Scheduling 4th Year &
Introduction to Residency Application Process
Office of Student Affairs
University of North Carolina School of Medicine
December 13, 2013
FOURTH-YEAR SCHEDULING &
RESIDENCY APPLICATION
MS3 CLASS MEETING
AGENDA
Georgette Dent, MD
8:30-9:00 am
Welcome/4th Year Graduation Requirements/EPIC update
Leanne Shook
9:00-9:30 am
Scheduling Your 4th Year Courses
Sheila Graham McDonald
9:30-10:00 am
Georgette Dent, MD
10:00-10:20 am
Financial Aid, Debt Management and
Funding Interviews
Humanism in Medicine Nominations
Wellness Survey
10:20-10:30 am
Break
Georgette Dent, MD
10:30-11:00 am
Introduction to Residency Application Process
MS4 Students
11:00 am
Student Panel
EPIC Training Requirement
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Look for a memo to the MS3 listserv with instructions for
signing up for EPIC classes with your UNCH domain account
Need to sign release form today so that we can get your UNCH
domain account set up
You will get an individual email with information about your
UNCH domain account
Training starts February, 2014
You will not be able to do a clinical clerkship or elective at
Chapel Hill after April 4, 2014 if you have not had training!
There is a total of 8 hours of instructor-led training in
Morrisville, NC
There are 1 to 2 hours of online modules that must be
completed before the instructor led training
Do not sign up for a date that conflicts with an OSCE, shelf
exam, exam, or dayback
4th Year Considerations
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Finalize specialty choice
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Obtain letters of recommendation
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Meet with college advisors, career goal advisors,
and staff writer (January-August)
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Take CPX, Step 2 CK and CS
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Do “audition electives”
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Apply and interview for residency
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Prepare for internship
UNC’s USMLE Step 2 CK Policy
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Take Step 2 Clinical Knowledge by
November 15, 2014
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Show passing score of Step 2 CK by
December 31, 2014
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Lack of a passing score by December 31
means your eligibility for the Match and
graduation is in jeopardy
UNC’s USMLE Step 2 CS Policy
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We recommend that you take Step 2 CS by
November 1, 2014 (irrespective of SOM policy)!
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SOM policy mandates that you have a test date
scheduled by February 18, 2015
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MUST take step 2 clinical skills by the last day of
the term preceding graduation (4/24/15)
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Will get financial aid to pay for registration
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Will get time off from electives/selectives to take
exam
Step 2 CS
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5 Test centers
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Atlanta
Chicago
Houston (least busy)
Los Angeles
Philadelphia (most busy)
4th Year Course Requirements
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10 month calendar (July – April)
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7 Required courses + Capstone
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Required Selectives
• AHEC Acting Internship (AI)
• Advanced Practice Selective
• Acute Care Selective
• Science of Medicine Selective
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3 Electives (12 weeks)
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Clinical Practice Exam (CPX)
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Capstone Course (1 week)
Scheduling 4th Year
• Forms due before 5:00 pm on March 3, 2014
• Need e-mail or signature of Career Goal Advisor or
Advisory College Advisor
• July grades go in Dean’s Letter
• Separate schedule sheet for July/August blocks,
AHEC AI, Acute care, advanced practice and
Science of Medicine selective, electives, outpatient
medicine, etc.
• Ideally schedule one or two month(s) for interviews
(depending on specialty)
– October – January depending on specialty (November or
December typically the best months)
• Schedule free period for “audition elective”
• Schedule time to prepare for Step 2 CK
August Grades
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Tell staff writer want August grade included
Approval will be based on specialty choice
Student Affairs will track the grades and try to get
them posted in time for Dean’s Letter release
Student Affairs can also send transcripts when
grade comes in
Student will have to email programs to let them
know transcript has been updated
When do you need to decide on specialty?
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Can take electives/selectives in July, August and maybe
September to help with specialty choice
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Need to decide on specialty by August 15th (early match
specialty) or September 15th for a competitive specialty
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Ideally, you want your ERAS application submitted by
September 15th
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May decide by as late as October 1st for some specialties (e.g.
specialties that are not too competitive or competitive
specialties that wait for Dean’s Letter release on October 1st)
Fourth-Year Schedule Summary
Preference forms due March 3rd
• Take electives in specialty (ies) of choice
• July grades go in MSPE (Dean’s Letter)
• Attend Summer Workshop
• Friday, July 11 or Friday, August 8
• G100 Bondurant Hall, 12:00 – 1:00pm
• Consider taking away electives (“audition”)
• Take the 4 required selectives
• Take CPX exam
• Take Step 2 CK and Step 2 CS exams
• Schedule time to interview
• Attend Residency Interview Workshop in
October
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Fourth Year Scheduling
Leanne Shook
Financial Aid, Debt
Management and Funding
Interviews
Sheila Graham McDonald
Humanism in Medicine
Nominations
https://www.surveymonkey.com/s/U
NCHIM
Wellness Survey
https://unc.az1.qualtrics.com/SE/?SI
D=SV_eG9Q0RXeDJUojZP
Medical Student Performance
Evaluation (Dean’s Letter )Process
Introduction to Residency Application
Process
Some 4th Year Costs (estimates)
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Step 2 CK
$580
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Step 2 CS
$1230 + travel costs
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ERAS
$92 (estimate for 10 programs)
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NRMP
$60 (estimate for up to 20 ranks)
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Travel costs
$2000 to $10,000
Costs (estimates)
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ERAS: Number of applications in same specialty
up to 10
$92
 11-20
$9 each
 21-30
$15 each
 31 or more
$26 each
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NRMP:
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7/31/2017
20 ranks
$60*
21 or more
$30 each
* for couples $75/each for 30 ranks
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Medical Student Peformance
Evaluation Packet
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Medical Student Performance Evaluation (MSPE or
Dean’s Letter)
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Transcript
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Comments from 3rd year clerkships and July
electives/selectives
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1st and 2nd year grade distributions
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3rd year grade distribution for past 2 years
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Answers to AAMC questions (appendices)
Dean’s Letter/Medical Student
Performance Evaluation (MSPE)
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Identifying Information
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Unique Characteristics
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Academic History
• Combined degrees
• Remedial work
• Leave of Absence (research, personal, medical, etc)
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Academic Progress
• Preclinical record
• Clinical clerkship and elective record
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Summary paragraph
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Appendices (answers to AAMC questions)
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New this year! College Advisors will no longer “sign”
MSPE allowing them to write letters of recommendations
MSPE Appointment
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Update curriculum vitae, submit to staff writer at
[email protected]!
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Meet with Staff Writer, to review Medical Student
Performance Evaluation (MSPE)
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Appointments available April – July
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If you are a student returning from a LOA and have completed
third year you must schedule your MSPE appointment in
February, March, or April!
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After May 1st we’ll make appointment for you
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Read or listen to letter in September
Contact Information
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To Schedule appointments with Staff Writer
and College Advisor:
• [email protected]
• College Advisor contact Jeri at
[email protected]
Career Goal Advisors
Provide CGA with CV, personal statement, transcript
• Review your permanent record in 1001 Bondurant
• Encourage CGA to review your permanent record
• May meet CGA today
• Stay in touch with CGA to discuss:
• choices of programs & priorities
• activities to strengthen application
• number of applications/interviews
• electives here & away
• interview etiquette
• ranking strategies
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List of CGAs can be found at http://www.med.unc.edu/ome/studentaffairs/academic-assistance-andadvising/career-counseling-and-careers-in-medicine-1/career-goal-advisors
4th Year Advising Meeting
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Required meeting with College Faculty
Advisor from January to August to
discuss
• Specialty choice
• Plan for selecting a specialty if undecided
• Competitiveness for specialty choice (s)
• 4th year schedule
• Away electives
• Plan for letters of recommendation
• Number of programs applying to
• Career goal advisor
• Personal statement
Selection Criteria for Residency: Results of a
National Program Director’s Survey
1207 Program directors from 20 specialties responded:
1. Grades in required clerkships
2. USMLE step 1 score
3. Grades in senior electives in specialty
4. Number of honors grades in clerkships
5. USMLE Step 2 score
6. USMLE Step 2 CS pass
7. Class rank*
*UNC does not put student rank on Dean’s Letter
Selection Criteria for Residency: continued
8. Membership in Alpha Omega Alpha (AOA)
9. Medical school reputation
10. Medical school academic awards
11. Grades in other senior electives
12. Grades in pre-clinical courses
13. Published medical school research
14. Research experience while in medical school
*Importance of items differs by specialty
Highly Competitive Specialties
Median Step 1 and Step 2 Scores of Matched Students
Step 1
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Dermatology
Orthopedic Surgery
Otolaryngology
Plastic Surgery
Radiation Oncology
244
240
243
249
240
NRMP Results and Data 2013 Main Residency Match
Moderately Competitive Specialties
Mean Step 1 and Step 2 Scores of Matched Students
Anesthesiology
Emergency Medicine
Obstetrics/Gynecology
PM & R
Radiology
Step 1
Step 2
227
224
221
216
242
238
238
236
231
Not available
NRMP Results and Data 2013 Main Residency Match
Less Competitive Specialties
Median Step 1 and Step 2 Scores of Matched Students
Family Medicine
Internal Medicine
Neurology
Pathology
Pediatrics
Psychiatry
Step 1
213
226
219
226
222
214
Step 2
227
239
232
234
236
226
NRMP Results and Data 2013 Main Residency Match
Percent US Seniors In Honor Society (AOA)
who Matched in 2013
AOA
60
50
40
30
20
10
0
Source: AAMC Careers in Medicine
Predictors of Matching
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Number of programs ranked!
Step 1
Step 2
Graduate of top 40 NIH ranked school
AOA (medical honor society)
Match Outcomes Data, August 2009
Can your credentials be enhanced?
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Step 2
Research
Audition electives
Joint degree
Spanish
If your credentials cannot be enhanced, you may need
a back up plan if you are applying to a highly
competitive specialty.
Electronic Residency Application
Service (ERAS)
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Web-based for:
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Estimated fee of $92
Opens to applicants –
Summer 2014
Opens to programs –
September 15, 2014
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Application
Personal statement
Photograph
Assignment of LoRs
MSPE/Dean’s letter
Transcript
Selection of programs
Central Application Service (CAS)
Specialties & the San Francisco Match
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Specialties:
• Ophthalmology
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www.sfmatch.org
Dates:
• Rank order lists due
and results usually
released in January
• [email protected]
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Photographs
• For the USMLE exam and the ERAS
application, you will need photographs
• Turn in a 2x2 black and white (for transcript)
and 3x4 color (for ERAS) print to 1001
Bondurant Hall
But why do I need a new
photograph?
Photographs
First Year
Photographs
Before
After
The National Resident Matching Program
(NRMP)
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All students enroll regardless
of specialty!
Estimated Fee of: $60
Matches applicants with
programs based on
preferences
Not an application service
Uniform dates nationally
Eliminates pressure to make
a decision before all of your
options are known
Review of Residency Application
Process
Spring – Update CV, schedule appointments
Spring/Summer – Dean’s Letter meeting, have photo
taken, attend summer ERAS & ranking strategies
workshop, take CPX
Summer/Fall – Sign up with NRMP, request LoRs,
write personal statement, research & apply to
programs
Fall/Winter – Take Step 2 CK and at least register for
Step 2 CS, Interview
Winter – Submit rank order list
Additional Helpful Resources
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AAMC Careers in Medicine
https://www.aamc.org/cim/345598/newcim.html
AAMC Roadmap to Residency: From Application to
the Match and Beyond
https://members.aamc.org/eweb/upload/Roadmap%20to%20Res
idency%202ndEd.pdf
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NRMP Charting Outcomes in the Match –
Characteristics of Applicants Who Matched to their
Preferred Specialty in the 2011 NRMP Main
Residency Match http://b83c73bcf0e7ca356c80-
e8560f466940e4ec38ed51af32994bc6.r6.cf1.rackcdn.com/wpcontent/uploads/2013/08/chartingoutcomes2011.pdf
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NRMP Program Director Survey Results
http://www.siumed.edu/oec/Year4/References/NRMP%20PDSur
vey%202012.pdf
Match Week – March 2015
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ERAS Opens
July 1, 2014
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NRMP Registration
September 15, 2014
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ERAS Application
Submission
September 15, 2014
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Rank Order List opens
January 2015
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Rank Order List closes
February 2015
QUESTIONS