How to choose where to apply

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kwel

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How did you all decide where to apply and how did you know which programs are more/less competitive? Rankings online generally show just the top 10-15 programs, but I'd like to know generally which programs are more reputable/competitive and which are less so, just so I can avoid applying to a bunch of schools from one tier and none from the other tiers.

Just looking at the top 10 or so it doesn't really correlate with reputation of med school or anything obvious like that..
 
How did you all decide where to apply and how did you know which programs are more/less competitive? Rankings online generally show just the top 10-15 programs, but I'd like to know generally which programs are more reputable/competitive and which are less so, just so I can avoid applying to a bunch of schools from one tier and none from the other tiers.

Just looking at the top 10 or so it doesn't really correlate with reputation of med school or anything obvious like that..
Apply where you would like to be in terms of location. Make sure to apply broadly as the field has gotten quite competitive. If there is a specific fellowship you would like to pursue, check to see the programs you are applying to will help you get there. I would avoid programs with only 2 residents because that will make your call schedule very difficult. Make sure all of your programs are not on probation so you don't waste $20-40 on a place.
 
Apply where you would like to be in terms of location. Make sure to apply broadly as the field has gotten quite competitive. If there is a specific fellowship you would like to pursue, check to see the programs you are applying to will help you get there. I would avoid programs with only 2 residents because that will make your call schedule very difficult. Make sure all of your programs are not on probation so you don't waste $20-40 on a place.

I agree with most of this. About the programs with only 2 residents. I think if you can avoid 2 resident programs, it just might be nice to have more people around. On the other hand I interviewed at 2 of them and they were nice programs. The call schedule wasn't terrible, it was just structured differently than other programs - ie: not as front loaded, like a more consistent, but lighter call throughout 1st and 2nd year or more coverage from attendings/fellows, etc...
 
I agree with most of this. About the programs with only 2 residents. I think if you can avoid 2 resident programs, it just might be nice to have more people around. On the other hand I interviewed at 2 of them and they were nice programs. The call schedule wasn't terrible, it was just structured differently than other programs - ie: not as front loaded, like a more consistent, but lighter call throughout 1st and 2nd year or more coverage from attendings/fellows, etc...
Fair point. I avoided 2 person residencies in general so I did not run into this as much. Make a schedule of when places interview, so you can clear out the day for a program you really want to interview at. This is tedious but worth your time. Also, get a friend/family member to check your email as well. If you are sitting for an exam, on a flight, or in a class, the other person can respond to emails for interviews. I did this and ended up having 4 more interviews because someone else could respond to the interview while I was busy. You need to respond very quickly to invites and having someone else to help makes a big difference.
 
Fair point. I avoided 2 person residencies in general so I did not run into this as much. Make a schedule of when places interview, so you can clear out the day for a program you really want to interview at. This is tedious but worth your time. Also, get a friend/family member to check your email as well. If you are sitting for an exam, on a flight, or in a class, the other person can respond to emails for interviews. I did this and ended up having 4 more interviews because someone else could respond to the interview while I was busy. You need to respond very quickly to invites and having someone else to help makes a big difference.

Also, make sure to set you smartphone to "push" emails to the one that you use for the match. If for some CRAZY reason you don't have a smart phone/ipad device that you carry on your at all times, better go out and get one, because you need it! Spots sometimes filled up for interviews within an hour or two of the email being sent out. If you have a tight schedule and need interviews on a certain day, don't be the person that misses out. Be prepared to check your phone here and there on rounds and to step away from the team to answer your phone if you get an invite by phone.
 
I tell current 3rd years:

< 225 Step 1 = ~90
> 225 < 230 Step 1 = ~80
> 230 Step 1 = ~60
> 230 < 240 Step 1 = ~50
< 240 Step 1 = ~40

Obviously more goes into application review, interview invitation, etc. but this is a good rule to follow for the simple reason that most schools have screening figures that don't allow the passage of especially < 225 applications. It's their one metric and so they use it. If you did well on Step 1, but have low publications and marginal reputation letters, maybe you should consider more than what would normally be suggested. You're an adult, use some logic there.

I highly agree with the 2 or less residents opinion. If your coresident is a pain, you'll have a ****ty 3 years. The work is going to be shared.

I'm on the fence about location stuff. I was really impressed with some places I probably never would have picked on location alone. I'm not suggesting that the above person is saying consider that alone, but I'm saying stretch yourself a bit here. For example, I interviewed in Madison, WI and I thought it was an awesome residency with the nicest people; but I hate cold weather. I ranked it high because of how surprised I was. If you go by location alone, you might run into a school in a cool place but with poopy reputation/curriculum.

I also highly agree with the push notifications. Sometimes there will be competitive date selection (like first-comers get a Friday and not a Saturday), which may preclude you from making the interview if you have an interview two days before (for example).
 
I tell current 3rd years:

< 225 Step 1 = ~90
> 225 < 230 Step 1 = ~80
> 230 Step 1 = ~60
> 230 < 240 Step 1 = ~50
< 240 Step 1 = ~40

Obviously more goes into application review, interview invitation, etc. but this is a good rule to follow for the simple reason that most schools have screening figures that don't allow the passage of especially < 225 applications. It's their one metric and so they use it. If you did well on Step 1, but have low publications and marginal reputation letters, maybe you should consider more than what would normally be suggested. You're an adult, use some logic there.

I highly agree with the 2 or less residents opinion. If your coresident is a pain, you'll have a ****ty 3 years. The work is going to be shared.

I'm on the fence about location stuff. I was really impressed with some places I probably never would have picked on location alone. I'm not suggesting that the above person is saying consider that alone, but I'm saying stretch yourself a bit here. For example, I interviewed in Madison, WI and I thought it was an awesome residency with the nicest people; but I hate cold weather. I ranked it high because of how surprised I was. If you go by location alone, you might run into a school in a cool place but with poopy reputation/curriculum.

I also highly agree with the push notifications. Sometimes there will be competitive date selection (like first-comers get a Friday and not a Saturday), which may preclude you from making the interview if you have an interview two days before (for example).
When I meant location, I was referring to making sure you would be ok living in a certain area of the country. If you hate cold weather, maybe Wisconsin or Cleveland aren't great spots for you. If you hate hot weather, maybe Houston isn't the right place for you. Stretching yourself is a good point though. I visited places that I thought would be bad and I ended up loving the location and the faculty. If you enjoy the people you are working with, even the hardest hours or the worst weather won't ruin your day.

As for the Step I score, you do have to apply to more programs with a lower score. However, a good number of programs do not screen exclusively based on Step I. I knew those with 220's who got into excellent programs.
 
Is it the same in ophtho as in some other specialties where an applicant typically has the "best chance" of matching at their home program?

...also, for fellowships, do many just stay at their home residency program -- or is it looked down upon as "academic inbreeding" of sorts?

I think that largely depends on your home program and historically whether or not they like to take their own... My home program applies the exact same standards to those they take from home vs those they take from outside, so some years they take nobody from our class.... I think at some other programs if they know you and have worked with you over a few years, they are more inclined to take you as long as you are a good fit.
 
Is it the same in ophtho as in some other specialties where an applicant typically has the "best chance" of matching at their home program?

...also, for fellowships, do many just stay at their home residency program -- or is it looked down upon as "academic inbreeding" of sorts?

I've always heard that statistically your best chance of matching is at your home program. I'm sure that varies with the program though.

No idea about fellowships.
 
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