Advice from a residency program director..

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Killer T Cell

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After the previous thread I started - http://forums.studentdoctor.net/showthread.php?t=899646 I think I owe it to you guys to start a thread that's a bit more positive and optimistic 🙂 So here goes....

Back in 2008 when I was approaching the end of first year, I started creating a road-map for my next four years. I know, I plan well in advance 😀 During that time, it hit me, who better to ask for advice than residency program directors!! They've seen thousands of applications and will decide my destiny a few years down the road. They were the ones who could give me the most practical advice on how to navigate this journey.

So I sat down and emailed a few pediatrics residency program directors across the US. I wanted to know what PDs look for in a candidate and what I could do to make myself more competitive. Some people didn't reply, others weren't too helpful, but I got one reply that was a cut above the rest. This PD (who shall remain anonymous) was incredibly sincere, helpful and inspiring. Without further adieu, I'm just going to copy and paste his reply.

"....I think the key thing is to be yourself. A few months of research aren't that helpful. One needs sustained research that produces results (papers, esp 1st author papers). But if you love research and you want a research oriented career, in either clinical or lab research, which is the kind of houseofficer we look for, then you have to do research. You can't show up in intern interviews saying you want to be a researcher and not have done research, just as you can't show up saying you want an advocacy career and a career caring for the underserved and not have spent a LOT of time doing just that.

People have to be authentic. Plus, it's hard to do anything successfully unless you love what you're doing it. We intern selection folks are very good at identifying applicants who spend their time "decorating their CVs". I am much more interested in the applicant who wants to help the misfortunate and has spent 4 years working in a free clinic, rising to clinic coordinator, than I am in the applicant who did 25 different things for 1 or 2 months each or spent a few months doing research but doesn't seek a research career. The ability to do a few things really well is more important than dabbling in everything.

Similarly, it's important to have a focus, to have some idea what you want to do after residency and not try to be coy and pretend to like everything just so you don't risk offending an interviewer. Many guidance counsellors advise the latter course, but I can guarantee you my colleagues view those who have little sense for what they want to do as having little chance of becoming successful at anything.

So to summarize, my advice if you want to come here is:
1. Do very well academically. Be one of the best students in your class, esp in the clinical rotations, and do very well on the USMLE and MBBS exams.
2. Show that you are a well rounded person with a life outside medicine and have the persistence and ability to become very good at something: music, art, athletics, creative writing, debate, politics, business, teaching, etc.
3. If you want to be a researcher prove that you have the interest and ability to do so. Ditto, if you want to be an advocate or have a career in public policy, etc.
4. Rise to leadership positions in you class or in the activities you pursue. Leadership is critical to long term success.
5. Get letters from people who know you well and are in a position to compare you to others (program directors, clinical clerkship directors). And coming from the UK, try to get letter writers who know how to write an American-style letter (i.e., it is not helpful to have someone just say you are amiable and reliable).

Beyond, these things, which are under your control, we put a high value on personality (enthusiasm, altruism, sense of humor, compassion), on creativity, and on ability to communicate by writing and speaking.

Finally, since you come from the UK, it is quite important to do 1 or 2 elective rotations in programs where you would like to be AND have a reasonable chance of matching. If you are one of the best students in your class and have the qualities outlined above come to our hospital or one of the other top programs (check to be sure they accept international medical graduates). This is especially true because you come from a university that we in America are less familiar with and not one of the high profile places like Oxford. Your experience will help you decide whether you really want to be a houseofficer in the US and will allow you to audition for the program(s) you are interested in. It will cost you something to do this, but it will GREATLY increase you chances of getting a residency position here.

Hope that's helpful"

Print this out, frame it, and look at it everyday......strive to achieve that level of excellence. Keep in mind that this is the PD of an excellent program and there are tons of programs with far less expectations. But hey...aim for the stars, that way even if you fall a bit short, you'll still be amongst the clouds! 🙂

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Thanks for posting this. Very useful information as a whole. Sorry you're getting bashed so hard from the other thread.
 
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Thank you Killer T Cell. May I ask which university you did your medical degree in?
 
You're more than welcome guys. Best of luck with the next chapter in your lives. It'll be tough, but don't forget to have fun and make the most of your time here. Work hard and play harder! We're always here to help if you get lost or stuck along the road.
 
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Thank you Killer T Cell. May I ask which university you did your medical degree in?

I hope you don't mind if I pass on that question Medstart. It's only because I have talked about many stories, regarding current students and previous graduates. I just want to protect their anonymity if at all possible. But rest assured, it's a huge, well renowned University in a major metropolitan UK city. Most of the Americans knew it when I went there for electives. Only thing is that, it's not in the elite class as Oxford/Cambridge/Harvard/Yale etc. Hope that's helpful.
 
Killer T Cell, when the residency director recommended you do a lot of research in the particular field, what kind of research did he mean? By this I mean, where would one do this type of work and when? Would you do it at your school? Or say, for example, the school you did your undergrad at and know a lot of connections?

Volunteer work makes sense to me considering I can just pop on over to a clinic and help out (I already do this and find it to be more of a hobby/passion of mine than an EC).
 
Killer T Cell, when the residency director recommended you do a lot of research in the particular field, what kind of research did he mean? By this I mean, where would one do this type of work and when? Would you do it at your school? Or say, for example, the school you did your undergrad at and know a lot of connections?

Volunteer work makes sense to me considering I can just pop on over to a clinic and help out (I already do this and find it to be more of a hobby/passion of mine than an EC).

First of all, it's really nice that you consider volunteering a passion rather than something to spice up your CV. That's the way it should be, and program directors will love that. Just make sure you don't stop when you're crammed with work in medical school.

Research can mean a lot of things, it can be an audit, bench/lab research, quality improvement project, or clinical/patient based research. The typical time frames for research are during undergrad years, summer before medical school and summers between years 1&2 and years 2&3. Some people even do research for a whole year before starting medschool!

It's easier to do research at your own medical school, but I personally would prefer a medical school near my home in Canada/USA so that I won't have to hang around here during summer holidays. Just email around and express your interest to faculty members in your desired specialty. Almost every faculty member does research these days and many of them are happy to have an extra pair of hands on board. Hope that answers your question.
 
First of all, it's really nice that you consider volunteering a passion rather than something to spice up your CV. That's the way it should be, and program directors will love that. Just make sure you don't stop when you're crammed with work in medical school.

Research can mean a lot of things, it can be an audit, bench/lab research, quality improvement project, or clinical/patient based research. The typical time frames for research are during undergrad years, summer before medical school and summers between years 1&2 and years 2&3. Some people even do research for a whole year before starting medschool!

It's easier to do research at your own medical school, but I personally would prefer a medical school near my home in Canada/USA so that I won't have to hang around here during summer holidays. Just email around and express your interest to faculty members in your desired specialty. Almost every faculty member does research these days and many of them are happy to have an extra pair of hands on board. Hope that answers your question.

Indeed it does. Thanks a lot. I am currently doing neurophysiology research at the university where I did my undergrad. However I'm not positive neuro would be the field for me. Right now I am interested but who knows what I'll fall in love with during med school. Not to mention, as an IMG I kind of need to be realistic and neurology can be quite the uphill battle. I would love to keep doing research with my current supervisor/mentor but it wouldn't be at a medical institution.

So all that is to say that your advice is super helpful. As soon as exams are over I'm going to do a bit of investigating. Thanks.
 
"....I think the key thing is to be yourself. A few months of research aren't that helpful. One needs sustained research that produces results (papers, esp 1st author papers). But if you love research and you want a research oriented career, in either clinical or lab research, which is the kind of houseofficer we look for, then you have to do research. You can't show up in intern interviews saying you want to be a researcher and not have done research, just as you can't show up saying you want an advocacy career and a career caring for the underserved and not have spent a LOT of time doing just that.

People have to be authentic. Plus, it's hard to do anything successfully unless you love what you're doing it. We intern selection folks are very good at identifying applicants who spend their time "decorating their CVs". I am much more interested in the applicant who wants to help the misfortunate and has spent 4 years working in a free clinic, rising to clinic coordinator, than I am in the applicant who did 25 different things for 1 or 2 months each or spent a few months doing research but doesn't seek a research career. The ability to do a few things really well is more important than dabbling in everything.

Similarly, it's important to have a focus, to have some idea what you want to do after residency and not try to be coy and pretend to like everything just so you don't risk offending an interviewer. Many guidance counsellors advise the latter course, but I can guarantee you my colleagues view those who have little sense for what they want to do as having little chance of becoming successful at anything.
..."

Thank you Killer T Cell, especially this part is universal part in professional life, in every profession those are demanded.

Besides I found some oxygen both in his advises, and your sharing this. Thank you 🙂
 
'aim for the stars, that way even if you fall a bit short, you'll still be amongst the clouds! '
i am GP who wants to take my residency outside my country
there are so many thing that start to encourage me
but i read your post and it inspired me so much
i will try to do my best and hopefully if i failed to reach the star, i can still be amongst the cloud
thank you so much🙂
 
Dear Killer T and the Student Doctor Community:

I'm a San Diego native, Georgetown University Alum, and 4th year medical student at Queen's University Belfast looking to head back to the States for my residency.

I am looking to pursue an elective at the end of this year based on your recommendations, but I would like to stay close to home in order to save money. UCSD has elective programs lasting from Sept-May but none available for the summer.

Do you think the familiarity between particular programs is helpful? For instance, if I want to ultimately land in San Diego, but pursued an elective elsewhere in America (like New York or Texas for instance), would residency programs look favorably on this? Or not at all?

Additionally, when is the best time to start applying for residency as an international medical student?

Think I'm going to use your approach and start contacting residency heads at respective programs for advice as well, just interested in your experience.

Thanks!
 
Killer T Cell, are you still here?

Hey guys...sorry that I have been absent for a while. Things just got really busy with moving Stateside, starting residency, making friends, and adjusting to life as an intern. But I've gotten into the flow of things and should have time to read and post on SDN. 2012-2013 residency recruitment cycle is about to begin soon...😀...best of luck to all prospective applicants!
 
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