Is it best to undertake a sub-internship right after cores or after some elective under your belt? And what are some advice and recommendations in doing on. I'm specifically talking about and IM sub-I. Thanks.
When is the best time to do a sub-internship?
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Anytime is fine. Interview season runs end of October to middle January, so you might want to keep that in mind when making your schedule and fitting in more demanding rotations.
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Do them before October 1st. July-September is your window to get your letters of recommendation into ERAS.
*EDIT: You can submit letters after October 1st, but only if you want to call every program you applied to making sure they received your latest letter.
*EDIT: You can submit letters after October 1st, but only if you want to call every program you applied to making sure they received your latest letter.
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The part that you'll have to call every program to let them know about a new letter is no longer true: all applications are automatically updated whenever programs accesses them (which can be daily) and programs get notified about updates to individual applications. Source: multiple SDN posts by PDs stating this fact.
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If you are ending on time, take it right after 3rd year if you ended on IM. Then, take Step 2CK. Otherwise, do it after Step 2CK. After seeing what a lot of 4th years do on electives, I'm not convinced that the electives provide any intense prep for an optimal performance on a subI. That being said, I have a Acute Care elective ICU and I also realized our school offers an IM subI in an ICU setting so if you could a ICU elective and schedule an ICU IM subI I could imagine that being helpful. The residents may not even know you did that because they change every month.
If you're talking about IM sub-I for IM it depends on your IM clerkship grade and your LOR status. If you don't have the grade you want/need and/or need another LOR then you need to do it as early as possible (although if you *just* need the LOR you can do that with an elective too). My school reserves July sub-I spots for people in those situations and you have to apply for them outside of our standard clerkship lottery explaining why you need a July sub-I.
What if I ultimately wish to apply for an IM residency. I would like two LOR's from IM before I apply for residency. And the reason I'd like to do a sub-I is so that I can do my best in it and get a stellar LOR after having had some experience from doing my cores. Or if I already have a great LOR from my core clerkship IM is it better to do a different elective like critical care? Thank you.
assuming you do well, i don't think there's any negative to doing the sub-i early. I guess one could argue it would be better to have less intense stuff to give you time for CS/CK/ERAS but some electives are probably just as intense.
is it better to take step 2 ck before or after a medicine sub-i? i'm currently leaning towards taking ck 1 month (study period) after my sub-i because i can learn and solidify information during my sub-i and also have 1 month of free time afterwards to study for ck. thoughts?
