ERAS MATCH CLASS MEETING G 100 Bondurant Hall

ERAS & MATCH CLASS MEETING G 100 Bondurant Hall Dr. Georgette Dent Office of Student Affairs = Student To -Do Item

Meet with your Advisors College Advisor • • • Are you torn between 2 (or more) specialties? Personal statement - send them a copy 3 noteworthy characteristics Career Advisor • • • Which programs are you competitive for? How many programs to apply to - Service, Research, Leadership Letters of recommendation - who and how many • Your plan for letters of rec (Lo. Rs), program list, interview months, etc. • Personal statement specifics - send them a copy • • Graduation Requirements - are you on track? • • Interview scheduling Are you getting enough support from your chosen specialty’s department? Average: 2 -3 meetings May- July

Step 2 Scores + The Match UNC SOM Policy: • if Step 2 CS + CK scores not received by Nov 1, Student Affairs reserves the right to remove you from the Match • if not received by ROL submission date, you will be automatically removed from the Match Translation: - Take Step 2 CS by July 14, 2018 Take Step 2 CK by Oct 1, 2018 5 5/8/18 May - July

Work on Personal Statement • Aim for 600 -650 words (one page max) • It’s all about your narrative Questions to consider: • Why am I interested in this field? • What do I want in a residency program? • What are my professional goals? • Why should a residency choose me? • What accomplishments should I highlight? • What contributions can I make to the specialty? • What contributions can I make to the residency program? • What outside interests do I have? 6 5/8/18 May- July

Work on Personal Statement Do • Write a statement that someone who knows you well can pick out of a stack • Provide insight into who you are and what you have achieved • Write about something you would like to discuss in an interview • Address a problem in your application if you can put a positive spin on it Don’t • Restate your CV/application • Be too cute or out there unless you have vetted it with several people • Use the entire statement to address problems in your application—try to keep it positive Good Examples + Advice from Maureen Rosen: https: //www. med. unc. edu/ome/studentaffairs/residency-and-the-match/residencyapplication-process/cv-personal-statements 7 5/8/18 May- July

Work on Personal Statement ❖ You can have an infinite number of PS ❖ Can have a few target statements, for example: • Research PS • Community program PS • Geographic PS ❖ Otolaryngology** • Must write a different PS for each specific program you are applying to ❖ Preliminary Programs • Same PS as categorical with the addition of a sentence or two about how the preliminary spot fits with your long term career goal 8 5/8/18 May- July

MSPE Meetings First Meeting = now or already happened - talk about MSPE + process timelines - already happened for branch campuses Second Meeting: late Aug-early Sep - final look at all comments in MSPE - plan to spend ~ 1 hr reading + making final edits - Will read letter to you if you are out of town Sign Up Here: http: //www. supersaas. com/schedule/UNC_Advisory_College/MSPE_Writer? day=16&month=4& year=2018 Maureen Rosen, MSPE Writer maureen_rosen@med. unc. edu May- July

What’s a MSPE (Review) “Medical Student Performance Evaluation” ∙ New guidelines November 2016 ∙ Identifying Information ∙ Noteworthy Characteristics (limited to 3) ∙ Academic History ∙ Academic Progress ∙ Summary ∙ Medical School Information ∙ Performance levels included for Medicine, Neurology Ob/Gyn, Pediatrics, Psychiatry and Surgery ∙ Early September – Your final MSPE review ∙ October 1 – MSPEs released 10 5/8/18 May- July

What’s In the MSPE Packet (Review) ● Medical Students Performance Evaluation (MSPE or Dean’s Letter) ● Transcript ● Comments from Foundation Phase, Application Phase, and Individualization Phase (received by Aug 1) Grade Distribution Explanations: ● Foundation Phase grade distributions (P/F) ● Application Phase grade distribution (H/HP/P/F) ● Intensive Integration and 2 -weeks career exploration courses are P/F May- July

Letters of Recommendation (Lo. R) • Most programs want 3 -4 letters -- at least 1 -2 from chosen specialty • Letters from graduate work or research mentors make great 4 th letters • MSPE is not a Lo. R • Departmental LORs: Medicine, Ob/Gyn, Pathology, Surgery • Prelim LORs: Needed for surgery and internal medicine prelim programs • Emergency medicine: Standardized letter of recommendation (SLOR) **For specialty-specific information - ask CGA + see MS 4 Student Guide 13 5/8/18 May- Aug

Letters of Recommendation • Ask faculty if they feel that they know you well enough to write letter • If possible, ask before the end of the rotation so they have time to take notes, remember details • Waive your right to read the letter • Give writer your CV, personal statement • Give Lo. R writer letter request forms - see future slide * Lo. Rs must be uploaded to ERAS using ERAS Letter of Recommendation Portal (Lo. RP) * Lo. Rs must be uploaded by either the Lo. R Author or his/her designee (eg admin assistant) * Designees may be anyone the author chooses as long as they are not a member of the hospital (in an advising role) or medical school staff supporting students in the application process 14 5/8/18 May- Aug

Lo. R How-To: 1)Make ERAS Account 1. Create AAMC username/login (https: //www. aamc. org/), if you don’t already have one from using other AAMC services (e. g. MCAT, AMCAS, VSAS, Ci. M) 2. On AAMC website -> Applying to Residency -> Register for My. ERAS - will need ‘token’ from Bernice Mayo in order to register - ‘token’ = individualized passcode generated by the SOM 3. ERAS officially opens first week of June. - Bernice Mayo will send out tokens to everyone on Friday, May 25, 2018 - limited version of ERAS open now just for uploading Lo. R - can email Bernice Mayo now to get token early May- Aug

Lo. R How-To: 2) Send faculty Lo. R Forms Send Lo. R Request Form - Go to AAMC website -> sign in Applying to Residency -> My. ERAS -> Lo. R Portal - you will send faculty a Lo. R request form - they will then be able to upload your letter directly to ERAS - you will receive email confirmation when it’s been uploaded Don’t forget to follow up with faculty - Give them adequate notice before deadline (~2 weeks) to ensure they can upload letter in time - Ideally Lo. Rs should be submitted by September 15 - You may track the status of your documents and Lo. Rs under the “Additional Documents” and “Letters of Recommendation” sections of the Documents menu in My. ERAS. May- Aug

Prelim Year Letters of Rec • Need at least one general surgery LOR if applying to a prelim surgery program • Need at least one internal medicine LOR if applying to a prelim internal medicine program • Can otherwise send the same letters that you are sending to your categorical programs • The prelim program directors know that you are applying to another specialty 17 5/8/18 May- Aug

Research Potential Residency Programs ❖ Lots of sources - none are perfect ❖ Look at the program websites themselves ❖ Bring a list of potential programs to your CGA meeting ❖ Factors to consider: ➢ geography ➢ program size ➢ cost of living in area ➢ reputation for specific specialty - ask your CGA ➢ program benefits - salary, meals, parking, etc ➢ board exam pass rates ➢ special tracks - global health, QI, primary care, etc. ➢ different facilities you would rotate at ➢ career paths of past residents at that program 5/8/18 May- Aug

Emergency Med: Video Interview On ERAS - indicate you are applying to EM * You will be emailed link with instructions * Application double checks your technology compatibility * Do practice questions to become comfortable with one-way interview format The Interview: * 6 questions - 3 on interpersonal skills, 3 on professionalism * 30 sec for question on screen, 3 minutes to respond * cannot re-do questions, but can pause in between questions * Scored by third parties - score sent to program directors and applicants * can be completed 24/7: OPEN JUNE 7 -JULY 15, 2018 19 See email from Bernice Mayo on 5/10! 5/8/18 June-July

ERAS Application Documents Students are responsible for: • Completing My. ERAS application • Personal Statement • Requesting USMLE transcript - directions to come • Photograph • Reminding letter writers with advance notice Faculty are responsible for : • Letters of recommendation (LORs) Student Affairs is responsible for: • Medical school transcript • Medical Student Performance Evaluation (MSPE/Dean’s Letter) 5/8/18 September

Application Deadlines September 1 – You need 2 photos • 3 x 4 color jpeg file for ERAS • 2 x 2 B&W or color for SOM file September 15 • Submit application on ERAS • S 0 M will submit your transcript Mid-late September – Your final MSPE review October 1 – MSPEs released 22 5/8/18 September

Application Deadlines September 1 – You need 2 photos • 3 x 4 color jpeg file for ERAS • 2 x 2 B&W or color for SOM file September 15 • Submit application on ERAS • S 0 M will submit your transcript Class Presidents organizing professional photographer to come to SOM in July, look out for email with details; previous costs ~$50 Mid-late September – Your final MSPE review October 1 – MSPEs released 23 5/8/18 September

How many programs? ● Must discuss with your college advisor and career goal advisor for individualized plan ● Assess your competitiveness with help of CGA + college advisor ● Couples matching? ● Need to decide if you are applying to two specialties i. e. a parallel plan AAMC Article + graphs on point of diminishing returns: https: //news. aamc. org/medical-education/article/how-manyresidency-applications-strategy/ (EM, gen surg, IM, Ob/Gyn, ENT, pediatrics) 5/8/18 September

Average Number of Applications and Target # Programs on ROL* Apps • Family Medicine • Internal Medicine • Pathology • Physical Medicine & Rehabilitation • Psychiatry • 24 19 28 22 13 24 ROL* 10 11 10 10 *ROL=Rank order list Ci. M and NRMP data September 25 11/4/2020

Average Number of Applications and Target # Competitive Programs on ROL Apps • Anesthesiology • Emergency Medicine • Obstetrics/Gynecology • Pediatrics 37 34 12 34 23 ROL 14 12 11 Ci. M and NRMP data September 26 11/4/2020

Average Number of Applications and Target #Programs on ROL for Highly Competitive Specialties • Dermatology • Orthopaedic Surgery 66 • Plastic Surgery • Radiology • Radiation Oncology 78 • Urology • General Surgery Apps 9 70 12 29 52 11 52 42 ROL 9 14 10 -12 12 Ci. M and NRMP data September 27 11/4/2020

*Seeking Transparency in Application to Residency • UNC SOM one 68 participating schools • Need to sign attestation for affirming that data will only be discussed with individuals affiliated with UNC • Should get program specific data related to Step scores, grades, etc. • Look for information soon! September

ERAS Application Costs ERAS Fees (Per Number of Programs) • Up to 10 $99 once • 11 -20 $13 each • 21 -30 $17 each • 31 or more $26 each Example: 32 Programs: [$99 + (10 x $13) + (10 x $17) + (2 x $26) = $451 September

Surgical Specialty Matches Ophthalmology • Central Application Service (CAS) & San Francisco (SF) Match • • • Opens in June Target dates to submit application: 9/5/18 SF Match • • ROL certification: 1/3/19 Match results released to schools: 1/10/19 Urology • • ERAS and AUA Match Important dates • • • Registration opens: Summer - June 2018 Dates for 2019 match not released yet http: //www. auanet. org/education/urol ogy-and-specialty-matches. cfm Unfilled vacancies announced: 1/11/19 www. sfmatch. org September

Surgical Specialty Match Costs SF Match/CAS (ophtho): $100 registration plus: • 1 -10 apps $60 once • 11 -20 $10 each • 21 -30 $15 each • 31 -40 $20 each • > 41 $35 each AUA Match (Urology): NBME: $75 no limit $80 unlimited copies September

Preliminary Programs • Typically internal medicine, surgery, or transition year • How many programs? Wide range based on strength of your credentials and which specialty • Surgery: less competitive • Transition year: most competitive • Internal Medicine: in between Talk to your Career Goal Advisor!! • Personal Statements • Can use essentially the same PS • Add a sentence about how prelim training will help with categorical specialty • Letters of Recommendation (Lo. Rs) • Need at least one from the specialty (except for Transition programs) • Departmental letter is a good idea 5/8/18 September

What puts you at risk for not matching? Competitiveness issues: academic/professionalism problems (e. g. USMLE, grades, no research) • • • Apply to more programs or back-up specialty Well crafted personal statement to provide context for record Try to enhance credentials • • e. g. early Step 2, research year, do well 4 th year Away electives Attitudinal/interpersonal issues: poor interviewer; ambivalent about medicine or specialty • • Take electives to better define specialty choice Do practice interviews Geographical issues: • • • Apply to more than one specialty Do elective and/or research in targeted location Couples need to apply to at least one big cold city Failure to follow evidence-based advice during interview period * * see slide 33 about Oct 31 check-in about interviews will advise students at this time about applying to more programs, reaching out for more interviews, etc. September

Interview Basics ❖ Occur October thru January ➢ timing is specialty-specific - talk to CGA, see MS 4 Student Guide ❖ Some specialties/programs start offering interviews in September ➢ others not until MSPE received in October (ex: Derm, ENT) ❖ Programs make more offers than spots, so will need to check phone and email regularly in Sep/ Oct ➢ Consider setting up email alerts, notify team members on rotation ➢ If you do not have enough interviews by Halloween then we will reach out to you and advise you on whether your should call, add programs, or apply to another specialty like family medicine or prelim surgery 35 5/8/18 Sep-Oct

How do programs decide who to interview? ? ? Sep-Oct

Preparing for Interviews AAMC -> Applying to Residency -> Applying Smart to Residency https: //students-residents. aamc. org/applying-residency/apply-smart-residency/interviewingresidency-positions/ Lots of information including: - What to ask during residency interviews - Frequently asked interview questions UNC Mock Interviews ● ● ● ● Residency Interview Workshop – DATE TBD (Late September) - look for an email Real Interview practice You are videotaped in the SIMS Lab Given immediate feedback from a seasoned faculty member Provided access to recorded video for your review and self critique Help you improve your interviewing skills 30 Minute Sessions Session registration coming soon Sep-Oct

Preparing for Interviews TBA: Student Interview Advice Panel ● to be organized by student curriculum reps closer to interview season ● meant to cover topics like… ○ does it work to geographically cluster rotations? ○ how long do you have to respond to interview invitations? ○ what to wear to interviews (somewhat specialty-specific) ○ travel tips ○ other questions you have Sep-Oct

National Residency Matching Program (NRMP) • The NRMP provides a uniform date of appointment for residency and fellowship positions • Everyone needs to register by November 30, 2018 • Registering with NRMP does not register you with ERAS and vice versa • NRMP is a binding agreement • Web address: http: //nrmp. org November

Interview Costs Total Cost = Application Costs + Interview Costs Median cost: $4, 500 (applying + interviewing) ● Application Costs: ERAS costs, NMRP fees ● Interview Costs: travel, accommodation, food, professional clothes (harder to predict) Watch this AAMC video!!! https: //vimeo. com/234921514 **Depends a lot on specialty and geographical distribution of programs** Oct-Jan

Tips for Managing Interview Costs ❖ Talk to your CGA about the number of interviews you should attend - you don’t have to go to them all ❖ Attend interviews at programs you would consider going to ❖ Be smart about costs: ➢ stay with friends or family when possible ➢ drive to interviews when possible ➢ start and end trips at the same airport (cheaper tickets) ➢ cluster interviews in same geographical area if able ➢ consolidate flights and hotels into one rewards account ➢ consider travel rewards credit card - see MS 4 Student Guide for student advice Oct-Jan

Ongoing Interview Support Around Oct 1, college advisors will send out interview survey: ●Fill it out ASAP!! ●Data will be sent to your college advisor so they can support you ●If you are not on track to meet your target ROL number by Halloween, then you should consider a parallel plan or you risk being unmatched ●Parallel plans can include applying to a less competitive specialty or planning on doing research or going to graduate school and trying again 43 5/8/18 Oct-Jan

NRMP Dates to Remember • 09/15/2018 Registration opens at noon ($80. 00) • 11/30/2018 Application deadline ($50. 00 late fee after this date) • 1/15/2019 Rank order listing opens • 2/20/2019 Final rank order certification (Before 9 pm EST!) • 3/11/2019 Matched/Unmatched info posted online • 3/14/2019 SOAP (aka Scramble) concludes • 3/15/2019 MATCH DAY! February

NRMP Costs • $85 - Standard Registration fee that includes 20 ranks (20+ see below) +$50 late fee if you register after Nov 30 • $110 NRMP per couple Length of Rank Order List Fee 21 -99 ranks 100 -150 ranks 151 -200 ranks Amount $30 $50 $100 201 -250 ranks 251 -300 ranks $150 $200 February

Rank List Strategies for Couples S/He – Internal Medicine 1. UNC-CH 2. Duke 3. Duke 4. UNC-CH 5. Mass General 6. Brigham & Women’s 7. Boston University 8. No match S/He - Pediatrics 1. UNC-CH 2. Duke 3. UNC-CH 4. Duke 5. Boston Children’s 6. Boston Children’s 7. Boston Children’s 8. Boston Children’s Helpful Video: http: //www. nrmp. org/couples-match-videos/ • ERAS • Target large cities • Indicate that you are couples matching • Apply to enough programs • NRMP • Sign up in NRMP as individual, but indicate matching as a couple • Enter partner’s NRMP code (partner enters your code) • Enter couple ranks the same number of programs • Computer treats couple as a linked pair only • Can mix types of programs, institutions, specialties, geographic locations in each pair of ranks • Rank acceptable programs February

Match: National & UNC Match Overview 2011 2012 2013 2014 2015 2016 2017 2018 UNC Match rate 96% 98% 93% 97% 97% 98% National Match rate (US Seniors) 94% 95% 94% 94% 94% Number of unmatched students* 6 3 9 7 6 6 6 4 * Number of PGY 1 unmatched students prior to SOAP March 2019

Last Thing: * * Learning Environment/Mistreatment Survey At this point early in your individualization phase, we are asking you to reflect on the clinical experiences of your Application phase. We want to you to tell us about the clinical environment. It is essential we monitor the learning environment and student safety issues to ensure all students are receiving a quality education while being treated respectfully as learners – as a part of the health care team. This is also an important accreditation issue. Your feedback tells us how well we are doing. We are seeking both positive and negative reports about your experiences. If we are not doing well, we need to know that, so we can fix it. But we can only make improvements where we know they are needed, that is why your responses to this questionnaire are so important. High response rates yield credible data that will receive due attention of the administration and faculty; to have confidence in the feedback we receive, we need everyone to complete this questionnaire. We always respect your confidentiality and will always report results in aggregate. We realize this can be a sensitive topic and will only pursue follow up with your permission.

Match: Online Resources • • Careers in Medicine: https: //www. aamc. org Personal Career Assessment • Medical Specialties Apitude. Test http: //www. med-ed. virginia. edu/specialties/ • • Temperament Sorter • • http: //www. advisorteam. com/temperament_sorter/register. asp? partid=1 Match • • • Charting outcomes of the match: http: //www. nrmp. org/new-charting-outcomes-match/ • • • FREIDA: https: //www. ama-assn. org/life-career/search-ama-residency-fellowship-database ERAS: https: //www. aamc. org/students/medstudents/eras/ VSAS: https: //www. aamc. org/students/medstudents/vsas/ NRMP: http: //www. nrmp. org/ Selection Criteria for Residency: Results of a National Program Director’s Survey: http: //journals. lww. com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residency__Results_of_a. 24. aspx AAMC Roadmap to Residency: From Application to the Match and Beyond https: //www. med. unc. edu/pedclerk/resources/pedsres/aamc%20 guide%20 to%20 match. pdf 51 5/8/18