MSPE negative comments

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aspiringdoc345

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Hello Fellow Doctors,

I just wanted to know your opinion about what I should do about some comments on my MSPE.

The first comment I got was from my first rotation. We get graded as Pass, Fail, Honors. The doctor gave me honors however when I recently got a copy of my MSPE his comment said I lacked communication as well as empathy.

I am horrified that the last sentence will prevent me from getting interviews and matching. Mind you all my other comments were positive and said I had great interpersonal skills. So do my letters.

Please let me know what you guys think.
 
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Did this attending ever give you feedback regarding "limited empathy and communication" or did it just randomly show up in your MSPE? If it is the latter, I am sorry to hear this happened to you. Your grade and evaluation for a rotation should never be a surprise. Although common practice, it is unproductive and cowardly to not give a student feedback while they are on the rotation and then screw them over on the end-of-rotation evaluation.

If it is in your MSPE, there is really nothing you can do about it unless it was an error (e.g. evaluation for the wrong student). I don't think that one particular comment will hold you back; being an IMG will be the bigger issue but I am sure you already know that. My advice is to be prepared to show how you are working to address this weakness if asked about it in an interview. Other than that, move on and focus on the rest of your application.

But seriously, what does "lack of...communication" even mean? 😡
 
Thank you for your reply. And no it was never brought up to me. It just appeared out of the blue on my final eval which I never even saw. I just found it on my MSPE which is why it's so annoying.
 
Certainly understand your frustration. Again, probably best to roll with the punches and divert your attention elsewhere. Best of luck to you!
 
I would focus on the result of Sub-I. That preceptor had one or few students not the bigger number in a clerkship rotation. Say what you have done to improve your communication and empathy.

Programs dont like to hear excuses, so tell them how the comments will make you a better psychiatrist.
 
doublecheck this comment was meant for you and your MSPE with your school's office

at my school, you could challenge instances where there great discrenpecies between grades and evals, it wouldn't be wrong to just *nicely* bring this up to your school's office depending on your school's culture

at my school you could contact the clerkship director, however, it's important that if you do, and that if they are involved in the residency process at all, that you are *extremely* diplomatic, given your MSPE comment you may or may not have this skill

the way to go about it would be to just express surprise at this comment, you didn't see it coming, and you would just like to have more feedback if this is just what the evaluator thought of your performance (the implication being that perhaps this wasn't *exactly* how they wanted to word it.... this could lead to an edit that might soften the language, or it might just teach you something you clearly need to know, because being perceived in a way that one can't connect to one's own performance... is worth addressing) the latter half of that parenthetical statement would be the part you would want to state as your motivation, if you went this route to look into this

those avenues aside, all specialties know that you rotate in other specialties, and would expect you to show interest and do well. as far as having "intense interest" that's fine

usually programs wouldn't know you're applying to more than one specialty unless you tell them, it's somehow gathered from your LORs, you're asked directly, you apply and interview for both programs at the same institution, or they just have a spidey sense

if that happens, I don't know what to tell you

if you're asked if you have any other specialty interests or "your letter notes intense interest in psych" etc:

some specialty interests you can *easily* leverage into "why this other specialty is right for me"

you can say how much you appreciate addressing the psychosocial determinants of health, understanding your patients from an emotional standpoint, the doctor/patient therapeutic alliance and its psychology, and that was what you enjoyed about psychiatry. however, you feel you would be extremely frustrated in not using those skills in managing the "whole patient", diabetes and other chronic illnesses included. you feel that family medicine is right for you for blah blah blah that is specific to FM and not to psych, and that you think you will get plenty of psych-related exposure and use of your strengths in that field in family medicine.

just ideas

best of luck, and ditto what people said above, defensiveness, no matter how much you may have been wronged, will get you NO WHERE in medicine, ever
 
Go back and check your original evaluation where the comments first appeared. I had a weird comment show up on the first draft of my mspe that was meant for another student. Obviously they corrected it after i sent a copy of the original eval with a markedly different comment.

If it's legit you may be stuck with it, but if it's one comment in a sea of good comments, it may get drowned out.
 
Go back and check your original evaluation where the comments first appeared. I had a weird comment show up on the first draft of my mspe that was meant for another student. Obviously they corrected it after i sent a copy of the original eval with a markedly different comment.

If it's legit you may be stuck with it, but if it's one comment in a sea of good comments, it may get drowned out.
I highly doubt someone considering a potential resident would skim over an MSPE. Love your optimism though.
 
I highly doubt someone considering a potential resident would skim over an MSPE. Love your optimism though.

Honestly all MSPEs kinda look the same after a while. Only red flags stand out. I might ask about this in an interview if I see it, so probably a good idea to talk to your evaluator, especially if you indeed are going into psych.

I'm just one psychiatrist, but overall this wouldn't worry me a ton. No one is particularly good at psychiatric patient interviews in the first six weeks of doing them. It's why we have you go thru 4 years of residency after all, and improved communication skills are part of the process.
 
You might emphasize how your role as a medical student changed over time in terms of participation and responsibility. Initial clinical rotations are more of a watch and learn situation, and gaining a greater role requires some demonstration of responsibility and skill progression over time. As a medical school faculty member, I would take those buzzwords with a grain of salt unless they are backed up with specifics. When you read MSPEs you see a lot of programmed speech and cut and paste templates. This is discounted in favor of recommendations and first hand information. Good luck!
 
Lol - most MSPEs are >10 pages when you include all the appendices. Multiply that times hundreds (To thousands, depending on field) of applicants and you've got thousands of pages to read, and that's just for one piece of the application. So yeah, on the average some skimming is involved, especially at the pre-interview screening stage.
Thanks for the clarification. I didn't think it would be that much work.
 
not sure how someone on a psych rotation can be limited in empathy and communication and get honors =/

Agreed, utter nonsense

It's like: "Despite completing 150 successful cholecystectomies, Dr. X's anatomical understanding of Calot's triangle remained limited."

Somehow 2 + 2 can equal 5, depending on who is evaluating you
 
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