MD & DO co'21 Residency Panic thread

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Advertisement - Members don't see this ad
Just to be clear, I was not recommending sending separate “I would be happy to match with you” emails. I did not do this. Those were sentences I threw into my thank you emails when that was true. Just like every PD sent “we would love to work with you in July” as part of their follow up emails.

I sent thank yous to every program except one, and that was purely because their PC said “you can send all your hand-written thank yous to me, I will keep an eye out” and that rubbed me the wrong way. I was only sending thank you emails anyway. I sent those within 1-2 weeks of interviewing, though typically within a few days.


I sent exactly one “I am ranking you number 1” email to my top choice at the end of January which is where I matched.
 
The PD at my home program said to come tell him what my #1 was so that he could make calls for me to advocate, which he does for many students. If the home program is my #1, all the better. The god damn problem is, that my home program is currently my #2-3 - so talk about navigating that mess.

"Yeah I'd like you to make a call for me for my #1 but in case that doesn't work out I'd love to have you as my #2"
 
somedudehere seems fun.

Anyways, clearly this whole process is confusing, as there are at least 8 conflicting opinions on whether to send one LOI or several with "ranking you highly". Wanting to maximize chances at one of your top programs is completely reasonable, as it asking for others opinions. Appreciate the other thoughtful responses/input on here.

Also fwiw, in terms of the greater one letter vs multiple 'rank you highly' emails, my home institution said it also varies a lot by specialty, so they rec asking residents/advisors in your specialty what the norm is there. There are also multiple PCs on one spreadsheet recommending the one #1 and top 5 "rank highly," so it definitely seems like there are different approaches b/w programs and specialties.
 
somedudehere seems fun.

Anyways, clearly this whole process is confusing, as there are at least 8 conflicting opinions on whether to send one LOI or several with "ranking you highly". Wanting to maximize chances at one of your top programs is completely reasonable, as it asking for others opinions. Appreciate the other thoughtful responses/input on here.

Also fwiw, in terms of the greater one letter vs multiple 'rank you highly' emails, my home institution said it also varies a lot by specialty, so they rec asking residents/advisors in your specialty what the norm is there. There are also multiple PCs on one spreadsheet recommending the one #1 and top 5 "rank highly," so it definitely seems like there are different approaches b/w programs and specialties.

That’s the problem with trying to put a blanket rule on anything that involves human psychology.
 
Agreed ^^ it's too variable.

What I will say is that I doubt these things really move the needle in the grand scheme. I think they already have their numerical rankings of applicants more or less decided.
 
Agreed ^^ it's too variable.

What I will say is that I doubt these things really move the needle in the grand scheme. I think they already have their numerical rankings of applicants more or less decided.
Yupp.

Quite a few places have basically said they sign off on the interview grade/report right after the interview and slot people into rank lists by the end of the day. The PD is literally doing that as interview reports come in through the day at some places. TY notes and LOIs are great for settling the deep fear within that you haven't done everything in your power to match at a place, but in the grand scheme I suspect they don't move the needle 99.9% of the time. Not going to hurt you to send them though so soothe your soul and send them if need be.
 
Yupp.

Quite a few places have basically said they sign off on the interview grade/report right after the interview and slot people into rank lists by the end of the day. The PD is literally doing that as interview reports come in through the day at some places. TY notes and LOIs are great for settling the deep fear within that you haven't done everything in your power to match at a place, but in the grand scheme I suspect they don't move the needle 99.9% of the time. Not going to hurt you to send them though so soothe your soul and send them if need be.


Yeah, I know for sure multiple programs that have told applicants to sign off and they meet about them right after the interview. A program I interviewed at put this specifically in their information packet regarding thank you letters:

"We recognize and appreciate that thank you notes are a standard part of respectful protocol. We are always appreciative to receive them but want to stress that they are not in any way considered in your candidacy for a position here (regardless of the content or absence therein). We would politely suggest that a simple email is more than adequate and that the formalities of the handwritten note do not need to be pursued for this visit. Please know that an email thank you is not expected. If you are unable to resist your compelling urge to send a handwritten note, a letter addressed to the appropriate individual in care of the office of surgical education, may be mailed to the address below"

Lol
 
^ I recently had a PD at a strong program explicitly tell us on interview day not to send any letters, or even thank-yous. I think it's just inbox clutter
Agreed. I had that experience at a lot of places too, I firmly believe that LOI's, "you're my #1" emails, or any sort of communication does not matter at all.
 
^ I recently had a PD at a strong program explicitly tell us on interview day not to send any letters, or even thank-yous. I think it's just inbox clutter

I agree. If I was a PD, I would not want multiple students each interview day sending me a thank you note. PD's and faculty interviewers get tons of emails as it is.

I haven't sent any thank you notes this cycle and I don't plan to send any. Anyone I interview with, I always thank them at the end of the interview and I feel like that should suffice.
 
Why should we be saying thank you to programs at all (outside interview day)? We’re going to be their underpaid apprentices for years to come. This is just more ridiculous BS that makes me fed up with the entire culture of medicine. It just reinforces the already out-of-balance hierarchy that makes medicine toxic. Not playing that game
 
Advertisement - Members don't see this ad
Selection bias is in effect because Thalamus is a platform that

1. At least for my specialty, a lot of low tier programs are using for scheduling.

2. For me, has been the platform with the highest chance of being waitlisted upon a given interview invite and extremely difficult to get off, and

3. Is a terrible interviewing platform, and again, coincidentally, used by programs I would rank near the very end.

Additionally,

Post-hoc-ergo-propter-hoc fallacy is in play: Thalamus might use the results of this "study" to argue that their platform is better. This is a biased conclusion and a logical fallacy.

The AAMC letter encompasses data from Student Affairs offices, and I would consider that to be more reliable, although it may have its limitations as well.
 
Read how they decided this. Wtf kind of methodology is that?

Should I be surprised, though? This was brought to us by the worst product in interviewing this side of webex lol.
It isn’t a study, so there isn’t really a methodology.....they just have a few graphs to illustrate their point. Thalamus is terrible but they are used by a surprising number of programs so how can you just write this off? Tbh I read it quickly, curious to know why you think their assumptions are so far off
 
It isn’t a study, so there isn’t really a methodology.....they just have a few graphs to illustrate their point. Thalamus is terrible but they are used by a surprising number of programs so how can you just write this off? Tbh I read it quickly, curious to know why you think their assumptions are so far off

Well for one, their data is based only on programs that use thalamus, and they included programs that used thalamus this year but not last year. What percentage of programs use thalamus? If it’s not most programs, then their data is more likely to suffer from sample bias and a hasty generalization.

Their data also seems to conflict with AAMC data. Wouldn’t the AAMC have more complete data?

Also, and this is not a flaw in their “methodology” or anything, but they spend that entire article saying there is no difference in overlap and then proceed to give the exact same recommendations as the AAMC, just with a couple added phrases saying this would happen in any other year.
 
Advertisement - Members don't see this ad
I have like 15 using thalamus. Dispute the previous comment as well, 6-7 of them are T10 programs

Anecdotes and small samples are not very useful (in either direction).
 
Well for one, their data is based only on programs that use thalamus, and they included programs that used thalamus this year but not last year. What percentage of programs use thalamus? If it’s not most programs, then their data is more likely to suffer from sample bias and a hasty generalization.

Their data also seems to conflict with AAMC data. Wouldn’t the AAMC have more complete data?

Also, and this is not a flaw in their “methodology” or anything, but they spend that entire article saying there is no difference in overlap and then proceed to give the exact same recommendations as the AAMC, just with a couple added phrases saying this would happen in any other year.
You can look at the article for percentages of programs that use thalamus. I don’t think that their data is particularly helpful, I just thought it was funny that ppl are writing it off so quickly just because it’s thalamus. I think the AAMC WILL have more complete data, but it is similarly flawed right now bc of the way programs deliver interviews (not always thru eras)
 
Anecdotes and small samples are not very useful (in either direction).
They are helpful to some degree and in this case illustrate that different applicants have vastly different experiences.....and thus neither can be used for making an assumption, which was my criticism from the start.
 
They are helpful to some degree and in this case illustrate that different applicants have vastly different experiences.....and thus neither can be used for making an assumption.

Right, I thought it was clear that my statement meant they are not very useful for making assumptions lol.
 
Right, I thought it was clear that my statement meant they are not very useful for making assumptions lol.
I am afraid March is the only time we can find out the answer...for the better or worse...😢 I hope everyone match...we all put in too much work to not have a job.
 
I just looked at it again and I'm even more confused.

Since last year, their utilization is up 400%, yet the average person has the same number of thalamus interviews? Shouldnt the average person have a lot more than last year, if a lot more residencies adopted thalamus?
 
Advertisement - Members don't see this ad
It isn’t a study, so there isn’t really a methodology.....they just have a few graphs to illustrate their point. Thalamus is terrible but they are used by a surprising number of programs so how can you just write this off? Tbh I read it quickly, curious to know why you think their assumptions are so far off
This is their explanation for determining hoarding.
"For each specialty denoted on the x-axis, if you were to select any two residency programs at random, the average amount of overlap in applicants that interviewed at both programs is displayed on the y-axis as a percentage. "

There is plenty more but given your previous posts in the thread I'm not too inclined to spend time explaining why a for-profit company that depends on the match during an existential crisis might make really stupid graphs and slap lipstick on a pig.

Edit: if you take semantic issue with the term methodology then feel free to change it to whatever noun you want to describe it.
 
Last edited:
I just looked at it again and I'm even more confused.

Since last year, their utilization is up 400%, yet the average person has the same number of thalamus interviews? Shouldnt the average person have a lot more than last year, if a lot more residencies adopted thalamus?

Yeah their data make no sense.

Also, some of those specialties have error bars you could drive a truck through. I’m guessing the ones with the large error bars are the specialties with low percentages of thalamus interviews, which coincidentally are also the specialties where people are really complaining about this problem.
 
Yeah their data make no sense.

Also, some of those specialties have error bars you could drive a truck through. I’m guessing the ones with the large error bars are the specialties with low percentages of thalamus interviews, which coincidentally are also the specialties where people are really complaining about this problem.
Hey, man, I'm not sure if you noticed but we are only complaining about how stupid their announcement was because we hate their interviewing business. Get with the program, please.
 
Hey, man, I'm not sure if you noticed but we are only complaining about how stupid their announcement was because we hate their interviewing business. Get with the program, please.

Ah yes sorry. tHaLaMuS sUxOrZ
 
"Thalamus experienced significant growth over the last year, increasing in size in number of programs by over 400% during this period (Conversely, the size of our applicant pool has remained essentially fixed given the wide distribution of candidate applications and interviews). "

>same number of applicants participating
>4x as many residencies participating
>interview distribution looks identical to last year


How on earth does this look reassuring to them. Feel like I'm taking crazy pills. Am I missing something here, or did they have 4x as many interviews handed out among the same number of candidates this year, and end up with identical looking distributions? How is that possible?
 
"Thalamus experienced significant growth over the last year, increasing in size in number of programs by over 400% during this period (Conversely, the size of our applicant pool has remained essentially fixed given the wide distribution of candidate applications and interviews). "

>same number of applicants participating
>4x as many residencies participating
>interview distribution looks identical to last year


How on earth does this look reassuring to them. Feel like I'm taking crazy pills. Am I missing something here, or did they have 4x as many interviews handed out among the same number of candidates this year, and end up with identical looking distributions? How is that possible?

Yeah no you’re not crazy.
 
"Thalamus experienced significant growth over the last year, increasing in size in number of programs by over 400% during this period (Conversely, the size of our applicant pool has remained essentially fixed given the wide distribution of candidate applications and interviews). "

>same number of applicants participating
>4x as many residencies participating
>interview distribution looks identical to last year


How on earth does this look reassuring to them. Feel like I'm taking crazy pills. Am I missing something here, or did they have 4x as many interviews handed out among the same number of candidates this year, and end up with identical looking distributions? How is that possible?
I'm maybe reading it as:

We had 4x more programs utilizing the app and within that expansion the candidates being sent invites are remaining relatively the same overall because (this takes a lot of jumps to reach this but is the only way I can reconcile it) the new programs were evenly distributed through the specialties and thalamus already had the majority of applicants appearing in at least one invite through thalamus so they caught most applicants already before the 4x expansion in prior years but each individual may have just gotten fewer invites through thalamus as opposed to this year???

I'm trying to verbalize my thought process trying to make sense of it but it's difficult lol. This seems very improbable but I can't think of any other way to try to interpret the data the way they said it came out.
 
This is their explanation for determining hoarding.
"For each specialty denoted on the x-axis, if you were to select any two residency programs at random, the average amount of overlap in applicants that interviewed at both programs is displayed on the y-axis as a percentage. "

There is plenty more but given your previous posts in the thread I'm not too inclined to spend time explaining why a for-profit company that depends on the match during an existential crisis might make really stupid graphs and slap lipstick on a pig.

Edit: if you take semantic issue with the term methodology then feel free to change it to whatever noun you want to describe it.
No need to get your panties in a bundle, I was asking a question. Your answer makes sense. Time will tell if this is a real phenomenon or not.
 
No need to get your panties in a bundle, I was asking a question. Your answer makes sense. Time will tell if this is a real phenomenon or not.
I'm surprised you have time to post witty responses with your 47 interviews scheduled. Honestly impressive.
 
Advertisement - Members don't see this ad
Why are they hiding the x axis on the interview count graph...is it because it's not bins? Are they trying to reassure us because the median Peds applicant has a whopping three Thalamus interviews?

They said they’re histogram doesn’t have constant bins (why though). So it might be 0-5 first bar, 6-7 second bar, 8 third bar, 9-11 fourth bar lol. Kinda makes the data useless
 

Attachments

  • DFD48ECC-7E19-4E9F-8990-943979158811.jpeg
    DFD48ECC-7E19-4E9F-8990-943979158811.jpeg
    137.5 KB · Views: 139
The never-ending debate over thank you notes is hilarious. Outside of the medical realm, sending a hand-written thank you card is a common practice of American culture when dealing with personal or professional opportunities. Do it or don't do it, but stop whining over what the rest of our culture would call normal.
 
The never-ending debate over thank you notes is hilarious. Outside of the medical realm, sending a hand-written thank you card is a common practice of American culture when dealing with personal or professional opportunities. Do it or don't do it, but stop whining over what the rest of our culture would call normal.

Well to be fair, a lot of stuff in American culture is stupid.
 
Don't work for THalamus, we do use it. It's interesting data, dismissing it out of hand is not a good choice IMHO
Selection bias is in effect because Thalamus is a platform that

1. At least for my specialty, a lot of low tier programs are using for scheduling.

2. For me, has been the platform with the highest chance of being waitlisted upon a given interview invite and extremely difficult to get off, and

3. Is a terrible interviewing platform, and again, coincidentally, used by programs I would rank near the very end.

Additionally,

Post-hoc-ergo-propter-hoc fallacy is in play: Thalamus might use the results of this "study" to argue that their platform is better. This is a biased conclusion and a logical fallacy.

The AAMC letter encompasses data from Student Affairs offices, and I would consider that to be more reliable, although it may have its limitations as well.
I agree that there may be some program selection bias. They have not used this data to suggest that their platform is "better" than anything else -- and this data wouldn't prove or disprove that.

Well for one, their data is based only on programs that use thalamus, and they included programs that used thalamus this year but not last year. What percentage of programs use thalamus? If it’s not most programs, then their data is more likely to suffer from sample bias and a hasty generalization.

Their data also seems to conflict with AAMC data. Wouldn’t the AAMC have more complete data?

Also, and this is not a flaw in their “methodology” or anything, but they spend that entire article saying there is no difference in overlap and then proceed to give the exact same recommendations as the AAMC, just with a couple added phrases saying this would happen in any other year.
Actually, the AAMC will not have more complete data. They will get data from anyone that uses the ERAS scheduler. Other than that, they have no idea how many people we invite for interviews -- unless we label it some way in ERAS, which some programs do and some programs don't. The press release from the AAMC isn't based on any real data that I can see. And since the AAMC makes ridic amounts of $ off of ERAS, could easily decrease prices to take some of the financial burden off of students, I don't see them as a neutral player here.

I just looked at it again and I'm even more confused.

Since last year, their utilization is up 400%, yet the average person has the same number of thalamus interviews? Shouldnt the average person have a lot more than last year, if a lot more residencies adopted thalamus?

This is their explanation for determining hoarding.
"For each specialty denoted on the x-axis, if you were to select any two residency programs at random, the average amount of overlap in applicants that interviewed at both programs is displayed on the y-axis as a percentage. "
OK, let's review what they have published. The 1st graph explores how much overlap there is between candidates interviewing at programs. It's limited to programs that used Thalamus both years, so is unaffected by any growth. It shows no difference -- no evidence that "programs are all interviewing the same people". It says nothing about hoarding. The 2nd graph includes all new programs, and comparing with the first looks about the same -- again showing that in their data, there is no evidence of massive overlap of applicants and programs.

The third and fourth graph tries to assess hoarding. It compares the frequency of interviews scheduled between last year and this year. According to the text, it only includes invites from programs that participated in both years -- hence would also not be affected by any Thalamus growth. Thalamus purposefully removed the x axis labels so as not to create panic in applicants, plus would be very hard to interpret as any applicant could have 1 Thalamus interview but a whole bunch of others based upon which programs they applied to.

Obvously, the data is limited because these are only Thalamus programs -- but one would expect some change in these metrics if there was a huge widespread problem.

Yeah their data make no sense.

Also, some of those specialties have error bars you could drive a truck through. I’m guessing the ones with the large error bars are the specialties with low percentages of thalamus interviews, which coincidentally are also the specialties where people are really complaining about this problem.
Certainly possible that the hoarding / distribution is an issue only in a small subset of specialties.

"Thalamus experienced significant growth over the last year, increasing in size in number of programs by over 400% during this period (Conversely, the size of our applicant pool has remained essentially fixed given the wide distribution of candidate applications and interviews). "

>same number of applicants participating
>4x as many residencies participating
>interview distribution looks identical to last year


How on earth does this look reassuring to them. Feel like I'm taking crazy pills. Am I missing something here, or did they have 4x as many interviews handed out among the same number of candidates this year, and end up with identical looking distributions? How is that possible?
See above, the data presented are limited to invites from programs that participated in both years. At the end, they state that they also looked at all data and corrected for the growth in programs using Thalamus and also said there was no difference.

Does this mean that there is no problem? No, but it is somewhat reassuring that any problem is likely much smaller than what's being talked about here.
 
Last edited:
Don't work for THalamus, we do use it. It's interesting data, dismissing it out of hand is not a good choice IMHO

I agree that there may be some program selection bias. They have not used this data to suggest that their platform is "better" than anything else -- and this data wouldn't prove or disprove that.


Actually, the AAMC will not have more complete data. They will get data from anyone that uses the ERAS scheduler. Other than that, they have no idea how many people we invite for interviews -- unless we label it some way in ERAS, which some programs do and some programs don't. The press release from the AAMC isn't based on any real data that I can see. And since the AAMC makes ridic amounts of $ off of ERAS, could easily decrease prices to take some of the financial burden off of students, I don't see them as a neutral player here.




OK, let's review what they have published. The 1st graph explores how much overlap there is between candidates interviewing at programs. It's limited to programs that used Thalamus both years, so is unaffected by any growth. It shows no difference -- no evidence that "programs are all interviewing the same people". It says nothing about hoarding. The 2nd graph includes all new programs, and comparing with the first looks about the same -- again showing that in their data, there is no evidence of massive overlap of applicants and programs.

The third and fourth graph tries to assess hoarding. It compares the frequency of interviews scheduled between last year and this year. According to the text, it only includes invites from programs that participated in both years -- hence would also not be affected by any Thalamus growth. Thalamus purposefully removed the x axis labels so as not to create panic in applicants, plus would be very hard to interpret as any applicant could have 1 Thalamus interview but a whole bunch of others based upon which programs they applied to.

Obvously, the data is limited because these are only Thalamus programs -- but one would expect some change in these metrics if there was a huge widespread problem.


Certainly possible that the hoarding / distribution is an issue only in a small subset of specialties.


See above, the data presented are limited to invites from programs that participated in both years. At the end, they state that they also looked at all data and corrected for the growth in programs using Thalamus and also said there was no difference.

Does this mean that there is no problem? No, but it is somewhat reassuring that any problem is likely much smaller than what's being talked about here.
What spooked the AAMC, if the interview distribution is really identical to last year?
 
What spooked the AAMC, if the interview distribution is really identical to last year?
The AAMC has every reason to be spooked. Applicants are making more noise about the craziness of the application system/eras than ever before. Any changes to the system could directly affect their bottom line in the long term.
 
Omg guys!!! I got an invite to my pre-season #1!!!! It’s a community program but it’s closest to where I’m from and has a good culture, schedule, and support. I am over the moon! This is the first one I’m actually scared for, I feel like the stakes are high! And as it turns out, they’ll be my next interview!
 
Advertisement - Members don't see this ad
Top Bottom