The Match According to Jomo What Do Psom Ms4s Really
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THE MATCH ACCORDING TO JOMO OR WHAT DO PSOM MS4S REALLY DO? OR JOMO TIME OR CONFESSIONS OF A RECOVERING PD Jon B. Morris, MD Associate Dean for Students Affairs The Ernest F. Rosato – William Maul Measey Professor in Surgical Education Why We Do This 2 The Process (April –NOV 2018) Letters of Recommendation MSPE Crafted by OSA JoMo Meetings – Reality Therapy ERAS Opens April May June July Aug. Sept. Oct. Nov. Class Class Programs MSPE Class Meeting #1 Meeting #2 Download Released Meeting 3 ERAS Oct. 1 Program Director Panel 3 The Process (Nov. – March 2019) Interviews Advocacy Contact October November December January February March Rank List Deadline Match Day (Applicants & Programs) 4 Anatomy of the MSPE Identifying Information Unique Characteristics (Two 125 word paragraphs) Academic History (matriculation, graduation, combined degree, repeat/remediate, adverse actions, gaps, leaves of absence) Academic Progress • Preclinical Basic Sciences • Core Clinical • Electives? Combined Degree Summary • MD/PhD Summary • Masters Degree Summary Summary Paragraph • Bottom Line 5 MSPE Bottom Line Distribution Class of 2015 Class of 2016 Class of 2017 Class of 2018 Top of the Class 7% 6% 6% 8% Outstanding 53% 50% 46% 73% Excellent-Outstanding 3% - 9% - Excellent 34% 43% 34% 13% Very Good to Excellent 2% 1% 3% - Very Good - - - 6% Good 1% - - - 6 AOA Alpha Omega Alpha Honor Medical Society Selection – 1/4th of Class Eligible – 1/6th Selected Criteria – Scholarship (i.e. Publications, Presentations, PhD Thesis, Masters) – Community Service (PSOM, Local, Regional, National, International) – Organizations (PSOM, Local, Regional, National, International) – Professionalism (Gold Humanism Honor Society) Selection Process Students Notified by Sept. 1 • In time for ERAS application Will be Mentioned in MSPE 7 Required Readings #1 Manipulation and the Match By Carl Erik Fisher, MD JAMA, September 23/30, 2009 – Vol. 302. No. 12 #2 How to Put Your Best Self Forward in Plastic Surgery Residency Interviews By Rod J. Rohrick MD Eduardo D. Rodriguez, MD, DDS Jacob G. Unger, MD PLASTIC AND RECONSTRUCTIVE SURGERY 137(1) NOVEMBER 2015 8 Couples Match ♦ 11% Couples Matched 2018 ♦ 7 Penn to Penn Matches ♦ 2 Penn to Other Matches ♦ Understanding the “Radius of Love” ♦ Understanding PD to PD communication ♦ Uncoupling 9 JoMo’s Rules Everything is Discoverable • Including social media Nothing is Off the Record Everything Gets Back to the Program Director 10 High Contact Areas: Applicants and Programs Phone Conversations Email Receptions Tours Interviews 11 The Interview – The Basics Are You A Human Being? Did You Do Your Homework? 12 Coaching with Dana Band 115 Students Participated 2 Hour Workshop Offered 8 times over 2 weeks PSOM Feedback • “Phenomenal- put interviews in a completely new perspective” • “The storytelling session and the review of important interview strategy based on what interviewers have said.” • “Details about confidence, posture, etc. and advice to show through story more than telling” 13 Post-Interview Strategy: Rules of Engagement PD/ Applicants may volunteer information but cannot coerce or pressure each other. 14 The Goal of Coercion PDs – Want to convince all applicants that they are takes Applicants – Want to convince all programs they are coming 15 The Tools of Coercion Letters Email Phone Calls Second Visits 16 The Language of Coercion Applicants • I loved your program. • I will be ranking you highly. • You are the top of my list. • I would be honored and thrilled to train at your program. Program Directors • How are your other interviews going? • If you want to match with us, let us know. • How seriously are you considering our program? • Why would you want to come to our program? 17 Rising on a Rank Order List Be a Superstar Passive Osmotic Ascent Advocacy Call 18 Rank Order List Strategy: Getting to the Top Ranked to Match 10 20 30 40 50 60 70 80 90 100 Take Group Bubble DNR (3 cycles) • Assume a program takes 10 Categorical residents • Assume the program interviews 100 applicants • The advocacy call has its greatest impact on the bubble group 19 Why Would a PD Respond to Advocacy Contact? PD is a human being PDs want applicants that want their program The selection process is not infallible 20 The Golden Rule of ROL Creation Only rank programs where you would be willing to train. Do not rank any program that you do not wish to attend. 21 Penn Med Residency Match Data 2015 2016 2017 2018 Total Graduates 167 140 176 159 Total Residency * 165 (97%) 132 (94%) 170 (97%) 151 (95%) Matching at University Program 158/167 = 95% 128/140=91% 164/176 = 93% 146/151 =97% * OMF Not included in total residency 22 What are the Non-Residency Grads Doing? Consulting (3) Research/Scientist (2) 23 Specialty Selection 2018 Specialty # of Students % of Students Matching Unfilled Spots Internal Medicine 28 19% 156 General Surgery 13 9% 5 Pediatrics 13 9% 62 Emergency Medicine 12 8% 10 Ophthalmology 11 7% N/A Dermatology 9 6% 4 Medicine Primary 7 5% N/A Neurology 7 5% 17 Otolaryngology 6 4% 11 Ortho Surgery 6 4% 1 Anesthesiology 6 4% 48 Psychiatry 6 4% 12 24 Specialty Selection 2018 % of Students Specialty # of Students Matching Unfilled Spots Family Medicine 5 3% 117 Neurological Surgery 3 2% 0 Radiology-Diagnostic 3 2% 5 Urology 2 1.3% N/A Interventional Radiology 2 1.3% 0 OB/Gyn 2 1.3% 16 Plastic Surgery 2 1.3% 1 Radiation Oncology 2 1.3% 5 Med/Peds 2 1.3% 5 Pathology 1 .5% 28 Medicine – Psychiatry 1 .5% N/A Child Neurology 1 .5% 14 Family Medicine – Psychiatry 1 .5% N/A 25 PSOM Primary Care PSOM 2015 PSOM 2016 PSOM 2017 PSOM 2018 (N=165) (N=132) (N=170) (N=151) Primary Care Family Medicine 4 (2.4%) 3(2.3%) 6 (5.9%) 5 (3.3%) Internal Medicine 52 (31.5%) 32 (24.2%) 41 (24.1%) 28 (18.5%) Pediatrics 14 (8.5%) 17 (12.9%) 18 (10.6%) 13 (8.6%) Internal Medicine – 3(1.8%) 4 (3.03%) 3 (1.8%) 2 (1.3%) Pediatrics Total 73 (44.2%) 56 (42.4%) 68 (40.0%) 48 (31.8%) 26 Where We Matched: Class of 2018 27 Where We Matched: Class of 2018 Institution # of Students Matched Penn Total *28% of class • HUP (35) • CHOP (6) • Scheie (1) Harvard 23 Total • Massachusetts's General Hospital (10) • Brigham & Women’s Hospital (6) • Children’s Hospital (3) • Mass Eye & Ear Infirmary (3) • Beth Israel Deaconess (1) UC San Francisco-CA 6 Yale- New Haven Hosp- CT 6 Icahn SOM at Mount Sinai - NY 5 U Washington - MO 5 Stanford Univ Progs – CA 4 NYU School Of Medicine 4 UPMC Med Education 3 Emory University – GA 3 Vanderbilt Unvi Med Ctr – TN 3 Duke University – NC 3 NYP Hosp- Weill Cornell Med Ctr- NY 2 *2017 = 38% Hospital For Special Surgery – NY 2 2016 = 29% 2015 = 25% 28 Graduating Class of 2018 – Geographical Distribution New York Massachusetts 14% 16% Connecticut 7% California Pennsylvania 13% 33% Each = 1 individual 29 SOAP* 2018 and Unmatched Students 1 Student unsuccessfully participated in the SOAP • Deferred graduation to 2019 and will apply again 1 Student did not participate in SOAP • Deferred graduation to 2019 and will apply again 1 Student did not match in an early match process • Successfully matched in Main Match * Supplemental Offer and Acceptance Program 30 Why Some Don’t Match Letters of Recommendation • EM (SLOE*) • Ortho • Plastics & ENT (Residency Recommendation Form) Applied to inadequate number of programs Disconnect between academic record and career choice Interview Performance Bad Luck Standardized Video – Do not know impact * Standardized Letter of Evaluation 31 JoMo Life Philosophy 32 What You Need To Do Meet with JoMo before Sept. 1 • No JoMo = No MSPE • Two Required Meetings (must read before meeting) – Manipulation and the Match – How to Put Your Best Self Forward in Plastic Surgery Interviews ○ Tips that apply to all specialties • Jessica will email out a google doc to sign up for appointments – She will confirm with email – If you are couples matching email me directly Unique Characteristics Paragraphs • Submit to Jessica Maguire by June 1st ([email protected]) 33 Unique Characteristics Paragraphs Due to [email protected] by June 1, 2017 These paragraphs should be no more than 250 words total. An additional paragraph may be added for time spent doing a year out. Each paragraph is to be written in the third person. See the Student Portal for samples. Paragraph 1: The introduction is a succinct chronology of a student’s entry and progress through medical school. Pre- matriculation academic, social or employment background characteristics may be included. Paragraph should include: • College, degree date, major, minor • Advanced Degrees • Membership in honors societies, graduation honors, significant extra-curricular activities • If you did not enter med school immediately after graduation, describe your activities Paragraph 2: Paragraph should include: • Employment, extra-curricular activities (e.g. triathlon, raised quintuplets, etc..), committees, class officer • Fellowships, awards, accomplishments • If you took a year off, please include your activities 34 Next Steps Student Portal: http://www.med.upenn.edu/student/career.shtml Solicit Letters of Recommendation to be uploaded by writers Personal Statement CV MyERAS opens; students may begin working on application – May Next class meeting – late June ERAS Opens to Programs – Sept. 15th 35 Letters of Recommendation LORs are requested and uploaded through ERAS • Register Token • Finalize LOR authors in ERAS • Give authors unique link and instructions • LOR authors upload letters • Unlimited amount of letters may be requested and uploaded - maximum 4 assigned to each program Taking a year out? You can ask for letters now. Authors may hold the letter until the 2019 season opens and upload it then, or they can send it to [email protected] and it will be sent back to them to upload when you apply (you may use the waiver on Student Portal).