You’ve taken the MCAT exam, applied to medical school, received an acceptance (or two!), and finally decided which school you are going to attend. Now it’s time to prepare to start medical school.
The Association of American Medical Colleges (AAMC) has a few tips to help make the process of transitioning to medical school a little smoother:
Residents, don’t forget where you came from when you’re not a student anymore.
August 2, 2009 is a day that will be forever engrained in my mind. “We would like to offer you a seat into the class of 2017 if you’re interested,” was the most wonderful phrase I had ever heard in my entire life. I had made it. I got accepted into my top choice D.O. school, right in my home state! However, the changes that ensued hit me like a whirlwind. The call occurred on the first day of orientation. I had 24 hours to pack all my things, move three and a half hours away from home, find a place to live, and start class on Monday. Of course there was slight hesitation in my mind, wondering if I should take a year off because I wasn’t prepared to go that fall. I didn’t even think I would get accepted, and here my dream came true!
This time last year, I embarked on my own medical residency admissions journey. I realized that the decision-making process involved in the ERAS and residency application cycle can be dauntingly ambiguous to many applicants, including myself. Gone are the lists of medical schools or colleges ordered by objective measurements such as research dollars, student-faculty ratios, and admission statistics of entering classes. While there is significant debate on which criteria should be included in ranking schools, the availability of that data at least allowed for individual interpretation based on personal beliefs.
After obsessively checking your email every five minutes for weeks, the appearance of your first interview offer brings with it a flood of relief and excitement. All that studying, volunteering, and writing of countless secondary applications has earned you a coveted interview slot. Yet coming on the tail of such excitement is that sense of panic. What now?
Selecting a medical school is a significant decision, as the program you attend may play a key role in determining your career path. Whether you are completing final interviews or simply starting the application process, below are several factors to consider when comparing potential medical schools.
The majority of applicants have a reasonable idea of the type of setting they would like to spend four years. In general, medical schools can be in urban and suburban settings. They are rarely rural. However, realize that the area a medical school is in affects more than your personal life and cost of living. Different geographic regions will expose you to different patient populations and disease processes. If you are extremely passionate about working with certain patients (e.g., the under-served urban poor), then take location heavily into account when choosing a program.
Rebecca A. Lubelczyk, MD, is a utilization review advisor physician for Massachusetts Partners in Correctional Healthcare in Westborough, MA, and associate clinical professor of family and community health at University of Massachusetts Medical School in Worcester. Lubelczyk received a bachelor’s degree in biochemistry from Vassar College (1992), and her MD from University of Massachusetts (1996). She completed a residency in general internal medicine at Brown University School of Medicine, Rhode Island Hospital (1996-1999), followed by a residency in post graduate year 2 and 3 at the outpatient community site at Rhode Island Department of Corrections (1997-1999). Dr. Lubelczyk also completed a general medicine fellowship at Brown University School of Medicine, Rhode Island Hospital (1999-2001).
I love writing but hate starting. The page is awfully white and it says, “You may have fooled some of the people some of the time but those days are over, giftless. I’m not your agent and I’m not your mommy. I’m a white piece of paper, you wanna dance with me?” And I really, really don’t.
—Aaron Sorkin
You’ve overcome so much to make it this far. From surviving OChem and taking your MCATs to finding volunteer opportunities that demonstrate your passion for medicine, you have accomplished a great deal to get to the point of being able to fill out that AMCAS application. And yet, writing your personal statement can feel like the most painful hurdle in your path. Like Aaron Sorkin, creator of works such as The West Wing, The Social Network, and Moneyball, you just really, really don’t want to dance with that blank page. Even if you love to write and going to med school is just a temporizing measure until you publish the next great American novel, getting a handle on your personal statement can be challenging. With so much riding on 5300 characters (counting spaces!), how to get started?
Many students avoid social media because of its risks without considering the benefits it can provide when used well.
There are some experiences you can’t prepare for by reading a textbook.
“I was a little excited but mostly blorft. “Blorft” is an adjective I just made up that means ‘Completely overwhelmed but proceeding as if everything is fine and reacting to the stress with the torpor of a possum.’ I have been blorft every day for the past seven years.”
― Tina Fey, Bossypants
I believe I have spent much of medical school fairly blorft. Elevated levels of stress seem to be a universal medical student experience. Studies looking at medical students around the globe – from Pakistan and Malaysia to Greece and India – show we all struggle with elevated levels of stress1. Stress, as it is used today, was first defined in 1936 by endocrinologist Hans Selye as “the non-specific response of the body to any demand for change”2. That definition highlights the point that not all stress is bad – a certain level can actually be useful during medical school. Knowing the importance of Step I board scores was stressful, but undoubtedly drove me to study harder than I would have had I treated it as no big deal. However, sustained, elevated levels of stress can be detrimental to both mental and physical well-being. For example, stress levels have been found to be correlated with depression and anxiety amongst medical students3. The good news is that there are steps you can take to reduce and manage your stress.
Dr. John Hunt discusses his varied career as a pediatric asthma specialist, military physician, academic, novelist, and entrepreneur, and offers some advice for students.
I learned a great deal during the preclinical years of medical school, much of which served me well during my clinical training (although I never found a practical use for memorizing the Krebs cycle beyond boards exams). Clinical training was a whole new world, filled with hidden lessons that I didn’t find in any of my textbooks.
10. Late is a four-letter word. Be on time; rounds do not wait for the medical student. A lot of being a third year med student is simply being there. When I was on my surgery clerkship, New York was hit by hurricane Sandy. The next day, we were all there for morning rounds. On time.
For an exam as important and comprehensive as the MCAT, it’s vital to do everything you can to prepare in the most effective and efficient manner possible. Below are five strategies to maximize the value of your MCAT studying efforts.
Someday, after years of school (then more school) and residency training, we will start earning doctors’ salaries. In the meantime, finances can be tight, but there are ways to cut costs, optimize the money you do have, and maybe even bring in a little extra on the side.
There’s an old moniker you can’t change what you don’t acknowledge. It’s hard to make a budget if you don’t know what you’re spending currently. Take a few weeks and keep track, ideally a full month. Write down everything, regardless of how you pay for it – cash, check, credit card, bitcoin. . . Even if you have a 0% interest credit card and won’t be paying it off for a while, write it down. Then, consider your monthly income. If you’re ending the month in the black – congratulations! You’re on the right track. You may still want to decrease your expenses to reduce your overall loan burden. If you find your monthly cost of living exceeding your income, it is definitely worth your while to take a hard look at what you’re spending and how to cut back.
Make the most of your summer to round out your medical school applications.
As students begin to prepare for the next cycle of medical school application, I want to review some of the practical pieces of advice that every applicant should know. The actual process of applying to medical school is resource intensive: it costs thousands of dollars, hundreds of hours, and will strip you of many relaxing weekends that you would have otherwise enjoyed. Since you’ve made the decision to apply, here are some things that will help you make the best of it.
Remember that your MCAT score is a number. Your GPA is a number. These two things make up a major component of your application and you can’t change either of them now. You can’t change your letters of recommendation, either. The personal statement is a modifiable aspect of your application at this point, so you want to make sure to do a good job on it. But what else is there?
The answer to this lies in the details. This is what separates a good application from an excellent application. It is also what could separate a marginal application from one that gets an interview invitation. Every year, there are a few key mistakes that really put some students at a disadvantage. When schools are looking to offer acceptances, they are not only looking for good students. In addition to being smart, they are looking for people who will one day care for patients and be their colleagues. It is no surprise that those selected to become student doctors are usually meticulous, mature, intelligent, team players, and caring. Your application needs to reflect this.
“Lake Wobegon, where all the women are strong, all the men are good looking, and all the children are above average.”
– Garrison Keillor, A Prairie Home Companion
While NPR’s Garrison Keillor entertains listeners with weekly monologues highlighting news from Lake Wobegon, his fictional home town, it is that closing line “and all the children are above average” that has taken hold in the popular culture. The Lake Wobegon Effect refers to that normal human tendency to overestimate one’s abilities.
The problem is that an average is just that, an average, meaning that while some are above, there are also those below. We all want to be above average. Who shoots for the mean and makes it into medical school? The truth is, if you made it into medical school – or even if you’re somewhere earlier along the path – you have almost certainly been “above average” academically and otherwise most of your life. You were on the honor roll from the time you started receiving grades. You graduated near or at the top of your high school class, many being valedictorians. You were in your college’s honor society and graduated some version of cum laude. You were accepted to medical school.
Average just isn’t in your vocabulary.
And then medical school happens. . .
Congratulations! You’re in medical school. What you will soon realize is that your answer to “What do you want to be when you grow up?” is going to have to change. Simply saying “doctor” is no longer enough. You need to start to figure out what kind of doctor you want to be. And, although applying to residency may feel very far off, there are steps you can do starting in your first year to help you pick the specialty that best suits you.
Most of us have fairly limited exposure to different specialties as pre-meds; mine consisted primarily of shadowing cardiothoracic surgeons. Yet there is a huge diversity among medical specialties, some of which you may have never heard about. Physiatry, anyone? Others you know of can be quite different than what you had envisioned. A friend of mine recently shadowed an interventional radiologist and was surprised by the surgical nature of the specialty.
Letters of recommendation can be one of the most important parts of an application. Here we answer some of the most commonly asked questions about LORs.