Hi...some of you may recall me from EMRA...I won't tell you the embarrassing amount of programs I applied to this year, to ensure I get SOMETHING...but, tried and true, every day, more rejectile vomit (<--- co-opted from some General Surgery folks - not mine, unfortunately) from these programs...the record is 7 in one day.
Even so, have 3 interviews, and they're not bad places (St. John's - Detroit, Mt. Sinai - NY, SUNY - Buffalo), so go figure.
Being an FMG with average boards just doesn't cut it with a lot of programs - the irony being, all USMLE scores are equal. To hold FMG's to a higher number is just idiotic...I mean, is this "Animal Farm"? Are some more equal than others?? Not to mention that "schoolism" is illegal...
A few things I've seen this year (being my second year applying) - I haven't seen a program change it's rejection letter this year (a few even have the same abysmal grammar and spelling errors - pretty unprofessional, but, then again...), but Ohio State and Henry Ford come to mind for being classy...paper rejections for online apps. The Charity rejection is very solicitous, as was Davis. One program in Pennsylvania maintains their self-serving attitude, indicating that "if initial criteria aren't met, the applicant" is inconvenienced by the interview....meaning, the interview doesn't change anything....so.........why bother to interview? I wrote back this same thing last year, and quoted the two studies, where PD's indicated what was important, and the interview trumps them all (ie, as long as you get there, it's a whole new season). They didn't respond to me. Go figure. The irony is that, with 10 years of EM, having done student health, was president of EMC, World University Games, blah blah blah, I don't make the cut, but a friend who has a lower Step I than me, and is acclaimed to be the worst student in their class, gets an interview there.
OK, so much for my whining...a few truisms abound...one is that, if you try to figure out why one person gets interviewed and the other doesn't, you'll flip, because there is no rhyme or reason. One framework is 1. their own students 2. people who rotated there 3. anyone else left over, with high boards on down, with a cut to the front of the line for anyone who is "underrepresented" in EM (ie, women and minorities)...doubt that? Check the FREIDA workforce statistics.
Another is about post-Thanksgiving interviews...since most programs are rather equal, they look for a lot of the same, which is why the same core of 200-300 people get selected - when these people realize that they don't want to interview at 30 places, they start to cancel.
Regardless, I'll get something somewhere...I comfort myself with the knowledge that I'm a good doc already, and no patient in any ER gives a damn where you were a resident - every patient assumes the doctor is Harvard or Yale or Oxford or Cambridge or Sorbonne, if s/he is doing good by the patient.
OK, I'm all better now!