Monday, July 14, 2008

Med School Parody Vid

I came across this video earlier in my application cycle and it's true... it's so true. i love it.

It's goddamn hilarious, ya'll need to check it out:

http://www.youtube.com/watch?v=L2U6vjDD6BQ

I like the chill NYMC style. w00t..

Thursday, July 10, 2008

How To Ask for a LOR

This is a pretty important topic. And hopefully everyone in the MD2013 applicant pool has asked for theirs. But for those in the MD 2014+ club, start thinking about this.

This is how I asked for a LOR and this is what I recommend to you:

1) Figure out a rough idea of which schools you want to apply to (remember to think broadly and include your state school). From that list, look up the admissions requirements. Make sure you're taking the required pre-med classes. For this LOR topic, however, take note of how many and what kind of LORs are required.

Example:

Yale Medical School - "An evaluation from the applicant's Premedical Advisory Committee, or individual letters from three of the applicant's teachers, two of whom should be in science fields. These evaluations must be sent directly to Yale. " Yale wants 3 letters, 2 of which are science.

2) Using that information, figure out how many letters you need in general and what kind of professors they should be from. This is what I went with: 1 science, 2 research supervisors, 1 literature, 1 pre-med advisor, 1 extracurricular/leadership group advisor. I would have only sent in 5, but one school had weird requirements and I couldn't do it! I recommend including a humanities professor and a group advisor from one of your clinical/extracurricular activies. Also, if you do any research, a letter from the PI (written by grad supervisor co-signed by PI more accurately) is absolutely gold (and required for Harvard).

3) Scope out which teachers you want to get letters from. If you still have a semester or two until you need to ask for the letters, figure out which upcoming classes fit the categories and MAKE A POINT TO GET TO KNOW THE PROF! This means go to office hours with genuine good questions, ask about their professional life (if they always wanted to be a prof, what kind of stuff they do work on, why they're passionate about it, etc), then segue gradualy into telling them a bit about yourself and your goals and ambitions.

As long as you respect the prof's time and aren't a drain on their energy level, he should be receptive and willing to talk.

Also, do well in the class. AKA, get an A.

4) When May rolls around, request an appointment with them. Dress relatively well and come prepared with my portfoli

PedsMedic's PORTFOLIO of success:
  1. A signed cover letter explaining again your goal of medicine, the LOR requirement, how much you appreciate it, highlight and bold the due date (make it June or July so they can get it with buffer time for you - actual "due date" isn't until you get your secondaries in). Leave a contact number and email.
  2. A crisp copy of your resume. By now you should have one, if you don't, slap yourself 2x. Proofread it!! Make sure all the lines are spaced out just right. You'd be surprised how seriously some take it.
  3. A photocopy of an official copy of your school transcript (+ any other relevant transcripts). If you want to give them official copies, go ahead...
  4. A fresh copy of your personal statement. The same one you submitted to AMCAS. Or if you made edits since then for some crazy reason, give that to them too.
  5. A list of your publications in citation format. May be included in your resume if there's space.
  6. Immediately after the list, attach paper copies of all your publications. There's something about physically holding your paper that just is so cool. They're also much more likely to glance at it/read it as opposed to doing a pubmed search for you, etc.
  7. Attach copies of any awards/honors/news articles about you. The idea is to show them how involved and special you are.
  8. OPTIONAL -- Something I didn't do but that I just thought of is to include a print-out of your 15 activities from your AMCAS. It might be overkill, though, up to you.

Container: Put these all into a nice red plastic zip-up folder. I found a few nice sturdy ones at Staples for under 3 dollars I think. Rationale:

  • Keeps all your stuff together
  • Sturdy -- plastic
  • Attention grabbing -- it's bright red. If it's sitting on your prof's desk, he'll be like.. OH YEAH, i gotta write this letter. Instead of looking like all the other papers on his desk, your packet will shine.

5) During the meeting reiterate your desire for a career helping people through medicine and ask if they FEEL COMFORTABLE writing you a LOR. Tell them you understand if they don't have time. This is an easy-out if they don't think they can write a strong letter for you. Better that they take it than write you a weak letter.

Present them with the packet, explain what's inside and the deadline. Tell them about how you waived your rights to see it, etc.

THANK THEM. Ask them the best way to get in touch if necessary. THANK THEM AGAIN.

6) Check up on the letter after a month. And keep checking up on it as you get scared and nervous.

My application was not fully complete until early November because of a tardy LOR. Don't let that happen to you, please!

Good luck and remember you can email me questions at pediatricmedic@gmail.com

Saturday, July 5, 2008

How to do the AMCAS

Hi all,

Some random tips for everyone applying right now. Today is July 5. By now you should have started and (ideally already have submitted) your completed AMCAS.

Disclaimer -- Any advice I provide is given in good faith with the objective of helping you reach your goals. I have followed all of my own advice and am in medical school now. But what worked for me might not work for you. So be smart and take it all with a grain of salt and reason.

For the newbies, the AMCAS is sort of like the Common App that you completed for colleges, except for medical school. It has 8 sections:

1) Identifying Info (AKA name, SSN, etc).
2) Schools Attended (High school, and all colleges/programs).
3) Biographical Info (Address, Citizenship, parents, felony status, etc).
4) Course Work (Type in every class you've taken since graduating high school - more about this later).
5) Work & Activities (15 opportunities to write - each one with a limit of 1325 chars)
6) Which Med Schools? (Pick which ones to send your app to)
7) THE ESSAY!!! (5300 characters to explain why you want to go to med school)
8) Confirm the MCAT scores you're sending

So as you can see it's a grueling process. Some details step-by-step will follow. Most of this is either common sense or a review of what people have been advising for years. Premeds have a cool way of needing to hear things 5x from 3 different people before believing them though...

1 -- Identifying Info
If this takes you longer than 30 seconds, stop the application, and switch to a career in business or law. You're not cut out for medicine.

2 -- Schools Attended
Just make a list. Make sure every letter you type is correct. The AMCAS is no place to make a typo. A question I had was whether I should include a summer school I attended in college. AMCAS's official stance is that you must include any college work you've done, I believe. I therefore complied. MAKE SURE YOU REQUEST THE TRANSCRIPT FROM THE SCHOOL IF YOU WRITE THE SCHOOL DOWN HERE. Have them send it directly to AMCAS.

3 -- Bio Info
Simple.

4 -- Course Work
The key here is to be as anal as possible. This is no time to be the cool, chill premed that you feign to be to get the chicks. no. Roll up those tube socks, sharpen your #2s and tighten that external sphincter, because one typo can mess you up for weeks.

The AMCAS requires you to type in every class you've taken: the school it was taken at, when it was taken, course name, course number, # credits and grade. AMCAS staff then takes the official transcripts that are mailed to their office and manually look for differences between what you type and what they receive from schools. [note - there has to be a better way... if i can buy a clock for goddamn 99 cents at IKEA... there just has to be a better way]

Credits - Look into the credit conversion at your school. At mine, I had to divide by 4. You may have to multiply by 9. AMCAS looks to standardize your grades in order to calculate a comparable GPA for all applicants.

Classification - There's a big debate over what to classify biopsychophysiology and other classes that blend the BPCM categorization. Read the AMCAS manual and do your best. Be honest and you'll be fine.

Perhaps I'm making this more anal that it has to be.. maybe.. but i've heard horror stories and it worked for me just fine.

5 -- Work & Activities
You have done incredible things with your life so far. I'm sure at least 15 things. This is where you get to brag and talk about some of them. Include your extracurriculars, clubs, awards and honors, scholarships, articles that were written about you, leadership, conferences, shadowing experience, research, etc.

You then have 1325 characters to write about them. Be descriptive without being a bore. I wrote this in prose, personally. I wonder if anyone has done this resume-style...

6 -- Picking Medical Schools
Exciting! My school told me the average applicant applies to 15-20 medical schools. I applied to 18. I won't yell at you for applying to 20, or even to more. But the cost does add up! Not only is there a charge for AMCAS, but there will likely be a charge for your school's career office, not to mention for each school's secondary.

Apply broadly. Meaning get a good spread of SAFETY, COMPETITIVE and REACH schools. You know what that means by now. If you have a state school, apply to it -- chances are you'll have an easier time of getting in as well as enjoy the very cheap tuition it offers.

7 -- THE ESSAY!
Probably the most feared section of the AMCAS. I'll write something about it shortly, but until then definitely search the SDN forum for essay advice. I found great gems there when I was looking.

Some key, but perhaps obvious points:

+ Convey Personality
The tone needs to match who you are and how you think. If you're funny, maybe write with a humorous slant. Remember that the reader will be reading a lot of essays. Try to stand out by showing how 3D you really are.

+ Make it Memorable
Everyone will write about how their PCP inspired them to go into medicine. And increasingly, everyone will soon be writing how their trip to X country opened their eyes to Y, etc. As a result, I say just write what you feel is important. If you write with feeling and purpose, chances are the reader will be impacted.

+ Spell Check and Edit
Send the drafts to your family, writing professors, pre-med advisor, academic advisor, PCP, whoever. Take all their suggestions for what they are: suggestions. Obviously if you're missing a period, put it in, but you're the one going to medical school, not them. If you disagree, even after they do their best to convince you, I would put my money on you, not them. Because you'll likely get conflicting edits.

8 -- MCAT Scores
This is easy... the computer automatically pulls your scores.

-------------------------------

So that was a long-winded explanation of the AMCAS. A few general ideas:

  • Apply Early! Search the SDN forum and you'll read posts by people who are panicking over approaching deadlines and what not. If you apply early, you'll have a better chance of getting into your choice medical school due to rolling admission.
  • Request Transcripts Now! I had a hiccup with transcripts. I was waiting for a professor to assign me a grade before I could send the transcript out. As a result, I couldn't get the transcript out until the end of June. By then there was a long line of transcripts that needed to be read. The transcript took like (est) 5 days to arrive and 7 to be read and confirmed. I don't remember the exact numbers, but it made me sweat...
  • Read the AMCAS Manual and FAQ: http://www.aamc.org/students/amcas/amcas2009.htm
  • Check, Double-check, Triple-check, Quadruple-check, pentuple-check, then print out your final draft of the AMCAS on physical paper and check that. Have your mom check it.

I was stupid and didn't submit the AMCAS until early July. I'll go into it later, but I didn't get my full app into schools for consideration until early November. This is horrible. Don't let that happen to you. I cannot describe the anxiety you will feel when your friends and others on SDN are getting interviews while you're still trying to complete your app. It's a cross between constipation and an abd aortic aneurysm.

That's all for now. GOOD LUCK on everything! Remember to take what I wrote with a skeptical eye. It worked for be, but don't accept everything without thinking first... you know that though.

PM

Wednesday, July 2, 2008

Sad Article

By now most of you have probably heard (and seen the youtube video) about the tragic incident at a mental health ward recently (http://www.nytimes.com/2008/07/02/nyregion/02hosp.html). There was a similar incident earlier this year about a patient waiting in an ER for help...was seen and then discharged by the MD. The patient still felt bad and pleaded for more medical attention, but the staff refused saying she had only minor issues. It got so bad she called 911 in the waiting room of the hospital! 911 essentially said stop being stupid and tying up public resources and talk to the hospital staff. The woman then collapsed and eventually died.

What do I think? I've been an EMT for 4 years and in the emergency medical arena for around 8. I've worked in both rich "academic" communities as well as inner-city areas I would not park my car in.

Unfortunately, there are people known as "frequent flyers". Called that because they call 911 sometimes a few times a day just to get attention, perhaps a meal, etc. Some claim it's a mental illness, some say it's just stupidity and selfishness, others understand the lonliness that sometimes takes us over.

The majority of frequent flyers (FFs) don't have insurance. And you can sure as hell bet they don't see a PCP regularly to make sure their BP is stable and their cholesterol levels are sound. In fact, the majority of FFs I met were homeless. When they feel sick, their only option is the ER - thus leading to the current problem of overburdened ERs. Too many people use ERs inappropriately. ERs are really supposed to be for life-threatening or other serious emergencies...not the sniffles. It is resource abuse.

My partner once mentioned to me -- FFs get free meals, VIP rides to hospitals, warm beds, and don't have to pay a dime for it. Meanwhile we're breaking our backs lifting these people up and down flights of stairs for $10/hour. Who's the real sucker? -- I laughed. But he had a point.

So now ER docs get inundated with more patients than they can handle, and do they have time to ask how little Jonny is doing in school? How Mary is handling the stress of changing jobs after 30 years of dedicated service? No, unfortunately it forces MDs to treat them and turf. Sucks for the doctor.

And it sucks even more for the patients.

It's a true tragedy what happened in that mental health ER. Yes, the security guards should have caught it, yes the doctor should have been more keen and faster to act, etc etc. But let's get to the root of the problem: we're floating around in a broken system. What happened in NYC could have easily happened anywhere else in the nation. And unfortunately, in our society with a million worthy issues and agendas, it often takes an unnecessary death to catalyze change.

This is why I hope and advocate for strong, systemic health care policy reform. Incidents like this are symptoms of a deeper problem. Let's aim to give everyone insurance, provide incentives to doctors who are overworked and underpaid (http://ap.google.com/article/ALeqM5jucINN3POiwPC9YNtNKHQ2lSofkAD91KCQEO0), grow community health resources, direct people to take advantage of the proper resources for their problem, and in such a way, hopefully resolve this crisis.

Anyway, that's my opinion... RIP Ms. Green.

Bill

I received a bill today for $10,000 from the medical school.

Let me emphasize that medical school doesn't start until August.

Oh boy... I'm feeling great already ;-)

Tuesday, July 1, 2008

Insomniac

It's 1am and I'm sitting at my desk simmering in the sweltering heat of an oppressive global warming summer. My lower back hurts because although I have great posture when I walk, I turn into a Great Ape the second I sit down. My eyes are tearing up. My neighbor just drove home and is talking quite loudly as he walks to his house - not sure if he realizes the nature of sound travel at night.

Oh well. Screw it.

As you may know from my previous post, I'm a medical student in the class of 2012. I am attending a medical school that belongs to the Ivy League. I seriously don't say that to brag, I was inches away from attending my state school, but it rejected me :-) So now I'm steweing in the world of $60,000/year tuition, loans, interest, and other words that make my BP elevate.

My passion includes working with (AKA playing with) children. I love spending time with kids playing with blocks, flying paper airplanes and being silly and ridonkulous (sp?). I keep hearing from docs I meet to invest in a specialty that you love, not one that will earn you the most money. Unfortunately, I also hear that pediatrics is among the lowest paying specialty. Excellent.

I really hope to keep this blog active for 4+ years. Some of the greats, Panda Bear MD, etc have done it so I will strive to as well. I'll start by talking about my personal journey toward medicine, the pre-med atmosphere, medical school admissions, med school itself, and then if I'm not crushed into pulp by then, residency and attending life (damn, getting ahead of myself aren't I?).

So please, if you have any questions you'd like me to answer. I'd love to post answers in some type of Mailbag format. Shoot me an email at pediatricmedic@gmail.com. I'll do my best to get to it.

Disclaimer - Expect most of my posts to be about medicine. Expect some of my posts to be about personal things I find interesting (life hacks, investing tools and ideas, philosophy). Expect none of my posts to be professionally done...hell I'm in boxers right now. But expect all of my posts to be genuine and honest.

Let's get going...

Sunday, June 29, 2008

The Pediatric Medic

Welcome to the Pediatric Medic!

I'm an incoming first year medical student at an ivy league medical school class of 2012. I hope to chronicle my days as a pre-med: answer some questions on how to apply and gain admission to medical school. I also will keep a journal of thoughts, ideas and cool news about my time at med school. And if the fates will have it, I will go on to write about my journey toward a pediatric residency.

If you have any questions or comments, please email me at pediatricmedic@gmail.com