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
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
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).
36 Letters of Recommendation
You can submit up to four letters through ERAS
The MSPE (Dean’s Letter) does not count as one of the four letters
The Departmental or Chairman’s Letter does count as one of the four
You do not have to send the same four letters to each program
37 Letters of Recommendation
Departmental Letters Required for:
Anesthesiology Urology Emergency Medicine Pediatrics Otolaryngology General Surgery Internal Medicine Orthopaedics Plastic Surgery Neurosurgery Obstetrics and Gynecology
38 Letters of Recommendation
No Departmental Letters for:
Dermatology Pathology Family Medicine Psychiatry Neurology Radiology Ophthalmology Radiation Oncology
39 Specialty Recommendation Forms
Plastic Surgery Residency Recommendation Form
Otorhinolaryngology Residency Recommendation Form
Emergency Medicine Standard Letter of Evaluation (SLOE)
Orthopaedic Surgery
Emergency Medicine – Standardized Video (score sent)
40 Applications Fees
*Averages without travel costs
Approximate Minimum Cost for Residency Application in 2016: - ERAS Application Fee: ≈ $300 (based on example average) - USMLE Online Transcript Fee: $80 - NRMP Match Fee: $70 - Travel, lodging, food: varies (Alumni Host Program available) TOTAL (without travel/lodging):$450
Approximate Minimum Cost for SF Match Ophthalmology Application in 2016: - ERAS total for Prelim year: $450 - SF CAS Program ≈ $60 (applying for 10 programs) - USMLE Paper Transcript Fee: $65 - SF Match Fee: $100 - Undergrad transcript/mailing fees: $25 - Travel, lodging, food: varies TOTAL (without travel/lodging): $700
41 Careers in Medicine
Website • http://www.aamc.org/students/cim/
Specialty selection assistance, program research
Log in with your AAMC ID
42 Questions & Help
Office of Student Affairs 215-898-7190
Dr. Jon Morris [email protected]
Carrie Barjenbruch [email protected]
Jessica Maguire [email protected]
43 44