NEJM articles April 2025

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Mr.Smile12

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As shared with other prehealth advisors, crediting the advisor at Calvin University, Michigan):

Rethinking shadowing for aspiring physicians (https://www.nejm.org/doi/full/10.1056/NEJMp2500697)

This article highlights concerns about traditional shadowing and provides some alternatives to shadowing and recommends reforms to medical school admission committees. The article does overlook where students gain valuable insights from observing and learning from a shadowing experience (i.e., learning from the patient, learning about the patient, insights from observing the physician-patient interaction, learning from positive interactions that take place during observations, etc).
We have also shared on Topics in Healthcare forum this article:
Key point of this op-ed piece from USUHS authors: 50 hours of shadowing looks to be enough. (We told you so!)



Application Overload – A Call to Reduce the Burden of Applying to Medical School
(https://www.nejm.org/doi/full/10.1056/NEJMp2414572)

This is an article written by physician parents offering a perspective on medical school applications. The article refers to a case where advice given by a pre-health advisor led to a student applying to 49 medical schools(*). The implication is that pre-health advisors may be contributing to the "application overload" based on an n=1 example. The article also does not incorporate any perspective from admission officers, applicants, and advisors – as it is, it provides a one-sided narrative. Nonetheless, the authors provide some good suggestions that can be up for discussion.
(*) For what it's worth, many experts here I think don't encourage applying for more than 30-40 total schools... and that might be for extraordinary circumstances. Our lists are long, but we expect applicants to pare it to a reasonable number.

A letter of recommendation regarding impersonal personal statements
(https://www.nejm.org/doi/full/10.1056/NEJMp2414494)

While this article is about writing personal statements for residency applications, it can also serve as a reminder of how overly polished personal statements to medical schools can fail to identify meaningful insights into an applicant's character. The article emphasizes the inclusion of personal narratives to stand out and questions the "play it safe" approach used by applicants.
 
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I thought the n=1 unsettling example that the author mentioned was hilarious. Like sure, she had to reapply, but she was able to nab a full tuition scholarship at a T5 med school which is pretty much like winning the lottery (like $400,000). I'm pretty sure you could find way more harrowing stories from this forum. Is 49 secondaries even feasible to complete with a full-time job? I didn't think so.
 
Thanks for the overview. This hit my inbox about an hour ago and I've not had time yet to read and reflect but I look forward to it, and I look forward to some conversations with my adcom buddies, too.
Let us know. The summaries are not mine, but the advisor's who highlighted the existence of these opinion pieces. 🙂
 
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