How much does not honoring hurt

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bowlofmushypeas

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How much do you guys feel like it hurts residency chances if you don't honor in the associated required rotation? For example, only getting a high pass on peds if you're hoping to match into peds or into med if you're hoping to match into med, etc.
 
How much do you guys feel like it hurts residency chances if you don't honor in the associated required rotation? For example, only getting a high pass on peds if you're hoping to match into peds or into med if you're hoping to match into med, etc.

It depends on the specialty and the program, but yeah it can definitely hamper you in some programs. I know the top medicine programs are pretty tough about it, but I think peds is not so tough about it. It also depends on what else you bring to the table.
 
i just had meeditn with a residency director today (for pediatrics) and we talked a little bit about this subject. Its pretty dependent on place and specialty. He said he definitely does look at that grade and its a major plus if you've honored it, but at the same time he doesn't throw your application away if you don't. I think most places tend to care about your medicine grade, regardless of what you are going in to (he supported this statement as well). They also realize how subjective these grades are and a lot of the time its luck of the draw whether or not you get an attending that is actually going to take the time to evaluate you or just give you straight 'average' and move on with the rest of his/her day without thinking twice.
 
Always hearsay, but I have been told that it is a little more of a red flag if you don't have any honors rather than not honoring your specialty of interest. There are far too many factors contributing to that, but it is just one of those deals where they know it takes success on test, social savvy, and a bit of luck to get honors on any given rotation. Plus, it is just different for every school. Some say top 20% while others are top 10%. Some require 70+ percentile on shelf while others are 85 or 90.

Short story made long, it may help you if you do, but it won't kill you if you don't.
 
How much do you guys feel like it hurts residency chances if you don't honor in the associated required rotation? For example, only getting a high pass on peds if you're hoping to match into peds or into med if you're hoping to match into med, etc.

Of the people that I know who matched pediatrics, only two or three (out of seven or eight) actually honored peds. They however matched at very competitive peds programs... and with THAT being said, they were also both AOA students who honored all their rotations.

I don't think it's an absolute necessity, but it can only ever look good.

For Medicine, my understanding is that while an honors looks good, it's not necessary, much the same for peds - competitive programs look favorably on it. Surgery I believe actually DOES look at an honors in the surgery rotation very favorably.
 
In general I agree with the responses that it is helpful to honor your pedi core but not a make or break issue, even for the highest ranked programs. It is something that can readily be "made up for" with good written evals in pedi electives. Honoring medicine or other rotations including OB/Gyn is also helpful. Do not exclude ANY pedi program for consideration based on not honoring your pedi core.

Now, if you failed pedi with comments that you were hated by the kids you interacted with......😎, perhaps consider another field.
 
If you do not honor a rotation in the field that you want to go into, if its relatively competitive such as Gen Surg, or EM or something, do a SubI or two in the same specialty. Not only are you showing interest in the specialty and doing SubIs, but by (hopefully) honoring those, you are demonstrating competence and excellence. Good luck.
 
Awesome, thanks for the feedback everyone! Sort of a tangent, can anyone clarify what counts as a sub-i since I think our school doesn't label courses this way. Is it pretty much just an elective taken within a field? E.g. genetics for peds, rheumatology for med, etc?
 
It's an acting internship. AKA one month of showing you can handle the responsibilities of an intern. Usually done in medicine, peds, or surgery.
 
Awesome, thanks for the feedback everyone! Sort of a tangent, can anyone clarify what counts as a sub-i since I think our school doesn't label courses this way. Is it pretty much just an elective taken within a field? E.g. genetics for peds, rheumatology for med, etc?

No, a sub-internship is usually done in one of the core rotations; you take them during 4th year where you're supposed to take on more responsibilities in patient care, much like you would as an intern.
 
Is it weird that my school doesn't have sub-i's for peds? It does have them for surgery and family med, but not much more. Also, I realize it varies drastically from school to school, but it seems like most are like mine where the top 10-15% honor per rotation. Since it's awkward to ask people in real life 🙂, how often are most people honoring?
 
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