Residency Match – In Hindsight

Image Credit: Pexels

Author: Jake Toy, DO
Modern Resident Blog Editor-in-Chief 

Publications & Social Media Committee Chair

The February 2019 rank residency list deadline is fast approaching. For some, the process of ranking their chosen emergency medicine programs in order of preference was straightforward. For others, including myself, the process of picking a program that balanced superb training and happiness was stress inducing and anxiety provoking to say the least.

As I ranked my programs, I reached out for advice from faculty advisors, peers, and family, only to discover an endless sea of competing thoughts and ideas. Upon searching in the depths of internet blogs, this only further cast a large shadow of doubt and bias on my own rank list. With each person I spoke with and article I read, I found myself left with more questions than answers. At one point, a TV commercial advertising a hospital I was considering as a “World-Class Research Institution & Top Ranked Hospital” threatened to disrupt an initial draft of my program rank list altogether. 

Lessons from the 2016 Match

Image: Common Sense

Author: Mike Wilk, MS4
Medical Student Council President '15-'16 
Originally Published: Common Sense, May/June 2016

The 2016 match in emergency medicine continued the trend of rapid growth and a bright future for our great specialty. In comparing this year’s NRMP data to last year's, the number of EM programs increased from 171 to 174 and positions increased from 1,821 to 1,895. The number of applicants rose from 2,352 to 2,474 and USA senior medical student applicants rose from 1,613 to 1,693. Only one EM position in the entire country went unmatched. The match rate for American senior med students was nearly 88% (data on whether these students ranked other specialties above EM are not yet available, so the actual match rate may be higher). The number of American MD seniors filling these positions held steady at 78.4%, from 79% the previous year. Based on these data, it looks like the number of new programs and positions continues to balance consistently high demand for EM residency slots.

From sending applications to doing rotations away to Match Day, I want to share a few lessons I learned on the way to securing my own EM residency position.

Lesson 1: Applying for Away Rotations (January-March)
I planned to do my residency in the same city where I attended medical school, so when I began the process of applying for away rotations I applied only to programs in my area. I recommend doing your away rotations in the region you want to be in for residency, as this can affect whether or not you get an interview at certain programs in that region. It is not the end of the world if you don't do a rotation in a specific region though (more on that later). I ended up rotating at both a very strong community program and a very strong academic program in my area. I also recommend that you vary your experience by rotating at different types of programs — such as county, academic, and community hospitals — since they really do have different training environments and their faculties and house staffs will be populated by different kinds of personalities.

Lesson 2: Applying through ERAS (September-October)
Speak with an experienced EM adviser who can give you honest advice about the strength of your application, and tell you how many programs to apply for through ERAS. Many of my friends committed minor errors, such as not realizing interview invitations were going to the spam box and not assigning letters of recommendation to each individual program. Check and double check your ERAS applications, and please check your spam folder throughout the entire application process!

6 Elements to Consider When Making Your Rank List

Image Credit: Flickr

Author: Matthew Camara
MSIV - Ross University
International Rep, AAEM/RSA Medical Student Council '14-'15

When interview season is underway, students have the task of putting prospective programs into a rank list. It may be beneficial to start creating a preliminary rank list based on information that is available to you for each program. As you complete your interviews you can move programs up or down until you’ve created your final rank list.

While these are not in any particular order, they are all things to consider while putting your rank list together.

1. Location
Many students have already considered geographical location when applying to residency programs, but as EM has become more competitive students are applying more broadly. When making your Match list it is still important to consider where you will be living for the next three to four years. Consider the climate, living expenses, things to do in the area, and how far away you are willing to be from family and friends. If you have a significant other, but are not going through the Couples Match, ranking in the same geographical location is something that may be more important to you than other candidates.

2. Three vs. Four Year Program
A major consideration when creating your rank list is whether you feel a three or four year program is right for you. Both have benefits as well as downsides. Three year programs offer a faster route to begin your own practice or fellowship. Whereas four year programs offer an additional year of mentored training that some feel make you more appealing to prospective employers. Three year programs also offer a financial advantage over a four year program, as you make an attending’s salary one year earlier. However, hospitals with a four year residency program may not hire a new graduate from three year program without an additional year of experience. Also, three year programs may be more congested with less elective time compared to a four year program. Some would suggest that the added time in a four year program allows you to explore possible niches within EM. Opinions on the ideal training length will continue to vary, but ultimately both models offer excellent training for EM physicians. What matters is that you find the right training model to fit you.

3. Community vs. University Program
Both community and university programs offer great training experiences. While both will prepare you for a successful career, each have unique differences. Community hospitals tend to have smaller residency programs with less total residents. Often there are plenty of procedures and hands on time with limited competition from residents in other specialties. Community programs also mirror the practice setting that a majority of graduates will go into after residency. On the other hand, university hospitals generally have a greater focus on research and academics. Often they have more resources at their disposal which allows them to practice medicine that is cutting edge. University hospitals also tend to be tertiary care centers where you can see a diverse patient population with complex pathology leading to unique experiences in off-service as well as ED rotations.

It is important to keep in mind that many programs blur the line between these two types of institutions. University programs have community ED rotations, and some community programs are affiliated with university centers. It ultimately comes down to researching the specific program to see what experiences they offer to their residents, and deciding what setting will be best for you.

Emergency Medicine Match: 2015 Results

Image Credit: Photo by AJC ajcann.wordpress.com

Author: Muhammad Alghanem, DO
Midwestern University - Chicago College of Osteopathic Medicine

This post was peer reviewed.
Click to learn more.

Congratulations to all the medical school seniors and graduates who matched into emergency medicine in 2015 and good luck to the upcoming 2016 applicants! Both NRMP [1] and AOA [2] news releases reflect on the growth of the matches this year. In this short post, we will discuss some of the results available for the 2015 allopathic and osteopathic emergency medicine matches.