ย 

๐Ÿ๐Ÿ•+ ๐–๐€๐˜๐’ ๐“๐Ž ๐๐Ž๐Ž๐’๐“ ๐˜๐Ž๐”๐‘ ๐‚๐•๐Ÿ“„

Updated: Jun 22, 2020


This post is intended for students that are ๐ฃ๐ฎ๐ฌ๐ญ ๐ฌ๐ญ๐š๐ซ๐ญ๐ข๐ง๐  their USMLE preparation to doctors that are ๐š๐ฉ๐ฉ๐ฅ๐ฒ๐ข๐ง๐  this year!!

Some points are easy to improve, other ones require time and hard work, and some other ones you can only do on a specific time of your carrier.

So it's very important that everyone reads this!!

1. ๐’๐“๐„๐ ๐’๐‚๐Ž๐‘๐„๐’

Get GREAT Step scores

I won't talk about this much, since it's the one thing that everyone will tell you, and ๐—บ๐˜† ๐—ฝ๐—ผ๐˜€๐˜๐˜€ ๐—ฎ๐—ฟ๐—ฒ ๐—ฎ๐—ฏ๐—ผ๐˜‚๐˜ ๐˜๐—ฒ๐—น๐—น๐—ถ๐—ป๐—ด ๐˜๐—ต๐—ถ๐—ป๐—ด๐˜€ ๐˜๐—ต๐—ฎ๐˜ ๐—ป๐—ผ ๐—ผ๐—ป๐—ฒ ๐˜๐—ฒ๐—น๐—น๐˜€ ๐Ÿ˜ƒ


If you have attempts or low score in one exam, ๐š๐ข๐ฆ to get an excellent score in the next one. Also Step 3 is ALWAYS a plus!


2. ๐‘๐Ž๐“๐€๐“๐ˆ๐Ž๐๐’

I made a post previously with 50 Hospitals where IMGs can rotate in American hospitals.

Covid-19๐Ÿฆ  issue: I know now itโ€™s difficult times due to the current pandemic, I heard that some hospitals are starting to accept students for in site rotations and other ones offer tele-rotations.

Iโ€™m not a fan of tele-rotations, but if you really need to apply this cycle and thatโ€™s the only way you can get your US LORs, then there is no option and you will have to do it.

Even though most of them are expensive, itโ€™s not the same as if you are in campus seeing patients. But as I mentioned, if you want to apply this year, thatโ€™s the option.


Always remember your goal here is to impress your attendings and aim to get GREAT PERSONALIZED LORS! ๐Ÿ™Œ โœ‰๏ธ


I'll talk with my PD after I meet him again July 1 about his insights about tele-rotations and make a post about it.

Doctors probably won't specify when they write your LOR that it was a "tele-rotation".

They will say that you saw patients, how knowledgeable and nice to work you are, ways that you impressed them, how you always went that extra mile, etc.

I don't think that will clarify that "tele-rotation", since that's not the main point of a LOR.

The main point is talking about you, how great your are, nice to work with, etc.

Also when you fill out ERAS, you will put "observership" or "clerkship".


Once you are in your interview they may or may not even ask you about it.


I'll soon make a live instagram video on @doctor.sebas clarifying everything about tele-rotation. 

๐ˆ๐ฌ ๐ข๐ญ ๐›๐ž๐ญ๐ญ๐ž๐ซ ๐ญ๐จ ๐๐จ ๐š ๐ฅ๐จ๐ง๐ ๐ž๐ซ ๐ž๐ฅ๐ž๐œ๐ญ๐ข๐ฏ๐ž/๐ž๐ฑ๐ญ๐ž๐ซ๐ง๐ฌ๐ก๐ข๐ฉ ๐š๐ญ ๐จ๐ง๐ž ๐ฉ๐ฅ๐š๐œ๐ž ๐จ๐ซ ๐š ๐ฌ๐ก๐จ๐ซ๐ญ๐ž๐ซ ๐จ๐ง๐ž ๐š๐ญ ๐ฆ๐ฎ๐ฅ๐ญ๐ข๐ฉ๐ฅ๐ž ๐ก๐จ๐ฌ๐ฉ๐ข๐ญ๐š๐ฅ๐ฌ?

It really depends, if you will get 2-3 amazing, personalized LORs from that program and can also get involve in research, then take that longer-elective option. By going to multiple hospitals, you also boost your chances of making more/wider connections.

๐‘๐จ๐ญ๐š๐ญ๐ข๐จ๐ง๐ฌ ๐ข๐ง ๐ˆ๐Œ๐†๐ฌ ๐ฉ๐ฅ๐š๐œ๐ž๐ฌ

Pros: You will make connections, they will get to meet you, and you impress them well enough, you can match with them!


๐Ÿ‘‰This is the option that I recommend the most to ๐จ๐ฅ๐ ๐ ๐ซ๐š๐๐ฎ๐š๐ญ๐ž๐ฌ or people with ๐š๐ญ๐ญ๐ž๐ฆ๐ฉ๐ญ๐ฌ/ ๐ฅ๐จ๐ฐ ๐ฌ๐œ๐จ๐ซ๐ž๐ฌ.๐Ÿ‘ˆ


Cons: If you are applying to multiple places, LOR from this places wonโ€™t count as much a LOR from a top Hospital.

๐‘๐จ๐ญ๐š๐ญ๐ข๐จ๐ง๐ฌ ๐ข๐ง ๐“๐Ž๐ ๐ก๐จ๐ฌ๐ฉ๐ข๐ญ๐š๐ฅ๐ฌ

Pros: A LOR from this places will help you a LOT, even though we probably wonโ€™t match there, it will still help you TONS!

Eg, I got my LORs from Cedars Sinai, #8 hospital in the USA. I really impressed the doctors and they wrote amazing LORs.


Getting LORs from a top place WILL make you a difference, even if they don't won't take you there for residency! 

I knew that I wouldโ€™t match at Cedars since I was doing my research in plastics, and applying to OBGYN, I didn't work much in the OBGYN department, and also they havenโ€™t accepted IMGs for the last 10+ years!

Conclusion:

โ€ขRotations in community, IMG friendly hospitals will give you a chance to impress those doctors and match with them.

โ€ขRotations in TOP hospitals will give you a chance to impress those doctors, and match in other hospitals with their LORs.

3. ๐‹๐„๐“๐“๐„๐‘๐’ ๐Ž๐… ๐‘๐„๐‚๐Ž๐Œ๐Œ๐„๐๐ƒ๐€๐“๐ˆ๐Ž๐๐’

Get great, personalized, from US doctors. Programs really donโ€™t care much if we were chair of a deparment in our home contry, or pretty much anything that we did there (except research and residency to some degree).

They donโ€™t know the hospital or the way we do things in our home countries. They want to see that you gained the trust, and impressed US physicians. This is the most important fact after our Step scores.

Also those LOR must be AMAZING!

โ€œGenericโ€ Letters of recommendation are trash. PDs can tell right away when the doctor knows you well and was impressed by you, or he just copied and paste the letter and just changing the name.

If you didnโ€™t do a rotation, then do research and get them that way, or contact family, friends or even people that went to your same medical school and try to see if they can offer help you out with this on some way.




I know a lot of you don't know anyone that pursued this journey and don't have any contacts or connections. It happened to me, and I made groups and chats with students and doctors from my country and now we are the first ones from that group to match, being 7 argentinains matching in different hospitals in the USA :)


Always remember to help yourself and others along your journey!๐Ÿ’–



4. ๐‘๐„๐’๐„๐€๐‘๐‚๐‡

If you are applying for IM or FM then itโ€™s not that very necessity, it will definitely help though. But donโ€™t worry too much about it. It will help you to make contacts, and build a strong CV for sure!

If you are applying to a surgical or another competitive specialty, then research is almost a must.

5. ๐‘๐„๐’๐„๐€๐‘๐‚๐‡ ๐…๐„๐‹๐‹๐Ž๐–๐’๐‡๐ˆ๐

If you are applying for a surgical specialty some programs love to see tons of publications. I wouldn't waste extra time though, time is precious - waste is wisely. Donโ€™t commit for too long if you wonโ€™t get much out of it.


๐Ÿ‘‰If you are a repeat applicant, then you can get a research fellowship to make contacts, and build a strong CV for sure.๐Ÿ‘ˆ

๐ƒ๐จ ๐ˆ ๐ก๐š๐ฏ๐ž ๐ญ๐จ ๐๐จ ๐ซ๐ž๐ฌ๐ž๐š๐ซ๐œ๐ก ๐ข๐ง ๐ญ๐ก๐ž ๐ฌ๐š๐ฆ๐ž ๐ฌ๐ฉ๐ž๐œ๐ข๐š๐ฅ๐ญ๐ฒ ๐ญ๐ก๐š๐ญ ๐ˆโ€™๐ฆ ๐š๐ฉ๐ฉ๐ฅ๐ฒ๐ข๐ง๐  ๐ญ๐จ?

Not necessity, as IMGโ€™s we take what we can. If you can thatโ€™s great, you canโ€™t you are still getting the experience and getting some publications!

โˆ™ Eg, I did research on heart transplant and then on Plastics & Reconstructive surgery, and applied to OB/GYN.


I made two previous post on How I got my research position, and 7 ways an IMG can get research in the USA.

6. ๐๐„๐‘๐’๐Ž๐๐€๐‹ ๐’๐“๐€๐“๐Œ๐„๐๐“


Make sure you really work on it, start from now if you are applying this cycle. I made on my page on what to do till application day and how to use FREIDA.

I will soon make a post on write a ๐๐ž๐ซ๐ฌ๐จ๐ง๐š๐ฅ ๐’๐ญ๐š๐ญ๐ž๐ฆ๐ž๐ง๐ญ and what kind of ๐˜„๐—ผ๐—ฟ๐—ฑ๐—ถ๐—ป๐—ด you should use.

Make sure to have many doctors and also non-doctors reviewing it.


APPLYING TO MORE THAN ONE SPECIALTY


If you are applying to 2 different specialties then you have to make 2 different