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againstwind: ellowship application experience
作者:USMedEdu
发表时间:2009-06-28
更新时间:2009-06-28
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::: 栏目 :::
现代医学vs“中医”
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住院医生生活和工作
FELLOWSHIP
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发信人: againstwind (逆风而行), 信区: MedicalCareer
标 题: fellowship application experience
发信站: BBS 未名空间站 (Sat Jun 27 23:01:11 2009, 美东)

今天在清理笔记本电脑里的文档,看到这篇旧文,一年多前写的,上次好像是跟在导线
兄的外科专科申请帖子后面的(这里怀念一下导线,呵呵)。
随着版上intern步入二年级,越来越多的同学们要开始申请fellow了,而且前段时间看
到的几个关于专科的帖子,虽然都不错,但是有些信息需要更新。所以重新贴一次。如
果斑竹已经保留过了,我先不好意思一下哈,呵呵。


my fellowship application experience:

i think i am a fortunate person, because i always know what i want to do.
when i was in high school, i already knew i wanted to go medical school;
when i was in medical school, i knew i wanted to do IM; and when i was
doing my IM residency in china, i knew i wanted to endo. so this saved me a
lot of struggling and debating, all i need to do is stick to my plan.

when i entered my residency in US, i was told endo was among the least
competitive specialties and i would have pretty decent chance to get in. but
when i start applying, it was a different picture.

endo is not a largely demanded specialty, and national wide there are only
200 positions for fellow training.

lots of programs prefer to recruit their own residents which is
understandable but makes it more difficult for residents from community
hospitals, like me.

my disadvantage is:
1.no research background, no publications (well, one case report pulished
with my endo attending)
2. no big name connections
3. from community hospital

my advantage is:
1. good board score
2. able to show strong commitment
3. good personal skill
4. green card

just like other IM subspecialty fellowship, endo is very research oriented,
for most CMGs who have PHD degree prior to their residencies, this is a huge
advantage that you guys really should emphasize. my fellow resident who had
a phd degree got tons of interviews from top gear programs, i was seriously
depressed every time i talked to him, hehe.
so for those who are debating if they should quit phd, my suggestion is ,
don't quit. phd degree will make huge difference in a long run.

what i did to compensate this problem is , i was very sensitive to every
interesting endo case, i wrote case report and did poster presentation in
our state ACP meeting. i saved copies and showed it to the program directors
who interviewed me. i make sure i know this case very well so when those PD
grill me, i can impress them with my thorough understanding of this disease.

of course they want some hard core researcher to write grant for them, but
they also appreicate clinically strong residents show their commitment to
this specialty.

also, i don't have any connection. i think the disadvantage of working in a
community hospital is not the lack of medcal education, but the connection.
i didn't get any big figure to write me letters and i don't think it's a
good idea anyway if they don't even know me.
recommendation letters should be written by the people who really know you
and appreciate your work. multiple times the PDs who interviewed me
mentioned my letters, i didn't read them, but i could tell the nice words my
attendings put there really helped.

for those going to community hospitals, if you are sure you want to do a
fellowship, you should consider doing an away rotation in univ based medical
centers, often your attendings can help you find somebody or you can write
to program directors.i didn't do any away rotation because my parents were with me at that time. but all residents in my program who did that got into very good fellow programs.

as mentioned before, good USMLE score does help. it is surprising because i
thought we were done with scores once we matched to residency. but
apparently people still look at it.

also visa status can be a headache, one of our residents could not do his
pulm/critical care fellowship due to this, he has to do several year
hospitalist to earn green card first. well, at least good money.

for application, get your stuff done as early as possible. usually starting
your second year residency, you should already know which fellowship you are
applying, then start asking for recommendation letters. one has to
understand, our applications are not their priorities, you have to give
enough time for them to finish it, so don't wait until last minute.

then start looking at programs, not like residency programs, fellowship
requirement can vary widely, you need to go each program's website to make
sure you get all the documents they want, otherwise you are wasting money to
apply them.

decide where you want to go carefully, usually people tend to settle down
where they did fellowship, because they are more familiar with the job
market there. so talk to your spouse to make sure. also fellowship is
usually the peak of your career education, it represents your future, so
make sure that's the place you want to end up with. don't rank the place you
don't want to go.

it's not like residency which we are all desparated to get into, you have
options
in fellowship, you can wait another year, get more ready, so don't jump
into the places where you will feel miserable.this is very important.

gosh there are so many details that i can't imagine to list all of them here
. above are the pertinent information for new residents to consider, if more
detailed quetions come up later, please drop a line, i will be more than
glad to answer.

good luck to everybody.

--

※ 修改:·againstwind 於 Jun 27 23:04:36 2009 修改本文·[FROM: 63.138.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 63.138.]

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