Hi there,
If you are a third-year or earlier medical student who is interested in matching in General Surgery, there are some things that you can do to improve your chances.
1. Score as best you can on USMLE Step I. I know many middle tier programs that will not interview anyone with USMLE Step I scores less than the mean so do well on this exam.
2. Get a good faculty mentor in General Surgery, put your credentials in front of this person and get some good advice. Give your advisor a list of programs (at least 30 if you are not a strong candidate) that interest you. Be sure to apply to your home school program even if you are not going to rank it.
3. Get to know the chairman of Surgery at your school. Surgery chairmen make poor faculty advisors but they should know of your interest in surgery. After you and your surgery faculty mentor have pared your programs down a good solid number, you should allow your surgery chairman to look at that list. Often the chairman can make a phone call in your behalf to the chair of your dream program that will open a door.
4. Do well in your general surgery rotation. You should get Honors here and Honors in Internal Medicine won't hurt your application either.
5. Do an away rotation at a highly ranked program and be prepared to work hard. You may not match there but you may catch the attention of a nationally known surgeon who can write a letter that will open doors for you. This can backfire if you screw up so don't screw up.
6. If you are a first or second year medical student, join your surgery interest group and be active. This gets you in touch with surgical residents and faculty members who can give you good advice, offer you research projects etc.
7. If you are a third-year medical student who had a mediocre USMLE Step I score and grades, take a surgery research elective and write a good paper. Do this elective early fourth year and at least get a published abstract out of your work. This is where having a good relationship with surgery faculty can be golden. You are going to need to do well on USMLE Step II and you are going to need to do some audition rotations if you want to match up.
8. Do well in every rotation. If you have a string of honors during third year, you can greatly improve your chances of matching well. Be sure to get good letters of recommendation from surgeons at your institution who know you well. I have a friend who failed USMLE Step I but is now a categorical resident at a solid academic program. He worked very hard during third year and he posted honors in every required clerkship. He also had the backing of the surgery chairman.
9. Dont' apply to General Surgery programs without a solid letter from the Chairman of General Surgery at your school. If this letter is not in your folder, you won't get many interviews.
If you have good grades, AOA and stellar USMLE scores, don't rest on your laurels. You may not have to do as much work to match well but you still have to present yourself well.
Good luck to all my "bros" that will be working on matching in the future. Categorical surgery went back into the competitive category this year(totally opposite when I applied two years ago). Do some solid planning and get the career that you want.
njbmd