You Didn’t Get Into Medical School – Now What?

March 15, 2015

Image of four circles in a square. The top two have a green check and green X mark. The bottom two have a red check and red X mark.First, take solace in the fact that you aren’t alone. According to the AAMC, there were over 48,000 medical school applicants in 2013. From that pool of applicants, less than half of them (20,055) matriculated into their first year of medical school.

Secondly, be heartened by recent reports like the one just released in March 2015, “The Complexities of Physician Supply and Demand: Projections from 2013 to 2025.” The conclusion of this study suggests “that demand for physician services is growing faster than physician supply and that by 2025 demand will exceed supply by 46,100 to 90,400 physicians.” Presumably, this also means that medical schools will continue to add spots in their programs to help meet the demand for future physicians. Not only will the demand for physicians grow, but so too will the demand for other health-care related positions like nurses or physician assistants.

If you are really interested in helping people in a medical setting, then there are lots of career possibilities. Don’t let one rejection get you down for too long; however, it is likely that you are asking yourself what you should do now. Should you apply again? If you are willing to tackle the application time and cost yet again, then here are a few other things to consider:

  • What were the true deficits in your application? Can these be remedied by the next deadline?
    The other applicants aren’t going to be less competitive next year, so you must take ownership of this process in order to improve your application. That means that there must be a marked improvement in: MCAT score, clinical hours, new publications or awards, or an increase in your science GPA. These can be difficult areas to quickly improve in a year’s time, even though it can be done with dedication and focus.  However, if some of your mistakes included applying late in the cycle, having a poor personal statement, or bombing an interview, then you can take steps to help overcome these challenges more quickly and easily.

  • Did you overlook schools/programs that could be a good fit?
    Make sure you have a realistic understanding of your credentials versus the admissions requirements at various medical schools. Sure, it would be wonderful to be admitted to you first choice school, but it is important to honestly assess these chances. Perhaps during the first round of applications, you ignored osteopathic schools or you didn’t even consider other medical routes like becoming a nurse, nurse practitioner, or physician assistant. Take some time to reflect on all of your options and open up your mind to the possibilities.

Whether you need help handling the stress and anxiety of this process, talking through your options, or better understanding the medical school application process, then come into the OITE*. Here, you can meet with wellness counselors, career counselors or medical school advisors to help you during your next step planning.

 

* OITE services are only available to NIH intramural trainees. If you are at a university, check with your school for the resources they offer.

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MCAT 2015 – Information and Preparation for the New Test

February 9, 2015

MCAT 2015The Association of American Medical Colleges (AAMC) has implemented quite a few changes to the Medical College Admission Test (MCAT). Administration of the new MCAT begins in April of 2015; however, registration for this exam opens THIS WEDNESDAY, February 11th.

If you are planning on applying to medical school, here are some things you need to know. The 2015 MCAT is different from the old test in a variety of ways; here are a few to note:

  • It’s Much Longer
    In fact, it is nearly double the length. The old test had 144 questions and the new test has 230. This will require the test-taker to have much more stamina and focus; however, it also means that each question is worth fewer points. Speaking of points…
  • It has a Different Scoring Scale
    In the old test, each section was worth 1-15 and the total score was between 1-45. Each of the four sections on new MCAT 2015 will be scored 118-132, for a total possible score of 528. The mean is expected to be 125 per section for a total mean score of 500.
  • Tests on More Topic Areas
    Four sections will now be covered including: Biological and Biochemical Foundations of Living Systems; Chemical and Physical Foundations of Biological Systems; Psychological, Social, and Biological Foundations of Behavior; Critical Analysis and Reasoning Skills.
  • Fewer Test Dates!
    The test will be offered from April – September; however, since we always encourage applicants to apply early and get their AMCAS in by at least June, this means that we recommend you take the test in either April or May…June at the latest. It is extremely important to register for an earlier test date if at all possible!

Now that you have some basic information on the new MCAT, let’s focus on what you are really concerned about – the preparation! What do you need to do in order to perform well?

The first thing you need to do is to watch the entirety of this brand new YouTube video from OITE on Preparing for the MCAT. It is chock-full of great tips, so you are encouraged to watch the whole video and to take notes. Pay special attention around the 17 minute mark when Dr. Higgins gives step by step homework instructions on how you should prepare for the new MCAT.

Additionally, the official MCAT 2015 Sample Test is now available online. There is a small charge to download; however, it is probably well worth your time and money. The Khan Academy also has preparatory materials broken down by section that you should check out. Last but not least, the OITE is here to help you with any questions about the process.  We wish all the 2015 MCAT test takers the best of luck!

 


Medical School Interviews

August 6, 2014

The season for medical school interviews is quickly approaching. If you have completed your secondary medical school application and been offered an interview, then congratulations! Schools don’t typically bring you in for an interview unless they are strongly considering your candidacy.

Bearing this in mind, many times the interview is more about your fit with the program rather than your scores and credentials. Schools use an interview to evaluate your professionalism, maturity, and personality. They want to hear in your words – spoken not written – what your motivation is in pursuing medicine.

Effective preparation is critical to the success of your interview.
Here are some things you should know before going to each interview:

  • What type of interviewing format does the school use?
    Schools may do traditional, in-person, one-on-one interviews; Skype interviews; group interviews; or even a mix of them all. Find out more about your school’s format by looking at their Web site and/or asking the admissions coordinator. You can also find information about the interview style and format for each school on The Student Doctor Network.
  • Will it be an open file or closed file interview?
    In an open file interview, the interviewer may have read your whole application or just parts of it. The interviewer could also be reading your file for the first time during the interview. In a closed file interview, your interviewer has not seen any part of your application.
  • Do they do Multiple Mini Interviews (MMI)?
    In an MMI, there are generally six to ten stations. You go around and have about two minutes to read a scenario based question. These tend to focus on situational and/or ethical dilemmas. You are then given six to eight minutes to answer in a way that demonstrates your logic and creative problem solving skills.

Once you understand the format for the interview, you anticipate (or plan!) how you will respond to potential interview questions.
Here are a few groups of sample questions to think about:

Basic
* What experiences have most motivated you to pursue medicine?
* What concerns you about medical school and a residency program?
* How have you tested your commitment to pursue medicine?

Behavioral
* Tell me about a time when you demonstrated leadership.
*What was the most stressful situation you have faced to date; how did you handle it?
*Walk me through an experience where you made a mistake. How did you fix it?

Traditional
*Tell me about yourself.
* Why did you choose this school?
*What are your three strongest qualities?
*What is the most important thing you would want to convey to the admission committee?

There are many, many more possible interview questions you could be asked! While you will never be able to fully anticipate each question, it can be helpful to review lists of interview questions and begin thinking about how you would frame your answers. To prepare for behavioral questions, you might reflect on personal interactions/situations in your past, considering how you might frame them as stories and what personal characteristics they demonstrate.

Starting on August 18th, the OITE is offering group medical school mock interview sessions to help you prepare. A total of seventeen sessions has been scheduled over the subsequent three weeks. If you are part of the intramural program, you can attend ONE session in order to practice your responses and learn from not only your peers but a facilitator as well.


Letters of Recommendation – Our Recommendations for Getting Them

August 7, 2013

References are an extremely important part of any application.  However, many people struggle with knowing what is the best way, and whom do you ask, for great letters of recommendation.

Generally speaking, you should aim to get at least three letters of recommendation. Although the common thread throughout these should be you, each letter should be unique, helping elucidate a different aspect of your candidacy—whether that is your education, technical and research skills, leadership abilities or beyond.

Whom to ask?
Ask someone who knows you very well! Although this might sound obvious, many individuals are lured by the appeal of having a well-known scientist write a recommendation.  It is much better to ask someone who is exceptionally familiar with your work, and who can clearly speak to your strengths.

Your recommenders will vary depending on your specific career plans and focus, but may include:

  • Dissertation/academic advisers
  • Supervisors if you are a postdoc
  • Someone who can speak to your teaching abilities and/or your experience in industry or non-bench activities
  • If you are looking for a letter for medical school or graduate school:
    — Summer research experience mentor
    — Faculty member who taught a hard science course

When to ask?
Ask early! A surefire way to receive a lukewarm, or worse—a negative, letter of recommendation is to not give enough advanced notice to your recommender. Four to six weeks of advance notice is standard; however, as an added courtesy, you could ask earlier and see what would be a feasible timeline for your recommender. It is always better to ask in advance and then as the deadline approaches, you can send friendly reminders of the impending due date. Periodic reminders will not be resented and will reflect favorably on your organizational skills.

You can also ask for letters of recommendation as you are wrapping up an experience.  If you are graduating, finishing an internship or completing your postdoc, it is a good idea to ask for a recommendation now. Even if these letters aren’t immediately used, it can be helpful to ask while your work is still fresh in their minds. If needed and/or appropriate, you can always ask for updates at a later time.

How to ask?
Ask personally! It is to your advantage to ask face-to-face. By having an in-person meeting, you can explain your career plans and have a thoughtful conversation about what could give you a competitive edge during the application process. This is also your opportunity to candidly ask if they are willing to write a positive letter for you and to ensure that they don’t have any reservations about your candidacy. In the moment, this can be a difficult conversation to have; however, in the long run, this is a necessary starting point to ensure your work is getting the best endorsement possible.


Preparing for the Application Season

June 3, 2013

Regardless of whether you are planning on applying to Graduate School or Professional school, a successful application requires preparation.  If you remember one word from this post, remember “Early.”  Take your exams (GRE, MCAT, LSAT, GMAT, etc.) early.  Get your letters of recommendation lined up early.  Write your personal statement early.  Have someone look over your materials early.  Submit your applications early.  When you get an interview, show up early.

For those applying to graduate school:

You will want to have your GRE taken by the end of August or beginning of September.  This means you need to start studying now.  In particular, you need to go back and review your high school math.  If you don’t use, you lose it.  The chances are that you haven’t used much of what will be on the test in your four (or more) years of undergrad.  You need to take practice exams…lots of them.  Much of successful test taking is being comfortable and familiar with the format.  Reading about the format is not the same as practicing it.

So why do you need to get your GRE done so early?  So you can know whether or not to retake the exam.  If you are unsure whether your scores are strong enough for a particular program, ask the Director of that program.  Unlike Medical School, these programs are trying to recruit you.  Most of the time, the program directors will respond directly to your e-mail asking about the strength of your application.   Writing in with your scores early shows that you are prepared and organized.  Writing in late, shows just the opposite.

For those applying to professional schools:  This specific material is written for Medical School applications, but the principles apply to all professional school applications.

Submit your AMCAS as soon as possible (note, that is another way to say “Early”).  Ideally, you want to submit it with in two weeks of the opening. Do NOT wait for your MCATs.  You can always add more schools later depending on where your scores make you most competitive.  Your odds of acceptance decrease the later you submit your application.  You simply do not look prepared if your application comes in right before the terminal deadline.  Also, medical schools review applications in waves.  The sooner your application is in, the fewer competitors you have for the most number of invitations.

Once your applications are in, pay attention to your e-mail.  Even if you are on vacation, check it daily.  You want to get your secondaries turned around and back to the schools quickly.  You need to show that you are eager to get in and that you are organized enough to turn things around quickly.  If your secondary sits in your inbox for a week while you are relax on vacation, you look eager to relax on vacation and not attend medical school.

For all applicants:

Nothing is as valuable as face-to-face interactions with representatives of the schools you are applying to.  If you are in the Washington D. C. area, the NIH hosts a “Graduate and Professional School Fair” on July 17 in Bethesda.  This is really a first chance to meet admissions officers and make a strong impression.  There will be 153 programs in attendance to meet with postbacs and students as well as informational sessions geared toward specific disciplines such as med schools, dental school, pharmacy school, psychology programs, PhD programs in biomedical sciences.  If you are in the area, this really is an opportunity you do not want to miss.