EM PD - Ask Me Anything

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Hi Gamer. unfortunately i had a drop in my step 2 scores. I sent out comlex 2 but i havent sent out my step 2 ck score and wondering if i should.
im an average 4th year DO student
step 1- 243
comlex 2- 517
step 2- 228

thanks for all your help
 
seems like you said to just be honest and thats better than being shady which is what i was planning but can you confirm gamer? thanks
 
Hey Gamer, thanks again for all your help so far! With interviews coming up, do you have any advice on how to do well during interviews? What questions are appropriate to ask the faculty and residents during the interview? How do we figure out if we fit in well with the program in the limited time we have during the interview?

its really hard to get a feel for this stuff in a day. Go to the dinner the day before if you can. Interact with as many residents as you can. Try and get a sense if people are truly happy or not. If people appear unhappy, this is a big red flag bc usually during interview season residents are overly positive.

I dont think there are any innapropriate questions besides common sense innapropriate questions. Common questions are things like “how receptive is the program to feedback, what is your programs biggest strength, what would you change... etc”. For the most part fairly boring questions just because you as a program are asked them 100 times a year. So just like getting asked as a candidate “why em”, programs get asked the same stuff over and over. Which is ok. But I wouldnt ask questions just to have something to ask. Ask something you truly want to know the answer to that will help you try and differentiate out your rank list.
 
Question about switching into EM: Current Peds intern greatly regretting not following the hunch that EM was more my cup of tea. I couples matched (me in peds, spouse in EM) at the same institution. Do you know if there is such thing as an intra-institution transfer? Re-entering the match and applying to 100 programs is not an option for me as I am not interested in separating from my spouse. I don't have any SLOEs but good scores, good evals in my residency so far. Still nervous about talking to my PD or spouse's PD and would love some insight before I get the ball rolling (e.g. blackballing myself in my own program by talking to my PD if it isn't even a possibility)
 
Yeah it happens. In fact, typically when someone is looking to switch residencies, switching within the same hospital system usually is the easiest way to go. We've taken people from our FP residency. One of our EM residents switched to FP once. We generally are supportive, on either end of things, about a residency switch. Mistakes happen, people sometimes choose a field that isn't a good fit for them. Forcing them to shoe horn themselves into completing the program doesn't make sense for the residency or the resident involved IMO.

I'd consider talking to the EM PD, see if its something they would be interested/supportive of. If not, then there isn't a point in going further. If so, they can potentially help you in how to approach your Peds PD.
 
Hi @gamerEMdoc, thanks for all your help!

I apologize if it's been asked before, but I wanted to see your opinion on thank you letters after interview, specifically for IMGs: yay or nay?
 
Hi @gamerEMdoc, thanks for all your help!

I apologize if it's been asked before, but I wanted to see your opinion on thank you letters after interview, specifically for IMGs: yay or nay?

Thank you letters/emails arent necessary, but are a nice touch sometime if they are genuine and not just copy and pasted. Either way, they arent likely going to change a programs perception whether you send one or not.
 
umm so whats the deal with COMLEX PE failures? i just found out i failed the humanistic portion and am scratching my head. im a nice empathetic guy. not sure what i did wrong. how screwed am i?
 
Some programs offer an opportunity to visit their EDs for a few hours prior to the official interview day. Do you think it would be helpful? I heard from others that the showing of EDs gets boring as one goes through the interview trail (here is a trauma bay, here is the triage, here is the work station, etc.)
 
Some programs offer an opportunity to visit their EDs for a few hours prior to the official interview day. Do you think it would be helpful? I heard from others that the showing of EDs gets boring as one goes through the interview trail (here is a trauma bay, here is the triage, here is the work station, etc.)

yeah ED tours are not the most exciting thing, it is what it is.
 
umm so whats the deal with COMLEX PE failures? i just found out i failed the humanistic portion and am scratching my head. im a nice empathetic guy. not sure what i did wrong. how screwed am i?

I think any board failure is certainly concerning. It can be overcome, but it definitely is a red flag.
 
How much do quartile ranks matter?

I use them as a proxy for med school success in my scoring system. I weigh them about the same as boards. School grades are so worthless at many schools. I look at MPSEs at some places, look at their grades, and can't tell the difference between a top 1/4 and a low 1/4 student. Everyone has grades of 90%. Its crazy. Its made even worse when a school overinflates grades and doesn't give you a quartile distribution. At that point, I just assume the worst and rate everyone as a bottom 1/4. Going to a school that really doesn't really grade and doesn't rank at all sounds great, but doesn't really help anyone, it just punishes the better students IMO.
 
Hi gamer - when do you think is a good time to send emails regarding couples match? My fiancé and I have each gotten a few interviews so far, but none in the same city.

Do we send the emails now, even though many programs have yet to send any invites? Or do we wait until a bit further into the season?

Thanks again for all your help. The SDN community owes you big time.
 
I think any board failure is certainly concerning. It can be overcome, but it definitely is a red flag.
So how does one demonstrate or overcome a board failure in order to decently match? I know a couple upperclassman who matched last year with a board failure (FM and EM) but didn’t know what in the eyes of a PD makes them take a chance on that person.
 
Hi gamer - when do you think is a good time to send emails regarding couples match? My fiancé and I have each gotten a few interviews so far, but none in the same city.

Do we send the emails now, even though many programs have yet to send any invites? Or do we wait until a bit further into the season?

Thanks again for all your help. The SDN community owes you big time.

Wait. See where you get interviews. See where she gets interviews. Then email the program coordinator to express interest in interviewing since she is interviewing there, or vice versa. I wouldn't email programs before late Oct, early Nov at the earliest.
 
So how does one demonstrate or overcome a board failure in order to decently match? I know a couple upperclassman who matched last year with a board failure (FM and EM) but didn’t know what in the eyes of a PD makes them take a chance on that person.

Either great SLOEs or great personal experience with that person. Board failures are often a no-go with someone you don't have any personal knowledge of in terms of their work ethic, or in the case of the clinical skills exam, their interpersonal interactions. But if someone consistently shows they are an asset in the ED (great SLOEs) or impressed you personally, you are way more apt to take that person than a student with board failures who you have never met or seemingly is an average worker in the ED based on their SLOEs.
 
Yeah it happens. In fact, typically when someone is looking to switch residencies, switching within the same hospital system usually is the easiest way to go. We've taken people from our FP residency. One of our EM residents switched to FP once. We generally are supportive, on either end of things, about a residency switch. Mistakes happen, people sometimes choose a field that isn't a good fit for them. Forcing them to shoe horn themselves into completing the program doesn't make sense for the residency or the resident involved IMO.

I'd consider talking to the EM PD, see if its something they would be interested/supportive of. If not, then there isn't a point in going further. If so, they can potentially help you in how to approach your Peds PD.


In these situations what is the best way to approach trying to obtain interviews outside of your current institution since a career switching resident would not be eligible for SLOEs (since they are made for current students)? I recently spoke with a career switcher and he said many programs have a hard minimum SLOE count so he was unable to obtain interviews there, while others are more lenient, and yet others are ok with just EM LoRs..although there doesn't seem to be a hard and fast reference for which programs fall into which category.

I've read that early October is too early to email PDs/APDs/PCs expressing interest..but would this be an appropriate reason to email earlier or at least wait until after October 15th?
 
In these situations what is the best way to approach trying to obtain interviews outside of your current institution since a career switching resident would not be eligible for SLOEs (since they are made for current students)? I recently spoke with a career switcher and he said many programs have a hard minimum SLOE count so he was unable to obtain interviews there, while others are more lenient, and yet others are ok with just EM LoRs..although there doesn't seem to be a hard and fast reference for which programs fall into which category.

I've read that early October is too early to email PDs/APDs/PCs expressing interest..but would this be an appropriate reason to email earlier or at least wait until after October 15th?

Actually, if your residency program also has an EM residency, you can get a SLOE from them even if you're a resident (so long as you work a month with them). I'm in a TRI program, and all the Transitional years who're tryin for EM this season got new SLOE's.
 
Actually, if your residency program also has an EM residency, you can get a SLOE from them even if you're a resident (so long as you work a month with them). I'm in a TRI program, and all the Transitional years who're tryin for EM this season got new SLOE's.

+1. Although this begs the question of who exactly they're compared/ranked against in the SLOE since I can't imagine there's that many EM-bound TYs/prelims applying each year. Obviously it doesn't make sense to compare them to medical students since residents are on an entirely different playing field with actual patient responsibilities.
 
+1. Although this begs the question of who exactly they're compared/ranked against in the SLOE since I can't imagine there's that many EM-bound TYs/prelims applying each year. Obviously it doesn't make sense to compare them to medical students since residents are on an entirely different playing field with actual patient responsibilities.

The important question on the SLOE for them is, "where do you anticipate ranking this candidate". They are competing with the students all the same for a spot on the rank list.
 
In these situations what is the best way to approach trying to obtain interviews outside of your current institution since a career switching resident would not be eligible for SLOEs (since they are made for current students)? I recently spoke with a career switcher and he said many programs have a hard minimum SLOE count so he was unable to obtain interviews there, while others are more lenient, and yet others are ok with just EM LoRs..although there doesn't seem to be a hard and fast reference for which programs fall into which category.

I've read that early October is too early to email PDs/APDs/PCs expressing interest..but would this be an appropriate reason to email earlier or at least wait until after October 15th?

Wait until after Oct 15th.
 
Weird Question: If you haven't heard back from a program by (lets say) mid-late interview season is it safe to say that its a rejection? or do all programs explicitly send out rejection letters?
 
Weird Question: If you haven't heard back from a program by (lets say) mid-late interview season is it safe to say that its a rejection? or do all programs explicitly send out rejection letters?

I don't look at 1000 applications, so if I don't reject an app on ERAS, then either it was waitlisted, put on hold to look at again, or never looked at. I'm sure there are some programs out there that will look at every app, but I would guess the majority do not.
 
Hey @gamerEMdoc Thanks for all the advice here as usual. I'm expecting my last SLOE towards the end of the month. I know programs automatically get a notification when new SLOEs are uploaded onto ERAS but should I email programs just in case since it'll be a little later into the cycle? I think it should be a strong SLOE so I want to make sure programs see it. Or would the better approach be to use it as an opportunity to update programs and express interest w/ a LOI?
 
I know programs automatically get a notification when new SLOEs are uploaded onto ERAS

No they don't, not that I know of at least. They will see the new sloes if they log in to re-look at your app, but as far as I know there isn't a setting to be notified of new letters. Even if there was, programs would turn it off because they would get 50 emails a day saying there is a new letter uploaded, so they just wouldn't read them.

should I email programs just in case since it'll be a little later into the cycle? I think it should be a strong SLOE so I want to make sure programs see it
Or would the better approach be to use it as an opportunity to update programs and express interest w/ a LOI?

I wouldn't email programs right now, unless you've already interviewed there. SLOEs that get posted after an interview, if you think they are going to be good and help your chances for ranking purposes, you should email the program that already interviewed you to let them know of your new SLOE. You can do that in a "thank you for the interview" email a week later if it comes back just after, or you can email them later in the interview season as an update.
Otherwise, I'd wait until LOI email season (November) to email all the other programs. MAYBE I'd send it to a hometown or top choice program you hadn't heard from sooner than that if you are for sure is just overlooking your app. But I wouldn't spam email programs about the SLOE right now. You don't want to have to keep emailing them, so if you think you may be sending out some LOI emails in November, I'd just wait until then.
 
No they don't, not that I know of at least. They will see the new sloes if they log in to re-look at your app, but as far as I know there isn't a setting to be notified of new letters. Even if there was, programs would turn it off because they would get 50 emails a day saying there is a new letter uploaded, so they just wouldn't read them.



I wouldn't email programs right now, unless you've already interviewed there. SLOEs that get posted after an interview, if you think they are going to be good and help your chances for ranking purposes, you should email the program that already interviewed you to let them know of your new SLOE. You can do that in a "thank you for the interview" email a week later if it comes back just after, or you can email them later in the interview season as an update.
Otherwise, I'd wait until LOI email season (November) to email all the other programs. MAYBE I'd send it to a hometown or top choice program you hadn't heard from sooner than that if you are for sure is just overlooking your app. But I wouldn't spam email programs about the SLOE right now. You don't want to have to keep emailing them, so if you think you may be sending out some LOI emails in November, I'd just wait until then.


I see. Thanks for the advice! Greatly appreciated. Got a low step 1 so trying to optimize my chances.
 
I don't look at 1000 applications, so if I don't reject an app on ERAS, then either it was waitlisted, put on hold to look at again, or never looked at. I'm sure there are some programs out there that will look at every app, but I would guess the majority do not.
Thanks for the quick reply!
 
hey gamer! so all the admin around me built up oct 15th as the day we would finally get interview invites but so far I have only gotten interviews from places I rotated at. I'm starting to panic; I really didn't think I was this bad of an applicant. I'm a DO student so we don't have home program I can reach out to to look over my app. Is there anything I can do at this point? Is all hope lost?
 
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hey gamer! so all the admin around me built up oct 15th as the day we would finally get interview invites but so far I have only gotten interviews from places I rotated at. I'm starting to panic; I really didn't think I was this bad of an applicant. I'm a DO student so we don't have home program I can reach out to to look over my app. Is there anything I can do at this point? Is all hope lost?
Gamer addressed this exact thing really well over in the application thread
 
hey gamer! so all the admin around me built up oct 15th as the day we would finally get interview invites but so far I have only gotten interviews from places I rotated at. I'm starting to panic; I really didn't think I was this bad of an applicant. I'm a DO student so we don't have home program I can reach out to to look over my app. Is there anything I can do at this point? Is all hope lost?

Its not time to panic. Places you rotated at will always be your first interviews because most of the time, the first invites programs send out are those to people that rotated while they are looking at other apps. Oct 15 is only an important day for the 30-40 programs that have agreed to it, thats only a minority of the EM programs. Chances are, of the programs on that list, any given candidate only applied to a few of those anyways. Every other program not on the Oct 15th embargo list does things in their own way. Some may send out invites early. Some may send out invites on a rolling basis. Some may wait later than Oct 15th. Most will send invites out in waves. Its all over the place. So you can't look at Oct 15th as a make or break day.

I've said this time and again, if you can get to 6 total interviews by Nov 1, you should be fine. If you aren't at 6 by then, you can still match, but you could be at risk since getting to 10 will be a bit harder. Most people that get to 6 by Nov 1 easily get to 10 interviews. A good number of interviews will still come out in November. December/January have tons of cancellations as well, so if you are flexible and can travel on short notice, you can dig up interviews there. So if you are at 6 by Nov 1, you should be able to get to 10-12 with Nov invites, LOIs, and cancellation fill ins.
 
Its not time to panic. Places you rotated at will always be your first interviews because most of the time, the first invites programs send out are those to people that rotated while they are looking at other apps. Oct 15 is only an important day for the 30-40 programs that have agreed to it, thats only a minority of the EM programs. Chances are, of the programs on that list, any given candidate only applied to a few of those anyways. Every other program not on the Oct 15th embargo list does things in their own way. Some may send out invites early. Some may send out invites on a rolling basis. Some may wait later than Oct 15th. Most will send invites out in waves. Its all over the place. So you can't look at Oct 15th as a make or break day.

I've said this time and again, if you can get to 6 total interviews by Nov 1, you should be fine. If you aren't at 6 by then, you can still match, but you could be at risk since getting to 10 will be a bit harder. Most people that get to 6 by Nov 1 easily get to 10 interviews. A good number of interviews will still come out in November. December/January have tons of cancellations as well, so if you are flexible and can travel on short notice, you can dig up interviews there. So if you are at 6 by Nov 1, you should be able to get to 10-12 with Nov invites, LOIs, and cancellation fill ins.

thank you! does the number 6 include the ones I got through aways or should that be independent? I actually applied to 8 of those programs on that list so I was hoping for something, anything yesterday.
 
thank you! does the number 6 include the ones I got through aways or should that be independent? I actually applied to 8 of those programs on that list so I was hoping for something, anything yesterday.

I really never understood this question of "do interviews from places I rotated count". The 10-12 interview sweet spot people should strive to get to by the end of the process comes from the match data. Nowhere in that data to they exclude interviews from places you rotate because they don't count. That's foolish anyways, places you rotate are going to give you some of your highest chances of matching. Just like candidates, programs don't love the idea of an unknown. So if two applicants are about equal, and one rotated with you and one didn't, you're going to rank the one you know over the one you don't. That's just human nature. Candidates often feel more comfortable ranking programs they rotated at over programs they didn't. Same with programs and candidates. Is that always going to be the case? Of course not. But it does carry weight in both sides rank lists. So yes, the interviews you get at the places you rotate absolutely count.
 
Hey Gamer EM doc thanks for your help as usual. I keep seeing how geography plays a role in interview invites and was wondering what about people from a state with only a few programs. Being a DO from a state that has less than 5 programs and none are DO friendly and surrounding states are also not as DO friendly or program heavy it seems like I would be at a disadvantage that I can’t really do anything about? There are so many former AOA programs in the Midwest and Northeast I have applied to but it seems they would be more likely to pass me over based on geography compared to similar candidates from the region. Anything I can do to mitigate this? Thanks!
 
Many people are insecure about how they did on rotation esp if they rotated somewhere decent and are only getting interviews from "worse" places. And we know that most places will interview people who rotated with them even if they did pretty poorly. If person X is 120/150 on a rank list of a place that goes into the 90s it's a effectively as if they didn't have that interview.

I really never understood this question of "do interviews from places I rotated count". The 10-12 interview sweet spot people should strive to get to by the end of the process comes from the match data. Nowhere in that data to they exclude interviews from places you rotate because they don't count. That's foolish anyways, places you rotate are going to give you some of your highest chances of matching. Just like candidates, programs don't love the idea of an unknown. So if two applicants are about equal, and one rotated with you and one didn't, you're going to rank the one you know over the one you don't. That's just human nature. Candidates often feel more comfortable ranking programs they rotated at over programs they didn't. Same with programs and candidates. Is that always going to be the case? Of course not. But it does carry weight in both sides rank lists. So yes, the interviews you get at the places you rotate absolutely count.
 
Many people are insecure about how they did on rotation esp if they rotated somewhere decent and are only getting interviews from "worse" places. And we know that most places will interview people who rotated with them even if they did pretty poorly. If person X is 120/150 on a rank list of a place that goes into the 90s it's a effectively as if they didn't have that interview.

Sure, I get that, and if your only interviews are at the few places you rotated, then maybe you will in fact be at the bottom of all their lists because they all gave you low 1/3 SLOEs. And you still may match at one of them, because programs go down past the middle of their list on average, which means some programs will match into the low part of their list (or not match all their spots) in any given year. An interview is still an interview. They all count.

I get the insecurity, but statistics are what they are. The charting outcomes data doesn't exclude places you rotated at. Its strictly a graph of how many places you interviewed and ranked and what the percentage of matching you had. That's the only data you have, so it should be your approximate guide of your chances of matching.
 
Hey Gamer EM doc thanks for your help as usual. I keep seeing how geography plays a role in interview invites and was wondering what about people from a state with only a few programs. Being a DO from a state that has less than 5 programs and none are DO friendly and surrounding states are also not as DO friendly or program heavy it seems like I would be at a disadvantage that I can’t really do anything about? There are so many former AOA programs in the Midwest and Northeast I have applied to but it seems they would be more likely to pass me over based on geography compared to similar candidates from the region. Anything I can do to mitigate this? Thanks!

There's not a ton you can do, beyond rotating at places and emailing LOIs. Sucks, but I don't know what else you can really do tbh. If out of state candidates rarely rank your program highly, then programs would be foolish not to have a huge bias in who they choose to interview. Geography is almost always one of the biggest reason candidates rank their programs. Not for every candidate, but many of them. We interviewed a good mix of in state and out of state people every year in many past years, and I can tell you, unless the student rotated here, the chances of an out of state candidate ranking us highly enough to get them is unlikely. So in the end, many programs just have to play the percentage game. I'd rather interview a middle of the road candidate who is likely to have the program in their top 3 than interview a top 10% candidate from a different region who is going to rank the program 12th on their list. It's just a statistics game, interview spots are limited and you can't waste them on people you don't think are going to seriously consider your program.

The tough thing this year was the shear number of in state (school, permanent address, and/or hometown) applicants we got. I had to even get more regionally selective to pare that down.

Doesn't mean we didn't interview out of state people, I interviewed several just yesterday. And we always take a good number of out of state people for rotation. But in the end, a good chunk of our interview block will continue to be in state and surrounding state applicants, because those are the folks that typically rank us highly enough for us to be competitive on their list.
 
One other factor I forgot to mention about in-state and regional applicants that factors into decision to offer interviews. The more local the candidates, the more unlikely they are to cancel interviews. They have minimal travel costs, so in the end, they tend to show up and don't cancel at the last second. I mean, I don't typically care about cancellations, because usually the interview spots are easy to fill. But I can't tell you over the years how many candidates have cancelled a day or two before an interview, leaving us no time to fill that spot with an interested candidate, and that is really frustrating.
 
One other factor I forgot to mention about in-state and regional applicants that factors into decision to offer interviews. The more local the candidates, the more unlikely they are to cancel interviews. They have minimal travel costs, so in the end, they tend to show up and don't cancel at the last second. I mean, I don't typically care about cancellations, because usually the interview spots are easy to fill. But I can't tell you over the years how many candidates have cancelled a day or two before an interview, leaving us no time to fill that spot with an interested candidate, and that is really frustrating.

Is it worthwhile at all to reach out to a program that denied you but is local to you? The program is about slightly above average in terms of competitiveness... jw if theres any hope. was super bummed when i got the denial so quickly
 
You've mentioned programs interview 10:1 for the spots they have, rank nearly all candidates, and possibly go down their list to #40, #50, and so on in the match. Candidates are encouraged to apply broadly (nationally) to places that have geographic preference and many candidates won't even be looked at by a given program. It seems many programs have no idea who they will get from their rank list, and most candidates won't have an honest idea of where they'll end up or why they're applying to so many programs in the first place. Some candidates are openly told to apply to 100+ programs with a strategy that seems to be throw everything at the wall and see what sticks.

There seems to be a problem here. Curious to know your thoughts on how this could be improved. Should candidates have a hard limit on the number of places they can apply? Should the interview process be more transparent? For example, should ERAS openly disclose how many active applications a program has at a given time? Should programs disclose what their minimums are (e.g. board score cutoff, no LOA/failures), and should candidates be prohibited from applying to programs that absolutely won't interview them based on those minimums? It seems like this could ease the burden on programs, give candidates a better idea of where they stand, and help out community programs that might otherwise end up with empty slots.

Thanks!
 
Is it worthwhile at all to reach out to a program that denied you but is local to you? The program is about slightly above average in terms of competitiveness... jw if theres any hope. was super bummed when i got the denial so quickly

You can, but Id say if you are local and didnt get an interview, you probably didnt meet their standards for whatever reason. I doubt they didnt see your app. So unless something changed like a new good SLOE or something, it isnt going to likely change their opinion. But you cant make it worse than not being interviewed anyways, so whats to lose?
 
You've mentioned programs interview 10:1 for the spots they have, rank nearly all candidates, and possibly go down their list to #40, #50, and so on in the match. Candidates are encouraged to apply broadly (nationally) to places that have geographic preference and many candidates won't even be looked at by a given program. It seems many programs have no idea who they will get from their rank list, and most candidates won't have an honest idea of where they'll end up or why they're applying to so many programs in the first place. Some candidates are openly told to apply to 100+ programs with a strategy that seems to be throw everything at the wall and see what sticks.

There seems to be a problem here. Curious to know your thoughts on how this could be improved. Should candidates have a hard limit on the number of places they can apply? Should the interview process be more transparent? For example, should ERAS openly disclose how many active applications a program has at a given time? Should programs disclose what their minimums are (e.g. board score cutoff, no LOA/failures), and should candidates be prohibited from applying to programs that absolutely won't interview them based on those minimums? It seems like this could ease the burden on programs, give candidates a better idea of where they stand, and help out community programs that might otherwise end up with empty slots.

Thanks!


Here is what I said on this in the application thread:

I don't know what the perfect system would be to be honest. On one hand, I think it would be great if you could limit interviews, but on the otherhand, with the SLOE system being blinded, I don't know that limiting where people can apply is fair either, since people don't really know how competitive their applications are. There just isn't a perfect system.

I think it would be cool if there was a way for students to rank maybe their top 10 or 20 programs in ERAS, and maybe then programs could sort by "included in their top 10 programs" in terms of gauging interest. Maybe that would help? Idk.

Sadly, I don't have all the answers to make this process better. I just work and adapt to the system as is like you all, just the other side of things.
I do think there should be a max # of scheduled interviews. Perhaps 15. If you accept an interview and already have 15, you'd have to drop one.
 
Here is what I said on this in the application thread:
Given that your program has a preference for in-state or nearby candidates, do you disclose this in your program description? Should programs take steps like that, or are those sorts of preferences universally understood? Same goes for other criteria.
 
Given that your program has a preference for in-state or nearby candidates, do you disclose this in your program description? Should programs take steps like that, or are those sorts of preferences universally understood? Same goes for other criteria.

Well we do and we don't. I have a preference for people that are interested in my program. Typically, if its someone out of state, they either rotated or applied to rotate and we couldn't get in. And I look through all those. I also look through neighboring states. And I look through applicants from schools we've matched well at in the past, some of which aren't anywhere close to our state. And I look at any app of someone that contacts us, either by email or that contacts me here on SDN. So its not as easy as just checking a box saying "we only look at regional candidates". I'd venture to say most programs, at least to varying degrees, have some geographic filter they use. Doesn't mean that's all they rely on, it just plays a part.
 
Hey gamerEMdoc, I hope I’m not asking a redundant question (I’ve read through some of the recent posts before asking). Basically I am an IMG with decent step scores in the 240s, I had 2 SLOEs by October 1 that I’m pretty sure are at least top 1/3, I was an EM scribe before med school and I’ve got a bit of research experience. So far I’ve only got 2 interviews from auditions. I know you’ve said to wait until Nov 1 for LOIs, but is that just a recommendation for US students or does this apply to us IMGs as well? I’ve only received 1 rejection of the 140ish programs I applied to so I’m just completely unsure where my application is sitting right now. Any advice would be appreciated as far as waiting until November, or sending some LOIs now, etc. Thanks!
 
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Hey gamerEMdoc, thanks so much again for doing this -- helps add some clarity to a stressful process. In regards to LOIs, around what time should we be submitting them? You mentioned earlier that you really only have one shot at it, so I don't want to email too early on. But at the same time, I don't want to submit too late when there's no interviews available. Also, in regards to content, is it just pretty much highlighting what you like about the program and how you'll be a good fit there? I've only gotten IIs from places I auditioned at so far and applied broadly, so panicking a little bit right now.
 
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