Planning for Fourth-Year and ResidencyAngela Jackson, MDAssociate Dean Office of Student Affairs

Overview

• Overview of Match prep program

• Scheduling your 4th year

• 4th year electives

• USMLE Step 2 CK and CS

• Student Financial Services

• Meet with Fourth Year students,6:00-7:30 pm, Hiebert Lounge

Fourth Year

• Strategically important• Timing• Organization• Advice

• Connect with mentors and advisors• Field Specific Advisor – Dr. Arvin Garg, next month • Faculty• SA Dean• Program Directors in your specialty

• Busy time

Applying for Residency-Future Sessions

• Deciding on a residency

• Wednesday, February 18, 2019 (FSA Program)

• Overview followed by small group sessions with BMC residency directors

• Workshops: • Personal Statement

• The Residency Interview; Mock Interviews

• Using ERAS- the Electronic Residency Application Service

• Class Meeting: Rank Order List

• January 2020

Application timeline:

• January-June, 2019: meet with your Deans and FSAs

• April: Fourth Year Orientation

• June: ERAS fully opens

• September: Your ERAS application should be submitted

• October: Release of MSPEs to programs

Career Choice

Career decision components

• Specialty content:

• Types of patients

• Day to day

• Science and scope

• Lifestyle

• Location

• Program

Who can advise you?

• Faculty- Advisors, Residency Directors• Associate and Assistant Deans• Students: 4th years and BUSM graduates• Current residents• Online information: AAMC Careers in Medicine (CiM) • Friends, family

On-line list of faculty contacts to talk with:• http://www.bumc.bu.edu/busm/files/2019/01/Facul

tycontactnonclerkships.pdf• http://www.bumc.bu.edu/busm/files/2018/12/Clerk

ship-Director-and-Coordinator-Contacts.pdf

Careers in Medicine (CiM)• http://www.aamc.org/careersinmedicine

• Self-assessment tools• Career information on 127 specialties and subspecialties

• Specialty description & personal characteristics

• Training and residency information

• Salary & Workforce data

• Links to over 1000 specialty organizations, journals & publications

Decision-making exercises, quizzes, assessments, etc.

Specialty-choice and residency application information

Timelines to help you stay on track through this process

Use your fourth year to your advantage

Electives:

• For your overall education (not to “prepare for internship”)

• For “once-in-a-lifetime” opportunities

• For residency selection (strategic)

Block(s) off: for interviews

Developing your Fourth Year Schedule

http://www.bumc.bu.edu/busm/files/2018/04/Elective-Guidelines-OSAupdated4.2.pdf

• Strategic Electives

• Specialty verification

• Residency programs (“audition” electives)

• Educational value

• Away electives?

Interview season

• Interview season

• Military: every military rotation

• Early Matches

• Urology (AUA) and Ophthalmology (SFMP): June/July 2019- Dec./early January, 2020

• Canadian Resident Matching Service (CaRMS): mid-January-early February, 2020.

• NRMP: October 2019 - February, 2020

Medical Student Performance Evaluation

(Dean’s Letter)

MSPE:

Performance evaluation in medical school: “just the facts”

Student characteristics Research

Extracurricular/Leadership activities

Relevant Life Experiences

Academic Progress

Evaluation Narratives

Letters of Recommendation

• Seek input about who to ask

• Field specific vs. other

• Academic rank, national recognition of letter writers can be important, but does not trump personal knowledge

• You do not want a generic or lukewarm letter

• What about faculty offers this year for letters?

Other On-Line Resources

• Charting Outcomes in the Match Report• Characteristics of applicants who Matched to their preferred specialty in the

2017 NRMP Main Residency Match- Joint report by NRMP and AAMC: https://mk0nrmpcikgb8jxyd19h.kinstacdn.com/wp-content/uploads/2018/06/Charting-Outcomes-in-the-Match-2018-Seniors.pdf

• Assess your qualifications and match success

• Login for more information and to access the report: http://www.nrmp.org/main-residency-match-data/

• AMA FREIDA• https://www.ama-assn.org/life-career/search-freida-online-ama-

residency-fellowship-database

MEET WITH 4TH YEAR STUDENTS

•6:00-7:30 p.m. tonight, HiebertLounge

Fixing the BMC WiFi problem

• For iOS: http://internal.bmc.org/departments/information-security/mobile-devices/airwatch-ios

• For Android: http://internal.bmc.org/departments/information-security/airwatch-android

QUESTIONS?

Careers in Medicine

Developing Your

Fourth-Year Schedule

Ellen DiFiore, Registrar

BUSM III Class Meeting

Thursday, January 17, 2019

Scheduling Timeline

Lottery opens on January 17, 2019

Lottery closes at midnight January 28, 2019

Lottery results available March 1, 2019

4th Year schedules signed by field specific advisor due

in Registrar’s Office on July 8, 2019

Scheduling Requirements

You must be in good standing to be promoted from the third year.

All deficiency grades must be remediated before promotion.

36 weeks of credit needed to graduate

The following courses are graduation requirements in 4th Year :

Subinternship

Geriatrics

Required Selective (must complete one) Ambulatory Medicine

Surgery Subspecialty

Only courses that are recorded on the student’s schedule prior to the start of the rotation are eligible for credit.

Subinternships

Only one will be assigned in the Optimization, can add others to

your schedule.

Should consider SubI’s in more than one discipline due to limited

availability.

Speak with your field specific advisor regarding importance of the

Sub I and when it should be scheduled.

Sub I: Advanced Acting Internship in Medicine (AAI)

• Offered in Blocks 9-12 only

• Must inform Dr. Sonia Ananthakrishnan of interest in the Sub I

• Dr. Ananthakrishnan will select students to receive the AAI

• Need to have performed at a High Pass or Honors level to be

considered

• If assigned an AAI it cannot be dropped or changed

Outside Elective and SubI Requirement for Residency

Specialty Outside Elective Recommendations Subinternship Needed For Residency Appilication

Anesthesiology Recommended (1) No

Dermatology Recommended (1) No

Emergency Medicine Yes (1) No

Family Medicine No Recommended

Internal Medicine NoStrongly Recommended, not requried before application submission

Neurology No Yes

Neurosurgery Yes (1) Recommended

Obstetrics & Gynecology NoRecommended, not requried before application submission

Ophthalmology No No

Orthopaedic Surgery Yes (1-2) No

Otolaryngology No No

Pathology Yes (1) No

Pediatrics No Recommended

Pediatric Neurology No NoPhysical Medicine & Rehabilitation Recommend (2-3) No

Plastic Surgery Yes (2) Yes

Psychiatry Recommended No

Radiation Oncology Yes (2) Recommended

Diagnostic Radiology No No

Surgery No Recommended

Urology Yes (1) Recommended, general surgery

Required Rotation Numbers

Subinternships

All assignements at BMC

9 10 11 12 13 14 15 16 17 18 19 20

030.1i Family Medicine 2 2 2 2 2 1 1 2 2 2 2 2

050.3 Pedi ED 1 1 1 1 1 1 1 1 1 1 1 1

051.3 Inpatient Peds 2 2 2 2 2 2 2 2 2 2 2 2

052.3 PICU 1 1 1 1 1 1 1 1 1 1 1 1

057.3 NICU 2 2 2 2 2 2 2 2 2 2 2 2

100.1 Medicine Sub I 5 5 5 5 5 5 0 5 5 5 5 5

100.11 Medicine AAI 6 6 6 6 X X X X X X X X

101.1 MICU 3 3 3 3 3 3 3 3 3 3 3 3

201.3 Inpatient GYN 1 1 1 1 1 0 1 1 1 1 1 1

202.3 Maternal Fetal Med 1 1 1 1 1 0 1 1 1 1 0 0

400.1a Vascular Surgery 1 1 1 1 1 1 1 1 1 1 1 1

400.1b Oncology Surgery 1 1 1 1 1 1 1 1 1 1 1 1

400.3 Acute Care/Trauma 2 2 2 2 2 2 2 2 2 2 2 2

403.1 SICU 3 3 3 3 3 3 3 3 3 3 3 3

404.2 Minimally Invasive

Surgery

1 1 1 1 1 1 1 1 1 1 1 1

98 Geriatrics 19 19 19 19 19 19 19 19 19 19 19 19

102.1 Ambulatory Medicine 9 9 9 11 11 11 11 10 11 11 11 10

404.1 Surgery Subspecialty 8 8 8 8 8 8 8 8 8 8 8 8

Step 2 CK & CS

Students must register and select a date for Step 2 CS by January

31, 2019

Students must register for and selected a date for Step 2 CK by May

1, 2019

Students are required to take:

Step 2 CS by November 1, 2019

Step 2 CK by November 1, 2019

Students required to inform the Registrar and OSA Dean if unable to

take the exam prior to the required deadline and request permission

from the Student Evaluation and Promotions Committee (SEPC) to

delay

Scheduling Requirements

24 weeks of electives

No more than 16 weeks can be done in any one specialty.

Research is included in this calculation

No more than 8 weeks can be research

8 weeks must be done at BUSM

Up to 16 weeks can be done at outside institutions

Only courses recorded on the students schedule prior to the start

of the elective will be eligible for credit.

Inside Electives The Fourth Year Elective Catalog is located on the Registrar’s website at:

www.bumc.bu.edu/busm-reg

Students can view elective course ratings using BUSM Elective Search Tool

https://shib.bu.edu/idp/profile/SAML2/Redirect/SSO;jsessionid=7afx9plaoqfv1vjcsrrhthvr

d?execution=e1s1

Students apply for electives using the online add/drop system

https://shib.bu.edu/idp/profile/SAML2/Redirect/SSO?execution=e1s1

Students can begin to schedule electives after the require rotation schedules are released on

March 1, 2019

Electives offered at the Kaiser Regional Campus

Request to drop a rotation must be made 30 days prior to the start of the block

For the electives listed below you will need to find a replacement before

the elective can be dropped from the schedule:

– 165.1 Renal Disease

– 165.6 Clinical Nephrology

– 117 Clinical Cardiology

– 180.1 Dermatology

– 034.0 Primary Care Sports Medicine

Inside Electives

Research Electives

Student must be in good standing to apply for research credit

You can receive no more than 8 weeks credit for research

Students must complete the Research Elective Approval Form 8

weeks prior to the start of the project

Approval for the elective must be obtained at least 8 weeks prior to

the start of the project

Research is included in the 16 week rule

Extramural Electives Student must be in good standing to apply for an extramural elective. All third year deficiencies

must have been remediated.

Information regarding electives can be found on the Visiting Student Learning Opportunities

(VSLO) site or on the host school’s website.

Students can view outside elective course ratings using BUSM Elective Search Tool

https://shib.bu.edu/idp/profile/SAML2/Redirect/SSO;jsessionid=7afx9plaoqfv1vjcsrrhthvrd?executi

on=e1s1

Outside electives are added to a students schedule using the Extramural Elective Form

Only courses recorded on the students schedule prior to the start of the elective will be eligible for

credit.

Students are allowed a maximum of 16 weeks at outside institutions

Visiting Student Learning Opportunities (VSLO)

Electronic Application

AAMC sponsored program

>174 Participating Schools & Academic Centers

BUSM will confirm your eligibility and issue your authorizations

VSLO will the send, via email, log on instructions directly to the student

VSLO

VSLO fees are based on the number of applications

The fee for the first three applications is $40

The fee for each additional application is $15

Applying for Outside Electives Not in VSLO

Complete application from outside institution

The Registrar’s Office can provide the following:

Certificate of good standing

Transcript

Malpractice certificate

Signature of school official Proof of current OSHA & HIPAA training is required to

participate in outside rotations. Documentation is in the OSA

Immunization verification can be obtained from the Student Link or the Student Health Service on the Charles River Campus

Application materials will take 7-10 days to process

Global Health Electives

Review BUSM Global Health (GH) Program website (www.bumc.bu.edu/ghbusm) for options, procedures (including VSLO)

Global Health Q & A Sessions for BUSM III students: Monday, Feb 5, 2019, 4:30-5:30 PM Room R103

Monday, March 5, 2019, 4:30-5:30 PM Room R103

To add a GH elective, use the electronic form (no paper) on GH website

You must add GH elective no later than 6 weeks before elective start date due to pre-departure requirements

Students will not be allowed to drop a required rotation without

rescheduling at the same time.

Failure to show up for a rotation that has not been properly

dropped could result in a Fail grade.

Request to drop a rotation must be made 30 days prior to the start

of the block

Fourth Year Schedule Guidelines

Fourth Year Schedule: Final Approval

Your schedule with the required courses assignments will be available in E*Value on Friday, March 1, 2019.

Final schedule is due in the Registrar’s Office on July 8, 2019. It must be signed by your field specific advisor.

Students who do not have their completed schedules in the Registrar’s Office will be reported to the Associate Dean of Student Affairs.

Compliance

Below are the University compliance standards for registration.

Acknowledgement of the MA Motor Vehicle Law (fall semester)

Local address (update each semester)

BU Alert (updated each semester)

Immunizations must be up-to-date at all times

Payment of Student Account

Entering Selections Into E*Value

Instruction can be found on the Registrar’s website

http://www.bumc.bu.edu/busm/files/2015/06/EValue.pdf

Step 2 CK & CS

Paige Curran, MA Assistant Dean for Student AffairsDirector, Academic Enhancement

Step 2 CK & CS• All students must take USMLE Step 2 CK & CS no

later than

November 1, 2019

• Registration deadlines

CS: January 31, 2019

CK: May 1, 2019

• Scheduling of exams

• Timing & Format of Exams –

USMLE website & Content Description

• Preparation Strategies: CS & CK

Test Lengths & Format:

Step 2 CK : Pass - 209

*multiple-choice test questions,

*eight 60-minute blocks,

*administered in one nine-hour testing session.

*The number of questions per block on a given examination form will vary but will not exceed 45.

Resources – FA CK & Step up to Medicine, & Qbank

Step 2 CS: Pass/Fail

*12 patient cases, administered in a testing session of approximately eight hours.

* 15 minutes for each patient encounter and 10 minutes to record each patient note.

* If you use less than 15 minutes for the patient encounter, remaining time will be added to the time you have to record the patient note.

Preparation Strategies: CS & CK

Step 2 CK:

*Trust the strategies that you developed for Step I & the Third Year Shelf Exams.

*CCSSA: Four forms: 184 multiple-choice items each. Utilize to develop ISP plan (saving last 2.5 days for CRP)

*USMLE Website - strategies for answering single best option & matching set questions. 2018 bulletin for practice examples.

* Complete Tutorial night before the exam.

Preparation Strategies: CS & CK

Step 2 CS:

*EOTYA: Be sure CS date is scheduled for after your EOTYA

*Visit OME website for valuable advice from 4th year

http://www.bumc.bu.edu/busm-ome/end-of-third-year-assessment/

*USMLE website: http://www.usmle.org/step-2-cs/

- Patient Note Practice Program

*First Aid for the CS exam (library has reserved copies)

*Practice with a colleague

Presented by

Assistant Director Patricia A. Fidler

Questions? Reach me at 617-358-5236, osfs-med@bu.edu or

feel free to stop by the office.

2019-20 FAFSA Application

https://studentaid.ed.gov/sa/fafsa

No longer need to submit a Continuing Student Application

Request a refund via the Student Link. Click Money Matters

and then Manage My Student Choice Refund Account.

Budgeting: The refund you receive for the spring semester

should last you one month into the upcoming fall semester