Electives for 4th year

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Medstudentquest

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So I think I have narrowed down my choices for residency: either Med/Psych or Med/ER. If i'm going the Med/Psych route, what electives should I take during 4th year? I have already done a psych/addiction elective. Should I do more? I also did a medicine subspecialty elective but I may not get credit for it due to registration issues. What other electives should I take?

For Med/ER, what would be good electives to take? I took a 2week ER elective, which is P/F. What other electives should I take? Please help!

I'm running out of time on choosing electives here, I've just had a difficult time making up my mind.
 
Yeah, you're going to get plenty of what you're doing in residency during residency. Doing it beforehand isn't going to help much. Most of these electives will be done after your transcript goes out anyway, so no one will even know what you are taking.
 
How about doing an elective in something you find interesting and would enjoy but will never do again (ie, Rads, Anesthesiology, Plastic Surgery, etc.)?

I actually have done a rotation in anesthesiology, which I actually enjoyed/learned quite a bit and even made me consider anesthesia for a while, and did rads, but I don't feel I'm sufficiently good at reading images to do it. I don't like surgery, so that's out. However, I'd like to be as competitive as possible for psychiatry. I know that psych is not the most competitive program, but I'd love to go to one school in my state that's somewhat competitive so I'm trying my best to be a good candidate. What would help for psych?
 
Yeah, you're going to get plenty of what you're doing in residency during residency. Doing it beforehand isn't going to help much. Most of these electives will be done after your transcript goes out anyway, so no one will even know what you are taking.

Actually as long as they are done in summer, they go on the transcript. So that's why I'm trying to get some good electives. Otherwise, what would be the point of choosing electives?
 
Actually as long as they are done in summer, they go on the transcript.

You might want to check that. Yaah's point was that generally schools do not update your transcripts after every block and with the application season starting in earnest in September they may submit your transcript without your summer courses on it.

So that's why I'm trying to get some good electives. Otherwise, what would be the point of choosing electives?

Well, historically electives were chosen for their interest value not for buffing your application.

So what would help with Psych? How about Neurology (lots of Neuro on Psych boards), Toxicology, Addiction Medicine, Child & Adolescent Psychiatry, Emergency Psych, Geriatric Medicine...
 
I doubt that your choice of elective will have any effect on your application at all, unless you fail it. Your 3rd year clerkship scores + USMLE + LOR's will have the most weight.

I second the idea of doing your electives in what you want to do, not what you think other people will want to see.
 
You might want to check that. Yaah's point was that generally schools do not update your transcripts after every block and with the application season starting in earnest in September they may submit your transcript without your summer courses on it.



Well, historically electives were chosen for their interest value not for buffing your application.

So what would help with Psych? How about Neurology (lots of Neuro on Psych boards), Toxicology, Addiction Medicine, Child & Adolescent Psychiatry, Emergency Psych, Geriatric Medicine...

Sure, that makes sense but I did check my school's policy and they say that those grades would go on as long as they are taken by the end of summer, but I'm sure they don't go crazy updating transcripts. I did addiction medicine as part of a psych elective, I'm not sure if it states that though. Toxicology might be an option that might be interesting and I hadn't thought about. What exactly is emergency psychiatry? I don't like neuro, so I wouldn't do anything beyond my school's requirement.

What about med/psych? Would it be good to do another psychiatry elective and also a medicine elective as well? If so, what kind of medicine elective would be good? I already did one, but due to some paper issues I may not be getting credit for it, so some suggestions for a medicine elective would be good.

Also, I did my core psych rotation at my school and will be getting a letter from my attending there and I did the elective at another hospital and will be getting another letter from there. I am not sure I want to rotate at the hospital I really want to match into since it really is a wild card as to whether it can be a positive or a negative experience. With that said, would it matter where I do the electives?

Last thing, would research help or will it not really make much difference? And what kind of volunteering experiences would be helpful? Thanks again!!!! 🙂
 
Sure, that makes sense but I did check my school's policy and they say that those grades would go on as long as they are taken by the end of summer, but I'm sure they don't go crazy updating transcripts.

Ok...just wanted to make sure you were aware that since most people submit their application on September 1, that some schools will not have updated their transcript by then to reflect courses taken recently.

I did addiction medicine as part of a psych elective, I'm not sure if it states that though. Toxicology might be an option that might be interesting and I hadn't thought about. What exactly is emergency psychiatry?

As opposed to Consult and Liaison Psych, Outpatient/Community Psych, Prison/Forensic Psych or Inpatient Psych, Emergency Psychiatry is dedicated to just that....emergencies. There are some hospitals which have separate Psych EDs. I would think it would be more interesting from that standpoint than the others, but it all depends on where your interests lie.

I don't like neuro, so I wouldn't do anything beyond my school's requirement.

FYI: as noted above in my earlier post, according to my friends who have just taken the Psychiatry BC exam, there is a LOT of neuro. So you're gonna have to do it sometime or another.

What about med/psych? Would it be good to do another psychiatry elective and also a medicine elective as well? If so, what kind of medicine elective would be good? I already did one, but due to some paper issues I may not be getting credit for it, so some suggestions for a medicine elective would be good.

I don't think it really matters frankly (and neither does aProgDirector...a real life medicine PD). These are not competitive fields and doing one more elective in Med/Psych or Psych or Med is not going to make a significant contribution to your application.

So take whatever Medicine elective is offered and you find interesting whether its MICU, Gastro, Med Sub-I, etc.

Also, I did my core psych rotation at my school and will be getting a letter from my attending there and I did the elective at another hospital and will be getting another letter from there. I am not sure I want to rotate at the hospital I really want to match into since it really is a wild card as to whether it can be a positive or a negative experience. With that said, would it matter where I do the electives?

Probably not, as has been noted above, your electives are not really going to make much difference in regards to your residency application. If you want to do an away elective, then some would advise you not to do it in the department you are interested in matching to. So, when you go to Hospital X, don't do Med or Psych, but perhaps choose EM (where you would get exposure to the Med Psych people but not work too closely with them).

Last thing, would research help or will it not really make much difference? And what kind of volunteering experiences would be helpful? Thanks again!!!! 🙂

At this late date, research is not going to help you. Research that helps is the kind that is a significant experience, probably with a publication or two, may be associated with obtaining a PhD, and is for highly academic fields like Rad Onc, highly competitive fields like Plastic Surgery and highly competitive research oriented programs like UCSF.

Volunteering? Don't bother. This isn't pre-med; PDs don't care about that.
 
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