Planning for Fourth-Year and Residency Angela Jackson, MD - - PowerPoint PPT Presentation

Planning for Fourth-Year and Residency

Angela Jackson, MD Associate Dean Office of Student Affairs

Overview

• Overview of Match prep program
• Scheduling your 4th year
• 4th year electives
• USMLE Step 2 CK and CS
• Student Financial Services
• Meet with Fourth Year students,

6:00-7:30 pm, Hiebert Lounge

Fourth Year

• Strategically important
• Timing
• Organization
• Advice
• Connect with mentors and advisors
• Field Specific Advisor – Dr. Arvin Garg, next month
• Faculty
• SA Dean
• Program Directors in your specialty
• Busy time

Applying for Residency- Future Sessions

• Deciding on a residency
• Wednesday, February 18, 2019 (FSA Program)
• Overview followed by small group sessions with BMC residency

directors

• Workshops:
• Personal Statement
• The Residency Interview; Mock Interviews
• Using ERAS- the Electronic Residency Application Service
• Class Meeting: Rank Order List
• January 2020

Application timeline:

• January-June, 2019: meet with your Deans and FSAs
• April: Fourth Year Orientation
• June: ERAS fully opens
• September: Your ERAS application should be submitted
• October: Release of MSPEs to programs

Career Choice

Career decision components

• Specialty content:
• Types of patients
• Day to day
• Science and scope
• Lifestyle
• Location
• Program

Who can advise you?

• Faculty- Advisors, Residency Directors
• Associate and Assistant Deans
• Students: 4th years and BUSM graduates
• Current residents
• Online information: AAMC Careers in Medicine (CiM)
• Friends, family

On-line list of faculty contacts to talk with:

• http://www.bumc.bu.edu/busm/files/2019/01/Facul

tycontactnonclerkships.pdf

• http://www.bumc.bu.edu/busm/files/2018/12/Clerk

ship-Director-and-Coordinator-Contacts.pdf

Careers in Medicine (CiM)

• http://www.aamc.org/careersinmedicine
• Self-assessment tools
• Career information on 127 specialties and subspecialties
• Specialty description & personal characteristics
• Training and residency information
• Salary & Workforce data
• Links to over 1000 specialty organizations, journals &

publications

Decision-making exercises, quizzes, assessments, etc. Specialty-choice and residency application information Timelines to help you stay on track through this process

Use your fourth year to your advantage

Electives:

• For your overall education (not to

“prepare for internship”)

• For “once-in-a-lifetime” opportunities
• For residency selection (strategic)

Block(s) off: for interviews

Developing your Fourth Year Schedule

http://www.bumc.bu.edu/busm/files/2018/04/Elective- Guidelines-OSAupdated4.2.pdf

• Strategic Electives
• Specialty verification
• Residency programs (“audition” electives)
• Educational value
• Away electives?

Interview season

• Interview season
• Military: every military rotation
• Early Matches
• Urology (AUA) and Ophthalmology (SFMP):

June/July 2019- Dec./early January, 2020

• Canadian Resident Matching Service (CaRMS):

mid-January-early February, 2020.

• NRMP: October 2019 - February, 2020

Medical Student Performance Evaluation (Dean’s Letter)

MSPE:

• Performance evaluation in medical

school: “just the facts”

• Student characteristics
• Research
• Extracurricular/Leadership activities
• Relevant Life Experiences
• Academic Progress
• Evaluation Narratives

Letters of Recommendation

• Seek input about who to ask
• Field specific vs. other
• Academic rank, national recognition of letter writers can be

important, but does not trump personal knowledge

• You do not want a generic or lukewarm letter
• What about faculty offers this year for letters?

Other On-Line Resources

• Charting Outcomes in the Match Report
• Characteristics of applicants who Matched to their preferred specialty in the

2017 NRMP Main Residency Match- Joint report by NRMP and AAMC: https://mk0nrmpcikgb8jxyd19h.kinstacdn.com/wp- content/uploads/2018/06/Charting-Outcomes-in-the-Match-2018- Seniors.pdf

• Assess your qualifications and match success
• Login for more information and to access the report:

http://www.nrmp.org/main-residency-match-data/

• AMA FREIDA
• https://www.ama-assn.org/life-career/search-freida-online-ama-

residency-fellowship-database

MEET WITH 4TH YEAR STUDENTS

• 6:00-7:30 p.m. tonight, Hiebert

Lounge

Fixing the BMC WiFi problem

• For iOS: http://internal.bmc.org/departments/information-

security/mobile-devices/airwatch-ios

• For Android:

http://internal.bmc.org/departments/information- security/airwatch-android

QUESTIONS?

Careers in Medicine Developing Your Fourth-Year Schedule Ellen DiFiore, Registrar

BUSM III Class Meeting Thursday, January 17, 2019

Scheduling Timeline

 Lottery opens on January 17, 2019  Lottery closes at midnight January 28, 2019  Lottery results available March 1, 2019  4th Year schedules signed by field specific advisor due

in Registrar’s Office on July 8, 2019

Scheduling Requirements

 You must be in good standing to be promoted from the third year. 

All deficiency grades must be remediated before promotion.

 36 weeks of credit needed to graduate  The following courses are graduation requirements in 4th Year :

 Subinternship  Geriatrics  Required Selective (must complete one)

 Ambulatory Medicine  Surgery Subspecialty

 Only courses that are recorded on the student’s schedule prior to

the start of the rotation are eligible for credit.

Subinternships

• Only one will be assigned in the Optimization, can add others to

your schedule.

• Should consider SubI’s in more than one discipline due to limited

availability.

• Speak with your field specific advisor regarding importance of the

Sub I and when it should be scheduled. Sub I: Advanced Acting Internship in Medicine (AAI)

• Offered in Blocks 9-12 only
• Must inform Dr. Sonia Ananthakrishnan of interest in the Sub I
• Dr. Ananthakrishnan will select students to receive the AAI
• Need to have performed at a High Pass or Honors level to be

considered

• If assigned an AAI it cannot be dropped or changed

Outside Elective and SubI Requirement for Residency

Specialty Outside Elective Recommendations Subinternship Needed For Residency Appilication Anesthesiology Recommended (1) No Dermatology Recommended (1) No Emergency Medicine Yes (1) No Family Medicine No Recommended Internal Medicine No Strongly Recommended, not requried before application submission Neurology No Yes Neurosurgery Yes (1) Recommended Obstetrics & Gynecology No Recommended, not requried before application submission Ophthalmology No No Orthopaedic Surgery Yes (1-2) No Otolaryngology No No Pathology Yes (1) No Pediatrics No Recommended Pediatric Neurology No No Physical Medicine & Rehabilitation Recommend (2-3) No Plastic Surgery Yes (2) Yes Psychiatry Recommended No Radiation Oncology Yes (2) Recommended Diagnostic Radiology No No Surgery No Recommended Urology Yes (1) Recommended, general surgery

Required Rotation Numbers

Subinternships All assignements at BMC 9 10 11 12 13 14 15 16 17 18 19 20 030.1i Family Medicine 2 2 2 2 2 1 1 2 2 2 2 2 050.3 Pedi ED 1 1 1 1 1 1 1 1 1 1 1 1 051.3 Inpatient Peds 2 2 2 2 2 2 2 2 2 2 2 2 052.3 PICU 1 1 1 1 1 1 1 1 1 1 1 1 057.3 NICU 2 2 2 2 2 2 2 2 2 2 2 2 100.1 Medicine Sub I 5 5 5 5 5 5 5 5 5 5 5 100.11 Medicine AAI 6 6 6 6 X X X X X X X X 101.1 MICU 3 3 3 3 3 3 3 3 3 3 3 3 201.3 Inpatient GYN 1 1 1 1 1 1 1 1 1 1 1 202.3 Maternal Fetal Med 1 1 1 1 1 1 1 1 1 400.1a Vascular Surgery 1 1 1 1 1 1 1 1 1 1 1 1 400.1b Oncology Surgery 1 1 1 1 1 1 1 1 1 1 1 1 400.3 Acute Care/Trauma 2 2 2 2 2 2 2 2 2 2 2 2 403.1 SICU 3 3 3 3 3 3 3 3 3 3 3 3 404.2 Minimally Invasive Surgery 1 1 1 1 1 1 1 1 1 1 1 1 98 Geriatrics 19 19 19 19 19 19 19 19 19 19 19 19 102.1 Ambulatory Medicine 9 9 9 11 11 11 11 10 11 11 11 10 404.1 Surgery Subspecialty 8 8 8 8 8 8 8 8 8 8 8 8

Step 2 CK & CS

 Students must register and select a date for Step 2 CS by January

31, 2019

 Students must register for and selected a date for Step 2 CK by May

1, 2019

 Students are required to take:

 Step 2 CS by November 1, 2019  Step 2 CK by November 1, 2019

 Students required to inform the Registrar and OSA Dean if unable to

take the exam prior to the required deadline and request permission from the Student Evaluation and Promotions Committee (SEPC) to delay

Scheduling Requirements

 24 weeks of electives  No more than 16 weeks can be done in any one specialty.

Research is included in this calculation

 No more than 8 weeks can be research  8 weeks must be done at BUSM  Up to 16 weeks can be done at outside institutions  Only courses recorded on the students schedule prior to the start

• f the elective will be eligible for credit.

Inside Electives

• The Fourth Year Elective Catalog is located on the Registrar’s website at:

www.bumc.bu.edu/busm-reg

• Students can view elective course ratings using BUSM Elective Search Tool

https://shib.bu.edu/idp/profile/SAML2/Redirect/SSO;jsessionid=7afx9plaoqfv1vjcsrrhthvr d?execution=e1s1

• Students apply for electives using the online add/drop system

https://shib.bu.edu/idp/profile/SAML2/Redirect/SSO?execution=e1s1

• Students can begin to schedule electives after the require rotation schedules are released on

March 1, 2019

• Electives offered at the Kaiser Regional Campus
• Request to drop a rotation must be made 30 days prior to the start of the block

• For the electives listed below you will need to find a replacement before

the elective can be dropped from the schedule:

– 165.1 Renal Disease – 165.6 Clinical Nephrology – 117 Clinical Cardiology – 180.1 Dermatology – 034.0 Primary Care Sports Medicine

Inside Electives

Research Electives

• Student must be in good standing to apply for research credit
• You can receive no more than 8 weeks credit for research
• Students must complete the Research Elective Approval Form 8

weeks prior to the start of the project

• Approval for the elective must be obtained at least 8 weeks prior to

the start of the project

• Research is included in the 16 week rule

Extramural Electives



Student must be in good standing to apply for an extramural elective. All third year deficiencies must have been remediated.



Information regarding electives can be found on the Visiting Student Learning Opportunities (VSLO) site or on the host school’s website.



Students can view outside elective course ratings using BUSM Elective Search Tool https://shib.bu.edu/idp/profile/SAML2/Redirect/SSO;jsessionid=7afx9plaoqfv1vjcsrrhthvrd?executi

• n=e1s1



Outside electives are added to a students schedule using the Extramural Elective Form



Only courses recorded on the students schedule prior to the start of the elective will be eligible for credit.



Students are allowed a maximum of 16 weeks at outside institutions

Visiting Student Learning Opportunities (VSLO)

 Electronic Application  AAMC sponsored program  >174 Participating Schools & Academic Centers  BUSM will confirm your eligibility and issue your authorizations  VSLO will the send, via email, log on instructions directly to the

student

VSLO

 VSLO fees are based on the number of applications  The fee for the first three applications is $40  The fee for each additional application is $15

Applying for Outside Electives Not in VSLO

 Complete application from outside institution  The Registrar’s Office can provide the following:

 Certificate of good standing  Transcript  Malpractice certificate  Signature of school official

 Proof of current OSHA & HIPAA training is required to

participate in outside rotations. Documentation is in the OSA

 Immunization verification can be obtained from the Student

Link or the Student Health Service on the Charles River Campus

 Application materials will take 7-10 days to process

Global Health Electives

 Review BUSM Global Health (GH) Program website

(www.bumc.bu.edu/ghbusm) for options, procedures (including VSLO)

 Global Health Q & A Sessions for BUSM III students:

 Monday, Feb 5, 2019, 4:30-5:30 PM Room R103  Monday, March 5, 2019, 4:30-5:30 PM Room R103

 To add a GH elective, use the electronic form (no paper)

• n GH website

 You must add GH elective no later than 6 weeks before

elective start date due to pre-departure requirements

• Students will not be allowed to drop a required rotation without

rescheduling at the same time.

• Failure to show up for a rotation that has not been properly

dropped could result in a Fail grade.

• Request to drop a rotation must be made 30 days prior to the start
• f the block

Fourth Year Schedule Guidelines

Fourth Year Schedule: Final Approval

 Your schedule with the required courses assignments will be

available in E*Value on Friday, March 1, 2019.

 Final schedule is due in the Registrar’s Office on July 8, 2019. It

must be signed by your field specific advisor.

 Students who do not have their completed schedules in the

Registrar’s Office will be reported to the Associate Dean of Student Affairs.

Compliance

Below are the University compliance standards for registration.

• Acknowledgement of the MA Motor Vehicle Law (fall semester)
• Local address (update each semester)
• BU Alert (updated each semester)
• Immunizations must be up-to-date at all times
• Payment of Student Account

Entering Selections Into E*Value Instruction can be found on the Registrar’s website http://www.bumc.bu.edu/busm/files/2015/06/EValue.pdf

Step 2 CK & CS Paige Curran, MA Assistant Dean for Student Affairs Director, Academic Enhancement

Step 2 CK & CS

• All students must take USMLE Step 2 CK & CS no

later than November 1, 2019

• Registration deadlines

CS: January 31, 2019 CK: May 1, 2019

• Scheduling of exams
• Timing & Format of Exams –

USMLE website & Content Description

• Preparation Strategies: CS & CK

Test Lengths & Format:

Step 2 CK : Pass - 209 *multiple-choice test questions, *eight 60-minute blocks, *administered in one nine-hour testing session. *The number of questions per block on a given examination form will vary but will not exceed 45. Resources – FA CK & Step up to Medicine, & Qbank Step 2 CS: Pass/Fail *12 patient cases, administered in a testing session of approximately eight hours. * 15 minutes for each patient encounter and 10 minutes to record each patient note. * If you use less than 15 minutes for the patient encounter, remaining time will be added to the time you have to record the patient note.

Preparation Strategies: CS & CK

Step 2 CK: *Trust the strategies that you developed for Step I & the Third Year Shelf Exams. *CCSSA: Four forms: 184 multiple-choice items each. Utilize to develop ISP plan (saving last 2.5 days for CRP) *USMLE Website - strategies for answering single best

• ption & matching set questions. 2018 bulletin for

practice examples. * Complete Tutorial night before the exam.

Preparation Strategies: CS & CK

Step 2 CS:

*EOTYA: Be sure CS date is scheduled for after your EOTYA *Visit OME website for valuable advice from 4th year http://www.bumc.bu.edu/busm-ome/end-of-third- year-assessment/ *USMLE website: http://www.usmle.org/step-2-cs/

• Patient Note Practice Program

*First Aid for the CS exam (library has reserved copies) *Practice with a colleague

Presented by Assistant Director Patricia A. Fidler

Questions? Reach me at 617-358-5236, osfs-med@bu.edu or feel free to stop by the office.  2019-20 FAFSA Application https://studentaid.ed.gov/sa/fafsa  No longer need to submit a Continuing Student Application  Request a refund via the Student Link. Click Money Matters and then Manage My Student Choice Refund Account.  Budgeting: The refund you receive for the spring semester should last you one month into the upcoming fall semester