES RESOURCES Glossary & Terms Types of Matches & User Guides Fees & Billing Contact Information GLOSSARY & TERMS ELECTRONIC RESIDENCY APPLICATION SERVICE (ERAS) ERAS is the Electronic Residency Application Service developed by the Association of American Medical Colleges to transmit electronically the residency applications, personal statements, recommendation letters, Medical School Performance Evaluations (MSPE), transcripts, and other supporting credentials from medical schools to residency program directors. GLOSSARY & TERMS NATIONAL RESIDENT MATCHING PROGRAM The NRMP Main Residency Match provides an impartial venue for matching applicants' preferences for residency positions with program directors' preferences for applicants. Each year approximately 16,000 U.S. allopathic medical school seniors and 15,000 graduates of osteopathic, Canadian or foreign medical schools compete for approximately 24,000 residency positions. GLOSSARY & TERMS CATEGORICAL/ADVANCED/PRELIMINARY There are four categories of programs participating in the Main Residency Match: 1. Categorical (C) programs begin in the PGY-1 year and provide the training required for board certification in medical specialties. Categorical programs in primary care medicine and primary care pediatrics are designated by (M) to distinguish them from regular medicine and pediatrics programs. 2. Advanced (A) programs that begin in the PGY-2 year after a year of prerequisite training. 3. Preliminary (P) or one-year programs beginning the PGY-1 year and provide prerequisite training for advanced programs. 4. Physician (R) programs are reserved for physicians who have had prior graduate medical education. Physician programs are not available to senior U.S. medical students. 5. The NRMP is not an application service or a job placement service. Applicants must apply directly to residency programs in addition to registering for the Match. Most programs participate in the Electronic Residency Application Service (ERAS), which transmits residency applications to program directors via the Internet. Applicants must register with both NRMP and ERAS to participate in the services of each. RESOURCES: TYPES OF MATCHES & USER GUIDES 1. 2. 3. 4. 5. 6. ERAS MATCH: ERAS User Guide (2015) Couples Matching OPHTHALMOLOGY MATCH: Centralized Application Service (CAS) UROLOGY MATCH: AUA Urology Match Guide NRMP: Registration, Ranking, and Results Military Match RESOURCES FEES & BILLING (2015) ERAS Application Fees Up to 10 - $95 11-20 - $10 each 21-30 - $16 each 31 or more - $26 each USMLE Transcript Release $75 NRMP Main Residency Match Registration Fee $65.00 (+$50 after deadline) $80.00 (couples match) Ranking Fee Up to 20 programs FREE then $30 for each additional program RESOURCES: CONTACT INFORMATION DGSOM Student Affairs Career Advising Team UCLA Staff/Faculty Directory UCLA’s Paging Directory