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This part, none of us can know--you should just directly ask your dean.Do you guys think I have a chance of matching into a decent psych program? Any advice? I don’t know if my school will show that I initially failed the psych NBME or if they will just show the Pass.
Thank you so much! Yeah, I’ll incorporate my own health experiences into my personal statement. I was kind of worried of doing so, though, because I was afraid that residency programs wouldn’t want someone who’s struggling with depression and other health issues while working. I still go to therapy and am still undergoing treatment for a chronic health problem, and will probably do so for a long time, if not for the rest of my life. My therapist said this could be viewed as a strength, but I kept thinking that some residency programs would probably see it as baggage. Anyway, thank you so much for your detailed response 😊+1 talk to your dean. I might also try to parley your experience with depression into a personal statement especially if you do great the rest of the year because a) it explains your performance and honestly to be able to deal with illness and still pass in Med school is pretty great and b)while it’s not always possible I think it is powerful to have a doctor who has dealt with some of the issues that a patient is dealing with it, I think it provides a level of comfort and decreases the stigma that a patient may be dealing with
As an example I am interviewing people for uro residency who had a similar experience and did poorly on step 1, in the past this low of a score would even preclude an interview offer and yet this person is at the very top of the list because they demonstrate resiliency and dedication and otherwise have a great app.
I’ve also known several people personally (classmates) who went through similar experiences and honestly all were absolute rockstars on the other side of it and matched at great places and continue to excel
tldr; do well the rest of the year, write a great personal statement about your own experience with a disease you have personal experience with and I think you’ll be a phenomenal applicant
I hope people will see it as a strength because it is, places that don’t are probably not places that you would find to be supportive in general and less interested in resident well beingThank you so much! Yeah, I’ll incorporate my own health experiences into my personal statement. I was kind of worried of doing so, though, because I was afraid that residency programs wouldn’t want someone who’s struggling with depression and other health issues while working. I still go to therapy and am still undergoing treatment for a chronic health problem, and will probably do so for a long time, if not for the rest of my life. My therapist said this could be viewed as a strength, but I kept thinking that some residency programs would probably see it as baggage. Anyway, thank you so much for your detailed response 😊
Thank you so much! Yeah, I’ll incorporate my own health experiences into my personal statement. I was kind of worried of doing so, though, because I was afraid that residency programs wouldn’t want someone who’s struggling with depression and other health issues while working. I still go to therapy and am still undergoing treatment for a chronic health problem, and will probably do so for a long time, if not for the rest of my life. My therapist said this could be viewed as a strength, but I kept thinking that some residency programs would probably see it as baggage. Anyway, thank you so much for your detailed response 😊
Thank you again 🙏I really appreciate your words of advice.I hope people will see it as a strength because it is, places that don’t are probably not places that you would find to be supportive in general and less interested in resident well being
I hope so too. Thank you! 🙂I would hope psych programs would not share the same stigma for depression others might.
These threads have been super informative. Thank you! It’s good to hear arguments on both sides.We can debate whether it's stigma or not, but all residency programs want residents who will complete the program without issue. You generally don't want to tell them why you might have issues doing so, but that doesn't mean there isn't a good way to write about this. This topic has been discussed numerous times in the Psychiatry Residency forum here over the years. For example:
Honesty in Personal Statement
Hello everyone, I'd like to start by saying this question is not for me but for a friend of mine. He is looking into applying to Psychiatry residencies in the upcoming months. He has had personal experience with mental health and with support from family, friends, therapists, and his school was...forums.studentdoctor.net
Mentioning my Anxiety Disorder in my Psychiaty PS?
Hello Everyone, I am an MD and will apply for psychiatry residency this year and I have a question regarding my PS. I was diagnosed with Generalized Anxiety Disorder at the first year of my Medical School. With this experience, I understood how patients feel like, what they are going through...forums.studentdoctor.net
Mental illness in residency personal statement
Hey guys, Oldschoool member here in a new account to ask a silly question :o I'm wondering what some of you attendings and others would think about residency applicant focusing a personal statement on his or her own experience with mental illness. While I'm sure I would find psychiatry...forums.studentdoctor.net
Hi guys,
Hope everyone’s staying healthy
I had a question regarding matching into a psychiatry program. Psych was my first core clerkship, and I initially failed the psych NBME. My school gives out grades of Pass, High Pass, and Honors. Because I failed, I got a conditional and had to repeat the exam. I retook the exam and got a grade in the 65th percentile. So they changed my grade from conditional to a Pass.
The reason I failed the psych NBME and was a lackluster student during psych was that I was dealing with personal health issues and had severe depression. I failed the NBME literally because I didn’t have the energy to sit through the entire exam and answer the last 20 questions. All of my other clinical grades have been High Passes and 1 Honors in Family Med. My Step 1 score is good - a 240, but I haven’t taken Step 2 yet. I’m also graduating a year late and will be doing psych-related research for 6 months or so. I am also planning on taking more psych electives and doing well on them (not sure if I can get Honors but will prob get High Passes at least).
Do you guys think I have a chance of matching into a decent psych program? Any advice? I don’t know if my school will show that I initially failed the psych NBME or if they will just show the Pass.
Thank you all so much!
I will clarify that I think wanting to avoid these situations is also different from being unsupportive when it happens.Thank you! Yeah, I understand that residency programs won’t want to hold my hand if I get sick during residency. The thing is - my mental health problems stem from a physical condition that I have. I’m getting treatment for my physical condition, but the nature of my condition is that it has flares. I’m learning to deal with those flares without falling into a depression. Anyway, I don’t want to match into a super competitive program - I’d be happy to match into a good mid-tier program that actually cares about resident wellbeing and would understand if I had to take a day off here or there (not that I’m planning on being sick during residency, but I can’t rule it out) and where I wouldn’t have to hide my health problems.
I was mostly focusing on the first question you asked regarding your chances. I mostly wanted to prepare you for the fact that this is a negative on your application and will be more of a negative for some places than others. I was just explaining why the fact that it was due to a mental illness is not necessarily going to be as mitigating as you might expect from psychiatry.I see. I guess what I’m trying to understand from your comment is what are you recommending that I do? I’m undergoing treatment and going to therapy for the depression. If I could wish my physical condition away, I would. The only thing that’s causing my depression is my physical condition that causes physical symptoms. I don’t have idiopathic depression that just comes from nowhere. What do I do then? Lie about my physical condition/hide it? Not apply to residency? I don’t mean to sound rude; I just genuinely want to know what you’re recommending I do, since I’m already doing the maximum I can to treat my physical condition that’s causing my mood symptoms.
I see. I guess what I’m trying to understand from your comment is what are you recommending that I do? I’m undergoing treatment and going to therapy for the depression. If I could wish my physical condition away, I would. The only thing that’s causing my depression is my physical condition that causes physical symptoms. I don’t have idiopathic depression that just comes from nowhere. What do I do then? Lie about my physical condition/hide it? Not apply to residency? I don’t mean to sound rude; I just genuinely want to know what you’re recommending I do, since I’m already doing the maximum I can to treat my physical condition that’s causing my mood symptoms.
Maybe that’s a good strategy, but the thing is that my condition is chronic - it may never go away. Sometimes it gets better and I barely notice it, and at times I have flares and feel worse. But I’m learning to deal with it. The thing is, doctors don’t even have a definitive cure for my condition; there are treatments, but for many ppl they don’t work particularly well. I’m thankful not to have the severe kind (at least yet), but it’s definitely not easy going about it day to day struggling with it. Would residencies be more forgiving about a physical condition that has flares rather than a mood condition? I don’t even care about the prestige of the place I match; just as long as they can be accommodating if I ever need to take a day or two off here or there (which I’m going to try my best not to do obv) and will allow me to get enough sleep at night (my flares are often brought on by lack of sleep). Of course I’d want the place to also train me decently, so I’m actually useful to patients afterward. Idk, do you think such a place exists? 😔Thank you! I appreciate honesty.
Ok, that’s good advice. Thank you! Just to clarify, I shouldn’t tell them what exact condition I have? Just say “medical condition”? Because if I tell them, they’ll know it’s chronic. The reason I wanted to be super honest and share everything was that in the situation that I do get worse and do end up missing some days of work (which of course I’ll try my best not to do), that they aren’t then surprised to find out that turns out my condition is chronic. Obv I’d try my best not to do this, and I’m aware how much of an inconvenience it’d be to my co-residents and everyone else, but I’d only do this if I’m feeling terrible myself.Depression is also chronic in many people and a hell of a lot less predictable.
I think you're overthinking it. You took time off due to a medical condition. You underwent workup, got treatment, returned stronger than ever and it only cemented your desire to be a physician. You're doing well now.
Done.
You don't need to tell people it's chronic (no one is going to ask), you don't need to tell them that there are flares.
The desire to overshare is what tanks a lot of applications.
To answer your question -- chronic conditions are bad, whether it's physical or mental. In your case, the depression is tied to your physical condition, so if the condition worsens or flares, what keeps you from being depressed all over again? I don't see what telling them about the depression gets you since you're likely going to tell them about the chronic condition anyway.
Ok, that’s good advice. Thank you! Just to clarify, I shouldn’t tell them what exact condition I have? Just say “medical condition”? Because if I tell them, they’ll know it’s chronic. The reason I wanted to be super honest and share everything was that in the situation that I do get worse and do end up missing some days of work (which of course I’ll try my best not to do), that they aren’t then surprised to find out that turns out my condition is chronic. Obv I’d try my best not to do this, and I’m aware how much of an inconvenience it’d be to my co-residents and everyone else, but I’d only do this if I’m feeling terrible myself.
Thank you 🙏. I think that’s what I’ll do. Appreciate your taking the time to give me useful advice!If they ask, tell them. But I promise you they likely are not going to ask.
No one can predict what's going to happen to any of us. If you miss work due to illness, then you miss work due to illness. It happens. Don't lie to them, but if they don't ask, you don't need to volunteer information either.
Just based on what you've said, I'm thinking you have an autoimmune illness. You know what triggers a flare in autoimmune disorders? Stress. You know what residency is? Stressful. Why would you want to give them a reason to hesitate in the rank meeting? Don't lie, but don't volunteer information that might hurt you either.
Thank you very much! I really appreciate useful comments. I’ll try not to overcompensate. I was already stressing myself out that now I have to get a Step2 with a grade of 250+, but you’re right - stress will just make it worse. ThanksI don't know anything about matching Psychiatry, but I will make a couple of points. If you only see yourself happy doing Psychiatry you can probably get there eventually with enough persistence. In terms of your chances, ask over at the Psychiatry forum if there's a an aPD over there who takes questions.
1.) I feel like whatever you were (or maybe still are) dealing with was definitely debilitating. Psychiatry is by far the easiest NBME to honor/pass because the material is limited and knowing the disorders and their timelines allows you to exclude lots of answers (much of which is Step 1 stuff). You probably know this already given your interest in the field. I say it not to make you feel worse but to emphasize that whatever happened really hit you hard and its unfortunate that it did during a key time you needed to perform in medical school. Make sure whatever it is, that it's resolved/under control. Moving forward though, its reassuring that you have gotten honors/high passes in other rotations (part of which I assume require shelf exams). As you allude to, that's something to build off of.
2.) As you know you have 2 red flags (Psych repeat-figure out if that's a repeat or not, graduating late). The first thing priority is avoiding another setback. Not a medical one (that's my first point) but another knock on your record like a bad Step 2 score, more years off, etc. Try not to put any pressure on yourself to redeem your past shortcomings. Don't worry if your CK isn't 250+, etc. Just do your best and avoid the urge to overcompensate. It will only make things worse. Try to make that research year productive because that will make the year look more palatable.
3.) The sad truth about admissions (anywhere not just in medicine) is that despite the fact that this has made you a stronger person and your resilience demonstrates your commitment to the field, they have 100s of applicants from people who were lucky enough not to run into the stuff you've run into. Therefore its important to realize that life's not fair. The earlier you learn this in life the more grief you avoid. You may have to suck things up and take a few steps back that you feel are above you to get where you initially wanted to. That includes applying to FM/IM programs to at the very least keep things moving in the right direction (as the alternative would be more gap years that become harder to justify)
Best of luck! I'm sure you'll achieve what you want!
Be kind to yourself It's the secret to resilience.Thank you very much! I really appreciate useful comments. I’ll try not to overcompensate. I was already stressing myself out that now I have to get a Step2 with a grade of 250+, but you’re right - stress will just make it worse. Thanks