Dr. Thinker: SOAP

-          Everyone who doesn’t match will be automatically eligible for SOAP.

-          Everyone gets an email regarding SOAP 2-3 days before the match results are out. This is a common email for everyone. It doesn’t mean that you will go unmatched.

-          There is a very common saying – “ SOAP is a LOST Cause”.

-          It is very difficult for an IMG to match in soap as they usually take unmatched AMGs in Soap. But, don’t give up. Try till the end. You could be an exception.

Dr. Thinker: Rank order list (ROL)

-          You can start making the list from mid Jan until the last Wednesday of Feruary.

-          The deadline for ROL submission would be on the last Wednesday of Feb. The programs have the same deadline as you.

-          You can create a list and keep changing it until the deadline. But, everytime you edit the list make sure to certify it. You will get an email notification saying your ROL has been submitted succefully.

-          Start working on your list as soon as possible so that you can do enough research about the programs where you had an interivew.

Misconceptions and the way to rank:

Dr. Thinker: Contacts in the USA

When you say you don’t have any contacts in the USA, if you give up because of it or if you blame everything on this factor, then you are only ridiculing yourself.

-          Yes, having contacts will help in a big way.

-          With a proper strong contact it can be a cake to matching. And, yes you will come across such people. Don’t be jealous of them. Remember, you would have done the same thing if you had such contacts.

-          But, you will also many people reaching the end without any contacts, without even a family member to support in the USA.

-          So, don’t worry about something which you can do nothing about.

CONTACTS don’t just happen for everyone, you have to make them!

Dr. Thinker: Factors related to the MATCH

What are the factors that go into one’s match?

-          It is a mixture of various things.

a.      Contacts

b.      A word from your attending – if they personally email or call

Dr. Thinker: Post interview communication with the programs

1.      Whom should you send you a thank you note?

-          You can email

A.      Program director

B.      Program coordinators – they are important

C.      Your interviewers

D.     The residents you met on the iv day

2.      Should you email or send a hand written thank you letter?

Dr. Thinker: Phone interview

-          Some programs might do a phone pre-interview first before they select you for an actual in person interview.

-          Otherwise, phone interview is common during SOAP.

-          It’s just like a regular interview. It’s a little easier as you don’t have to dress up, don’t have to worry about your expressions.

-          But, you have to take care about the length of your answers and your tone.

Dr. Thinker: Interview season and FAQs related to interviews

1.      When should you be in the USA?

-          I would advise you to be in the USA, at least from the 1st of Oct until end of Feb (Rand order list submission) or Match day ( if things doesn’t go as planned, it’s better to be in the USA for SOAP).

-          If you are in the USA, you can contact programs by telling that you are in the vicinity and so can make it to the interview at a moment’s notice.

-          Even in February there are chances to get an interview due to last minute cancellation by others.

Dr. Thinker: Contacting the programs after Sep 15th

1.      Can you contact the programs to review your application? If so, when is the right time?

-          Of course, you can contact the program coordinators to review your application.

-          One of the biggest misconceptions during the interview season is to NOT contact the program early (like until end of October).

-          You will see a lot of people especially on facebook pages and usmle forums strongly advising you not to contact them. Don’t believe them. Most of those, especially the ones with fake identities would be just trying to screw with you. They would mislead you to cut down their competition.

-          You can start emailing program coordinators from the end of September or preferably

first weeks of October.

-          The tone of your email should be in a requesting manner.

-          You can even call the program coordinators. But, before you rub your information on them, first enquire if they are free and comfortable to talk about your application. Proceed only if they say yes.

-          I just stated this from my own experience. I am just clearing the misconceptions. I am in no way forcing you to do it.

Dr. Thinker: NRMP registration

-          Register as soon as possible, before the end of November to avoid late fee.

-          NRMP registration is a must to be able to participate in the MATCH.

Step 2 CS: How to introduce yourself

"Mr. XXX?"

"Hi. I am Dr. _______. I am the attending physician today and I am here to take care of you."

"Are you comfortable in the room?"

"Let me put this drape on you to make you more comfortable."

"Is it okay with you that I take some notes while interviewing you just so I don't miss out on any important points?"

"So tell me, what brought you to the clinic?"

Dr. Thinker: FAQs related to programs

1.      When to start searching about the programs?

-          The best time is from July as most of the programs update their requirement info by the end of june or start of July.

Dr. Thinker: ERAS CV

-          It is automatically made as you fill your details on ERAS.

-          Make sure you make no grammatical errors.

-          DO NOT LIE about anything on your CV.

-          Present mailing address: Give your US address. Sometimes programs like to call those that live in the same region.

-          Permanent mailing address: I would suggest US address for this too, for the same reason as above. Programs would prefer those who have family or familiar to that region/state.

-          Medical school honors/Awards: Mention the awards you got in medical school, like distinctions or gold medals.

Dr. Thinker: MATCH season

-          Application for the Residency match starts on 15th September.

1.      What all should you ideally keep ready by the end of August?

-          Make sure your LOR’s are uploaded. Waived LORs take longer to get processed than the unwaived ones.  The processing time can be anywhere between 1 day to 2 weeks. The closer it gets to sept 15th the longer it takes.

-          Have your final draft of PS ready.

-          Have your MSPE/Dean’s letter uploaded (Dean’s letter can be a substitution for MSPE)

-          Your profile photo – keep it as professional as possible.

ERAS CV, PS can be uploaded or updated even in the last moment. There won’t be any processing time for this.

Dr. Thinker: Stay/Accommodation

Short duration: Especially when attending interviews.

1.      Airbnb: It’s a website where you can get rooms for a cheaper rate than the hotel. It’s the best option for a one night or a couple of nights stay.

a.      The rooms are usually in an apartment or a house and most often the owners live in the other room.

b.      You can search for shared or private rooms.

c.       You can search for the rooms according to the distance from the hospital.

d.      You can see the photos of the room and house before you book.

e.      You can read the reviews and then decide whether to take it or not. YOU MUST read the reviews.

f.        It is usually safe. I used it many times without any trouble and so did my friends.

           You can use this referral link to sign up in order to get 35$ off on your first booking. You must sign up clicking this link in order to get it.

            Link: www.airbnb.com/c/rchandra40?s=8

2.      Couch surfing: Like literally renting a couch in an apartment.

a.      Much cheaper option.

b.      Read reviews before you book.

https://www.couchsurfing.com                   

Longer duration:

During electives: It’s best you ask the coordinator to send a list of places where students usually live.

Dr. Thinker: Travelling in the USA

-          You would be spending a lot of money on this. So, always look for a couple of options and choose the best alternative.

Dr. Thinker: Letter of Recommendation (LOR)

FAQs

1.      How to get a good LOR?

-           It’s very simple.  The doctors in the USA are very friendly. They just expect you to know basic knowledge.

A.      Be on time – very important.

B.      Come to the hospital at the same time your resident or fellows come and leave along with them, even if they ask you to leave early.

C.      Read a topic, or something related to the cases you see and ask your resident or the attending some intelligent doubts in that topic. This way you are building up a rapport without sounding dumb when they talk about that topic.

D.     Volunteer to take a case or present a topic. Don’t wait for them to give you work.

Dr. Thinker: Research

FAQs  

1.      What are the types of visa on which you can join research?

A.      Research Volunteer/Intern: B1 visa

-          It is an unpaid position.

-          Your visa could be B1/B2, but at the port of entry the customs officer usually stamps B2. So, make sure you ask him to stamp  B1 if you are going for this kind of research.

B.      Research Assistant: J1 visa

-          This could be paid or unpaid position.

C.      Post doc: J1 visa

-          Paid or unpaid depending on the funds.

-          They usually have a commitment for 2 years. But, sometimes you can break it after an year depending on your attending.

Dr. Thinker: United States Clinical Experience (USCE)

USCE – United States Clinical Experience

Types of USCE:

A. Clerkship: It is considered hands on clinical experience.  You MUST try your best to do this no matter what.
Eligibility: You should be a medical student and not graduated yet.
(For Indians: Internship period is still considered as not yet graduated.)

- The best clinical experience.

- This is what the programs look for.

- The LORS from this have a great value.

B. Observership: Not a hands on, just shadowing another doctor.

Eligibility: Either a medical student or after graduation

- Not considered as a USCE by most of the programs.

- Some hospitals might let you touch and examine patients, but legally you are not supposed to.

- Best to fill the gap between graduation until residency application or end of the season.

- A reasonable time spent a big university or a community hospital that takes IMGs into residency is fruitful.

C. Externship: Hands on clinical experience.

Eligibility: After graduation

- Some programs doesn’t consider it as USCE as this kind of experience is mostly offered by private agencies or at private clinics.

- The LORS can mention it as hands on.

- Best to do if you haven’t had any clerkships

Dr. Thinker: USMLE STEP 2CK and STEP 3

I am not going to explain this in detail as I already did it for USMLE Step1. The approach is the same. Once you are done with Step1 exam, you will get a hang of it and you are going to become your own master of USMLEs.

USMLE STEP 2 CK

When is the ideal time to give it? – It’s best given asap after USMLE step1. It will save a lot of time as your basics would be strong and fresh.

Duration: 3 months if given immediately after USMLE STEP1. Otherwise 4-6 months.

Resources: MTB 2, MTB3, Uworld

Practice Tests:  1. UWSA    2. NBME forms 1-7

Dr. Thinker: USMLE STEP 2 CS

When to give it? 

1.      Ideally give it after your clerkship or observership, as you will get to know how to talk to patients in the USA.

2.      It can be given before step 1 or after. It doesn’t matter. I gave it before step 1.

Dr. Thinker: USMLE STEP 1

USMLE STEP 1

Ideal Duration: 6 months (But, remember it varies from individual to individual)

Resources: Kaplan notes, Kaplan Videos, First Aid, Uworld

 Alternative resources:  If  you are aiming for high scores