Some thoughts as a med student thinking back to when I was a pre-med

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SxRx

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Hi all 🙂
I'm an M3 at an MD school who has gotten a lot of good advice and have gotten a lot from this website. I thought I'd share some of my thoughts in a gesture to give back a little....some are things I wish I knew when I was a premed and some are things I that may help once you get into med school.

Which med school to go to?
Of course there are a lot of factors to consider....location, cost, prestige etc....one of the things I didn't know as a pre-med that I wish I knew is that prestige of your med school matters somewhat when trying to get into a prestigious residency. If you are coming from a low tier school trying to match into UCSF or Harvard IM .....well it most likely will not happen. People in our school say things like "you need to look at where our school graduates have matched into if you want to get into very competitive specialties or top programs in any specialty". Think about why they say that. This also applies when you apply for fellowship for subspecialty. The prestige of your residency program matters where you will/will not match. Don't just listen to "it doesn't matter which school you go to as long as you work hard." Well, that's true only to certain extent. Why do you think there is always a talk amongst the DO students "Which radiology program is DO friendly?" If you have the choice you want to put yourself at the best position to achieve what you want. Why put yourself at a position where you'll have to work uphill if you don't have to? Of course there are exceptions.

How to take advice from people on how to study, what books to buy/not buy, whether to goto classes or not etc.....
This all depends on how you work best. I suggest you listen to what people say and analyze them with how you are as a person. For an example, many people have told me not to buy this book or that book since there are printed notes/power points that'll take enough time to get through and you'll never have time to read books anyway. Well, I bought almost all books and some I've used extensively while some I looked at once every 2 weeks. Spending money on books wasn't a big deal since I ended up selling many of them on Amazon and got some money back. Also, I liked having resources at my disposal. If I spent $75 on a book and it helped explain 5 concepts I had hard time with, for me that was worth it. I prefer to have the convenience and sufficient resources rather than relying on power points alone or doing online search. Many times professors' power points are not very good and don't explain concepts well. Realize that these professors are good at topics they know and not how to teach people. I've found that people who write books tend to explain things better than professors in their power points. Many others will disagree. But, that's just me.

Whether you should go to classes or not is another thing I recall pre-meds wondered about in terms of what med students do in med school. I went to almost all classes during my M1 year and probably helped me over the edge for an A in about 2 classes because professors mentioned things in classes to really emphasize what will likely be on exams. During my M2 year I only went to about 1/2 of classes and missed an A in one class because I didn't get credit for attendance. I'm not advocating going to classes. But, each person needs to look at him/herself carefully and take advices that are relevant to him/her while letting go of the ones that do not pertain to him/her.

If you can go to a school with its own teaching hospital. This is important in many cases but it became an issue for me which I didn't foresee as a pre-med. I have several specialties I'm interested in which are not a part of 3rd year core rotations. This means I have to experience them as electives in July and August of my 4th year. ERAS for residency application opens September 1st. So, if you are still uncertain what specialty to go into by the end of 3rd year because you just haven't had the exposure you really only have 2-3 months to get exposure, get letters of recommendations and submit them to ERAS. So, my point is that if your school has its own teaching hospital it'll be easier to get someone in that department to at least give you a few weekends of exposure while if you go to a school without its own teaching hospital you are basically knocking on doors who have nothing to do with you or your school. Even if you contact the hospitals your school has connections with they are still not a part of your school. Having said this, getting people in your own school's teaching hospital to give you some exposure to a specialty not in your 3rd year core clerkship may not be all that easy. But, it's easier than if your school didn't have a teaching hospital. One more thing about this.....schools without its own teaching hospital may have more difficulty getting requests met from school to hospitals. I'll give you an example. Our school has had a new policy since July of this year for 3rd year clerkships that affect how you get graded. Until November of this year one of the hospital wasn't even aware of this change. I'm sure there was a memo handed to the person in charge of grading at this hospital. But, my point is that your own school's hospital workers have more of a responsibility to you if you are one of their own.

One myth I wish I didn't believe....I used to think that if someone said "this school's faculty is so open, friendly and is willing to work with students". Don't listen to that kind of b.s.. A school doesn't dictate how open professors are to students. Individual professors' personality dictates that. I'm sure there are really good professors and professors who don't care all the way from top school to the bottom tier school. Quality of professors matter less in my opinion in terms of choosing a med school. One more myth....schools that have no grading system. Well, someone can correct me if I'm wrong. But, from what I hear these school still keep track of class ranking. When you apply for residency, the residency programs don't care about your GPA but will look at your class ranking....top 25%, top 50% etc..... And even these schools with no grade policy, there will still be class ranking that is sent to the residency program you apply to from your school.

I thought I had more stuff to share. But if I remember perhaps I can add them later. Again, this is just my opinion and others may disagree. But, as I mentioned in one of my paragraphs, listen and read many different opinions and see what applies to your own need.
Good luck!
 
Wow, you must be really bored. Don't you have a shelf to study for?
 
Thanks for taking the time to write that out. You have some interesting points, especially about the class ranking/no grades. I'm definitely going to have to look into that.
 
One more myth....schools that have no grading system. Well, someone can correct me if I'm wrong. But, from what I hear these school still keep track of class ranking. When you apply for residency, the residency programs don't care about your GPA but will look at your class ranking....top 25%, top 50% etc..... And even these schools with no grade policy, there will still be class ranking that is sent to the residency program you apply to from your school.

Yup, thats what I heard as well from a professor who teaches at a P/F medical school, you really are still being graded =P
 
Yup, thats what I heard as well from a professor who teaches at a P/F medical school, you really are still being graded =P
t
It depends on the school, some schools truly don't have an internal ranking system for some or all of their curriculum. However, they don't necessarily need to keep track of your rank for schools to get some level of your position in a class. Most schools send a break down of the students that got honors high pass pass, etc for a given rotation. So, if you have grades there is inevitably a rank, but if it is p/f with no rank then it can be legitimate.
 
How to take advice from people on how to study, what books to buy/not buy, whether to goto classes or not etc.....
This all depends on how you work best. I suggest you listen to what people say and analyze them with how you are as a person.
Solid advice, but I would err on the side of doing what older students tell you, not what has worked for you in the past. If you hear from multiple independent people that a certain strategy has worked, just do it. If it doesn't work for you, modify as necessary, but start with the tried-and-true method. Med school is a totally different ballgame than college, so your old habits often won't be useful.

If I spent $75 on a book and it helped explain 5 concepts I had hard time with, for me that was worth it.
This is what Wikipedia is for. Don't spend $15 per concept when you can get it for free. There are very few texts I would recommend buying for the first 2 years of med school.

I used to think that if someone said "this school's faculty is so open, friendly and is willing to work with students". Don't listen to that kind of b.s.. A school doesn't dictate how open professors are to students. Individual professors' personality dictates that.
It's irrelevant what the school dictates if the faculty ARE nice, cool, helpful, etc. If the generalization fits the school, there's no reason to not say the faculty are good, overall. Granted, I totally agree that instructor quality is basically a wash in the first two years, but it sure as hell makes a difference in the last two.
 
t
It depends on the school, some schools truly don't have an internal ranking system for some or all of their curriculum. However, they don't necessarily need to keep track of your rank for schools to get some level of your position in a class. Most schools send a break down of the students that got honors high pass pass, etc for a given rotation. So, if you have grades there is inevitably a rank, but if it is p/f with no rank then it can be legitimate.
Yale comes to mind; true P/F with no internal ranking system at all.
 
Thanks for taking the time to post this OP. I am still a premed and any insight I can get into the workings of a med school is helpful.
 
Which med school to go to?
Of course there are a lot of factors to consider....location, cost, prestige etc....one of the things I didn't know as a pre-med that I wish I knew is that prestige of your med school matters somewhat when trying to get into a prestigious residency. If you are coming from a low tier school trying to match into UCSF or Harvard IM .....well it most likely will not happen. People in our school say things like "you need to look at where our school graduates have matched into if you want to get into very competitive specialties or top programs in any specialty". Think about why they say that. This also applies when you apply for fellowship for subspecialty. The prestige of your residency program matters where you will/will not match. Don't just listen to "it doesn't matter which school you go to as long as you work hard." Well, that's true only to certain extent. Why do you think there is always a talk amongst the DO students "Which radiology program is DO friendly?" If you have the choice you want to put yourself at the best position to achieve what you want. Why put yourself at a position where you'll have to work uphill if you don't have to? Of course there are exceptions.

Thanks for your post. Actually, I was going to rank debt/cost and location as factors that matter possibly more if not equal to prestige. At what point does the quality of the residency program really impact your future employment prospects? And exactly in what way?
 
For med school, cost should be far ahead of prestige. In terms of residency candidacy, it'd help you a lot more to be ranked high at a school with a "mediocre" name than in the middle of the pack at an ivy, unless you were trying to go to that ivy. Location might matter a lot or hardly at all, depending on your situation. From what I understand - which admittedly is not all that much - residency location matters very little if you're going into clinical practice. The only thing it influences is how likely you are to get a job within the same region as your training. If you're going to do a bunch of research and/or go into academics, prestige is going to matter more.
 
Thanks for your post. Actually, I was going to rank debt/cost and location as factors that matter possibly more if not equal to prestige. At what point does the quality of the residency program really impact your future employment prospects? And exactly in what way?

I don't think there is a clear cut answer to your question.🙂 Your question really depends on what specialty you want to go into, how much it matters to you that you went to the best program possible for your aptitude, whether you are going to go academic vs community residency program and how much you value saving money and location. For an example if your goal is to be a general internist not interested in research and don't want to work in academic hospital you might as well go to a school that is convenient for you location wise, and/or saves you money since this type of goal doesn't really need you to go to the best type of residency program. However if you want to be an internist who want to go into cardiology at Ivy league school and work in that environment (academics) and do research you'll have much better chance if you came from a more prestigious (this doesn't mean you have to be in a top 5 programs or anything...the point is you just can't be at a bottom of the tier program and expect to match at a prestigious program) residency program than not....and to get into that prestigious residency program you just can't expect to match into that kind of a residency program if you are coming from a bottom tiered school. Do some from low tiered school get into top residency programs? I'm sure it happens....but your chances are not good. As we all know, we try to get best grades, best MCAT score and volunteer at hospitals to give us the best chance of getting into a med school. What I'm referring to is the same idea.

So, if a med school with low ranking that is your state school and 10 miles from where you live accepts you in addition to a top 25 school on the other coast of the country and your goal is to be a general internist and not interested in academics and doing things considered "very competitive" why spend the extra money and be away from family and friends (unless you want a new experience)? I'd say go to your state school, save the money, enjoy your time with family, friends and new med school friends. But, if you don't know what you want to go into and think that you are a person who wants to have options in case you do want to get into top residency/fellowship programs and don't mind moving away, then going to that top 25 school will likely give you more options than not.

Having said all this I'd think (not 100% sure) that if you come from even a mid tiered school, and have good academic standings you probably can get into pretty much any residency program.

Don't get me wrong...there are plenty of people who match into derm, ophtho, orthopedic sx, radiology, and other very competitive specialties from our school which is considered a low tiered MD school. And if they wanted to do a competitive fellowship afterwards they are highly likely to be able to do them. But one thing I have noticed is that from our school no one matches into top programs in those specialties. (but then again perhaps it doesn't matter....if you wanted derm and got into a residency program, who cares where you go!! So there is a lot of different ways to think about this)

All this is very subjective and there are no black and white. All I'm referring to is placing yourself in the best possible position to achieve your personal goal. If that personal goal is saving money, living in a place you like then where you go to school may be different than someone with a more career oriented goal who care less about saving money and location. It's all relative.
Good luck!
 
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