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TYs or "those whose name must not be spoken" and prelim programs "The ones EVERYONE is going to do are two topics not frequently discussed. I really struggled when I was applying to tease out where to apply to, how many to apply to, how many to interview at, etc. etc. etc.
So, without further ado, here are some thoughts for the M4's about to apply:
1) You are going to apply to at 10-20 TYs and 10-20 Prelim programs. Just plan on it, budget for it, its important. I'll explain why in a second.
2) Why 10-20? Well, simple. 10 is the minimum of each type because it costs the same to apply to 1 program as it does 10. It always baffled me when someone applied to 8. Why not get a couple free applications just in case? Anyway, 10 minimum.
3) TY's and Prelim count as different "specialties" and thus the reason each starts at the beginning of the sliding scale (Too much medicine so far this year, sorry.)
On TY's:
4) TY's are by far the best option for burgeoning rad oncs.(Edit: As I said below, this was thoughtless wording, see my response to ramses for clarification) Don't let anyone tell you that you don't learn enough in a TY program. While there are a few bad apples, there are plenty of those in the prelim world as well. People associate TY's with a better lifestyle, and to that I say two things. Not necessarily, and who cares? Rad onc is associated with a better lifestyle as well and that didn't stop any of us. In my experience TY's learn a TON of information, but generally do so in a happier environment with less scut work thus allowing more time for reading up on patients, and the like.
5) So why are they the best for future rad oncs? Simple, variety. Ask any Rad Onc you interview with on the trail about the value of intern year and they all say the same thing, "Man, I don't remember anything from that year." Some still think its worth it for the "learn to be a doctor" thing, but thats a topic for a different thread. So what good does 11 months of inpatient medicine do you? None! Sure you may be better at managing pneumonia than someone who did 3-6 months, but how does that help us?
By the end of my TY year I'll have done Medicine, icu, oncology, pathology (looking at cancer slides and attending conferences for a month), rad onc, etc. I learned so many more things that will be meaningful to my career during my path month than I did during my medicine month.
6) I've never met someone who did a TY that said they wished they had done a prelim year
On Prelims:
1) While easy to match into, you need to apply to at least 10 because they are surprisingly hit or miss. Mainly because many of the bigger name academic places reserve a certain number of seats for their own students, or those who are interviewing for their advanced positions.
2) Prelim years are tough, tough tough. Yes there are some that are more like TY's, and those are probably good, but by and large you will work very hard. I had friends who were pumped about the "working hard" aspect of these, and more than one have texted me the following: "Man, I should have done a TY."
How many interviews to go on is tricky, and definitely up for debate. To remove all doubt, I'd recommend 7 TY's and 3 prelims. I feel like thats a fairly safe list. I certainly know people who did less and matched, but I like to be careful, and I think this is a nice conservative goal.
Finally, while I didn't get the TY hostility that I thought I would, (In fact most people were quire supportive of TYs) there are some hold overs from the previous generation who want to hear you wanting to kill yourself in a prelim. Say what you need to say. I focused on truths like, "I really want to learn how to take great care of patients next year." That way I skirted the line
Over the next few days I'll post my thoughts on some of the best TY and Prelim programs in the country, and if more than I contribute we could probably get a pretty comprehensive list going. M4's, you'll notice a big theme in my next few posts will be geography, so if there is a region you are interested in be sure to ask, and we can chime in with thoughts.
Good luck everyone, in two more weeks, the real fun starts!
So, without further ado, here are some thoughts for the M4's about to apply:
1) You are going to apply to at 10-20 TYs and 10-20 Prelim programs. Just plan on it, budget for it, its important. I'll explain why in a second.
2) Why 10-20? Well, simple. 10 is the minimum of each type because it costs the same to apply to 1 program as it does 10. It always baffled me when someone applied to 8. Why not get a couple free applications just in case? Anyway, 10 minimum.
3) TY's and Prelim count as different "specialties" and thus the reason each starts at the beginning of the sliding scale (Too much medicine so far this year, sorry.)
On TY's:
4) TY's are by far the best option for burgeoning rad oncs.(Edit: As I said below, this was thoughtless wording, see my response to ramses for clarification) Don't let anyone tell you that you don't learn enough in a TY program. While there are a few bad apples, there are plenty of those in the prelim world as well. People associate TY's with a better lifestyle, and to that I say two things. Not necessarily, and who cares? Rad onc is associated with a better lifestyle as well and that didn't stop any of us. In my experience TY's learn a TON of information, but generally do so in a happier environment with less scut work thus allowing more time for reading up on patients, and the like.
5) So why are they the best for future rad oncs? Simple, variety. Ask any Rad Onc you interview with on the trail about the value of intern year and they all say the same thing, "Man, I don't remember anything from that year." Some still think its worth it for the "learn to be a doctor" thing, but thats a topic for a different thread. So what good does 11 months of inpatient medicine do you? None! Sure you may be better at managing pneumonia than someone who did 3-6 months, but how does that help us?
By the end of my TY year I'll have done Medicine, icu, oncology, pathology (looking at cancer slides and attending conferences for a month), rad onc, etc. I learned so many more things that will be meaningful to my career during my path month than I did during my medicine month.
6) I've never met someone who did a TY that said they wished they had done a prelim year
On Prelims:
1) While easy to match into, you need to apply to at least 10 because they are surprisingly hit or miss. Mainly because many of the bigger name academic places reserve a certain number of seats for their own students, or those who are interviewing for their advanced positions.
2) Prelim years are tough, tough tough. Yes there are some that are more like TY's, and those are probably good, but by and large you will work very hard. I had friends who were pumped about the "working hard" aspect of these, and more than one have texted me the following: "Man, I should have done a TY."
How many interviews to go on is tricky, and definitely up for debate. To remove all doubt, I'd recommend 7 TY's and 3 prelims. I feel like thats a fairly safe list. I certainly know people who did less and matched, but I like to be careful, and I think this is a nice conservative goal.
Finally, while I didn't get the TY hostility that I thought I would, (In fact most people were quire supportive of TYs) there are some hold overs from the previous generation who want to hear you wanting to kill yourself in a prelim. Say what you need to say. I focused on truths like, "I really want to learn how to take great care of patients next year." That way I skirted the line
Over the next few days I'll post my thoughts on some of the best TY and Prelim programs in the country, and if more than I contribute we could probably get a pretty comprehensive list going. M4's, you'll notice a big theme in my next few posts will be geography, so if there is a region you are interested in be sure to ask, and we can chime in with thoughts.
Good luck everyone, in two more weeks, the real fun starts!
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