Applying Anesthesia this cycle. Osteopath who didn't take the STEPs (regretting everyday). Got a couple of interviews but pretty sure not going to match this year. Now thinking about alternative plan but not sure weather to do a TRI or prilim year. I am pretty passionate about anesthesia and determined to pursue this specialty. Planning on taking the STEPs. I have a few months to study for it before graduation while doing some easy rotations during 4th year. Any advice on TRI or Prelim? Appreciate the feedback!
needing some advice
- Thread starter bz1024
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I didn't know it was possible to not take the steps....
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hi appreciate the quick reply. Do you recommend TRI over prilim for any specific reasons for anesthesia? or vice versa. I am applying for acgme TRI programs first and if that doesn't work out, my last back up is scrambling into a TRI (either acgme or aoa).
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why not apply to both transitional and prelims. Transitional is a lot more competitive and you'll be competing with peeps doing derm, rads, opt, ect. I wouldn't bet on scrambling into a transitional year.
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At this point you need to apply to every prelim spot you would consider acceptable, and that range should probably be pretty large
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I would say Med would be easier than surg. But then, surg would probably prepare you better. But I echo the post above, you are quite late in the cycle. Luckily, a lot of prelims aren't sending out invites yet, and with you not taking any steps - that'll be tough.
I was in your position last year as a DO, with only USMLE step one taken. I should let you know that my last interview offer came in mid December, and I was able to get that spot by calling the coordinator directly. Don't give up yet. I did end up matching, but had to SOAP a preliminary surgery year.
You should keep in mind that ACGME anesthesia programs will not accept AOA TRI years as credit for your first year of training. If you want to hold out any hope that your next year will count for something in the eyes of the ACGME, make sure to do a transitional year or prelim year, not a TRI.
Prelim-med is likely easier. I'm still undecided whether med or surg would better prepare you for the future.
You should keep in mind that ACGME anesthesia programs will not accept AOA TRI years as credit for your first year of training. If you want to hold out any hope that your next year will count for something in the eyes of the ACGME, make sure to do a transitional year or prelim year, not a TRI.
Prelim-med is likely easier. I'm still undecided whether med or surg would better prepare you for the future.
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ACGME programs will accept an AOA TRI. You just have to make sure you have the required months(ER, ICU, etc).
Yes, they have always accepted an AOA TRI. Now with the merger there is no way they cannot accept it. I only mention an AOA TRI year because it will be easier to get etc. Sure you can do a prelim medicine year too.
Thanks everyone for the recommendation. Right now, I am still trying very hard to match this year. I have done a number of audition rotations where I impressed a lot of faculty from different programs. Got some really good letters, but the feedback from the PDs have always been if only you had a usmle score then we would have no problem taking you since i did so well during audition rotations. With being said, I am between applying ACGME transitional year vs. prelim med year. and the back up for that is scrambling into scrambling into those programs. Someone has a good point the con of applying ACGME transitional year is competing with those who are doing derm, rads. etc so I probly wont be competitive enough, so i am leaning towards acgme prelim med at this point. What do you guys think? is it reasonable?
I know this has been asked before, what do you think about using my anesthesia personal statement for prelim med? Tweak it a little bit or just go ahead and turn same stuff in? Again, sincerely appreciate all your feedback!
I know this has been asked before, what do you think about using my anesthesia personal statement for prelim med? Tweak it a little bit or just go ahead and turn same stuff in? Again, sincerely appreciate all your feedback!
It is not too late to apply to prelim med. As someone above said, many programs will not even have started interviewing yet.
In spite of what people above are claiming, the program that I matched into was explicit that an AOA internship would prevent me from starting my CA-1 year next year. Similar sentiment was echoed at other programs. The merger is not in effect yet, and programs are free to do this until the merge is complete.
Your mileage may vary, but some programs will not credit an AOA intership towards completion of your four years of residency. If you are doing an intership next year and then match to a categorical spot the year after, this discussion is academic. If that is not the route you go, say you match at an ACGME advanced slot this cycle, you would be well served to ask them if they will accept an AOA TRI.
In spite of what people above are claiming, the program that I matched into was explicit that an AOA internship would prevent me from starting my CA-1 year next year. Similar sentiment was echoed at other programs. The merger is not in effect yet, and programs are free to do this until the merge is complete.
Your mileage may vary, but some programs will not credit an AOA intership towards completion of your four years of residency. If you are doing an intership next year and then match to a categorical spot the year after, this discussion is academic. If that is not the route you go, say you match at an ACGME advanced slot this cycle, you would be well served to ask them if they will accept an AOA TRI.
Here is the relevant information from the AOA.
"But for osteopathic medical students entering into specialties in ACGME advanced (as opposed to categorical) residencies with a preliminary internship year the impact is more significant. An AOA accredited traditional rotating internship (TRI) will no longer be accepted to fulfill the advanced residency requirement starting July 2014. So interns must have attended either an ACGME or RCPSC internship or repeat an internship in an ACGME accredited program to continue on to an ACGME residency. This will prove especially difficult for those needing to undertake an intern year in the 4 states that require an AOA TRI for DO licensure (FL, MI, PA, OK) unless a Resolution 42 waiver is granted to bypass this requirement.
Similarly, for osteopathic residents entering into ACGME subspecialty fellowships, they must have attended an ACGME or RCPSC accredited residency in order to be eligible starting in July 2015. This would significantly affect, although not be limited to, those desiring to enter into allopathic medicine subspecialty fellowships as well as those specialties that have few fellowships or where the AOA currently completely lacks fellowships."
"But for osteopathic medical students entering into specialties in ACGME advanced (as opposed to categorical) residencies with a preliminary internship year the impact is more significant. An AOA accredited traditional rotating internship (TRI) will no longer be accepted to fulfill the advanced residency requirement starting July 2014. So interns must have attended either an ACGME or RCPSC internship or repeat an internship in an ACGME accredited program to continue on to an ACGME residency. This will prove especially difficult for those needing to undertake an intern year in the 4 states that require an AOA TRI for DO licensure (FL, MI, PA, OK) unless a Resolution 42 waiver is granted to bypass this requirement.
Similarly, for osteopathic residents entering into ACGME subspecialty fellowships, they must have attended an ACGME or RCPSC accredited residency in order to be eligible starting in July 2015. This would significantly affect, although not be limited to, those desiring to enter into allopathic medicine subspecialty fellowships as well as those specialties that have few fellowships or where the AOA currently completely lacks fellowships."
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Maybe true, but that doesn't mean they haven't filled their slots. What are we, 1.5 months in?
thanks for the pointers and the statement. As far as prelim med, I personally prefer ACGME programs as well, especially at those programs that already have anesthesia residency program in place.
I hear you. I am sure I would be way better off had I applied when ERAS first opened. It was my fault that I did not have an alternative plan from the beginning. Hope applying to 30 programs would at least help a little bit.
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There tend to be open prelim surgery spots. I'd look for a good one of those rather than be left with the SOAP
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Resolution 42 is just an application, and I've never heard of anyone being denied despite fulfilling the requirements. A reputable program in the 5 states that require an AOA internship will certainly have experience with the application process. Don't sweat this issue.
