Performance During Residency

[Roy7]

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This may seem like a foolish question, but in residency, what portion of your overall evaluation as a student comes from Inservice exams, board scores, research, and clinical performance?

So say I were to apply to a fellowship, and I had bad inservice/board grades, would I be summarily ruled out of certain fellowship spots?

Basically - is residency the same as med school where your grades/boards matter, then clinical performance, then research? Is there ranking in a residency program based on inservice grades? Are you graded on an ABC scale? Do you have honors?

I know this is premature, and a bit random, but I'm just curious.
Thanks in advance.

 

[kungfufishing]

I've been out of residency for two whole months.

Feedback is a lot more based on how well you are doing the job and how much effort you are applying therein. I think it is somewhat intangibble, but it seems like attendings develop sort of a gestalt both about your knowledge and skill, whether or not it looks like you "get it", and whether or not you are trying to learn to do your job. Residency is on the job training, much less stratified than school.

We got plenty of feedback, but in the form of evaluations with the PD and while on shift. I think there is a threshold of competence programs are trying to get you to cross, so from that standpoint residency is sort of pass/fail. How much you clear the bar by is up to you.

 

[lucky_deadman]

How much you clear the bar by is up to you.

I think I now know why my head hurts so much.

 

[bartleby]

It completely depends what kind of fellowship you are applying for. If you are applying for a critical care spot at Shock Trauma that's one thing. If you're applying for a regional toxicology or ultrasound fellowship they may be more interested in your dedication to the field, interpersonal abilities and your clinical performance.

I wouldn't rule out a fellowship based on how you expect that you will do in residency. Many people who were average medical students excel in residency when they are studying a subject matter of their choosing and are valued for their clinical performance as much as for their ability to test well.

 

[Roy7]

Well my main reason for asking is I'm not sure if/what I may want to get a fellowship in.

I was speaking with a resident the other day and her advice was to have some idea of what type of fellowship you may want to do and then to apply to programs with those strengths.

So, I wanted to see how can I can go to a program, and what I have to excel at to make sure that I can get into that critical care fellowship at shock trauma w/out worrying.

Kind of like trying to get a good step 1 score in case I wanted to do derm - I didnt really know I wanted to EM at the time, but was glad I studied hard.