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lztao: Manuscript of first CMG in Boston Meeting for USMLE/Match
作者:USMedEdu
发表时间:2010-09-03
更新时间:2010-09-03
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发信人: lztao (老刘), 信区: MedicalCareer
标 题: Manuscript of first Chinese Boston Med
发信站: BBS 未名空间站 (Thu Sep 2 23:37:07 2010, 美东)

The first Chinese Boston Med meeting for USMLE and Match preparation was
held in Boston on 8/14/10. Due to my busy schedule, I just revised the
powerpoint file. Scine Powerpoint file cannot be posted here, I write them
in text form. The reading will be time-consuming. Sorry for it. I name the
first meeting "Open Sesame".

Chinese Boston Med

Season I
Episode I Open Sesame
8/14/10

Objective of Chinese Boston Med
*A symposium for Chinese physician to develop their profession in US
Mainly about MD Physician
*Others: PA, nurse, pharmacist, midwife, sonographer, dentist
*Learn from each other
*Today: general introduction about MD physician

Speakers
*Yu Luo, M.D., Ph.D., Radiology Fellow, Harvard Children Hospital
*Zitao Liu, M.D., Ph.D., Attending Physician/Assistant Professor,
Department of OB/GYN, Tufts Medical Center/Tufts University

A Roadmap To MD Practice
*USMLE (Steps)--> Match(ERAS, San Francisco Match)-->Residency -->(Fellowship) --> Practise

Problems and Dilemmas
*Long term plan: years of preparation
*Sharp goal: determined, no back-up plan
*Getting harder: more candidates, higher scores, better credentials
*Disadvantage of CMGs: language, visa, age, years of graduation, USCE, difference in education and health system
*Advantage of CMGs: research, degree from US
*We are lucky to have a chance, but the entrance is narrowing down.
*We can still make it.

USMLE Step I
*Emphasis on principles and mechanisms underlying health, disease, and modes of therapy, anatomy,
*Content Areas: behavioral sciences, biochemistry, microbiology, pathology, pharmacology, physiology, interdisciplinary topics, such as nutrition,genetics, and aging.
*Reduction in number of items presented without a clinical vignette
*Review Materials: First Aid, Kaplan Note, Goljan’s Pathology note, Kaplan Q Bank, USMLEWorld Q Bank

USMLE Step II CK
*Focus on the principles of clinical science that are deemed important for the practice of medicine under supervision in postgraduate training
*Content Areas: internal medicine, obstetrics and gynecology, pediatrics,
preventive medicine, psychiatry, surgery, other areas relevant to provision of care under supervision.
*Review Materials: First Aid, Kaplan Note, USMLEWorld Q bank, Kaplan Q bank

USMLE Step II CS
*Describe clinical situations and require that you provide: a diagnosis, a prognosis, an indication of underlying mechanisms of disease, the next step in medical care, including preventive measures
*Three components:
Integrated Clinical Encounter (ICE)
Data gathering
Documentation
*Communication and Interpersonal Skills (CIS)
Questioning skills
Information-sharing skills
Professional manner and rapport
*Spoken English Proficiency (SEP)
*Review Materials: Kaplan note, USMLEWorld, Practice, TV show: ER, House

USMLE Step III
*Two-Day test
*Required for H1B visa
*Easier during residency, especially for IM and FP
*The earlier, the better

Summary
*Ace the test
*If possible, don't take it during postdoc because you have no time
*Considering preparation in full time
*Most current study materials: 1 poin lower makes a huge difference
*Team work from study to match
*Don't tell your boss during preparation
*Watch TV show: ER, Grey's Anatomy, House
*Take the advantage of marriage: One works for Green Card and money for
bread, another works for USMLE

Timeframe
*<6/29/2010: preparing supporting documents, especially LoRs, observership
*6/29/2010: ERAS Token
*7/1/2010: MyERAS
*7/1/2010-: Submitting Supporting documents: MSPE, Transcript, LoRs,
Photograph (done before 8/1/2011)
*7/1-8/30/2010: PS, program checking
*8/15/2011: NRMP registration
*9/1/2010 8:00:00: submitting application
*11/30/2010: deadline for application
*9/10-1/2011: interview and checking program
*1/15-2/15/2011: NRMP: Rank Order List entry
*3/14/2011: match day
*3/16/2011: program, scramble

Connection and Observership
*Strong connection (your boss is a chairman) is a guarantee, week
connection (A junior attending or a chief resident is my friend) is a help
*Building the connection from the first day
*Mentor and committee member: MD (such as chairman and PD) with good
reputation, but you got to work hard
*Friend, classmate, and alumni
*Family doctor/PCP
*ACAP
*One person --> a group of persons
*Emailing and calling
*Program with unfilled position(s)
*Free clinics (everywhere)

Observership
*not too long in each program: your weakness will be exposed
*but not too short: nobody know you
*always try to be with one or two attendings with the reputation of "nice
to student"
*meet your interest: no OB/GYN observership if you will apply internal
medicine.
*well prepared
*follow the order or suggestion from any resident, attending, or even a nurse
*bring some cake or candy to treat everybody

Choosing Specialty
*Interest
*Reality: neurosurgery, dermatology, radiology, urology, ophthalmology are
very hard, but people can still make it.
*Previous experience: continuing and consistent, no jump or big switch
*Research/Job related
*Observership related
*Focus of the specialties:
FP: primary care (don't talk about research during interview);
Psychiatry: interest
*No specialty is a easier matched specialty

Choosing Programs
*IMG friendly
*Requirement: graduation year, visa, score
*Unfilled position(s) in the past
*Weak economy: such as Detroit
*Bad location: Bronx
*Serving Chinese population: Flushing, LIJ, NYU Downtown
*Don't waste your money and time in AMG programs: we are smart but we don't meet their taste.

Visa
*Green Card is good, but it is not the only option;
*EAD: green card equivalent;
*H1B is hard, but possible;
*J1: new hope from China;
*Another J1: immigrate to Canada --> US;
*File EB1/2 during PhD/Postdoc/Job
*Take the advantage of marriage

Interview
*Schedule your Interviews wisely:
first: least interested program for rehearsal,
Prematch program: relative earlier;
*put the IV in the same area together
*No late flight, check weather, carry luggage
*Check the route to the hospital the day before interview: no late, the
traffick in NYC is always bad
*Extra cloth, mirror, luggage during interview
*Extra CV, publications
*Photo, green card, passport
*Asking contact information
*It is a play game: don't trust anybody: “You are very good” (really? Is
it for me only or for everyone? If I am really good, how about prematch?)

Do's during interview
*Be punctual
*Smile! Smile! Smile! until your facial muscle spasms
*Talk clearly and accurately, do not be intimidated by your accent
*Pay attention to PD’s introduction talk – good resource to start a
conversation during individule interview
*Know something about the program
*the time during interview to show your LOVE and INTEREST
*be nice to everybody because you never know whom they are

Big no-no during interview
*Leave before the day is over
*Be rude to anyone
eg. Ignore PC when she is busy setting up. Ask if you can offer any
help - they work closely with PDs!
*Be too quiet or too active – social problem? Communication problem? Not
a team-player? ADHD?
*Ask inappropriate questions- Do you really know our program? Are you
really interested? Do you know what you are talking about?

Most Common Questions from Interviewers
*Tell me something about yourself?
*Why this specialty/city/program?
*Why switch from research to residency?
*What is your plan?
*How do you manage the tension/stress?
*Can your family relocate?
*How are you maintain your clinical knowledge? (CME, observership, grand
round)
*Presenting a case? (steal it from journals at resident level, what did
you learn from it)
*Continuing research during residencylabor ? (No, we are labors during
residency)
*Strength and weakness? (US culture)
*Test (most annoying, but it happens in NYC)

Most Common Questions from Interviewees
*Board passing rate?
*Dismissed/leave in the past?
*Where are the residents living?
*Research opportunities? (don't focus too much, they want some slaves for
scut work not a brillian scientist)
*Where did the past graduates go?
*Opportunity for fellowship
*Strength and weakness
*Any change in the next 5 years

Prematch
*Take it immediately
*2 week considerations
*Push other programs with this prematch
*If you are not superstrong, take it because match is risky, scramble is
scary.
*Every year, 99/99/99er cannot match.
*In theory, prematch is illegal; in reality, it works.

Attitude During Residency
*From the first day, forget who you were before. Just remember you are one
of the interns.
*Forget your PhD, CNS papers, or grant, now you are nothing in the first
day.
*Hierarchy: inter-->junior-->senior-->chief-->fellow -->attending
*Attending is always right, but you must document their orders.
*You must be very humble
*be nice to everybody
*be nice to your junior, some day they may be your superviser.


Good Luck!!!


Questions??

--

※ 修改:·lztao 於 Sep 3 00:27:13 2010 修改本文·[FROM: 76.118.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.118.]

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