interview with plastics program director at Brown

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zpdoc

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hey guys, I was searching around and found this interview randomly. It sheds some interesting light on what some PD's are looking for in applicants:



(1)What do you find most exciting about the field of plastic surgery?



The fact that each patient is different, and each patient requires a

different solution. This makes the specialty always interesting and always

challenging.



(2) What is your typical week like? How much time is devoted to

teaching, academics, and surgery?



Since I run a training program, a certain amount of time each week doing

administrative tasks. I take care of a lot of patients, usually with

residents and students involved, and at any one time I'm usually writing a

paper or two. My workweek is 100 to 115 hours, some of which is done at

home. My wife thinks this is too much, and I always feel it will become

less, but it never seems to.



(3) What are some of your interests outside of plastic surgery and

teaching?



I'm a musician, and usually play several times a week, and also sing in a

choir. I play tennis and golf, and love to read outside medicine -- usually

history.



(4) What advice would you give a first year medical student who

approaches you and says, "I want to be a plastic surgeon".



Spend time on the plastic surgery service-- get to know your plastic

surgeons and what they do.



(5) Although many advisors tell students to keep an open mind through

the first two years of medical school, many residency programs like to

see research and an early commitment to plastic surgery. Is it is 'too

late' to become interested in plastic surgery in the 3rd and 4th year of

medical school?



No, not at all. Good research in any field -- any evidence of productive

academic activity -- will be looked upon favorably, but you should become

involved to some extent with the plastic surgeons in your institution to

demonstrate that your interest in plastic surgery is not completely

abstract, and does have a foundation in real experience. Also, it helps to

have a recommendation or two from plastic surgeons.



(6) The list of integrated programs appears very dynamic and ever

changing. What trends have you seen among the integrated/combined and

independent programs? And what has been the impetus behind these

changes?



Clearly the trend in plastic surgery has been towards integrated/coordinated

programs, at least partly because the pool of applicants from General

Surgery seems to have dwindled, and the applicants from medical school are

so very good.



(7) What advice do you give to a fourth year medical student applying

for a PGY-1 plastic surgery position? How would you assess whether or

not a student should 'risk' not matching in this highly competitive

match?



There are still plastic surgery programs taking applicants from General

surgery, so I would suggest that besides the PGY-1 positions, you should

apply to the best General surgery programs you could get into. That way, if

you fail to match in plastic surgery, you still have the option of applying

for plastic surgery programs from General surgery. You also might fall in

love with General surgery and stay there!



(8) Comparing the traditional route (general surgery plus a fellowship

in plastic surgery) and the integrated/combined model:

(a) What model makes the better plastic surgeon?

(b) Are there any striking disadvantages of either path?



Both models make good plastic surgeons. For many years we trained one

traditional resident side-by-side with a coordinated resident, and found

that at the end of the residency, everything had leveled off-- we could not

tell the difference. There are no striking disadvantages of either path--

only differences of logistics that can be taken advantage of by individuals

with different requirements.



(9)Generally speaking, what makes a good plastic surgeon?



Below are a list of traits. On a scale of one to five, one being

'minimally important' and five being 'essential' to a good plastic

surgeon or plastic surgeon resident, how would you rate the following

traits or characteristics?



_3__ intelligence



_4__ artistic ability



_4__ dexterity/technical skills



_4__ visual-spatial skills



_4__ compassion and empathy



_4__ communication skills



_5__ dedication and hard work



_4__ ability to get along with others



___ (Other)_________________



(10)Please describe some of the strengths of your program. Why should a

student apply to Brown's program?



The Brown program is very nicely rounded, with good clinical experience

throughout the range and scope of plastic surgery, a very strong research

program, a dedicated attending staff, and a superb group of fellow residents.

Besides, Providence is a great place to live and train.



(11) Generally speaking, what do you look for in an applicant? And what

do you NOT look for?



Dr. Edstrom, regarding the list below, could you please rate the

following on a scale of one to five with respect to the selection

process (again, one being minimally important and five being essential).





__4_ USMLE Step I



__4_ USMLE Step II



__4_ Class Rank



__4_ Clinical evaluations



__4_ Letters



__4_ Research experience



__2_ Geographic location (that is, do you tend to select from the

East Coast, etc.)



__3_ The medical school the applicant attended



__2_ The undergraduate school the student attended



__4_ AOA membership



(12)What electives do you like to see students taking in the fourth

year? What advice do you give students who choose to do only plastic

surgery electives during their fourth year to "improve" their chances of

__3_ The medical school the applicant attended



__2_ The undergraduate school the student attended



__4_ AOA membership



(12)What electives do you like to see students taking in the fourth



__3_ The medical school the applicant attended



__2_ The undergraduate school the student attended



__4_ AOA membership



(12)What electives do you like to see students taking in the fourth

year? What advice do you give students who choose to do only plastic

surgery electives during their fourth year to "improve" their chances of

matching?



I don't think which electives an individual takes are of particular

importance. Take what interests you and best rounds out your experience.

But see question 13 below.



(13) Does doing an audition rotation at Brown guarantee a courtesy

interview or improve a student's chances of matching at Brown?



There is no question that a good candidate improves his chances by spending

a month with us here in Providence. Just the opposite for a weaker

candidate.



Dr. Edstrom, below are some of the nuts and bolts behind our database.

It has been my experience that these are some of the most commonly asked

questions by medical students.



How many students generally apply to your program per year?____150____



How many students do you generally interview per year? ___25 to 30____



How many PGY-1 positions are available per year? ___2____


It has been my experience that these are some of the most commonly asked

questions by medical students.



How many students generally apply to your program per year?____150____



How many students do you generally interview per year? ___25 to 30____



How many PGY-1 positions are available per year? ___2____



What are your average USMLE Step I scores? ____we generally will not

interview a candidate under 225, with some exceptions.___



What is the class rank of the typical student interviewed?___upper quarter__



What medical schools have you matched in the last five years?



BU, Yale, Northwestern, Loyola, UT Southwestern, Alabama, Ottawa,

Mount Sinai, and University of Massachusetts (Worcester).



Regarding letters of recommendation: How many do you prefer? How many

is too many? From what department(s)? And from whom (department head

versus someone who knows the student very well).



See below. In general we like to see letters from plastic surgeons,

indicating actual experience in plastic surgery, and evaluation by people we

know.



Perhaps the most important question, Dr. Edstrom: How do we apply?



We are now part of the ERAS system, and that makes the application process

easier for all of us. The student performs the application process only

once, and sends its two as many programs as he wishes -- for a fee, but no

extra work.

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