Away elective in California..a good idea?

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jfanman

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Hi,

I am currently a MS4 and have pretty much decided that I am going into Neurology, but I do have some concerns. I currently go to med school in NY but I really want to go back to California. I know GopherBrain mentioned that it's not necessary to do any away electives if you've already done a 3rd year clerkship at your home program. But given the competitiveness of the programs in Southern California, do you think it is wise to do an elective anyway? Or would this be shooting myself in the foot? I've done pretty well during the my first two years and am very happy with my Step I score. My third year grades were average except for honoring Neuro. I wanted other past applicants' opinions on how difficult it is to get back to Southern California. Thanks.
 
There are several university and community programs in Southern Cal. The obvious top ones are UCLA and UCSD. UCSD is a very small program (I think they accept 3 each year). It is, therefore, in my opinion harder to get into especially they showed preference to their own graduates (just like any other programs in the country). I had a really negative impression on USC when I interviewed there 2 years ago...and being from southern Cal myself, it's quite a disappointment. If you are pretty comfortable with your clinical skills, and not too concern about working hard, a subintership @ UCLA would at least get you an interview invite or even a LOR if you do it early. After all, there are so many other candidates with good pre-clinical grade, USMLE score, and honors in neurology who want to spend the next 3-4 years in sunny cal.....when it comes to the selection committee meeting, don't you want to have extra something to distinguish yourself from the rest of the crowd....like an excellent remark from their own faculty member? Otherwise, there are still UCI, Loma Linda, Kaiser and others to choose from if location is your #1 selecting factor.
 
There are several university and community programs in Southern Cal. The obvious top ones are UCLA and UCSD. UCSD is a very small program (I think they accept 3 each year). It is, therefore, in my opinion harder to get into especially they showed preference to their own graduates (just like any other programs in the country). I had a really negative impression on USC when I interviewed there 2 years ago...and being from southern Cal myself, it's quite a disappointment. If you are pretty comfortable with your clinical skills, and not too concern about working hard, a subintership @ UCLA would at least get you an interview invite or even a LOR if you do it early. After all, there are so many other candidates with good pre-clinical grade, USMLE score, and honors in neurology who want to spend the next 3-4 years in sunny cal.....when it comes to the selection committee meeting, don't you want to have something to distinguish yourself from the rest of the crowd....like an excellent remark from their own faculty member? Otherwise, there are still UCI, Loma Linda, Kaiser and others to choose from if location is your #1 selecting factor.
 
Anybody have any comments about the UCLA residency program? If not, anybody interviewed there and have any opinions on what they felt during their interview day?
 
Anybody else think it's a good idea to do an elective in California or am I shooting myself in the foot? I just read the FAQ from Gopher Brain that it wasn't necessary but not sure if that includes California also.
 
if you are so insecure about yourself, maybe doing an away rotation is not a good thing. Seriously though, you are not talking about matching into a radiology or neurosurgery program in Cali..... the longer you wait (there are limited rotation spots), the chance is that there won't be a spot open in the summer+early fall month, and if you do end up doing a rotation month in Nov or Dec (assuming you won't....majority of interviews occur in these 2 months), it would almost be a non-factor...and how are you going to explain to your attending about your constant absence due to interviews? FYI, most ppl submit their visiting clerkship applications in April or May for summer month rotations.
 
kasimagore1 said:
FYI, most ppl submit their visiting clerkship applications in April or May for summer month rotations.

Excellent point, I think it's too late to even consider doing an away rotation this year.
 
kasimagore1 said:
if you are so insecure about yourself, maybe doing an away rotation is not a good thing. Seriously though, you are not talking about matching into a radiology or neurosurgery program in Cali..... the longer you wait (there are limited rotation spots), the chance is that there won't be a spot open in the summer+early fall month, and if you do end up doing a rotation month in Nov or Dec (assuming you won't....majority of interviews occur in these 2 months), it would almost be a non-factor...and how are you going to explain to your attending about your constant absence due to interviews? FYI, most ppl submit their visiting clerkship applications in April or May for summer month rotations.

Well, I was able to get a rotation at Loma Linda but I just didn't know if it's worth it to do it there. Loma Linda is not considered a top 25 program right??
 
I think the real question is "would you rank Loma Linda highly?". If Loma Linda is one of your top choices, doing a rotation there is good to show your face and get an courtsey interview. Otherwise, I don't think doing away there would do you any good, besides spending a scorching hot month in the Inland Empire.
 
Thanks for all your advice, Kasimagore1. It probably won't be possible to do a Sub-I at UCLA because of the time constraints like you mentioned. I wanted to ask you why you thought USC was a disappointment? So in your opinion, should I just do fun electives and don't even worry about audition electives for a person just trying to get back to Cali for residency from NYC?
 
I too would like to get a residency in California. Although my grades have always been very good, my step I scores are only average. Therefore, I am aiming for some of the "lower" california programs (UCI, Loma Linda, UC Davis, etc.) I've scheduled a couple of rotations at various california programs but I"m wondering if anyone can shed some light on some of these not-as-competitive programs in california. what do you thinking about the level of training there, the patient population, the volume & pathology that are seen in these programs? i want to make sure that if i do enter one of these programs, I still get a good training experience. any input would be appreciated. thanks!
 
jfanman said:
Thanks for all your advice, Kasimagore1. It probably won't be possible to do a Sub-I at UCLA because of the time constraints like you mentioned. I wanted to ask you why you thought USC was a disappointment? So in your opinion, should I just do fun electives and don't even worry about audition electives for a person just trying to get back to Cali for residency from NYC?

1) It was a disappointment because they did not put into any efforts to showcase the program. I hope they have made some changes since then, but the interview experience a couple years ago was so terrible, some people did not even bother to finish the whole thing. First off, they asked you to meet the inpatient team in LA county hospital--that is, no reception from staff member, no direction, and you just wandering in that grungy hospital, and stopped any passing residents, and hoping someone will know where the neuro team room is. Then the residents were surprised to see us....and we were ignored for about half an hour while they were preparing for the AM round. The next hour we were invited to the grand round....and you truly find a big difference between a neuro powerhouse like columbia and UCSF, where the entire lecture hall was packed with people, vs. a mediocre one where there were only a couple dozen people sitting there...and many were residents who are busy scribbling, not about the lecture, but the progress notes. Later, we were taken to this hallway outside the neurology dept to meet the residency coordinator--a full 3 hours after our arrival @ USC (wait, isn't their job to welcome us and show us where to go from the start?). So, 5 of us, sitting/standing in the hallway (mind you, not a room), and waiting to be interviewed. So, now it's lunch time...despite no pre-interview dinner to chat with the residents, we were delighted to have the opportunities to meet the residents and talk about the program informally. So we waited and waited...for another hour, and now it's 1:30 pm...and where are the residents (actually, I was wondering where is the food--as we were sitting in the physician dinning area in the cafeteria, and we weren't sure if we should just go ahead and get in line and purchase our lunch???) Finally a chief resident showed up, and embarrassed that there was no one else here, he quickly paged some other residents to join us, which took another 20 minutes. Ty the time we finish lunch, about 2:30pm, the chief announced: well, now is the chairman interview....and unfortunately we don't have time to give you a tour to the medical center! (what?! this is the only interview where a tour was not provided). We were then escorted to a room next to the chair's office, and we were asked to go in one by one...so that's another 45 min wait for me. After all, it was a terrible interview experience. I have read somewhere in this forum that they have successfully recruited Damasio...hopefully they will do a better job to attract prospective residents. As for me, I didn't even bother to rank the program.

2) I would probably save the fun rotations to the second half of 4th year. As for now I would work as hard, if not harder on the next 3-4 rotations where you can still ask for LORs. There are so many neuro visiting clerkship oppotunities around NYC area. I did a month of critical care neuro @ columbia....busy but fun. Ultimately, audition rotation in Neuro is not a requirement de facto as in some other ultra-competative specialty---think it as an opportunity to explore the city, the people, and the practice philosophy (especially true in neuro critical care...it seems each program has their own "experimental" protocol-evidence based or not) in other parts of the states.
 
kasimagore1 said:
2) I would probably save the fun rotations to the second half of 4th year. As for now I would work as hard, if not harder on the next 3-4 rotations where you can still ask for LORs. There are so many neuro visiting clerkship oppotunities around NYC area. I did a month of critical care neuro @ columbia....busy but fun. Ultimately, audition rotation in Neuro is not a requirement de facto as in some other ultra-competative specialty---think it as an opportunity to explore the city, the people, and the practice philosophy (especially true in neuro critical care...it seems each program has their own "experimental" protocol-evidence based or not) in other parts of the states.

Sorry to hear about your bad experience at USC and I will definitely make a note of it for this interview season. Do you mind me asking where you are doing your residency? In response to your suggestion about working hard for the next 3-4 rotations, it seems that for the early match our applications need to be in by the end of August or early September. Is there enough time to submit LORs after this deadline? I was planning on doing one Neuro away elective and then do a radiology elective since I believe that would be helpful in my prelim and neuro residencies. I wanted to do a neuroradiology elective but couldn't find any in the Southern California area. Any other good electives I can do in the Southern California that you've heard about?? Thanks.
 
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