Post Match-Weekend

March 24, 2014

Hey, ya’ll!

Thanks so much for the congratulatory comments. What an awesome week it was. Monday brought a wave of relief when I checked my email at 11:05 (central time) while we were seeing outpatients, then it was a LOOOONG week of waiting until Friday at noon (when we were still rounding) when I found out where: I get to stay in my home state of North Carolina and matched into my #1 specialty, Psychiatry! Within 5 minutes, I ducked into the nearest bathroom to take a call from my new program director congratulating me. Within a couple of hours, I’d gotten a slew of emails from folks in the department also offering their congratulations. Happy, happy day.

All those close to me have been very supportive and are also very excited. It’s great to have something concrete to plan–I finally can start looking for apartments, scheduling vacations.

Rotations are winding down. This is my last week in Louisiana doing a FAAAAABULOUS psych elective where I’ve gotten to see inpatient child, adolescent, adult, and chemical dependence patients, as well as outpatients. The pace has been unusually busy for psychiatry, but fun. I’ve learned time management as we see 30-60 patients/day. Next I’m off to Virginia to complete my last 4-week elective, a required medicine sub-I elective BEFORE I’M FINISHED!

I’ve received emails about graduation already. We all get to venture up to Massachusetts at the end of May. I’m looking forward to meeting classmates I haven’t seen since we left the island. It’s exciting ordering announcements and graduation attire.

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2014 Match

March 17, 2014

::drum roll::

I MATCHED!!!!!!!!!

I will find out where on this coming Friday! YAY! SO HAPPY!

Hello, again!

February 25, 2014

Hi, Readers,

Checking in again, as promised before the Match. Has been an interesting few weeks at home; took a while to settle down as this is the first time since 2009 that I haven’t had something pressing to study for/apply to–no board exams to prep for, no semesters to shop for, no rotations to set up. It’s a good feeling, relaxation, but I’m still nervous about the upcoming Match. I’ve gotten good news from many of the programs with which I interviewed–correspondence that they will be ranking me, which is great to hear, but it makes my ROL decision tougher. While I haven’t changed my original Rank Order List since I certified it shortly after my birthday, I think about changing it daily, sometimes hourly. There are so many factors to consider: location, program size, available fellowships, program reputation, graduate placement, research opportunities, facilities, gut-feeling, program director and faculty, call schedule, patient population, benefits. My head is swirling.

I’m facing the last big hurdle a student from the Caribbean must face. There’s a lot of nasty opinions and forum posts out there about how Caribbean grads never match and how there won’t be enough residency spots available in the coming years to support Caribbean grads.

I think it’s clear at this point that I will match somewhere, but now my dilemma is where to go.

A big concern of mine when choosing a Caribbean medical school was California approval. Ironically, I ended up going to a school which has not been visited by the California inspectors yet, but is not on their disapproved list. While I’m not pursuing a program in California, their list has had an impact on the licensing requirements of many state boards of medicine. I’d found comprehensive resources back in 2010 which stated that most of the states I was interested in settling down in, were not specific about IMG requirements in order to obtain licensure. Some states require careful scrutiny of a student’s Core clinical rotations and require them to be completed at a hospital either directly affiliated with a medical school or at a hospital in which there is a residency program in that field (“Greenbook”). Others are fine with core rotations which have been completed at a hospital which has residencies, but not specifically in that field (“Bluebook”). Some states have no requirements at all, as long as a student has successfully graduated from a medical school, has completed his/her clinicals in the US, has ECFMG certification, and has passed the USMLE Step 1, Step 2 CS, and Step 2 CK exams. My research back in 2010 revealed that most of the states in which I was interested, fell into the latter category–there were no requirements.

During my 3-week hiatus, I took the time to contact the State Medical Boards of some states that I had interviewed in, just to make sure that things hadn’t changed and I wouldn’t have a problem obtaining licensure there, only to find out that they had changed their requirements. Uh oh. It’d be horrible to match to a great program and then not be able to go there because the state won’t recognize your clinical training and therefore won’t license you.

I’m waiting to hear back from the folks in my school’s clinicals department–surely they have dealt with licensure issues in the past and can offer some insight. Kind of coming down to the wire, though, since ROL’s are due at 9:00 this coming Wednesday. Might have to change my list and go with a more conservative option in a state where I know I won’t have licensure issues. #thoughtIMGproblemsweregone

Will keep you all updated on what I find out.

Update

February 5, 2014

Hi, Readers!

Checking in from my break-month, back at home in NC. Finished up in OK and have once again, relocated the bulk of my possessions back to my folks’ house for a temporary break. Interview season is over! It’s rank order list time! Tough decisions to be made, taking time to sit back and think “would I be happy there, with those people, doing that for the next few years?”

Got my last tuition left-over check back from my loan. It dwindles further. I got $600 to live on for the semester back after the school took out tuition from my $15k loan [minus the loan origination fee]. Ridiculous, no? I don’t know how other students from the US are doing it, other than perhaps utilizing the MBA program. Though I couldn’t imagine taking business classes when you need to be focusing on interviews, match stuff, and 4th year rotations. More power to those kids. I’ve accepted the fact I’m forever indebted to my parents and couldn’t have made it this far without their support.

Meanwhile, I’m working out on a daily basis trying to get back down to my pre-Chicago weight. (I’m close) And now, researching my March rotation in Louisiana–where to fly in, where to stay, etc. I have a place lined up to stay at in VA in April but I’m not getting a lot of details about LA. Oh well, patience.

Will be in touch before the match. Best of luck to everyone!

Interview Season Winds Down

January 12, 2014

Hello, Readers,

Hope you’re all okay. Should be in the bed by now as I have to head out for the airport at 4:00 tomorrow morning (that’s in less than 8 hours from now), but am making sure to research the programs my next two interviews are at this week. There is a fatigue that has been setting in as the interview season progresses–you get comfortable with the process and too lazy to ‘do your homework’ before you go to a program (many of them have a similar setup as the requirements don’t leave a lot of room for improvisation) but it’s your own fault if you get into a conversation and look stupid because you didn’t research beforehand. There are subtle differences between programs and if you aren’t aware of them, you look uninterested and uninformed. Even though this is late in the season, my goal is to go into the whole process with the attitude that these are the interviews I have been waiting for the whole time–I’ve saved the BEST for last. Attitude is everything.

Rotation’s been going fine. Most days are 7:00am-5:00pm (long-ish for a psych elective) but fun. Getting to see plenty of interesting patients with diverse pathology. Not too many ‘frequent fliers’ and even if the attending is familiar with a certain patient, they seem to be pretty good about giving the residents and students latitude to discern symptoms and DSM criteria on our own without spoiling the surprise and going with the same old diagnosis. We have open discussions about pharmacology here such as receptors, side effect profiles, and potentiation. It’s cool–wasn’t expecting to learn some of that stuff until residency but happy that I’m picking up on it now.

Well, back to FRIEDA and the program pages. Have a good night, ya’ll.

J

Happy New Year!

January 8, 2014

Hi, Readers!  

Hope you all had a fabulous New Years and and thriving in 2014.  I’m writing from the gym, waiting on an empty treadmill, amused at folks still going strong with their New Years resolutions 1 week into the new year.  My New Years resolution is to not scream at my iPad mini for auto-correcting my quick sausage-finger typing into absurdities.  Jk–that’s just for right now–naw for real, my resolution is to give up soda. Don’t know if the effects of too much aspartame are bunk or not but at least my restaurant bills will be less.  Hope it will help with weight loss too.  Have set myself a lofty goal of losing 50 lbs before residency starts.  Started Atkins today.  Will be easier with chicken and turkey incorporated back into my diet now that last years resolution of vegetarianism is completed.  Made some yummy salad dressing by diluting Ina Garten’s satay dip with coconut water.  Should be relatively low-carb.  The point is that it is delicious in small quantities and makes me fill up on leaves in lieu of more protein or fat.  Mission accomplished and sitting in my fridge in a plastic squeeze bottle.  

 

On the school front, I have just come back from a couple of interviews which added more wonderful programs to my options and have complicated my match list yet again.  Great problem to have.  Preparing for a couple more interviews next week, should be fun.  1.5 weeks into adult inpatient psych elective rotation and love it.  Do rounds in the morning and then after an hour or two lunch break during which I have ample time for running errands, spend the afternoon in admissions.  Admissions doc likes to give us reading assignments for quick presentations during our down-time, so I’m learning a loT of upper-level psych stuff.  

Crap, the gym patrons are increasing in number instead of decreasing.  Better go if I want to get some kind of cardio done today.

 

-J

P.S. Quick reminder–I moderate comments and if you submit comments with a fake email address, no matter how many times you submit them, I delete them. Don’t have time for creepers.

Merry Christmas!!!

December 25, 2013

A festive hello, readers!

I hope you all are having an excellent holiday season. I’ve been taking it easy out here in OK–found out on Monday that my attending was planning on taking most of this week off/being on-call from home, so he told me that afternoon that I was off until this coming Monday (when I start a new elective with the adult psych folks). I kayak.com’d flights back to NC while I was sitting in his office, but to no avail; the most economically feasible options were $750+ and while my folks offered to foot the bill, I just couldn’t rationalize paying $100+/day to be at home when we’ve still got flights to book for January/February interviews. (Seriously, I flew to Kitts for less than that!) So here I sit, hanging out with the dusty old books in the medical library, writing interview thank-you’s. At least I’m not in the middle of my internal medicine core rotation like last Christmas…or ruminating over going back for my fifth semester of med school on the island (dreading that ghastly comp shelf exam) like the Christmas before. Things are improving! YEA!

This latest situation (where I found out that last-minute flights out of OKC are expensive) reminds me how important it is to schedule yourself in a convenient location with access to more than 1 airport during interview season. I’ve mentioned it before, but I’m really kicking myself now for not thinking about that back when I was booking electives. It was silly of me to apply to primarily East-coast programs (which are normally easy to drive/fly to from centrally-located NC) but then put myself in Oklahoma during the two busiest months of interview season. If I’d have thought ahead, I’d have done these OK rotations either before or after interview season so that I could have been closer to all these places I’m having to pay premiums to fly to from OKC.

I have a weekend coming up in January where I have two East-coast interviews booked over one weekend, so I’m having to schedule a multi-city flight plan to make it to both interviews from Oklahoma in one trip. When I first looked up ticket prices, I was flabbergasted that they were $650+ and thought that surely they would go down. Nope. Priced them today during my stent in the library and they are now $800+. I feel stupid. Considering it’s 2 separate interviews and 3 flights, it averages out to a reasonable cost but I feel like kicking myself (again) for not booking earlier when it would have been cheaper. Who knew that it was so expensive to fly out of OKC? I was just sitting here wondering what the limiting factor on the expense of my trips out of OKC was and realized I hadn’t checked other airport departure sites. I mapquested how long it would take to get to Tulsa or Dallas–2 hours and 3 hours, respectively. That’s not horrible–I drive that far to get to RDU. So I priced my multi-interview trips out of Tulsa and they’re only about $700. Better. Priced trips out of Dallas. $600. Cha-ching! That minus my $50 voucher from Delta [after I never got off the ground during my last attempted East-coast interview from the OKC] and I have 3 flights for $550. SCORE! Merry Christmas to me. I guess I should re-title this entry “$250 discounts for thinking outside your home airport.”

More on the Match

December 20, 2013

Hello, Readers,

Happy Holidays to you all. I’ve spent the past few hours cooped up in the 24-hr medical library of the program I’m at, since the house they rent to us doesn’t have internet. So many chores tonight. Because I didn’t have my CS score report when I sent out eras applications, I am having to go back to ALL of the programs I am awaiting replies from and send them my score report, just in case they were waiting on that to make a decision on my application. Thankfully, I haven’t gotten many rejections [which would narrow down my list of correspondence], but I’m a point where I’m starting to think I should have made my match list more succinct. Ok, nevermind, that’s the tiredness talking. Grateful, promise. Most of the places have really nice residency program pages but many are stingy with their contact information. I was able to find program coordinator/assistant email addresses for most of them [with some cunning googling] but still have to make a handful of phone calls tomorrow, sometime, when I’m not in the midst of my interview. As is the norm I’m figuring out, when you’re actively completing an elective rotation at the place you’re interviewing at, you have a significantly abbreviated interview day. Shouldn’t be too much trouble calling to get email addresses.

Also, I’ve had the occasion to seek out a printer–I got word today that I was approved for my 10th and final Ed-Invest loan for the school. Hooray! I can afford to finish my schooling! After getting an email that your loan request has been approved, you have a specific time-frame during which you must print out a loan acceptance page, sign it, and then send it back to the loan folks so that they’ll issue the money to MUA. If you are late or drag your heels, MUA delays sending you your “refund check” of the money left over after paying your tuition. Even though this check has dwindled down to a pathetic amount which one could not possibly survive on for 4 months, it usually helps to pay my rent for a month or so. Life gets more budgeting-intense when it is late, so you can see why it’s a big deal.

I’ve gotten lots of lovely correspondence from new readers and folks recently accepted to MUA wanting advice–please, keep ’em coming! If I can’t answer your question, I know lots of friendly folks who can give you very current information on the island/school.

Whelp, still have a gym date, suit-ironing, and a bunch of belated Thank-You’s to fill out before I retire for some beauty sleep before tomorrow’s interview. Wish me luck!

J

Hello, Readers!

(Warning–confusing post–this would be one to revisit when you’re applying for the residency match when it will make more sense)

Happy Holidays! If you’re not festive yet, I hope the mood strikes soon. Still very happy out in Oklahoma. The weather is cooperating a bit more so it’s not so cold. Loving the pathology I’m getting to see during this elective–look forward to going to work, in fact I’m up late tonight baking cookies for treatment team meeting tomorrow! (Reindeer and Snowman sugar cookies)

I got an email from the school wanting information about my ERAS/NRMP stuff–wanting to know what specialties I was interested in, what programs I had applied to, how many interviews I had so far, etc. and it had been so long since I logged onto ERAS, I had to reset my password, lol. When I did get on there to get numbers for the school, it took a minute to review my programs–ERAS is not particularly user-friendly but you can make a few clicks and inadvertently get to a list of the programs you’ve applied to. Unfortunately, you must keep track on your own of the status of your application with each of those programs–this is where the database [and an app] comes in.

I have this convoluted system, which I thought was working, which was not. So the conclusive list of all 49 programs I applied to is nestled within ERAS in the receipt section of my profile. This list says what type of program–in my case: Psychiatry or Internal Medicine/Psychiatry or Pediatrics/Psychiatry/Child & Adolescent Psychiatry, the name of the program and where the program is situated, and that’s it. There is no spot for you to write notes.

Ah, but there is an app available for iPhone called the NRMP Prism App which you can enter in your individual programs you’ve applied to and it will keep track of them for you, so that whenever you get an interview request/rejection/waitlist, etc., you find that program under your list of programs and update the status. The problem with this system is that you must make sure you enter exactly the programs from ERAS to Prism, but Prism (in addition to ERAS) is confusing.

Prism has every program that has ever existed, ever. Like, even if that program no longer exists. There are many options–Categorical programs, programs for second years, programs for first years, research tracks, rural tracks, etc. Really, your best bet is to look them up by number (an option on the Prism app), but the only problem is that the list that I can [barely] find on ERAS doesn’t list them by number and that would require even more digging. So way back when, in September-October, when I finished submitting my apps and was entering them all in on Prism, I was tired and admittedly lazy, and sort of guessed when I was selecting the programs, hoping I got the right one. Not to get side-tracked, but some of the apathy came after a couple of panic-attacks which were had when this process first began because as Prism is not current, it made me believe there were active programs which I had NOT applied to, which would have been neglectful on my part. (These were not active programs, just records of closed programs or programs who were not taking applicants this year. Always check FRIEDA if in doubt.)

So, come to find out, I did not have some of the right programs selected–ex. I applied to the categorical psychiatry program at School X, which previously had an Internal Medicine/Psychiatry program but which no longer exists, but I got confused, couldn’t remember which one I applied to, or if I applied to both, and thus had added programs to Prism which I didn’t actually apply to. Argh.

So now, when I’m sitting down to give my school my stats, I realize that what I have in ERAS does NOT match what I have on the Prism app. With more energy and time than I had back in September/October, I took a couple of hours and went digging through ERAS, made an updated database in Excel, then compared that with Prism, and now, finally, we’re all on the same page!!! (I’m elated!) I had mistakenly selected some of the wrong programs and entered in that I was rejected at some programs I was still waiting to hear from.

On a related note, the process of finding out whether a program wants to interview you or not occurs via email. You submit your application to programs via ERAS, then when a program has reached a decision about your application, they will send a message to ERAS. When you receive a message in ERAS, it is automatically forwarded to your primary email so that you can view these messages without logging into your ERAS account each time. But, once again, it’s on YOU as an applicant to keep track of these messages and have a system to keep the programs organized–to know which programs you are still waiting to hear from, when you’re supposed to show up for interviews, and which programs to stop bothering because they are not interested in you as an applicant. The more programs you apply to, especially if you apply to different specialties, the more emails you’ll receive. They sort of come in bursts–you’ll go days without hearing anything, then open your email one morning to find 2-3 notices. I guess the process is pretty easy if you just apply to one specialty…

The Prism app is supposed to be a mobile version of my Excel database, without all the trouble. If/when it is updated to reflect only current programs for the current match year, it will be useful, but until then, I recommend creating an excel spreadsheet BEFORE you start the application process, when you’re shopping for programs and getting acquainted with FRIEDA (the AMA’s online, searchable database of CURRENT programs). Also–if Prism ever crashes or you have something happen to your iPhone, you’ll have a back-up with all of your information saved so that you don’t have to go digging through all of your ERAS messages to figure out program correspondence again.

Now that all that fun is straightened out, I wanted to take a minute to remind everyone to incorporate exercise into their day-to-day routine, no matter where they are on the path of becoming a doctor. Silly me, I was exercising pretty regularly in Chicago and maintained a similar weight/clothes size and thought that a little break from regular exercise during my quick 5-week stint in North Carolina would be ok. WRONG! I could tell when I was shopping for business-casual work clothes/interview suits I had put on a little bit of weight but could still wear approximately the same size clothes, just more snugly than before. But then tonight, I made the mistake of throwing on my “skinny jeans” (which had been recently washed) on my way to the library for internet access and HOLY CRAP! These were jeans which fit loosely with room to spare in Chicago. They were SKIN TIGHT tonight! I thought surely this is because they were washed, they’ll stretch. I’ve been squeezed into them for 4 hours now. They’re not stretching. Wow. I feel like a fat cow. It’s amazing what a month off-the-wagon can do to your diet. Whew. My drive to go to the gym is renewed and I think I’ll be sipping on Slim Fast for a while until I can rectify this clothing problem of mine. Sheesh. No cookies for me for a while!

Portly,
J

Back in the Midwest!

December 11, 2013

Aloha, guys!

Hope you’re staying warm! It’s been absolutely frigid out here–no kidding, it got up into the forties for the first time in a week and I was elated. Dang, here I go again going almost a month in between posts again–sorry about that. This whole not-having-internet at the house where I’m staying thing is really lame.

So let’s see, finished up in North Carolina, had a week off with my folks to celebrate and try not to get sick (hand washing prevailed!) from their colds or flus or whatever was going around, then packed up and headed out to Oklahoma for a couple months of electives. Why Oklahoma, you ask? I dunno, why not? Hadn’t been out this way before, have a chance to explore different parts of the country and see how healthcare differs. It’s pretty cool. Apparently their weather ranges from the single digits Fahrenheit with snow that hangs around for weeks, to 110+ degree heat so I guess it’s better that I’m here in the winter.

I found out that I passed CS! Looking at my score report, I feel sorta silly for freaking out about it and getting all nervous and anxious–I did great. I was dreading it, felt good about it after it was over, then got more nervous as time passed waiting for my score to come back. During one of my interviews with a program director, they told me that as an img, if I didn’t pass CS on the first try, they would NOT be ranking me. No pressure, right? After my folks and the school, that program was the first program I emailed to let them know I passed, ahem.

Have been going to more interviews in the the process. Had a big snafu with Delta trying to get a flight out of Oklahoma back to the East coast and consequently, an interview which didn’t happen…because I couldn’t get out of the state because of a really shoddy maintenance problem. Delta did reluctantly refund my ticket but couldn’t understand why I was giving up and going home at 10:30 pm the day of said flight when I had been at the airport since 7:30 that morning.
“But miss, we can get you there tomorrow by noon”

“well given that my interview dinner started 4 hours ago, ended 2 hours ago, and my actual interview will be nearly over by noon tomorrow, no. Thank you, you’ve ruined my weekend. I just want to go home.”

“We can offer you a $50 travel voucher.”

“Oh, how generous. Let’s see, I’ve been here for 15 hours and you want to give me $50? $3/hr? That sounds like the pay at a residency I won’t have a shot at thanks to you folks.”

Silence.

I did get to reschedule the interview but you can guess who I won’t be flying with to get there…

So other than getting used to rotations out here in OK and typing blog posts on my iPad, not a lot going on. It’s nice and calm here compared to Chicago. Not too bad of an exchange. They have a 24-hour gym with wi-fi, I’m sold…