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siimpleton said:I was wondering the typical question for those who matched (and didn't) USMLE scores, school, class rank, honors in ER, MED SURG, others? Whatever you're willing to share. Also if you know of any statistics onthis anywhere. thanks!
Small correction here. 🙂QuinnNSU said:You should definately do a search for that, but my four were:
Community ED doc at Level 2 Trauma Center
EM Attending at EM Residency
Trauma Surgeon at Level 2 Trauma Center
Pulmonlogist
Q
roja said:One away rotations (already had my LOR's but it was in NYC where I wanted to be which is a small EM community).
Your LOR and doing an away can really help. research where you think you might want to go.
willlynilly said:maybe someone can make a sticky or somethhing out of the one that is most complete..-..
mvalento said:koko,
well, i guess everyone is going to be looking for slightly different things in a program though you have already hit upon two of the most important: location (seems you have that one figured already) and 3 vs 4 year. other things that were important to me when i was interviewing:
-how many months of elective time are available? clearly there will be more at the 1-4 programs though some 3 year programs surprised me with how much they fit into their curriculum
-is there a flight program? if so, is it mandatory? (can be a good or bad thing depending on your desire to fly)
-county vs. private vs. mixed practice
-what is the class size? (# of residents at the places i saw ranged from 6-19. i personally prefer a larger class)
-is there an orientation month? (seems like a nice feature to a program)
-what % of graduates get academic positions?
-does the program have a particular area of strength? (e.g. loma linda and international medicine)
other things to consider include research requirements, shift length/frequency during ED months, off service rotations (e.g. the program i matched at (cincy) has no floor months!), and so forth. there are surely other things that i left out which are important to other applicants; these were the things that i considered when ranking programs.
bud
mvalento said:koko,
kind of tough questions there. certainly, if you perform extremely well during an away elective it will really help your chances of matching at that program. however, it also should improve your chances elsewhere, since a good performance should generate a solid LOR which is what program directors really look for in an application.
different programs have different methods of who writes LORs for their students; for instance, at NYU the clerkship director will create a letter from all the feedback he receives from the department staff during your time in the ED- this is provided for anyone who asks for a letter. however, you are also free to ask a particular attending for a letter if you feel it's appropriate (if you have worked with a particular attending for several shifts, have a good rapport, etc).
conversely, the program i visited for an away elective (hennepin) assigns each student a 'mentor' who works several shifts with you; this attending was aware that he/she would be writing a letter for that student on day one of the rotation (provided you are a good student, of course).
my advice for you would be to choose the NYC program that you are most interested in at this point and apply for an elective- i wouldn't worry too much about how this will affect your standing at the programs that you don't choose. program directors realize that you only have a very limited amount of time to spend at other sites. the most important thing is to do well during the elective and get a solid LOR. i was asked about my away elective at many interviews but i never got the feeling that the interviewer was assuming that i really wanted to go there (e.g. "why do you want to come here if you rotated at hennepin?"). they just want to see that you can perform well in the ED, no matter where it is. i matched at a program that i did not rotate at; in fact, all of my friends who matched in EM this year ended up at places that they did not rotate at but ended up ranking higher than those they did electives at.
hope that's not too confusing. one last piece of advice- apply for an away elective early! you don't want to be trying to find open spots during the summer. if you want a letter from your away elective, you'll need to rotate there by september at the latest. good luck!
bud
roja said:koko-
Regarding NYC. Some of thies depends on how strong your application is. If its really competitive (ie good class rank, high board scores, strong LOR's, research) then you will probalby interview at most places in NYC. And where you rotate will become more of an issue of what hospital appeals to you most.
However, if you are a 'medium' applicant or have some 'flaw' (and I use this word with trepidation) then you need to do some significant research and figure out where you are really interested in. An away rotation that you do really well in can completely obliterate any 'flag' in your application. (this happens every year here)
So, go to www.scutwork.com and do a little research (look at what the med students say)
As a med student things you want to look for are:
-dedicated time with an attending. Your subi is going to be much more productive if you are working one on one with an attending instead of a resident.
-in a location that is good for you.
-is at a place that you are interested in.
Check out the EMRA website and figure out what kind of questions appeal to you. Do you want 3 or 4 year.
Do you need to be in manhatten? Do you want a 'down and dirty' county experience? a combination? purely cushy? any and all are available in nyc.
Its also a small small world. Rotate carefully here if you are interested and NEVER say an;ything bad about a program in nyc. the PD's ALL know each other. well.
roja said:koko-
No problem. As you get closer, if you have a better idea of what you are looking for (other than location) let me know. I am familiar with the vast majority of the programs in NYC as I interviewed at many of them.
willlynilly said:maybe someone can make a sticky or somethhing out of the one that is most complete..-..
Jarabacoa said:I disagree with this attitude that is so commonly presented on this website. ER just got so much more competitive this year that some past advice no longer applies. I think it is very relevant, if not vital, information to know for future applicants to gauge their competitiveness. Armed with this knowledge, they can better know how many programs to apply to and to interview at.
I plead with you old-timers to butt out of this thread and let people post their scores and stats for this year. Like I said, applying to ER is a lot more competitive.
waterski232002 said:Agree... I know of at least 4-5 applicants this year that have had board scores >240 with solid applications; however, they did not match in their top 3.... That is crazy!!!
I also know a guy...
NinerNiner999 said:Not to butt in here and I hope I'm not considered an "old guy" by interjecting, but this is exactly why I think threads like these with board scores are useless. For every person with a board score higher than 240 who doesn't match, there is a person with a board score below average who did. Who knows what some of these applicants do in their spare time. Sure, an AOA board score higher than 240 sounds impressive, but if they don't have any outside activities, relevent ED experience, or can't interview their way out of a paper bag they will not match. Period. Board scores, grades, etc excluded.
EM is just as competitive now as it has been for the last five years, and the stigma about board scores continues to perpetuate it's difficulty. Look - this field is NOT like orthopedics, radiology, or dermatology, where board scores and dedication soley to medicine and research are the norm for a competitive application. IMO if you are looking at this field as an elitist field and aren't maintaining a well-rounded life outside of the hospital, you have already damaged your application and would probably have a better chance of matching in another field. That's just the way it works... I don't have time to think about whether the person in the trauma bay with me putting in that central line was AOA or scored 240+ on their board. The only thing I worry about is how they work with me and how comfortable I am to work with them. To be truthful, most programs who interview candidates think about the same thing. Then again, it can be tough to be well-rounded in medicine and perhaps that in itself is the most challenging aspect of a successful match in EM.
waterski232002 said:I think out of Anesthesia, Gen Surg, and EM.... Anesthesia is the least competitive, followed by Gen Surg, then EM being most. I think the big difference when applying to EM is that your LOR and EM grade have a TON or weight! Probably much more so than in the other 2 fields. Not having honors in your EM rotation, and not being highly recommended on LORs can really hurt you. And being social and well-rounded is definitely a huge plus.... (whereas in surgery this isn't a big deal, they want you to be a slave!)
Willamette said:According to the #'s, for the past two years GS has been FAR MORE competitive than EM.
http://medicine.wustl.edu/~residenc/outside/spec/byspec.html
Willamette
Most of those surgery spots unfilled are transitional, not categorical.turtle said:how does this figure when em had 24/1188 unfilled (98% fill) while gen surg had 473/2382 unfilled (80% fill). these numbers suggest to me that em is more difficult to get into than gen surg.
Jarabacoa said:I disagree with this attitude that is so commonly presented on this website. ER was slightly more competitive this year making some past advice no longer applicable. I think it is very relevant, if not vital, information to know for future applicants to gauge their competitiveness. Armed with this knowledge, they can better know how many programs to apply to and to interview at.
I plead with you old-timers to butt out of this thread and let people post their scores and stats for this year. I think people should know best case and worst case scenarios.
turtle said:how does this figure when em had 24/1188 unfilled (98% fill) while gen surg had 473/2382 unfilled (80% fill). these numbers suggest to me that em is more difficult to get into than gen surg.
waterski232002 said:I think out of Anesthesia, Gen Surg, and EM.... Anesthesia is the least competitive, followed by Gen Surg, then EM being most.
waterski232002 said:Agree... I know of at least 4-5 applicants this year that have had board scores >240 with solid applications; however, they did not match in their top 3.... That is crazy!!!
I also know a guy who had board scores in the 230's, good LOR's, and publishable international emergency medicine research, who only got 1 interview out of 15 programs he applied to.... He ended up applying to Anesthesia b/c of the dismal outlook in EM and matched at Mayo (anesthesia)...
To those posting dubious match horror stories: at my school -- a good place, but not a top school by anyone's measure -- 10 of the 125 seniors scored above 240 on step I. Last week a dozen matched EM (since quite a few matched in plastics, ENT, and orthopaedics, odds are most of the EM folks were not among the 10 with 240+ boards. For those who care, the dozen includes people bound for places such as Johns Hopkins, the University of Pittsburgh, and UCLA-Harbor. Last year was the same.
To those who complain about repeat questions on this forum: this is an anonymous website for those who are either seeking information or have information/experiences to share. It is not a club, nor is it a table in a middle school cafeteria. When this forum begins to bore you, take that as a hint that it is time to find something else to do.
These statistics do not tell the whole story! According to the figures on that website, General Surgery was MORE competitive than Neurosurgery, Orthopedics, Ophthamology, and Radiology in 2003!!!! I don't think so!Celiac Plexus said:I beg to differ... based on NRMP data, general surgery is significantly more competitive than ER. Anesthesia is not competitive at all.
2004 numbers:
Number of unmatched US seniors applying for ER: 70 (% US seniors matched: 93%)
Number of unmatched US seniors applying for general surgery: 201 (% US seniors matched: 81%)
2003 numbers:
Number of unmatched US seniors applying for ER: 36 (% US seniors matched: 96%)
Number of unmatched US seniors applying for general surgery: 175 (% US seniors matched: 82%)
http://medicine.wustl.edu/~residenc/outside/spec/EM_info.html
http://medicine.wustl.edu/~residenc/outside/spec/GS_info.html
These numbers on the WUST web site are from the NRMP data and the general surgery unmatched numbers are the categorical surgery numbers. The 2005 numbers are likely to be even more competitive for general surgery.