Internship Evaluations

[futbolisking]

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What's the bigger picture with residency evalutions? At strong medicine programs, I imagine most people get the same satisfactory/good evaluations with a few people getting exceptional grades and a few people getting poor ones. On a scale of 1-9 what is average vs good vs bad? If you end up in the middle of the pack when its all said and done, does this hinder you from going for competitive fields like cards or gi? Can research overshadow an average performance for these fields?

Just asking cuz it seems harder to stand out in residency. In med school it was easier cuz not everybody would be interested in medicine and I didn't come from a great school but now in residency at a better program, I feel the standard is higher and my peers are just as good as I am. For fellowship reasons, I am wondering if it would have been easier to be a bigger fish in a smaller pond...

 

[dragonfly99]

Keys to getting a medicine fellowship
1) get to know key faculty in that subspecialty so they like you and want to write you a LOR
2) research is good if you can do any at all
3) decent clinical evaluations and stay on the good side of your program director and everyone else
4) decent, hopefully good USMLE scores

I don't think clinical evaluations outside of the area you want to go in to are super duper important, as long as you do OK. What's important is what your PD chooses to say about you in your letter of evaluation that you'll have to get from him to do a fellowship...he has some creative license there. If he liked you, he might say your average evaluations were "a very solid performance". If he doesn't like you, he might call your average evaluations "average".

Start kissing up to the faculty in your desired specialty area. That is my best advice.