THE MATCH ACCORDING TO JOMOOR

WHAT DO PSOM MS4S REALLY DO? OR

JOMO TIME OR

CONFESSIONS OF A RECOVERING PD

Jon B. Morris, MD

Associate Dean for Students Affairs

The Ernest F. Rosato – William Maul Measey

Professor in Surgical Education

2

Why We Do This

3

The Process (April –NOV 2018)

April May June July Aug. Sept. Oct. Nov.

Letters of Recommendation

Class

Meeting #1MSPE

Released

Oct. 1

Class

Meeting #2

MSPE Crafted by OSA

JoMo Meetings – Reality Therapy

ERAS Opens

Programs

Download

ERAS

Class

Meeting 3

Program

Director

Panel

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October November December January February March

Advocacy Contact

Interviews

Rank List

Deadline

(Applicants

&

Programs)

Match Day

The Process (Nov. – March 2019)

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Anatomy of the MSPE

Identifying Information

Unique Characteristics (Two 125 word paragraphs)

Academic History (matriculation, graduation, combined degree,

repeat/remediate, adverse actions, gaps, leaves of absence)

Academic Progress

• Preclinical Basic Sciences

• Core Clinical

• Electives?

Combined Degree Summary

• MD/PhD Summary

• Masters Degree Summary

Summary Paragraph

• Bottom Line

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MSPE Bottom Line Distribution

Class of 2015 Class of 2016 Class of 2017 Class of 2018

Top of the Class 7% 6% 6% 8%

Outstanding 53% 50% 46% 73%

Excellent-Outstanding 3% - 9% -

Excellent 34% 43% 34% 13%

Very Good to Excellent 2% 1% 3% -

Very Good - - - 6%

Good 1% - - -

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AOA

Alpha Omega Alpha Honor Medical Society

Selection

– 1/4th of Class Eligible

– 1/6th Selected

Criteria

– Scholarship (i.e. Publications, Presentations, PhD Thesis, Masters)

– Community Service (PSOM, Local, Regional, National, International)

– Organizations (PSOM, Local, Regional, National, International)

– Professionalism (Gold Humanism Honor Society)

Selection Process

Students Notified by Sept. 1

• In time for ERAS application

Will be Mentioned in MSPE

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Required Readings

#1 Manipulation and the MatchBy Carl Erik Fisher, MD

JAMA, September 23/30, 2009 – Vol. 302. No. 12

#2 How to Put Your Best Self Forward

in Plastic Surgery Residency

Interviews

By Rod J. Rohrick MD

Eduardo D. Rodriguez, MD, DDS

Jacob G. Unger, MD

PLASTIC AND RECONSTRUCTIVE SURGERY 137(1) NOVEMBER 2015

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Couples Match

♦ 11% Couples Matched 2018

♦ 7 Penn to Penn Matches

♦ 2 Penn to Other Matches

♦ Understanding the “Radius of Love”

♦ Understanding PD to PD communication

♦ Uncoupling

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JoMo’s Rules

Everything is Discoverable

• Including social media

Nothing is Off the Record

Everything Gets Back to the Program

Director

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High Contact Areas: Applicants and Programs

Phone

Conversations

Email

Receptions

Tours

Interviews

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The Interview – The Basics

Are You A Human Being?

Did You Do Your Homework?

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Coaching with Dana Band

115 Students Participated

2 Hour Workshop

Offered 8 times over 2 weeks

PSOM Feedback

• “Phenomenal- put interviews in a completely new

perspective”

• “The storytelling session and the review of important

interview strategy based on what interviewers have

said.”

• “Details about confidence, posture, etc. and advice

to show through story more than telling”

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Post-Interview Strategy: Rules of Engagement

PD/ Applicants may volunteer information but

cannot coerce or pressure each other.

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The Goal of Coercion

PDs – Want to convince all applicants that

they are takes

Applicants – Want to convince all programs

they are coming

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The Tools of Coercion

Letters

Email

Phone Calls

Second Visits

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The Language of Coercion

Applicants

• I loved your program.

• I will be ranking you highly.

• You are the top of my list.

• I would be honored and thrilled to train at your program.

Program Directors

• How are your other interviews going?

• If you want to match with us, let us know.

• How seriously are you considering our program?

• Why would you want to come to our program?

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Rising on a Rank Order List

Be a Superstar

Passive Osmotic Ascent

Advocacy Call

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Rank Order List Strategy: Getting to the Top

10 20 30 40 50 60 70 80 90 100

Take Group

(3 cycles)

Bubble DNR

Ranked to

Match

• Assume a program takes 10 Categorical residents

• Assume the program interviews 100 applicants

• The advocacy call has its greatest impact on the bubble group

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Why Would a PD Respond to Advocacy Contact?

PD is a human being

PDs want applicants that want their program

The selection process is not infallible

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The Golden Rule of ROL Creation

Only rank programs where you would be

willing to train. Do not rank any program that

you do not wish to attend.

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Penn Med Residency Match Data

2015 2016 2017 2018

Total Graduates 167 140 176 159

Total Residency * 165 (97%) 132 (94%) 170 (97%) 151 (95%)

Matching at University Program 158/167 = 95% 128/140=91% 164/176 = 93% 146/151 =97%

* OMF Not included in total residency

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What are the Non-Residency Grads Doing?

Consulting (3)

Research/Scientist (2)

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Specialty Selection 2018

Specialty # of Students % of Students Matching Unfilled Spots

Internal Medicine 28 19% 156

General Surgery 13 9% 5

Pediatrics 13 9% 62

Emergency Medicine 12 8% 10

Ophthalmology 11 7% N/A

Dermatology 9 6% 4

Medicine Primary 7 5% N/A

Neurology 7 5% 17

Otolaryngology 6 4% 11

Ortho Surgery 6 4% 1

Anesthesiology 6 4% 48

Psychiatry 6 4% 12

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Specialty Selection 2018

Specialty # of Students

% of Students

Matching Unfilled Spots

Family Medicine 5 3% 117

Neurological Surgery 3 2% 0

Radiology-Diagnostic 3 2% 5

Urology 2 1.3% N/A

Interventional Radiology 2 1.3% 0

OB/Gyn 2 1.3% 16

Plastic Surgery 2 1.3% 1

Radiation Oncology 2 1.3% 5

Med/Peds 2 1.3% 5

Pathology 1 .5% 28

Medicine – Psychiatry 1 .5% N/A

Child Neurology 1 .5% 14

Family Medicine – Psychiatry 1 .5% N/A

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PSOM Primary Care

PSOM 2015(N=165)

PSOM 2016(N=132)

PSOM 2017(N=170)

PSOM 2018(N=151)

Primary Care

Family Medicine 4 (2.4%) 3(2.3%) 6 (5.9%) 5 (3.3%)

Internal Medicine 52 (31.5%) 32 (24.2%) 41 (24.1%) 28 (18.5%)

Pediatrics 14 (8.5%) 17 (12.9%) 18 (10.6%) 13 (8.6%)

Internal

Medicine –

Pediatrics

3(1.8%) 4 (3.03%) 3 (1.8%) 2 (1.3%)

Total 73 (44.2%) 56 (42.4%) 68 (40.0%) 48 (31.8%)

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Where We Matched: Class of 2018

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Where We Matched: Class of 2018 Institution # of Students Matched

Penn

• HUP

• CHOP

• Scheie

Total *28% of class

(35)

(6)

(1)

Harvard

• Massachusetts's General Hospital

• Brigham & Women’s Hospital

• Children’s Hospital

• Mass Eye & Ear Infirmary

• Beth Israel Deaconess

23 Total

(10)

(6)

(3)

(3)

(1)

UC San Francisco-CA 6

Yale- New Haven Hosp- CT 6

Icahn SOM at Mount Sinai - NY 5

U Washington - MO 5

Stanford Univ Progs – CA 4

NYU School Of Medicine 4

UPMC Med Education 3

Emory University – GA 3

Vanderbilt Unvi Med Ctr – TN 3

Duke University – NC 3

NYP Hosp- Weill Cornell Med Ctr- NY 2

Hospital For Special Surgery – NY 2

*2017 = 38%

2016 = 29%

2015 = 25%

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Graduating Class of 2018 – Geographical Distribution

New York

14%

Pennsylvania

33%California

13%

Each = 1 individual

Massachusetts

16%

Connecticut

7%

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SOAP* 2018 and Unmatched Students

1 Student unsuccessfully participated in the SOAP

• Deferred graduation to 2019 and will apply again

1 Student did not participate in SOAP

• Deferred graduation to 2019 and will apply again

1 Student did not match in an early match process

• Successfully matched in Main Match

* Supplemental Offer and Acceptance Program

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Why Some Don’t Match

Letters of Recommendation • EM (SLOE*)

• Ortho

• Plastics & ENT (Residency Recommendation Form)

Applied to inadequate number of programs

Disconnect between academic record and career choice

Interview Performance

Bad Luck

Standardized Video – Do not know impact

* Standardized Letter of Evaluation

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JoMo Life Philosophy

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What You Need To Do

Meet with JoMo before Sept. 1

• No JoMo = No MSPE

• Two Required Meetings (must read before meeting)

– Manipulation and the Match

– How to Put Your Best Self Forward in Plastic Surgery Interviews

○ Tips that apply to all specialties

• Jessica will email out a google doc to sign up for appointments

– She will confirm with email

– If you are couples matching email me directly

Unique Characteristics Paragraphs

• Submit to Jessica Maguire by June 1st

(jesmag@pennmedicine.upenn.edu)

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Unique Characteristics Paragraphs

Due to jesmag@pennmedicine.upenn.edu by June 1, 2017

These paragraphs should be no more than 250 words total. An additional paragraph

may be added for time spent doing a year out. Each paragraph is to be written in the

third person. See the Student Portal for samples.

Paragraph 1:

The introduction is a succinct chronology of a student’s entry and progress through medical school. Pre-

matriculation academic, social or employment background characteristics may be included.

Paragraph should include:

• College, degree date, major, minor

• Advanced Degrees

• Membership in honors societies, graduation honors, significant extra-curricular activities

• If you did not enter med school immediately after graduation, describe your activities

Paragraph 2:

Paragraph should include:

• Employment, extra-curricular activities (e.g. triathlon, raised quintuplets, etc..), committees, class

officer

• Fellowships, awards, accomplishments

• If you took a year off, please include your activities

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Next Steps

Student Portal: http://www.med.upenn.edu/student/career.shtml

Solicit Letters of Recommendation to be uploaded by writers

Personal Statement

CV

MyERAS opens; students may begin working on application –May

Next class meeting – late June

ERAS Opens to Programs – Sept. 15th

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Letters of Recommendation

LORs are requested and uploaded through ERAS

• Register Token

• Finalize LOR authors in ERAS

• Give authors unique link and instructions

• LOR authors upload letters

• Unlimited amount of letters may be requested and uploaded -

maximum 4 assigned to each program

Taking a year out? You can ask for letters now. Authors may hold

the letter until the 2019 season opens and upload it then, or they

can send it to jesmag@pennmedicine.upenn.edu and it will be sent

back to them to upload when you apply (you may use the waiver

on Student Portal).

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Letters of Recommendation

You can submit up to four letters through ERAS

The MSPE (Dean’s Letter) does not count as one of the four letters

The Departmental or Chairman’s Letter does count as one of the four

You do not have to send the same four letters to each program

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Letters of Recommendation

Departmental Letters Required for:

Anesthesiology

Urology

Emergency Medicine

Pediatrics

Otolaryngology

General Surgery

Internal Medicine

Orthopaedics

Plastic Surgery

Neurosurgery

Obstetrics and Gynecology

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Letters of Recommendation

No Departmental Letters for:

Dermatology

Pathology

Family Medicine

Psychiatry

Neurology

Radiology

Ophthalmology

Radiation Oncology

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Specialty Recommendation Forms

Plastic Surgery Residency Recommendation Form

Otorhinolaryngology Residency Recommendation Form

Emergency Medicine Standard Letter of Evaluation

(SLOE)

Orthopaedic Surgery

Emergency Medicine – Standardized Video (score sent)

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Applications Fees

Approximate Minimum Cost for Residency Application in 2016:

- ERAS Application Fee: ≈ $300 (based on example average)

- USMLE Online Transcript Fee: $80

- NRMP Match Fee: $70

- Travel, lodging, food: varies (Alumni Host Program

available)

TOTAL (without travel/lodging):$450

Approximate Minimum Cost for SF Match Ophthalmology Application in 2016:

- ERAS total for Prelim year: $450

- SF CAS Program ≈ $60 (applying for 10 programs)

- USMLE Paper Transcript Fee: $65

- SF Match Fee: $100

- Undergrad transcript/mailing fees: $25

- Travel, lodging, food: varies

TOTAL (without travel/lodging): $700

*Averages without travel costs

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Careers in Medicine

Website

• http://www.aamc.org/students/cim/

Specialty selection assistance, program research

Log in with your AAMC ID

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Questions & Help

Office of Student Affairs

215-898-7190

Dr. Jon Morris morrisjo@uphs.upenn.edu

Carrie Barjenbruch cbarj@upenn.edu

Jessica Maguire jesmag@pennmedicine.upenn.edu

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