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molecularmed: 写写自己最近内科面试的经历
作者:USMedEdu
发表时间:2014-11-13
更新时间:2014-11-13
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发信人: molecularmed (on horizon), 信区: MedicalCareer
标 题: 写写自己最近内科面试的经历,请童鞋们一起讨论吧
发信站: BBS 未名空间站 (Thu Nov 13 09:42:41 2014, 美东)

今年我申请内科,package里是有硬伤的,就是严重缺少临床经验,
在国内没做过住院医,来美国后读了phd,折腾着考完试,基本没有
啥usce (只在一个primary care clinic做了4周extenship, free
clinic每周开一天我必去)。推荐信用了我PhD老板的(是个MD,但写
的是我的work ethic, academic achievement, teaching
experience,potential, …没有任何对临床能力的评价),另外一封
是primary care clinic的那个医生写的,内容不错, 但他是DO,
不知有没有影响。最后一封是free clinic的medical director写
的, 他是个surgeon,汗吧,但申请时间紧迫,我也没找到别的只
好就上传了。对了,我的其他credential,YOG=6-7,不算太老但也
绝不算fresh。GC。

分数250+/240+/cs pass, all 1st attempt。申请的结果就是形势
惨淡,跟自己的预想差挺远的,在9月底10月初的样子收到5个面试,
之后盼星星盼月亮地盼来1,2个,之后就是滔滔江水般的据信。。。
不在乎我的硬伤的pg,看我其他条件还行;在乎我硬伤的pg,直接将
我一枪毙掉。10月底左右我也很抓狂,给pg打电话写信,都无果。

接下来写我最近的面试经历

面试之前,我把能找到的常见问题都认真准备了几遍,把自己里里外
外总结审视了一番,然后就上阵了。

经历的第一个面试:

呼拉拉50个左右的applicants一起上,categorical+preliminary,
只见一个faculty。这是个community pg,近些年每年都招2-3 CMG,
而且毕业后CMG因为有phd所以去的fellowship都很好,在PD做pg
introduction时还特意拿出来讲,能看得出是他们值得骄傲的事。轮
到我面试了,跟chair,整个面试很短,也就10多分钟吧,他着重问了
我的research background和我以后想不想做fellow。

就在这要命的10多分钟里,我犯了很多错误。比如进门跟chair面对面
坐下,他身后是明亮的落地窗,在他低头看我的材料的时候,我竟然目
光游离,去瞟外面的秋色,突然他抬头看我,居然发现我在开小差,嗨,
瀑布汗吧。。。还有他说”you are a strong candidate,I’m sure
you are getting a lot of calls”,今年形势惨淡,我不想撒谎,
但也不想自爆其短,所以笑笑没有应答。紧接着他问”is this your first
interview?”

我脑袋短路,很老实地说”yeah, this is my first interview, and I
am very excited about it!” 大家都知道要把最不想去的pg排第一个
来练手,只不是明摆着告诉人家你们就是我的备胎么?!总之iv时间很短,
在懵懂中就结束了。

我在第一时间给chair发了thank you letter,他也很快回了 ”you
are a fine candidate for internal medicine residency”,俺也
不知道这该如何解读,可能does not mean anything吧。


接下来面了一个家门口的pg,这次风格迥异

9个candidates一起面,4个AMG (其中2个申prelim),4个印度人
(1个女的年纪比较大,另外3个应该是fresh grad)

这次跟3个faculty member面。第一个是PD,她人很和蔼,上来便问我
在extern期间学到了啥,有啥interesting patient,我很从容地讲了
一些自己的经历和体会。然后她问我free clinic的Dr.C and Dr. P
(他们都认识,且Dr.P是他们pg的previous pd),”they have put in
a lot of good words about you”,我的天,看来平时积累人品真的
很重要,我没主动请人家帮忙,人家竟然也说了些我的好话,真是阿弥陀
佛。然后她问我有啥question。面试其间我着重强调了,自己在local,
非常想留在这里,对他们pg也是仰慕已久,感觉PD很positive,
“definitely, we are going to highly consider you”。跟PD过招,
这次没给自己留太大的遗憾。

第二面是跟associate PD,中年女性,也很谦和。她一开始让我介
绍了一下自己,然后问了我的phd research,因为我一直做癌症,
她讲了她最近诊断的几个癌症病例,我们讨论了一会儿关于XX癌的
诊疗及前景,因为我博士论文就做这个,所以聊的不错。我也在暗示/强
调自己非常喜欢patient interaction, 我的passion在于如何utilize my
knowledge and expertise to better serve patients。她问
我Phd期间有没有什么patient-related responsibility,我预料
到了这个问题,也做了从容的应答。之后她问我以后想留在美国还是
回中国,还有其他一些零零碎碎的问题。我觉得谈话气氛不错,似乎
也没犯啥错误。

第三面是跟一个pg faculty member,男的,stern looking, 面
试全程面无表情。下面是我们大致的谈话记录。

He--“why are you here?”
Me—“Originally I’m from China. I graduated from XX medical
school. Then I came to the US for my graduate studies in
cancer therapeutics. After finishing my doctoral thesis
last year, I feel it is the time for me to finish my
clinical training in internal medicine. So I finished my
USMLE exams with excellent scores and have been doing
observership/extenship to familiarize myself with the US
clinical settings. Now I feel that I’m fully ready for my
IM residency. That’s why I’m here.”

He—“tell me about your externship/observership”
Me—准备了, blablabla
He—“what is the highest level of patient care responsibility
you took during your medical school training”
Me—“in our medical school, we have clerkship rotation. After
that, in the last year of medical school, we have another
round of rotation, during which we function as house interns,
and carry 5-6 patients on daily basis.”
隐约感到他戳到我的死穴了,问我N年前临床轮转的事,我该怎么应对呢?
此时,我觉得手心还是冒汗了。
He—“did you see any advanced cases?”
Me—“yeah, I did my rotation in the top teaching hospital in
Beijing. Since it’s a tertiary medical center, I did see a
lot of advanced and complicated conditions, such as end
stage cancer, patients with renal failure who need dialysis,
patients with serious infections, etc”
He—“then tell me, for those dialysis patients, how do you
manage them? Do you admit these patients?” 奶奶的,他真是步步
紧逼,短短几个过招,我快招架不住了。
Me—“we have a dialysis center, usually we do not need to admit
patients unless they have serious complications.”
He—“such as?”
Me—“such as uremic encephalopathy, bleeding problem, or serious
infections” 脑袋已经蒙了,只能胡诌这么多了,再问下去就要死人了。
还好他就此打住。
He—“did you rotate in ER? What kind of cases did you see
during your ER rotation?”
Me—反正已经被他问得体无完肤了,姑娘我豁出去了。“I did have the
opportunity to rotate through ER, and I saw cases such as DKA,
trauma, substance abuse.I particularly remember a case of
subarachnoid hemorrhage. A middle aged woman presented with
sudden onset of severe headache, photophobia, confusion
, stiff neck, and mild fever. We did head CT w/o contrast,
returned negative. Meningitis is on top of our differential
list. But because of her headache is sudden-onset, we still
want to rule out SAH, so I did lumbar puncture on
her and found bloody CSF. I went back to read textbook and
literature, and noticed that if highly suspect SAH in
ct-negative patients, we need to do the LP to rule it out.
This is what I learned from this pt, and I still remember
this case even after 5 years.”
He—“how did you manage her?”
Me—“closely monitor her, give her CCB, performed angiography
to figure out which blood vessel in her brain was causing
the problem and we embolized that blood vessel”
He—“do you have the intervention center to do the embolization?”
Me—“fortunately we do” 拷问终于结束了
He—“any Qs for me?”
….. thank each other, 我踉踉跄跄地走出来

体会:这个pg里面是乌泱乌泱的烙印,同面的几个印度人都有师兄师姐在pg
里面,历史上却没有CMG,pg了解印度人的干活能力,对CMG确是疑虑重重。
想比我面的上一个pg,连续几年都招过CMG,而且performance都不错,已
经为后来人铺好了路。我们CMG在这个行业里,we win as a group,we
lose as a group

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