Residency Interviews...What to expect.

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I figured I would start a new thread about this as interview time is quickly approaching, and when I was a student it was a very stressful time for me. Although many will tell you what they think its like, or having recently been through it, I have been in the process for years, first as a student, then as a resident helping my director interview prospective residents, and finally as an interviewer for a couple of different residencies. This is by now means a comprehensive list, and I will add to it when my old brain remembers new things. Also, for the residents and attendings out there, please feel free to add to this if I've missed anything or have something to add. Additions are welcome.

1) Apply to as many programs as you can afford. I made this mistake and only applied to a select number of programs and was agast when I was only invited to a handful of interviews. If the process is similar to the way it was years ago, you will not get invited to every interview simply because you applied and paid out the fee. Do yourself a favor and over apply.

2) Your interviews are academic in nature. I never found it altogether fair that someone with 25 years of real world experience is asking questions to students expecting them to know these things with little to no experience, but you will be asked this stuff. I used the Presby manual and the Hershey book to study and they served me very well. The best interviews I had were the ones that made me think. I may have not gotten the "right" answer, but I learned a lot, and felt these were the fairest interviews. Be prepared to be grilled by some of the more sought after programs. One thing about this is that the person interviewing you doesn't want to hear what they did for the case, they want to hear what YOU would do. If what you say is reasonable and makes sense for that case and you "sell" it, it may impress them more than if you "agree" with what they did. Don't get down on yourself if they say, "I like what you did...here's what I did." That may be more of a compliment than you realise.

3) You may be asked to sit in front of a panel of attendings and/or residents for your interviews. This is an intimidating situation for sure, and they know that, so try to relax. Some are purposely trying to intimidate you to see how you fair in this environment. They mostly don't do this maliciously. They want to see how you function under fire. If you know you sweat a lot in these situations bring something to wipe your brow with. Also bring some extra shirts as no one wants to smell a sweaty student with BO sitting in on an interview. Change your shirt if you need to. Try not to fidget too much and watch what you do with your hands. I crossed my hands on my lap (not crossed my arms in front of me; that looks defensive) and kept them there unless asked to point something out on a radiographs or asked to do something with my hands.

4) Know your stuff. If you don't, tell them so. If you try to babble your way through an interview, it will not only fluster you, but will look terrible to your interviewers. "I don't know" is your friend. You will not get all the answers. Don't blow it off, but also know your limitations. Also, if you are invited back for a second interview, you better know what you didn't for your first interview. This is a common trap. Don't fall into it.

5) Review radiographs, CTs, MRIs and even US. You will be asked to evaluate these during your interviews. Sometimes its difficult to relate real world anatomy to a 2D picture, but you must be able to do this. Have a technique to do this as well. Follow a systematic approach to reading films and use it everytime. Basically have a schpiel for every film. This is especially important for trauma cases. My trauma class at Temple was AMAZING, and I still use the technique taught back then when describing any type of film in my medical records. If you don't know what I'm talking about, say so in this thread and I'll start another thread to discuss it. There is an awesome MRI book relating real world anatomy to the 2D image by Dr. William H. Simon, DPM. He is a friend and did a great job with this book. Find and look at it. It will help you tremendously if you have trouble with this.

7) Practice suturing on pig's feet. Practice deboning a chicken with a sharp kitchen knife (yes, seriously...some of my classmates where asked to do this in interviews). Play FPS games on your favorite console. Do anything to increase your manual dexterity. Nothing impresses interviewers more than being able to do something dexterous while answering rapid fire, difficult questions. Seemingly ridiculous, yes. Doing this well and wowing someone, priceless. Suturing especially. Its the first thing you will be allowed to do in the OR as a resident. If you know how and well, cutting is the next step!

6) Don't party the weekend of the interviews. Especially if you're staying at the same hotel as your interviewers. No one wants to see a prospective resident getting sloshed and acting the fool in public. If you are invited to a cocktail hour, either have one drink or something non-alcoholic. Believe it or not, these events are more for the attendings to unwind a bit and see you in a more social environment. I know its artificial, but do the best you can.

I hope you've heard some of these suggestions before, and please feel free to comment. As always, good luck!! You are the future...do us proud😀.
 
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My interview for Inova was purely social. It changes yearly.

The social inteviews can be just as tough if not more so than the academic interviews.

Yes, you need to know your stuff, but if you do well on the academic and get invited for a 2nd interview, the 2nd is usually partly social.

One of the interviews I had, had a psycologist present to help aide in question asking and determining the better fit for the program. This was one of my favorite interviews, I felt like having th psycologist was a great idea and she was very insiteful in the questions she asked.

If you end up in a social interview and don't know yourself and how you act/react in situations or have an example of situations it looks real bad. like maybe you are trying to hide something.

I agree that we should do away with the academic interviews for the most part. Sometimes , though, they can help... If you rotated at a program early in the year and were not on the top of your game, but have significantly improved it can help to have another shot at letting them see how much you've improved/learned.
 
My interview for Inova was purely social. It changes yearly.

The social inteviews can be just as tough if not more so than the academic interviews.

Yes, you need to know your stuff, but if you do well on the academic and get invited for a 2nd interview, the 2nd is usually partly social.

One of the interviews I had, had a psycologist present to help aide in question asking and determining the better fit for the program. This was one of my favorite interviews, I felt like having th psycologist was a great idea and she was very insiteful in the questions she asked.

If you end up in a social interview and don't know yourself and how you act/react in situations or have an example of situations it looks real bad. like maybe you are trying to hide something.

I agree that we should do away with the academic interviews for the most part. Sometimes , though, they can help... If you rotated at a program early in the year and were not on the top of your game, but have significantly improved it can help to have another shot at letting them see how much you've improved/learned.

During our interviews we ask a combination of academic and social questions. The academic questions are fair and are designed to try and see someones clinical thought process vs whether they know a specific answer. Sometimes the wrong answer with the correct workup and a logical approach means more than being able to quote every fracture classification but tripping up when working up a patient. Over the years we have taken people with a 4.0 and those with a 2.5. It's amazing how someone with great scores may simply have a photographic memory but no deductive reasoning. On the flip side I have seen students who do poorly on exams but one on one are logical, clinically astute, and excellent problem solvers.

I agree that the social questions are actually more challenging. A good social question is designed to see how a candidate acts under pressure, if they understand the chain of command, and to see how they will fit in with our faculty and support staff. I have seen people become argumentative, panic, or down right mean. These traits can be disasterous for a program and it's patients. We have a large faculty with diverse personality types and a rigid thinking, nonmalleable resident will not be a good fit. Remember most social question have no right answer and are meant to see your thought processes, if you can think on your feet, test if you are a team player, and how you would fit at the program.
 
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Oy Vey!

How could someone get downright mean in an interview they want to succeed with?? Jeez man!
 
Oy Vey!

How could someone get downright mean in an interview they want to succeed with?? Jeez man!


It's unfortunately it's how some deal with stress. We all do it in some degree. Ever have a bad day in the OR when you feel yourself spinning out of control? Fortunately for most it's the exception not the rule. BTW some applicants remain poised, positive, confident, and honest under stress. They take responsibility and actually lead.
 
It's unfortunately it's how some deal with stress. We all do it in some degree. Ever have a bad day in the OR when you feel yourself spinning out of control? Fortunately for most it's the exception not the rule. BTW some applicants remain poised, positive, confident, and honest under stress. They take responsibility and actually lead.

ME!?? I never ever have a bad day!!!! LOL, yeah right. You're right. We all have a bad day here and there. But in an interview? Ouch! That's having a REALLY bad day.
 
While all of this "general" type of what to expect is nice, could someone please post clinical questions that might be asked? This would be substantially more beneficial. Let's face it, a person's character isn't going to change significantly from Interview I to Interview II.

If possible, pose actual clinical scenarios that may be used in residency questioning.

Is there a site to freshen up on reading MRI, radiographs, etc. for those of us who haven't seen any in a while?
 
While all of this "general" type of what to expect is nice, could someone please post clinical questions that might be asked? This would be substantially more beneficial. Let's face it, a person's character isn't going to change significantly from Interview I to Interview II.

If possible, pose actual clinical scenarios that may be used in residency questioning.

Is there a site to freshen up on reading MRI, radiographs, etc. for those of us who haven't seen any in a while?

This is difficult to do because every program does their interviews differently.

What I would suggest is to go over scenarios with your friends/classmates that cover many podiatric pathologies. Everything from simple hammertoe procedures to the the most complex trauma like Pilon Fractures and GSW.

You should be able to work up a patient in the office setting, in the hospital (inpatient) setting and in the ED setting. SOAP notes and a full Podiatric H&P.

Know how to go about admitting a patient (ADC VANDILMAX), and how to manage an emergency patient (ABC...etc).

When working up a hospital patient, know what normal labs should be (basically) and how to write the lab trees. For instance you should know that elective procedures should not be done on patients with Hb lower than 9 or 10. Someone with a cardiac event should not have surgery for six months. RA patients on Oral Steroids need to be stress dosed. Connective tissue dissease and RA patients have high risk for neck injuries with general anesthesia. Better sweet than sour...etc.

You should know the gamut of basic surgical procedures for bunions and their indications. You should be able to recite how to put in a Synthes screw with a lag screw technique. Sizes of screw in each set was a popular question back in the day.

As mentioned the book published by Dr. William H. Simon on MRI imaging should help out a lot. Honestly, every third and fourth student has access to MANY radiographs and should have no problem finding some to practice with. If you're not in school anymore perhaps ask a colleague to go over these with you and refresh your memory.

For trauma, you should know the classifications, but more importantly the various options for managements. Certain trauma you should be able to discuss some complications for example, Jones fractures have a high non union rate and why. People who smoke have a high risk for non union of STJ fusions. Staging Pilon Fracture repair. Those types of things.

What can also help is to know what the program you are interview with is "famous" for, for instance. If you interview for Dr. Rob Mendicino's program, you better know about complex rearfoot reconstructions and know all about CORA and the like. Dr. Shuberth's program was known for Trauma and Charcot reconstruction back in the day. As I've been out of that loop for some time now, I'm not the best source for what each program does a lot of, so ask around.

I hope that was a little more helpful.
 
Your interviews will generally be more academic if you didn't do the clerkship; they have limited time to figure out what you know. On the other hand, they're usually more social if you did a month there (esp if you did well). I don't know if programs are still allowed to have staged interviews, but a lot of good programs do academic portion (typically easier for those who had done the clerkship), graded the interviewees on that, and then called back the dozen or two or so for a second social portion.

...I found PI manual, Presby, and current articles to be the best resources. Break out your old radiology powerpoints from school and review those, give "mock interviews" with classmates, etc. Your most common case workups are probably diabetic infection (r/o gas, pick abx, etc), trauma (r/o compartment, closed reduce, etc), or elective surgery procedure selection.

If you paid attention in school and read a fair amount, then the social portion will probably be more important. I don't think you need to apply to a ton of programs so much as you need to have done your homework and know about the ones you do apply to. You don't want to give totally canned responses, but you will want to give thought to the common questions (strengths, weaknesses, role models, practice goals, residency goals, etc etc) in case you freeze a bit under the pressure of interviews, which as was mentioned, can be fairly intimidating when you have a group of attendings rotating questions or all checking off lists based on your answers.

GL to all at interviews. 👍
 
Thanks for the responses. Has anything really changed a whole lot in the past couple of decades? Like really really changed? I noticed at a conference there's some little lego things they are sticking in digital arthrodesis, but then learned that they can have complications too.

Kidsfeet, thanks for the update! I'm en route to breaking out the old...ancient notes from eons ago and freshen up intellectually.

Thanks folks! Appreciate this! Best wishes to all applicants this year! :xf:
 
Mayer, D.P., Hirsch, B.E., Simon, W.H., "Foot and Ankle: A Sectional Imaging Atlas.", Publisher W.B. Saunders Company, The Curtis Center, Independence Square West, Philadelphia, Pennsylvania, 19106-3399, November 1993.

Some one asked me, so here is the full citation of the MRI text I was referring to. I noticed in my online search that it may not be so easy to find. If that's the case let me know and I'll all Dr. Simon up and see if he knows how to get it easily.
 
Thanks for the responses. Has anything really changed a whole lot in the past couple of decades? Like really really changed? I noticed at a conference there's some little lego things they are sticking in digital arthrodesis, but then learned that they can have complications too.

Kidsfeet, thanks for the update! I'm en route to breaking out the old...ancient notes from eons ago and freshen up intellectually.

Thanks folks! Appreciate this! Best wishes to all applicants this year! :xf:

all surgery and implants can have cpomplications. Including nail avulsions and matrixectomies could potentially lead to osteo - saw a case in residency. Kid lost his distal hallux.

If you are the patient, there is no small or minmal surgery. If you are the patient that gets the complication to you there is a 100% complication rate/chance.
 
Or we could just do it like every other normal specialty and have a nice, reasonable, social interview!!!
I agree, but MD/DO schools also have more standardized admissions/dismissal criteria and they have a scored pt1 board exams.

You have to admit that if you were a residency director for a PM&S (err, now PMSR), you'd probably want at least a brief academic portion - at least for students who didn't clerk/visit the program.
 
I agree, but MD/DO schools also have more standardized admissions/dismissal criteria and they have a scored pt1 board exams.

You have to admit that if you were a residency director for a PM&S (err, now PMSR), you'd probably want at least a brief academic portion - at least for students who didn't clerk/visit the program.

hey do they ever make you suture or assemble/identify any instruments (you know the drill bits screws plates etc) during the interview.

Im not sure if you had interview at Dallas (Caspr/Crip) or you went to the individual hospitals. it will not be a shocker if this happens in a hospital.

I dont mind if they wanna see how fast i can suture or other surgical skills but it will be really odd if they take out a pig foot in the hotel and tell me to start suturing. i need to be mentally prepared for this kind of event.
 
hey do they ever make you suture or assemble/identify any instruments (you know the drill bits screws plates etc) during the interview.

Im not sure if you had interview at Dallas (Caspr/Crip) or you went to the individual hospitals. it will not be a shocker if this happens in a hospital.

I dont mind if they wanna see how fast i can suture or other surgical skills but it will be really odd if they take out a pig foot in the hotel and tell me to start suturing. i need to be mentally prepared for this kind of event.

This is likely to happen during the interview at the more competitive programs. As I mentioned, during my interview process some of my classmated were asked to debone a whole chicken with a sharp knife wearing gloves. Others were asked to suture on candles, pigs feet, fake feet. I remember that at the Oakwood interview they had you do a game where you had to place little rings on little pins on a wooden board while you were answering questions and then they counted how many you were able to get on the wooden pins.
 
This is likely to happen during the interview at the more competitive programs. As I mentioned, during my interview process some of my classmated were asked to debone a whole chicken with a sharp knife wearing gloves. Others were asked to suture on candles, pigs feet, fake feet. I remember that at the Oakwood interview they had you do a game where you had to place little rings on little pins on a wooden board while you were answering questions and then they counted how many you were able to get on the wooden pins.

Sir i know you are always serious and this is not a joke! but just wanna make sure again that this is not sunday morning hangover. lol.

Debone whole chicken! Put rings on pins. lol. and i was thinking suturing was my biggest headache. ha ha. this is now getting crazier and crazier.
 
Sir i know you are always serious and this is not a joke! but just wanna make sure again that this is not sunday morning hangover. lol.

Debone whole chicken! Put rings on pins. lol. and i was thinking suturing was my biggest headache. ha ha. this is now getting crazier and crazier.

LOL...you don't have to call me sir 😉!
 
Sir i know you are always serious and this is not a joke! but just wanna make sure again that this is not sunday morning hangover. lol.

Debone whole chicken! Put rings on pins. lol. and i was thinking suturing was my biggest headache. ha ha. this is now getting crazier and crazier.

Ever since we had a sharp resident who had depth perception and dexterity issues we have brought the game Operation to interviews.
 
Seattle/Sweedish is notorius for bringing tiny instruments and asking you to sew while interviewing. They just want to see how you handle pressure. I did not interview there.

I have also heard of some programs bringing the game operation, probly for the same reason.

I was asked at an interview what size screw I wanted to use for a specific procedure, then what set I would find that screw in.

I was also asked to identify on an x-ray the size of a screw.

If you went to good externships and read the several residency manuals available these questions are not out of the blue. It is information you are expected to know.

You may not know everything the day of the interview. Don't get flustered or worry, just say you don't know and move on. If the attendings get all mad at the interview that you don't know and try to make you feel bad... this is probably how they will treat you as a resident, is that really how you want to learn for the next 3 years of your life. This is also an interview for you to evaluate them and how they will treat you for the next 3 years and as your collegues for life. Remember, even though you will be a resident for 3 years, you enter as a person and leave as a person. It makes resdency so much more barable if your are treated as such.
 
Seattle/Sweedish is notorius for bringing tiny instruments and asking you to sew while interviewing. They just want to see how you handle pressure. I did not interview there.

I have also heard of some programs bringing the game operation, probly for the same reason.

I was asked at an interview what size screw I wanted to use for a specific procedure, then what set I would find that screw in.

I was also asked to identify on an x-ray the size of a screw.

If you went to good externships and read the several residency manuals available these questions are not out of the blue. It is information you are expected to know.

You may not know everything the day of the interview. Don't get flustered or worry, just say you don't know and move on. If the attendings get all mad at the interview that you don't know and try to make you feel bad... this is probably how they will treat you as a resident, is that really how you want to learn for the next 3 years of your life. This is also an interview for you to evaluate them and how they will treat you for the next 3 years and as your collegues for life. Remember, even though you will be a resident for 3 years, you enter as a person and leave as a person. It makes resdency so much more barable if your are treated as such.

thanks krabmas. Im excited for january 8th. thats when the interview season begins.
 
How long does it normally take programs to get back with you regarding if you have been granted an interview?

I know the progrmas are getting flooded with applications and need time to go thru them. But a student mentioned that they had heard from a few programs already. I thought that was really fast considering applications were only released on Monday, 11/15.
 
How long does it normally take programs to get back with you regarding if you have been granted an interview?

I know the progrmas are getting flooded with applications and need time to go thru them. But a student mentioned that they had heard from a few programs already. I thought that was really fast considering applications were only released on Monday, 11/15.

I would suggest talking to the Graduate Medical Education department at your school.
 
How long does it normally take programs to get back with you regarding if you have been granted an interview?

I know the progrmas are getting flooded with applications and need time to go thru them. But a student mentioned that they had heard from a few programs already. I thought that was really fast considering applications were only released on Monday, 11/15.

a few weeks. If you hear that students are hearing from the programs that you also applied to and you haven't heard by the end of the month, possible consider calling or emailing the program to inquire. And, if the deadline to apply to more programs has not passed and you have not been invited to any interviews consider applying to more programs. Good Luck.
 
Seattle/Sweedish is notorius for bringing tiny instruments and asking you to sew while interviewing. They just want to see how you handle pressure. I did not interview there.

I have also heard of some programs bringing the game operation, probly for the same reason.

I was asked at an interview what size screw I wanted to use for a specific procedure, then what set I would find that screw in.

I was also asked to identify on an x-ray the size of a screw.

If you went to good externships and read the several residency manuals available these questions are not out of the blue. It is information you are expected to know.

You may not know everything the day of the interview. Don't get flustered or worry, just say you don't know and move on. If the attendings get all mad at the interview that you don't know and try to make you feel bad... this is probably how they will treat you as a resident, is that really how you want to learn for the next 3 years of your life. This is also an interview for you to evaluate them and how they will treat you for the next 3 years and as your collegues for life. Remember, even though you will be a resident for 3 years, you enter as a person and leave as a person. It makes resdency so much more barable if your are treated as such.

For any of the Detroit programs, they surround you with crowbars and ask you academic questions while they take whacks at you. It really shows them how well you think on your feet. I actually got the crowbar away from the residency director and started beating him. Needless to say, I was ranked #1 at that program. :laugh::laugh::laugh:
 
For any of the Detroit programs, they surround you with crowbars and ask you academic questions while they take whacks at you. It really shows them how well you think on your feet. I actually got the crowbar away from the residency director and started beating him. Needless to say, I was ranked #1 at that program. :laugh::laugh::laugh:

ROFLMFAO!!!😆
 
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