Cabot House Premedical Advisory Committee Guidelines for Applying to Medical School ****REMEMBER TO FILL OUT THE PERSONAL INFORMATION FORM AND RETURN IT TO THE RESIDENT DEAN’S OFFICE BY END OF PRESIDENTS DAY IN FEBRUARY OR YOU WILL NOT BE ASSIGNED A PREMEDICAL ADVISOR/LETTER WRITER Cabot House Premedical Advisory Committee House Administration Emily Stokes-Rees, ca-abrd@fas.harvard.edu (Resident Dean) Beth Musser emusser@fas.harvard.edu (Assistant to the Resident Dean) Resident Premedical Tutors 2013 - 2014 Mihir Chaudhary, mchaudh@fas.harvard.edu Devarati Mitra, devarati_mitra@hms.harvard.edu Tafadzwa Muguwe, tafadzwa.muguwe@gmail.com Lekha Tummalapalli, lekha_tummalapalli@hms.harvard.edu Non-Resident Tutors Non-Resident Tutors are members of the Premedical Advisory Committee who may be students at Harvard Medical School, residents or fellows in training, or faculty at one of the Harvard-affiliated hospitals. Each NRT serves as the primary advisor for 1 or 2 students applying to medical school, and writes the House letter for those students. Because of the number of Cabot students applying to medical school every year, it is not possible for the Resident Tutors to write letters for all applicants. If you are assigned a NRT, you should take advantage of every opportunity to get to know your advisor (and vice versa), including shadowing him or her during their workday. The Resident Tutors work closely with the NRTs to make sure that you are well supported throughout the application process. Guidelines for students with Non-Resident Tutor advisors 1. The resident tutors will notify you and your advisor of each other’s contact information in March (only if you have returned your completed Personal Information Form by the end of Presidents day in February). We will send a copy of your PIF and letters of recommendation to your advisor. 2. You should immediately call or email your advisor to introduce yourself and set up a meeting by mid-April. 3. At your first meeting, you should talk about your interests in medicine, the strengths & weaknesses in your profile, and begin a preliminary discussion about what medical schools would be appropriate for you to apply to. 4. Consider shadowing your advisor as he or she conducts hospital rounds or sees patients in the clinic. 5. You should meet again with your advisor at least once before you leave for the summer to discuss the list of schools you will apply to as well as your personal statement etc. Deciding where to apply Selecting Schools 1. Every state school in your state of legal residence (usually the state where your parents are residents) 2. Every private school that gives preference to state residents 3. Private schools (of your choice) that you are reasonably competitive for. Note that not included on this list are Ivy League medical schools! Do not fall into the trap of applying to a group of high profile or ‘top tier’ medical schools just because you are a Harvard undergraduate, unless you are competitive for those schools. Save yourself some time and money, and concentrate on the schools for which you have a reasonable chance of admission. Your best source of information about schools is the AAMC website (www.aamc.org). The Assistant to the Resident Dean also has a copy of the Medical School Admissions Requirements for US and Canadian medical schools. Joint Degree Programs MD-PhD/MSTP (Medical Scientist Training Program) If you are interested in research training, be sure to discuss with your premedical advisor whether MD-PhD or MSTP programs may be right for you. Most of these programs are geared toward the basic sciences, and many offer attractive financial incentives. Below is a list of schools that offer MSTP programs. University of Alabama School of Medicine Albert Einstein College of Medicine Baylor College of Medicine University of California—Los Angeles University of California—San Diego University of California—San Francisco Case Western Reserve University School of Medicine University of Chicago University of Colorado Columbia University Cornell University Medical School (with Rockefeller University) Duke University Medical Center Emory University School of Medicine Harvard Medical School (with MIT) University of Iowa College of Medicine Johns Hopkins University School of Medicine University of Michigan Medical School University of Minnesota Medical School Mount Sinai School of Medicine New York University School of Medicine SUNY—Stony Brook Northwestern University Medical School University of Pennsylvania School of Medicine University of Pittsburgh (with Carnegie-Mellon University) University of Rochester School of Medicine and Dentistry Stanford University of Texas Southwestern Medical Center—Dallas Tufts University School of Medicine Vanderbilt University School of Medicine University of Virginia Washington University School of Medicine University of Washington (Seattle) School of Medicine Yale University School of Medicine MD-MPH The Masters of Public Health degree can be useful if you plan to do clinical (patient-related) or population-based research. Many MPH students are mid-career physicians who have taken time off to learn epidemiology, biostatistics, and other essentials of research and public health, but more and more medical students opt to combine their initial medical training with the MPH. Many schools offer an MD-MPH combined program; you should check with each school’s website for details. Some schools combine the MPH such that you finish both degrees in 4 years; others add an extra year that you can take at any point in your 4 years of medical school. You can also opt to take time off and do your MPH at a different institution. MD/JD Yale University School of Medicine University of Illinois—Urbana/Champaign University of Chicago—Pritzker Southern Illinois University School of Medicine Duke University School of Medicine University of Pennsylvania School of Medicine MD-MPA Columbia University Harvard University MD/MBA University of California—Davis University of California—Los Angeles University of Chicago—Pritzker University of Illinois—Urbana/Champaign Dartmouth Medical School Wake Forest University School of Medicine Case Western Reserve U MCP Hahnemann School of Medicine Jefferson Medical College of Thomas Jefferson University University of Pennsylvania Vanderbilt University Medical School Deferral Policies Not all medical schools grant deferrals for matriculation. Please consult your Resident Tutors or OCS if you are thinking about deferring before beginning medical school. Medical Student Education The AAMC Graduate Questionnaire (GQ) was established in 1978 as a method for the AAMC, medical schools, and other organizations to identify and address issues critical to the future of medical education and the wellbeing of medical students. The GQ also includes information on career choice, student debt, diversity, and mistreatment. Visit https://www.aamc.org/data/gq/ for more information. Other Useful Resources - Considering a medical career: https://www.aamc.org/students/considering/ - Applying to medical school: https://www.aamc.org/students/applying/ - Succeeding as a medical student: https://www.aamc.org/students/medstudents/ o Includes how to finance your medical education - Managing your residency: https://www.aamc.org/students/residents/ Medical College Admission Test (MCAT) (adapted from AAMC website) Everything you want to know about the MCAT can be found at: http://www.aamc.org/students/mcat/mcatessentials.pdf - What is it? The MCAT is a standardized, multiple-choice examination that assesses knowledge of pre-medical science concepts, problem solving, critical thinking, and writing. The MCAT yields scores in Verbal Reasoning, Physical Sciences, Writing Sample, and Biological Sciences. The exam takes half a day and is given in a computerized format at specific testing centers around the country. - What is this I hear about the MCAT changing? The MCAT exam will change in 2015 “to keep pace with changes in medical education and health care.” Until that time there is a Trial Section that you can volunteer to take which will be the last section of the test and will take 45 minutes to complete. How you do on the Trial Section will not contribute to your score in any way and your advisors and the medical schools you apply to will never know how you did. But if you put in a “good-faith effort” you will receive a $30 Amazon gift card and feedback on your performance relative to others who participated in the Trial Section. - When is it offered? The exam is offered >30 times in 2014: https://www.aamc.org/students/download/355270/data/2014mcatcalendar.pdf You should aim to have completed the exam by May in the year before you submit your AMCAS. The best dates are at the end of J-term. There is extremely high demand for these dates so plan to sign up more than 2 months in advance. Please get in touch with your Resident Tutors about when is the best test date for you. Remember that medical schools will consider MCATs within 3 calendar years from the year of matriculation. - How do I prepare for it? There are a variety of methods to prepare, including prep books, or a prep course. We highly recommend taking multiple practice AAMC e-MCAT tests which are available for purchase: https://www.aamc.org/students/applying/mcat/preparing/85158/orderingpracticetests_mc at.html - - How do I register? Register online at: https://www.aamc.org/students/applying/mcat/reserving/. Yikes! I can’t afford to take this test! If you have extreme financial limitations that may prevent you from registering for the MCAT, you should look into the MCAT Fee Reduction. The MCAT Fee Reduction Request Form is included with the MCAT registration materials, or it can be downloaded from the website. What do I do with the scores? If you release your MCAT scores directly to the American Medical College Application Service (AMCAS) at the time of the test, AMCAS will automatically forward the two most recent MCAT scores with application materials to your choice of AMCAS-participating schools. You can also designate six non-AMCAS institutions (i.e., non-AMCAS allopathic medical schools, schools of osteopathic, podiatric and veterinary medicine) as score recipients at no cost. AMCAS: American Medical College Application Service - What is it? The American Medical College Application Service (AMCAS) is a non-profit, centralized application processing service for applicants to the first-year entering classes at participating U.S. medical schools. Applicants to medical schools that do not participate in AMCAS, as well as all advanced standing and transfer applicants should contact schools directly for application instructions. - How does it work? You submit just one application to AMCAS online and an official transcript from each college of registration in the United States and Canada. AMCAS ensures that the application materials are complete and correct by verifying information on the application against the official transcripts. AMCAS then copies and distributes your application to your designated medical schools, along with your latest two released MCAT scores. When medical schools receive your AMCAS application, they will notify you of any additional fees, letters of evaluation, or other items that may be required (e.g., “secondary” applications). - What about the deadlines for each school? All deadlines are set by the individual medical schools and represent when materials (application and fees) must be received by AMCAS. If you pay by credit card, you can certify and submit your application and pay on-line up to midnight on the day of the deadline. However, if you plan to pay your application fee by check, you must print an invoice from the web-application and send it with your check to AMCAS. The check must be received (not postmarked) by 5pm on the deadline day. Submitting materials as early as possible avoids any processing delays or missed deadlines. You are responsible for ensuring that all required information is received by AMCAS according to the school-specific deadlines set forth in the application. In addition, applicants are responsible for checking the status of their submitted application. - So what do I do? Go online and begin work on your AMCAS application as early as possible, usually in May. Submit your Official Transcript when spring semester grades are in! - When can I submit my AMCAS application? AMCAS begins accepting application materials each year on June 1. - What’s the fee? The AMCAS application fee is $160 for the first school, and $30 for each additional school. Applicants unable to pay this fee may apply for a fee waiver through the AMCAS Fee Waiver Program. Detailed instructions and the application for the fee waiver are included in application materials. GPA calculation instructions Refer to these instructions as you do the “academic coursework” section of the AMCAS application. You can also find them in the “help” function of AMCAS. What courses do I have to list? AMCAS requires that you list “any course you have ever attempted at any US, US Territorial, or Canadian post-secondary institution, regardless of whether credit was earned.” This includes, but is not limited to: - Courses from which you withdrew - Courses for which you received a grade of “incomplete” and for which no final grade has been assigned - Courses which have been repeated - Courses which have been failed, regardless of whether they have been repeated - Courses in which you are currently enrolled or expect to enroll in prior to entering medical school - Remedial/developmental courses - College-level courses taken while in high school even if they were not counted toward a degree by any college - Courses taken at an American college overseas - Courses removed from your transcripts or GPA as a result of academic bankruptcy or similar institutional policies Do not list AP courses taken in high school unless you received college credit for them! What’s “academic status”? Academic status refers to the academic year you took the course, e.g. freshman (FR), sophomore (SO), junior (JR), senior (SR). If you are advanced standing, courses taken your first year should be labeled FR, your second year courses are labeled SO, and your last year courses are SR. Courses taken in the summer are listed under the upcoming year (e.g., orgo taken the summer between sophomore and junior years should be labeled “JR”). Graduate level courses taken as an undergraduate should not be labeled “GR.” BCPM/A?? BCPM/A stands for Biology, Chemistry, Physics, Mathematics/All other courses. The labels are based on the content of the courses, not the course title or department. You will have to use your judgment for certain biochemistry, engineering, and psychology courses. Statistics counts as math. Cores can count, depending on content. Each course can have only one code. If you have questions, ask your advisor or resident tutors! GPA conversion equivalents o A+, A 4.0 A half course at Harvard equals 4 credit hours, a full course is 8 hours. o A- 3.7 Multiply the grade’s numerical equivalent by the number of credit hours. o B+ 3.3 Add all of the resulting numbers and divide by the number of total credit hours. o B 3.0 Omit Pass/Fail and unsats. o B- 2.7 and etc. This yields your GPA. Example: Moral Reasoning 32 half-course, B+ 3.3 x 4 = 13.2 History of Science 97A half-course, A- 3.7 x 4 = 14.8 History of Science 120 half-course, C 2.0 x 4 = 8.0 Lit Art C-37 half-course, A- 3.7 x 4 = 14.8 History of Science 97B half-course, B+ 3.3 x 4 = 13.2 Hist Std A-18 half-course, B+ 3.3 x 4 = 13.2 Social Analysis 10 full-course, A- 3.7 x 8 = 29.6 32 hours, 106.8; 106.8 / 32 = 3.34 Okay, so now what do I do? On your AMCAS application and on your Personal Information Form, list all the courses you took by year, starting with freshman year (include college courses you took in high school). Label each by academic status and by BCPM/A. Calculate the “AMCAS grade” as demonstrated above. For your PIF, calculate each of the following: 1) Science (BCPM), non-science, and overall GPAs for each academic year, including summer courses 2) Science, non-science, and overall GPAs averaging over your entire college career These GPAs are crucial as we write your House letter and help you decide what schools are reasonable for you to apply to. Don’t worry about one abysmal grade or horrible semester; we also look for trends and mitigating circumstances that can help explain the yuckier parts of your record. Remember that we need you to calculate your GPAs now (for your PIF) as well as again after you receive your grades from spring semester of your application year. You can simply send us a copy of your AMCAS application, but have the numbers neatly calculated and labeled. The House Letter of Recommendation - What is it? The House letter is an essential component of your medical school application: your application will not be considered complete without it! It is written by one member of the committee and is reviewed and signed by the Chair of the Premedical Committee and the Resident Dean. The House letter and 3-5 individual letters of recommendation are sent to each medical school you apply to. - What is in it? In the House letter, we present your record, your interests, and your personality. We use information from interviews, your application, our personal acquaintance with you, and letters of recommendation. The House letter is one of advocacy and evaluation, discussing your academic accomplishments, explaining any setbacks or detours, discussing the origins of your interest in medicine, your career plans and commenting upon your achievements and potential. We try to make it honest and in your favor. College policy requires us to reveal any requirement to withdraw for disciplinary or academic reason and any probation for disciplinary or academic reasons. Supporting Letters of Recommendation - When to ask? If you have not already done so, you should start asking for letters of recommendation NOW. In general, the best time to ask for a letter of recommendation is soon after a course, job, or extracurricular activity has ended. Your letter writer is likely to be quite busy, and it can take a long time for a letter to get into your file, so make sure - - - - - - - to ask well ahead of the June deadline. (See Timetable. Remember, a waiver must accompany each letter sent to the office). How many letters do I need? Late letters of recommendation mean a late House letter, which in turn means late secondaries and interviews. While 3-5 letters are eventually sent with your application, more can sometimes be helpful in writing the House letter. Whom to ask? The ideal letter of recommendation is from a person who has worked with you closely, knows you well, and has been impressed by you and/or your work. Ask the people who know your academic ability and personal qualities best, and who can write a detailed letter with concrete examples, anecdotes, and as many sincere superlatives as possible. You should ask both science and non-science instructors: science concentrators need to show strengths in writing, the humanities, and social sciences, whereas nonscience concentrators need to demonstrate strengths in the sciences and math. Letters from an extracurricular activity advisor, employer, or coach can also round out your file. The bottom line: everyone should have at least 2 science letters and 1-2 non-science letters. 1-2 extracurricular letters may also be helpful but you MUST have the academic letters. Professors vs. teaching fellows. If you must decide between a generic letter from a professor and a thorough, detailed letter from a TF, choose the TF. However, always ask if the professor would be willing to cosign the letter. How to ask? You can ask for a recommendation over the phone or via e-mail, but you should meet with the prospective letter writer to discuss your interests and plans. Ask the person if he or she can write a strong letter for you. If he or she says "no" or "not by the deadline," try to find someone else. Again, the most important criterion is not whether he is a professor or lab instructor but that he or she knows you well. If you ask a teaching fellow, you may ask if the professor could co-sign the letter. What can I do to help my recommendation letter-writers? The more information you give to your letter writers, the more detailed their letter can be. So give them (at a minimum): o CV o Personal statement (brief) about yourself including academic and extracurricular interests, and why you want to go into medicine o Waiver form (signed) o Stamped envelope addressed to the office of the Resident Dean o Deadline (make it up if you have to), because most busy people work best if they have some kind of deadline and because they may have many letters to write and you need to get in line Be polite but persistent. Don’t feel bad about calling or sending e-mail again if the letter is still not in after a month To waive or not to waive? We suggest that you waive your rights of access to all your letters of recommendation. Whether you waive your right or not, you must sign a waiver for each letter. Be aware that we cannot use non-confidential letters in a confidential House letter. All letters should be confidential or none of them should be. Where do letters go? All letters should be addressed to: Office of the Resident Dean, Cabot House, 60 Linnaean Street, Cambridge, MA 02138. Finally: Remember to keep track of your letters of recommendation by checking with the Office of the Resident Dean. It is your responsibility to make sure that your file is complete! Suggested Curriculum Vitae (CV) Your Name Mailing address Phone number Email address Permanent address Education - 2008-2012 Harvard College, Cambridge, MA. - AB cum laude in Psychology. (If desired, add GPA and any special coursework) - 2004-2008 My High School, Hometown, State. (If desired, add any graduation honors, class rank, SATs) Research experience: - 2009-present Department of Immunology, Harvard Medical School, Boston, MA. (Include short description of project, whom you worked with, and your responsibilities) Work experience: - Duration, job title, institution, location (Include short description of responsibilities) Honors: - 2010 John Harvard Scholarship (for Rank List I) - 2009 Detur Prize (awarded to top 10% of freshmen) - 2008 National Merit Scholarship Publications: List the scientific publication exactly as it would be cited (use the citation format standard in your field) and bold your name. e.g. Cabot J, Pforzheimer T, Your Name, Currier Q. Minimizing the number of trips from the Quad to the Yard Journal of Harvard Precocity 2010; 365: 311. Extracurricular and volunteer experience: Duration, group, institution, and location. o President (2009-2010) o Editorial board member (2008-2010) o Coordinator, specific project or committee (years) Personal Languages & hobbies Personal Statement This is probably the most difficult part of your application. How do you define yourself, your motivations, your aspirations, etc. in a 1-page essay? What they want to hear about is, literally, why you want to be a doctor—i.e., your motivation for going into medicine. You can approach this question in several different ways (these are not exclusive!): - Write about a significant experience you’ve had with the medical profession (e.g., when you or a family member was a patient, when you volunteered in a hospital or healthrelated activity, when you shadowed a physician, etc.) - Describe a series of experiences (e.g., through volunteering or extracurricular activities, life events) that added to your conviction that medicine is the right field for you. (see below for hints) - Describe the personal qualities & strengths that would make you a good physician (and give specific examples). Some suggestions: o Write about things that you feel are important to you. If you’re bored while writing them, others will be bored while reading them. o When describing a series of events, people often use chronological order. This isn’t incorrect, but a stronger essay will result if you write by themes and use examples for each theme. E.g. instead of “I first began to be interested in medicine in my sophomore year of high school when… In my junior year, I began to volunteer at the local hospital… In my senior year, my sister was diagnosed with leukemia….” Try “Through my experiences with medicine, I have come to realize how difficult and rewarding a medical career can be… As a patient, I viewed my pediatrician as all-knowing and brilliant….As the brother of a young girl with leukemia, I found out to my frustration and anger just how much the doctors didn’t know….As a volunteer, I realized that patients and families needed reassurance and….” There’s no law that you can mention an experience only once in an essay, if there are multiple aspects that apply to different themes. o If you write about your research, show how it might be applied to clinical medicine. (But don’t stress out too much if you can’t apply it; not all scientific research is relevant to medicine.) o Be specific! Give examples! o Write good, clear English. o Again, have a few people read your personal statement with an eye for clarity, conviction, and grammar. After reading your personal statement, a person should have a clear sense of who you are & what you might be like in person. o Have the people who read your statement identify what aspects of your personality or experiences are not addressed in your essay. You should try to write other short essays that cover those gaps, or be ready to bring them up in your interviews. o Finally, a word about “packaging.” Successful applications give a strong sense of the actual person. Good packaging links together seemingly different aspects of your life, personality, interests, etc. to build a consistent picture of you. To package yourself well, everything you say or write (or is written about you, ideally) should bring up the same few themes over and over again. This doesn’t mean you present yourself as one-sided—just consistent. If this concept is confusing to you, discuss it with one of the resident tutors.