In the Neighborhood

Many applicants apply to schools in "geographic clusters" - for example, every school in Chicago, New York, or northern California. If you don't live near your geographic clusters, then it is certainly ideal to avoid traveling back and forth multiple times. Sometimes, a brief email to the admissions office can alleviate your travel woes.  A sample:

Dear ___,  

I recently learned I will be in Boston on September 22 for an interview at another institution. Would it be at all possible to accommodate me for an interview at Tufts during the same week? I am very interested in interviewing at Tufts, and I am hoping to minimize travel as much as possible. Thanks for helping me with this matter.

Warmest regards, 

Sam Student

Additional suggestions:

• If you know the name of the person who receives correspondence for the admissions office of interest, include it; otherwise "Dear Admissions Committee" is sufficient.
• Do not share the name of the other school. You will appear either pretentious or desperate, neither of which is desirable.
• Be succinct and kind. The administrative assistants who work in the admissions offices are the people who can make things happen for you! 
• Finally, recognize this is a long shot. Some schools can and will accomodate you and others won't, but it is absolutely worth a shot.

Date Me? Errr, Update Me.

As I have previously mentioned, at almost every interview you will be asked, “Do you have any updates you would like the Admissions Committee to know about?” (previously discussed here and here).

The answer to this question is YES even if you suspect the answer may be no. Undoubtedly, you have done something between when you submitted your AMCAS and your interview! Whatever this is, you want to make it sound as good as possible.

If you have major accomplishments, publications, job changes, or leadership positions to report, then your job is easy. Practice succinctly articulating these updates. Additionally, prepare a document to leave with your interviewer. This can be a letter to the Admissions Committee, an updated CV/resume, or a bulleted list of updates. If an article was published, bring a copy. The point isn’t the format – it’s that you’re leaving a hardcopy of your update with the interviewer rather than relying on his or her memory to report these updates to the Committee. Your additions will likely become part of your applicant file. Moreover, a hardcopy of your update goes a long way toward making you look prepared, enthusiastic, and thoughtful. Bring several copies to your interview, as you will often have multiple interviews.

If you don’t have any major changes to your application, then the task may be a little more difficult. For starters, you don’t need an update letter or document – don’t highlight things that aren’t important. Instead, think of one thing you can genuinely explain to the interviewer – a new class that is engaging, a new task at your job, a new experience of some kind. Simply demonstrate that you are remaining engaged as your conquer the application and interview process.

Teeter-Totter

What a week! The Northeast survived an earthquake, and now we’re facing a hurricane. As for personal triumphs, in addition to finishing my residency application, I took my final medical school clerkship “shelf” exam.

The balancing act of strengths versus weaknesses and preparing for interviews

I have mixed feelings about “preparing” for interviews. I think it’s healthy to have a balance between rehearsed answers and organic spontaneity. Interviewers will see right through trite or overly-rehearsed responses to their questions, so use some restraint as you prepare. That said, there are a few questions you simply must be ready to answer.

• What are your strengths and weaknesses?
• Do you have any updates you would like the Admissions Committee to know about? (briefly mentioned here; more details to come)
• Do you have any questions for me (the interviewer)?

The “strengths and weaknesses” question is a toughie. It’s easy to come up with glowing strengths but much harder to assess your own weaknesses. Moreover, you do not want your weaknesses to appear so weak that they case doubt of the quality of you as an applicant. A few things to consider:

• Be humble. Interviews are like a marketing campaign. Yes, you want to shed positive light on yourself. However, if your strengths are significantly stronger than your weaknesses are weak, it will appear as though you think very highly of yourself or are unable to self-assess and discover weaknesses (an important part of being a physician!).

• Use anecdotes. Actions speak louder than words, so be ready to support your strengths and weaknesses with an example. If a strength is “leadership,” have a **very brief** story prepared regarding a time when you demonstrated leadership.

• Put a positive spin on weakness. For example, if your weakness is that you find it challenging to delegate tasks to others, then be prepared to discuss how you’re working on this. You might say, “As I have taken on more leadership responsibility in ___ group, I have recognized how challenging it is to delegate tasks to others. I have been actively working with the group to assess individuals’ strengths as well as their interests in order to appropriately delegate the tasks we need to accomplish, and I feel like I have really grown this year in my ability to do so.” Ta-da! You practically demonstrated a strength.

Certainly, if a mock interview is available to you, go for it! And, if you have the luxury of scheduling a “safety school” interview first, that’s also nice, although most applicants won’t be so lucky.

Fast Forward

It may sound premature to think about residency when you’re not even in medical school yet, but I have a quick tip, and you will thank me later.

Save, save, and resave your medical school application materials. AMCAS information, personal statement, Secondaries – all of it. This will come in very handy when you are applying to residency and trying to remember which action verbs you used to describe the organizations with which you were involved in college! The past employment history will also come in handy. Moreover, you will likely never be a better writer than you are now, and you will be amazed at how many nicely written sentences you may want to pluck right out of your personal statement for medical school and drop into your residency application.

If you’re not already familiar, dropbox.com is a great place to store things like this given that the computer you’re using now will probably not be the one you’re using 4-5+ years from now.

(And of course, saving your materials is also a good idea in the short-term in case you are a re-applicant in the future.)

Sunday Funny

This comic, featured in the New York Times a few weeks back, appropriately captures how I feel about sending personal statements, abstract drafts - even everyday emails - to professors, mentors, and advisors. Given my advice to send your personal statement to your advisor or mentor, I thought you might appreciate that you're not the only one who agonizes over every word.

Happy Sunday.

Phone a Friend

Well folks, to say I feel your pain is probably an understatement. Applying to residency is exhausting and excruciating.
 
But, my application is finished! Letters of recommendation – mailed; transcripts – submitted; USMLE scores – sent; personal statement – written, rewritten, edited, trashed, written again, and finalized.
 
It will take me another week or so to dig out from the “life” things I have been putting off. However, I have missed blogging, and I have received tremendous feedback from readers about the blog, so I wanted to say, “Howdy, I’ve missed you!”
 
One of the biggest lessons I learned in the final week of obsessing over my application is the significance of another set of eyes. Allowing other people to read your application – personal statement, Secondaries, activities lists, whatever – may make you feel extremely vulnerable, and admittedly, it’s scary. But, it’s one of the single best things you can do to improve the quality of your work.
 
Don’t go nuts. I think it’s important to select only a handful of people with certain purposes in mind. If too many people make suggestions and edit, you will lose your voice. Here are my suggestions:  

• One person with a quasi-medical or health background who can confirm that you’re saying things about medicine that make sense. We all understand that “medicine” is another language, so using it properly is important.
  

• A person who knows you really, really well and can bring out your accomplishments, strengths, etc. and also enhance your ability to use important anecdotes about personal experiences.

• Someone with a gift for the English language. Proofread, proofread, proofread. This person can make sure you aren’t missing something just because you’ve read your whole application 10,000 times.

Of course, you’ll have to make adjustments if you don’t know people who meet these categories. Also, it can’t help to have your advisor take a look if you have that kind of relationship.

Sunday Funny

I'm taking a brief hiatus from my blog this week to finish up my own residency applications, but I want to leave you with an amazing distraction for when you're procrastinating and hiding from your Secondaries.  This photo brought back so many memories from my obstetrics and gynecology clerkship, and the remaining non-medical photos will keep you laughing in pain for hours.

Enjoy!

Couch Surfing

Continuing from yesterday, more cost saving strategies:

Where to Stay

If you want to stay in hotels while traveling for interviews and have the means to do so, that’s fantastic.  For most applicants, however, such an endeavor is prohibitive.

--Their Network

Most schools will help you to find a current student with whom to stay on the night preceding your interview.  Some schools widely advertise this opportunity in their interview invitations and confirmations.  However, most schools will help you find housing if you just ask.  The trick is knowing to ask!  If you don’t find information about housing opportunities in the interview materials, I suggest calling the Admissions Office and simply asking.   

Although it may sound awkward to stay in the same room as a complete stranger, this is an incredible “insider” view into the lives of medical students at each institution, and you will find the information you gather by observing and chatting with your host (and often his or her friends) to be extraordinarily beneficial when you begin to decide where to attend.

--Your Network

If you strike out with the Admissions Office, look at your network!  Search Facebook for friends in the city to which you’ll be traveling.  Ask your parents whether they have friends in the neighborhood (you’ll be shocked to find how willing people are to support your endeavor to become a physician).  Finally, consider contacting your alma mater to see whether alums who might be willing to host you attend the school you’ll be visiting.

--Say Thank You

A sincere, handwritten note is a “must.”  Keep blank cards with you so that you can jot down a few brief thoughts before rushing out the door en route to your interview.  If you’re feeling particularly generous, you can never go wrong leaving a small gift card ($5-$10 for Starbucks, Dunkin, etc.) or an item from your home state (a small container of maple syrup if you’re from Vermont, for example).  But regardless, leave a Thank You note!

Full Disclosure: "Couch surfing" the night before your interview is a little risky.  You want a good night of sleep and a shower!

"Carpooling"

Between your AMCAS fee, Secondaries, and perhaps a new suit purchase, you are already feeling the financial pressure of applying to medical school.  And, for most applicants, interviews have not even started!

Even the most savvy applicants will likely find interviews to be an expensive endeavor.  That said, there are definitely a few ways to cut back. 

When Traveling

Transportation expenses add up quickly.  Frequently, you will find no way to avoid an expensive flight, and you simply have to eat those costs. Of course, shop around for your tickets, and buy early when you can.

The expense that is often more difficult to predict and surprisingly expensive is transportation to and from the airport, train station, etc. and medical school.  When I was interviewing, I often arrived at my destination on the night before interview day.  Usually, this meant I wasn’t too pressured for time which enabled me to avoid cabs and take advantage of public transportation, which is a slower option in most US cities.  Use websites like hopstop.com to plan your route.   

Following the interview, you may be more pressured for time because of flight, train, or bus departure times.  Don’t hesitate to coordinate over lunch with your fellow interviewees.  Many of the applicants will be headed where you’re headed, and the Admissions office is often happy to call or hail a cab for you.  Be sure to bring cash so everyone can split fairly.  I did this at almost every interview and loved the combination of efficiency and savings!

The Walls Can Talk

Many Admissions Committees are reviewing applications and starting to send out interview invitations.  You may be wondering what to expect on an interview day. 

Although every school’s interview day will proceed a little differently, the general ingredients are

• 1-2 interviews,
• an information session regarding the school, facilities, curriculum, and “special highlights” such as dual degree programs, study abroad opportunities, and research highlights,
• a tour of the educational facilities, hospital, and housing, if applicable,
• and a lunch (varies tremendously in quality and variety!) with current students.

Applicants frequently make the mistake of being on their best behavior during the interview(s) and then relaxing somewhat for the rest of the day.  This is a mistake.  You are being evaluated throughout the entire day.  Although particularly pleasant interactions with administrative assistants, students, etc., are unlikely to significantly enhance you chance at acceptance, missteps will almost certainly ruin your opportunity.  In fact, my medical school sends an email to current students each year reminding them that offensive remarks, disrespectful behavior, or anything else that detracts from an interviewee's application should be noted and reported to the Admissions Committee.  Do not say or do anything you would not do in the presence of your interviewer.  That said, relax and try to have fun.  Medical schools want to accept fun individuals who will deal with the pressures of medicine in stride. 

Sunday Funny

I was on call yesterday, and during my review of systems with a patient, he explained his recent struggles with incontinence:

"I had been having some trouble with my urination. Incontinence, I think. I kept finding yellow stains in my white underwear, and I was pretty concerned. But I switched to black underwear a couple of weeks ago, and it doesn't seem to be a problem anymore."

Love Letter

Conquering the “Why This School” essay may feel like writing a love letter to the Admissions Committee. It's tough, particularly because it is easy to become bogged down as you craft and adjust the essay for each school.

Be Brief. Most schools ask that you limit this response to about 200 words, and they’re serious. Keep yourself to two paragraphs. The first should focus on ONE (and only one) aspect of the school that makes it a good fit for you. You can tastefully tie in other points, but be judicious. The second paragraph is for special circumstances, discussed below.

Focus on You. Do not be fooled into thinking this is an essay about how fabulous the school is or how much you want to go there. Admissions Committees already know their school is terrific; do not waste words telling them (see “Be Brief”). At heart, this is an essay about you!

Don’t be a Broken Record. Secondaries are a place to tell Admissions Committee things they do not already know about you after having read your AMCAS. Try not to reiterate too many things you have already driven home elsewhere.

Demonstrate Commitment. Often, applications make applicants appear a little lost – a bit of community service here, some laboratory research there, a brief tutoring experience, etc. This essay is a place to demonstrate commitment, an attribute schools seek in applicants. For example, if you wrote for the school paper, you might explain, “During undergrad, I demonstrated my interest in journalism by taking relevant coursework, serving as a writer on the university paper, and ultimately being selected as Chief Editor. I look forward to attending ___ because of the unique opportunity to write for and help publish the medical student literary journal.” You get the point. 

Special Circumstances. The second paragraph is where you can mention that every person in your family has attended this medical school since before DaVinci, and you cannot imagine the shame of coming home for Thanksgiving if you do not get it. Not all special circumstances need to be “special.” You might mention your interest in practicing rural or urban medicine and thus wanting to train in that type of environment. My caution is to be careful about geography. Schools do not want to hear that you are interested in their program because you want to be in New York City, for example. Admissions Committees prefer to think that their curriculum and facilities are so wonderful that you would apply even if they were in Antarctica.

Say my Name. Everyone likes to hear his or her own name. Include each school's name in the essay. But, be sure to proofread and change the name before sending the "Harvard" essay to "Yale." I hear that's bad for business.

Put a Stamp on It

For applicants to the current cycle, letters of recommendation are a thing of the past, and Secondaries are the current focus, right? 

Maybe.

Have you sent Thank You notes to your letter writers?  If not, you should consider.

1.  Thanking your recommenders is the right thing to do.  Period.  Etiquette experts agree that writing a handwritten thank you note (yes, handwritten) is never inappropriate.

2.  It’s not just about the letter.  Even if you no longer anticipate frequent interactions with a writer of one of your letters (because you completed his or her course, are no longer working in his or her lab, or ended your commitment to the his or her volunteer organization, etc.), letter writers' names and contact information remain a very active part of your application.  Not infrequently, Admissions Committees call recommenders of applicants.  Whether it is because the Admissions Committee has further questions about you, is unsure whether to interview you, or is considering adding you to the waitlist, you want your writer to go to bat for you!  For this reason, you want them to know how much you appreciate the incredible effort they put into your letters.

3.  Did I mention it’s the right thing to do?  If you absolutely dread the thought of a handwritten note, then sending an email is better than nothing at all.  That said, imagine how much you will stand out when all your peers send emails and you send a old-fashioned note. 

Here’s a template to get you started.

Dear Dr./Professor Miller,

Thank you for taking the time to write a letter in support of my application to medical school.  I know that recommendation letters require significant time and finesse, and I truly appreciate your willingness to write on my behalf.  I anticipate that interviews will begin soon, and I will continue to update you on my progress and final plans.  Thank you again for your support.

Warmest regards,

Corey Medical Student

Wasn't that easy?

Extra, extra! Read all about me.

As time passes since you submitted your AMCAS, you may begin a new job, shadowing experience, or community endeavor; publish your research; change your planned coursework; win an award; or master a new hobby. You may find yourself wondering how to go about updating Admissions Committees.

At nearly every interview, you will be asked whether you have any updates for your file. If you email or send an update letter now rather than waiting for an interview, you risk having nothing to update at the interview. Updates are a key way to actively demonstrate to interviewers that you are remaining engaged despite the craziness of applying and interviewing for medical school. Moreover, you may find in a few weeks or months that you have an additional update, and you do not want to send multiple letters.

Here is my recommended time line. Wait until November or December. At that point, you will (hopefully) have been able to update some interviewers in person. Then, send an email to schools you have not heard from, express your interest in interviewing, and include any updates to your application. If updates occur after you have already interviewed, send an email to your interviewers as well as to the general email address for Admissions, include your updates, and also reiterate your interest. Finally, it's nice to have a printed copy of any updates to physically give to your interviewers so that the updates can be physically added to your file. If you only tell your interviewer, he or she may forget.

I realize some applicants feel that they need to send updates now in order to increase odds of getting an interview. Rest assured that most updates are not so amazing that they would be reason enough to grant an interview to an applicant who would not otherwise have received one. Patience, patience.

Hidden Secrets

You have spent weeks, if not months, choosing exactly what you want Admissions Committees to know about you by selecting precise language and specific attributes to highlight in your AMCAS and Secondaries. You may have spent less time, however, contemplating what you don’t want Admissions Committees to know about you.

Now go ahead…Google yourself. According to careerbuilder.com, 35 percent of employment recruiters have come across compromising info that caused them not to hire a candidate. Like employment recruiters, Admissions Committees members are also likely to use Google and Facebook to dig up skeletons in your closet. Given that Admissions Committees frequently have medical student members, you are very likely to be searched for at some point during this process.

When you Google, look for text as well as images. Ask friends whose tagged images of you appear on Google to kindly detag you or remove the image; it will take weeks for a Google search to reflect this change. If you cannot bear the thought of deactivating your Facebook account completely (my recommendation for the duration of interview season), at least change your name or buff up your privacy settings.

Additional tips: Sign up for Google alerts, which informs you when your name comes up on a search. Socialmention.com and samepoint.com also allow you to search social networks, which Google may have missed.