Official 2014-2015 Pulm/CCM Fellowship Application Cycle

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This is perhaps a silly question, but building off of Leo's comments, what's the benefit of these big name academic places if you're not doing as much of the big critical care procedures like intubations, chest tubes, etc? I mean, unless you want to work in a place with every subspecialty known to man and focus mostly on research, it seems like you would less equipped to go out into the community and practice CCM. Am I wrong?
 
This is perhaps a silly question, but building off of Leo's comments, what's the benefit of these big name academic places if you're not doing as much of the big critical care procedures like intubations, chest tubes, etc? I mean, unless you want to work in a place with every subspecialty known to man and focus mostly on research, it seems like you would less equipped to go out into the community and practice CCM. Am I wrong?
I just interviewed at a mid tier uni hospital, and I kind of unexpectedly fell in love with the place. The wiser thing to do seems to be to go upwardly mobile, but now I'm wondering if I'll like the big names as much, and if I rank them higher proverbially miss out on the poor guy who loves me for the rich bloke who might not.. : p
 
Done with my first interview; Questions were really tough; like:

* tell me about the most stressful case you had in residency: after you tell the story: what did you do? how did you use the resources to manage the case, what did you learn from that case.

* tell me about a time when you had to teach a procedure to a student or intern; what steps you had to do? how did you teach him/her? what resources did you use? what things you did right or wrong? how do you assess the comfort level of the trainee? how do you know when the trainee is not able to do the procedure and you have to take over?

* tell me about the most complicated patient you ever had? what did you learn from managing that patient and how did that change your practice?

* tell me about a case when you had to do a procedure and patient was anxious: how did you assess his/her anxiety and what methods did you use to address it?

* tell me about a case when you had a difficult family and how did you deal with them? how did you address their concerns and needs

* tell me about a situation where you received a negative feedback; how did you take the feedback and what was your response? what effects that had on you?

* tell me about a situation where you have to give negative feedback: how did the trainee accept it and what methods did you use to deliver it?

* what are you looking for in our program?

I interviewed seven people and all of them had the same patterns of questions.

I was really exhausted at the end; ran out of thoughts and words; it wasn't the best experience but I did my best; I am not that good with expressions at the end of the day and all I know is that I am interested in this field and a hard worker; I don't know what exactly they gain from asking all of these questions
 
Done with my first interview; Questions were really tough; like:

* tell me about the most stressful case you had in residency: after you tell the story: what did you do? how did you use the resources to manage the case, what did you learn from that case.

* tell me about a time when you had to teach a procedure to a student or intern; what steps you had to do? how did you teach him/her? what resources did you use? what things you did right or wrong? how do you assess the comfort level of the trainee? how do you know when the trainee is not able to do the procedure and you have to take over?

* tell me about the most complicated patient you ever had? what did you learn from managing that patient and how did that change your practice?

* tell me about a case when you had to do a procedure and patient was anxious: how did you assess his/her anxiety and what methods did you use to address it?

* tell me about a case when you had a difficult family and how did you deal with them? how did you address their concerns and needs

* tell me about a situation where you received a negative feedback; how did you take the feedback and what was your response? what effects that had on you?

* tell me about a situation where you have to give negative feedback: how did the trainee accept it and what methods did you use to deliver it?

* what are you looking for in our program?

I interviewed seven people and all of them had the same patterns of questions.

I was really exhausted at the end; ran out of thoughts and words; it wasn't the best experience but I did my best; I am not that good with expressions at the end of the day and all I know is that I am interested in this field and a hard worker; I don't know what exactly they gain from asking all of these questions
Yikes! Those are tough! Did you signal in your CV that you wanted to be an educator or something? Was this just one person maybe, and not all your interviewers? Hopefully it was just a random thing and your other interviews won't be that way.
 
wow that actually seems worse than my residency interviews. Was not expecting those type of questions for fellowship interview I guess. Thank you for your contribution, much appreciated.
 
Man, if I got grilled like that I would probably consider leaving the interviews and do some sightseeing instead, sounds too much like HR bs to me and not really polite. You should've thrown back some difficult question for them 🙂. Like tell me why you don't have an ecmo and how you would attract he best candidates without this?
 
It was actually systematic; they all asked similar questions and actually they had a paper with questions written to make their job easy. They were also taking notes from my answers
I felt as I am being interrogated; they did the same with all applicants
 
It was actually systematic; they all asked similar questions and actually they had a paper with questions written to make their job easy. They were also taking notes from my answers
I felt as I am being interrogated; they did the same with all applicants
Oh, then that's just silly on their part. I wouldn't stress about it too much unless you really want to go there (in which case I would..lol). I'm sure this is more the exception than the norm based on the feedback I've gotten from my seniors and you shouldn't let this shake your confidence. GL on all the rest.
 
Yup, I interviewed at the same place, Coffee MD. Totally was NOT expecting that. Blahh...on to better experiences, hopefully!
 
This is perhaps a silly question, but building off of Leo's comments, what's the benefit of these big name academic places if you're not doing as much of the big critical care procedures like intubations, chest tubes, etc? I mean, unless you want to work in a place with every subspecialty known to man and focus mostly on research, it seems like you would less equipped to go out into the community and practice CCM. Am I wrong?

I think I've tried to point this very thing out more than once on this thread. You all need to be thinking about your future jobs not some name of a prestigious institution. Unless of course that name is going to mentor you into a research academic career.
 
Thanks jdh, I'm the moonlighting kind, so I'm hoping that if at least during those first 18 months I can get a decent number under my belt, I should be able to then build up those numbers on my own...hopefully!

If you hustle you can find "extra" opportunities to do procedures. Moonlighting can be a good way but it depends on how the gig is set up. Most of your hospitalist moonlight jobs won't have procedures. You can moonlight in an ED but that's pretty damn nerve wracking and not a good way to "learn" procedures "on the job" with license on the line.

To find intubations you need to talk to your preceptors in the unit 1) will they let you intubate? 2) if not then you need to find out if whoever that shops calls to intubate will let you intubate (usually this will be a resident from anesthesia or a CRNA sent up by the anesthesiologist and they will NOT be able to supervise YOUR intubation only staff can do that). So usually you will need to advocate for an anesthesia rotation. Be prepared to fight for every tube opportunity. A potential back door to intubations is working with the interventional bronch folks but if there is a advanced IP fellow you might be sunk.

With surgical chest tubes you may run into the same problem. Though you might find an upper level resident willing to supervise you on a patient who needs one.

What I and most of my class found was that rotations at community shops without residents was the best way to get procedures including et tubes and surgical tubes. Look to see if these big academic programs offer those.
 
If you hustle you can find "extra" opportunities to do procedures. Moonlighting can be a good way but it depends on how the gig is set up. Most of your hospitalist moonlight jobs won't have procedures. You can moonlight in an ED but that's pretty damn nerve wracking and not a good way to "learn" procedures "on the job" with license on the line.

To find intubations you need to talk to your preceptors in the unit 1) will they let you intubate? 2) if not then you need to find out if whoever that shops calls to intubate will let you intubate (usually this will be a resident from anesthesia or a CRNA sent up by the anesthesiologist and they will NOT be able to supervise YOUR intubation only staff can do that). So usually you will need to advocate for an anesthesia rotation. Be prepared to fight for every tube opportunity. A potential back door to intubations is working with the interventional bronch folks but if there is a advanced IP fellow you might be sunk.

With surgical chest tubes you may run into the same problem. Though you might find an upper level resident willing to supervise you on a patient who needs one.

What I and most of my class found was that rotations at community shops without residents was the best way to get procedures including et tubes and surgical tubes. Look to see if these big academic programs offer those.
Thanks for all the real-world advice jdh. I guess I'm better prepared for questions to ask now, and hopefully won't be TOO confused when I rank.
 
I was serious about my offer to post anonymous interview invites.

You PM me and I copy and paste the text of the review. No names.

Just putting that back out there.
 
Dumb question, but when is match day for this cycle? Searching through both the ERAS and NRMP websites they never seem to want to list an actual date, and I can't seem to find it listed anywhere. I think remember it was in December last year for the seniors in my program, but I've heard it's being pushed back to January this year?
 
Dumb question, but when is match day for this cycle? Searching through both the ERAS and NRMP websites they never seem to want to list an actual date, and I can't seem to find it listed anywhere. I think remember it was in December last year for the seniors in my program, but I've heard it's being pushed back to January this year?

Match day is 12/3. Still far away...
 
To help update list on +invites:
U Louisville 8/21
MCG (Augusta) - 8/20
 
Dumb question, but when is match day for this cycle? Searching through both the ERAS and NRMP websites they never seem to want to list an actual date, and I can't seem to find it listed anywhere. I think remember it was in December last year for the seniors in my program, but I've heard it's being pushed back to January this year?

Had to hunt around a bit to find it... don't know why its not right on the front page... heres the link with the dates...

http://www.nrmp.org/wp-content/uploads/2014/07/SMS-Master-Calendar-Updated-7.29.14.pdf
 
+Temple at 3AM :owle:
+ classmate reports UCONN
 
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any word from any of the florida schools? i haven't received any info from any of them (and i applied to all of them).
thanks.

thanks to everyone on this page for your info. i gained a lot by reading all 14 pages thus far.
 
Anybody knows anything about the Texas A&M program? Going there soon... Just wondering how the interview dynamic is?
 
Anybody knows anything about the Texas A&M program? Going there soon... Just wondering how the interview dynamic is?

When I interviewed years ago it was laid back. They have an excellent clinical program. The ICU is big and new (brand new when I interviewed) fellows do lots of procedures. They had a guy there doing pulmonary hypertension from San Diego there and I'm not sure if he is still there, but right heart caths were done in clinic (very cool). I don't remember any other particular stand out sub-sub-specialty but they have a large referral area. They have a VA.

Temple is a small town. It's rare these days to find a medical center of their size in such a small town. It's their biggest crutch and they know it. Offsetting this a little is that Austin is 45 minutes away and Austin is one of the coolest cities in the country.

I ranked them pretty high actually.
 
I interviewed at Texas A&M last month. Agree with jdh.

They still do right heart cath. Used to send fellows to San Antonio for mandatory lung transplant rotation; paid for hotel! I think it's going to be an elective only soon. Their own lung transplant program is still under review as of now. Lots of procedures including EBUS.

Research opportunity is there but it's mainly clinical program with most fellows going for private practice & 30% of them in academic institutes. Current new PD is trying expand clinical research. Fellows are allowed to attend national conferences only if they present a "research project"; not case report. It's mandatory to do at least one QI project and one clinical research in 3yr too.

During my (5) interview(s) that day, many want to know what kind of "tie" you have with the area. One of the interviewers asked questions like, " why do you want to be a doctor? If not a doctor, what would you choose? Why Pul and critical care? What do you do for stress relief? Tell me one thing that changes your life or practice in medicine. Why should I choose you?"

In addition, their current night float system has to be signed up voluntarily. They consider it as moonlighting and pay you $800/shift. Some choose to do 4-5 shifts a month whereas others do only 1-2/month.

Overall, it's a strong clinical program and everyone is so friendly if you don't mind the hot and humid Texas weather.

Anybody knows anything about the Texas A&M program? Going there soon... Just wondering how the interview dynamic is?
 
I interviewed at Texas A&M last month. Agree with jdh.

They still do right heart cath. Used to send fellows to San Antonio for mandatory lung transplant rotation; paid for hotel! I think it's going to be an elective only soon. Their own lung transplant program is still under review as of now. Lots of procedures including EBUS.

Research opportunity is there but it's mainly clinical program with most fellows going for private practice & 30% of them in academic institutes. Current new PD is trying expand clinical research. Fellows are allowed to attend national conferences only if they present a "research project"; not case report. It's mandatory to do at least one QI project and one clinical research in 3yr too.

During my (5) interview(s) that day, many want to know what kind of "tie" you have with the area. One of the interviewers asked questions like, " why do you want to be a doctor? If not a doctor, what would you choose? Why Pul and critical care? What do you do for stress relief? Tell me one thing that changes your life or practice in medicine. Why should I choose you?"

In addition, their current night float system has to be signed up voluntarily. They consider it as moonlighting and pay you $800/shift. Some choose to do 4-5 shifts a month whereas others do only 1-2/month.

Overall, it's a strong clinical program and everyone is so friendly if you don't mind the hot and humid Texas weather.
Thanks guys for the input. And good luck to everybody!
 
any word from any of the florida schools? i haven't received any info from any of them (and i applied to all of them).
thanks.

thanks to everyone on this page for your info. i gained a lot by reading all 14 pages thus far.
so.. i'm growing more and more impatient by the day.

1. would i be a nuisance/would it be recommended to contact the coordinator (via telephone,email) regarding my application status?
2. do some programs just leave things in the air through the whole application process and not even send a rejection letter? i recall that sort of thing happening for residency applications but i would hope that fellowship programs would be better than that.

thanks in advance!
 
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I'm with you airplane doc- still waiting to hear from ~15 programs or so. Surely they would have the courtesy to send rejections, but I also had that same experience of not hearing anything from programs during IM residency interview season. I'm not sure we will have a "2nd wave," but moreso a trickling in of interviews here and there. Seems like nobody has heard from FL and very few from TX
 
so.. i'm growing more and more impatient by the day.

1. would i be a nuisance/would it be recommended to contact the coordinator (via telephone,email) regarding my application status?
2. do some programs just leave things in the air through the whole application process and not even send a rejection letter? i recall that sort of thing happening for residency applications but i would hope that fellowship programs would be better than that.

thanks in advance!

I'm with you airplane doc- still waiting to hear from ~15 programs or so. Surely they would have the courtesy to send rejections, but I also had that same experience of not hearing anything from programs during IM residency interview season. I'm not sure we will have a "2nd wave," but moreso a trickling in of interviews here and there. Seems like nobody has heard from FL and very few from TX


Sorry guys. Lots of programs won't even say, "no". I'd guess 1/3 of the places I applied to didn't even bother to say no.
 
So I just spent 600$, came with decent expectations, am at this dinner with fellows, and I want to get the hell out of this place without even interviewing.

When you're tired as s##! after 4 hrs of rest in 10 times as many hours, and feel like saying 'to hell with this, lemme just be a hospitalist', is it normal, or am I not 'committed' enough?
 
Has anyone heard anything from Allegheny General Hospital in Pittsburgh?
 
So I just spent 600$, came with decent expectations, am at this dinner with fellows, and I want to get the hell out of this place without even interviewing.

When you're tired as s##! after 4 hrs of rest in 10 times as many hours, and feel like saying 'to hell with this, lemme just be a hospitalist', is it normal, or am I not 'committed' enough?

Whoa. Yeah. I'd say skip the dinners if you're feeling fried. Get some sleep.

What interview number are you on?

Plus. No way in hell I'd want to do hospitalist work after doing what I'm doing now. I love my job.
 
Found a nice format from another forum..I will start with my IV experiences.

Added more info per mochief suggestion 🙂

Program Name: University of Minnesota

Where did u stay, nearest hotel, travel etc: Holiday Inn within 5min drive from hospital. They also provide shuttle

Interview itinerary: 7:30am-3:30pm

How many interviewers: 5

How many interviewees:2; I heard they usually interview 20-25 for 4 positions

Tour included visits to: University hospital and VA; provided a nice cab/limo

Questions asked: details about research, publications, career goal, Why this program?

happy fellows?: very happy fellows

Schedule/procedures:
Fellows take every other night call in each hospital(total 4 hospitals).."home call" to supervise residents. Rarely come in. Covers only one ICU at one hospital. No night float system.

Teaching service capped at 16. Fellows may still do consults for surgical ICU. Pul Htn managed by card. No right heart cath. Dedicated bronch time 2 half-days per week for outpatient on consult service. >250 by end of second yr. EBUS for third yr. bronchi thermoplastic done by faculty. nodule/biopsy in VA.


Fellows' career paths: depending on class, there have been the whole class going into academic vs 50% research vs all private.

research opportunities?: yes, both basic science and clinical research projects as they have 45 faculty. Dr. Hertz is a big name in lung transplant.


visa sponsored? J1 only

City: Twin cities - urban city with lots if parks/lakes, 40mile bike route if you like outdoors. Winter can be harsh and many public areas including hospitals have bridges and underground passages for commute to avoid the cold weather. Ethnically diverse population in the city.

Things I liked about the program: whether you want to sub specialize in pulmonary or go into academic/ research, they seem to be able to provide you all resources. Everyone is so friendly, too.

Things I disliked about the program: Not program but Minneapolis winter will need some adjustment. Fellows coming from Florida say "it's not that bad; roads are cleaned pretty quickly". I myself prefer cold, snowy weather than hot, humid places though.

Rate experience (0-10): 9

Conclusion: Amazing program with tons of opportunities for future career. It's gonna be at the top of my list.
 
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Found a nice format from another forum..I will start with my IV experiences.

Program Name: University of Minnesota

Where did u stay, nearest hotel, travel etc: Holiday Inn within 5min drive from hospital. They also provide shuttle

Interview itinerary: 7:30am-3:30pm

How many interviewers: 5

How many interviewees:2; I heard they usually interview 20-25 for 4 positions

Tour included visits to: University hospital and VA; provided a nice cab/limo

Questions asked: details about research, publications, career goal, Why this program?

happy fellows?: very happy fellows

Fellows' career paths: depending on class, there have been the whole class going into academic vs 50% research vs all private.

research opportunities?: yes, both basic science and clinical research projects as they have 45 faculty. Dr. Hertz is a big name in lung transplant.


visa sponsored? J1 only

City: Twin cities - urban city with lots if parks/lakes, 40mile bike route if you like outdoors. Winter can be harsh and many public areas including hospitals have bridges and underground passages for commute to avoid the cold weather. Ethnically diverse population in the city.

Things I liked about the program: whether you want to sub specialize in pulmonary or go into academic/ research, they seem to be able to provide you all resources. Everyone is so friendly, too.

Things I disliked about the program: Not program but Minneapolis winter will need some adjustment. Fellows coming from Florida say "it's not that bad; roads are cleaned pretty quickly". I myself prefer cold, snowy weather than hot, humid places though.

Rate experience (0-10): 9

Conclusion: Amazing program with tons of opportunities for future career. It's gonna be at the top of my list.


This was a great idea!! I know things like this helped me when I searched this forum for programs I have interviews at. I also think we should add procedures. Like how many EBUS, bronchs, percutaneous tracheostomy programs are preforming. If anyone else how some more ideas please post. My interviews are coming up this month and I will also post.
 
INTERVIEWS:
Albany
Albert Einstein Montefiore 8/1
Arizona 8/12
Banner Health, Phoenix 8/27
Baylor houston 8/6
Boston University 7/31
Brigham 8/8
Buffalo 8/19
Brown 8/15
Carilion Clinic (Virginia) 8/7
Case Western/Univ Hospital 7/30
Cleveland Clinic 8/8
Colorado 8/7
Cook County 8/14
CPMC San Franscisco
Dartmouth 8/28
Duke 8/8
East Carolina 8/6
ETSU 8/8
Einstein phily 8/13
Emory 7/21
EVMS 7/30
Georgetown 7/30
Geisinger 8/21
Henry Ford 8/13
Hopkins 7/24
Indiana 8/6
Iowa 8/26
Kansas 7/31
Lankenau 8/1
Lenox Hill
Loma Linda 8/21
LSU Shreveport 8/15
Loyola 7/31
Maryland 7/24
Mayo 8/5
MCW 8/12
MGH/BI 8/13
Michigan 8/13
Missouri
MUSC 8/12
Northwestern 8/26
NYP-Columbia 8/4
NYU - 8/10
Ohio State 7/24
OHSU 7/30
Penn State 8/6
Pittsburgh 8/1
Rochester 8/12
Rutgers NJMS 8/19
SLU 8/7
St Elizabeth Medical 9/4
South Alabama 8/12
Stanford 8/17, 8/28
SUNY Stonybrook 8/26
SUNY Upstate 8/14, 8/28
Temple
Texas A&M 8/7
Texas Tech 8/25
Thomas Jefferson 8/28
Tufts 08/06
Tulane 8/18
UC Davis 8/20
UCLA 7/29
UCSD 8/5
UCSF 7/28
UCSF Fresno 8/25
UChicago 8/1
UIC - Chicago 8/18
UMinnesota 7/29
UCinn 7/30
UKentucky 8/5
UMass 8/15
UNC 8/5
UPenn 8/5
USC 8/22
Utah 8/13
UTSW 7/28
UVM 7/28
Vanderbilt 7/23
VCU 8/15
Virginia 8/12
Wake Forrest 8/8
Wash U St.Louis 7/22
Wayne State University/ DMC 8/19
West Virginia 8/13
Winthrop
Yale 7/25

REJECTIONS:
Alabama 8/26
Albert Einstein
Brigham 8/22
East virginia 9/4 - Their email said invitation time is over
Emory 8/5
Geisinger 8/20
Henry Ford 8/27
John Hopkins 8/27
Mayo 8/25
MUSC (South Carolina) 8/5
Montefiore 8/1
Nebraska 8/21
New York Presbyterian 9/3
Saint Louis University 8/4
Tulane 8/20
U Cincinati 8/11
UPenn 7/27
Wash U St Louis
Yale 7/28
SUNY Syracuse 8/20
Nebraska 8/21
USC 8/25
U Washington 8/26
UWisconsin 8/26
 
Do you think it would help to add the places we haven't heard from yet at the third category until something pops up?
I'd add
SILENT MODE:
UF Gainesville
U of Miami
Cleveland Clinic Florida
UF Jacksonville
USF
Mayo Jacksonville

sigh... the frustration and impatience is getting the best of me...

INTERVIEWS:
Albany
Albert Einstein Montefiore 8/1
Arizona 8/12
Banner Health, Phoenix 8/27
Baylor houston 8/6
Boston University 7/31
Brigham 8/8
Buffalo 8/19
Brown 8/15
Carilion Clinic (Virginia) 8/7
Case Western/Univ Hospital 7/30
Cleveland Clinic 8/8
Colorado 8/7
Cook County 8/14
CPMC San Franscisco
Dartmouth 8/28
Duke 8/8
East Carolina 8/6
ETSU 8/8
Einstein phily 8/13
Emory 7/21
EVMS 7/30
Georgetown 7/30
Geisinger 8/21
Henry Ford 8/13
Hopkins 7/24
Indiana 8/6
Iowa 8/26
Kansas 7/31
Lankenau 8/1
Lenox Hill
Loma Linda 8/21
LSU Shreveport 8/15
Loyola 7/31
Maryland 7/24
Mayo 8/5
MCW 8/12
MGH/BI 8/13
Michigan 8/13
Missouri
MUSC 8/12
Northwestern 8/26
NYP-Columbia 8/4
NYU - 8/10
Ohio State 7/24
OHSU 7/30
Penn State 8/6
Pittsburgh 8/1
Rochester 8/12
Rutgers NJMS 8/19
SLU 8/7
St Elizabeth Medical 9/4
South Alabama 8/12
Stanford 8/17, 8/28
SUNY Stonybrook 8/26
SUNY Upstate 8/14, 8/28
Temple
Texas A&M 8/7
Texas Tech 8/25
Thomas Jefferson 8/28
Tufts 08/06
Tulane 8/18
UC Davis 8/20
UCLA 7/29
UCSD 8/5
UCSF 7/28
UCSF Fresno 8/25
UChicago 8/1
UIC - Chicago 8/18
UMinnesota 7/29
UCinn 7/30
UKentucky 8/5
UMass 8/15
UNC 8/5
UPenn 8/5
USC 8/22
Utah 8/13
UTSW 7/28
UVM 7/28
Vanderbilt 7/23
VCU 8/15
Virginia 8/12
Wake Forrest 8/8
Wash U St.Louis 7/22
Wayne State University/ DMC 8/19
West Virginia 8/13
Winthrop
Yale 7/25

REJECTIONS:
Alabama 8/26
Albert Einstein
Brigham 8/22
East virginia 9/4 - Their email said invitation time is over
Emory 8/5
Geisinger 8/20
Henry Ford 8/27
John Hopkins 8/27
Mayo 8/25
MUSC (South Carolina) 8/5
Montefiore 8/1
Nebraska 8/21
New York Presbyterian 9/3
Saint Louis University 8/4
Tulane 8/20
U Cincinati 8/11
UPenn 7/27
Wash U St Louis
Yale 7/28
SUNY Syracuse 8/20
Nebraska 8/21
USC 8/25
U Washington 8/26
UWisconsin 8/26
 
WORD to you Airplane, the state of Florida is killing me right now!
 
This forum seems more active than mine....so heres a general question
How much value/importance do you give the reply to your thank you letters/lack thereof.
I know PDs are generally very busy and don't have time to respond, but does lack of response mean that you are at bottom of their rank list?
I was always told that programs usually give candidates that they are interested in a strong email about ranking them high so Im assuming a lack of response/or a generic "im glad you liked our program. safe travels" means they aren't interested.
Any thoughts?
 
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