Residency Interviews!

Alrighty! You asked and I’m delivering. Actually you didn’t ask but I’m delivering anyways.

You welcome.

Residency interviews are a bit different than medical school interviews. It isn’t trying to convince someone why you want to do medicine and why you have the determination and persistence enough to succeed as a doctor. No. You’ve already done that.

You did your time. You’ve shown you can make it through medical school.

Now it is about trying to find a program that fits well with you and if you fit with them. Sure, some places weight board scores heavily. NRMP director’s report tells you how residency programs tend to weigh/prioritize your application responses. [Go to page 10 on this report; there are multiple charts you can look at for this information.] Other data from the match site itself is available for you to look at as well. But overall, doing a sub-I/audition can make or break your ability to get an interview especially if you try and get along at that institution.

They want to know typically more why you want to do that specialty. Sometimes why that program, but mostly why that specialty. Can you show you are passionate enough in the way you answer/speak about the specialty? Other than that, questions can range to nitpicking apart your application to just wanting to get to know you to see if you are a reasonable and likable person. Remember, you are about to work with these people very closely for 3-5 years (in most cases, unless you do neurosurgery…). They need to know you are a hard worker, can take direction and be taught, and get along well with others. Can you handle when people get upset? Can you take direction from a resident above you in their training even if they are younger than you in real life?

All of these questions are things that need to be answered when a place is interviewing you. Again, residency is more about the fit between you and the program. Whereas med school was more about can you succeed if we take a chance on you.

What an Interview Day Looks Like:

I have asked a few students to tell me how their interview days were across a few specialties. In general, it seemed like medicine interviews were longer days with many more individual interviews, whereas surgery tended to be shorter days/interview times and with either less people or you would interview with many people in a room with you.

These responses are based on the average/overall from several interviews during their application cycle. Each interview likely ran different, even if only slightly. Please take this into consideration with their responses.

From someone applying ENT:

  • Interviews were usually 30 minutes maximum.
  • If you did an audition it could be as little s 10 minutes for an interview
  • In this case, residents also interviewed by hosting breakout rooms. This individual had interviewed with a chief and/or two junior residents this way as well

From someone applying Ortho:

  • Interview day usually lasted 3 hours to half a day.
  • An average of 5 interviews the day of with different people, one of which was a chief resident or another senior resident

When I applied general surgery:

  • My shortest interview was 10 minutes. My max interview was 45 minutes.
  • 2 of my interviews (as these were virtual) had myself and several people all in another room or connected from different rooms. There were a range of residents present on my interviews (including chiefs) and several faculty members and the PD.
  • The one place where I interviewed in person, I had 3 separate interviews ranging from 10 minutes to 30 minutes.
  • One interview had second years available for us to answer questions about the program in-between people interviewing.

Internal medicine (from several students):

  • Some places gave an itinerary for the interview day
  • Interview days on average seemed to be half a day or somewhere between 4-5 hours.
  • Range of interviews from one student: 2-8, another: 3-5, and another: 2-10.
  • Interview times with individuals would range between 15-25 minutes amongst the answers given.
  • Some students also attended morning report and noon conference on their interviews.

Number of Interviews Per Specialty for Successful Match:

Now, this doesn’t mean you won’t match if you don’t get this many interviews. This is just the average. I have personally known cases where someone has only had ONE interview in their specialty of choice and had matched there. They worked their ass off at that audition, but they matched with only one interview. It is possible; it is just not the norm or commonality.

I only had 3 interviews for general surgery. Again, I am a DO, and I had shitty board scores. 2/3 interviews were at places I auditioned at. One was a DO specific program in my home state.

Probability of U.S. DO Seniors Matching to Preferred Specialty by Number of Contiguous Ranks

Specialty80% Chance of Matching90% Chance of Matching
Anesthesia69
Dermatology68
Diagnostic Radiology69
Emergency Medicine68
Family Medicine46
General Surgery911
Internal Medicine46
Interventional Radiology79
Neurology46
Neurosurgery20 
OB/GYN912
Otolaryngology79
Orthopedic Surgery68
Pathology15
Pediatrics45
PM&R812
Plastic SurgeryNo data availableNo data available
Psychiatry810
Vascular Surgery34
Data provided to me by my school’s residency coordinators. Not sure how up to date this is.



Prepping:

So, just like with every other interview you need to prepare. Again, just like my medical school interview, I didn’t do a ton of prepping. Because let’s face it….. I like to fly by the seat of my pants. However some people spend an entire week prepping.

Things you should do:

  • Review your personal statement/familiarize yourself with it
  • Review your application. What did you put on there for experiences? Do you remember your scores? What did you put under about me/what you like to do?
  • Look into the program you are applying at. While some of your interviews may be at programs that you randomly applied too, make sure you get the underlying gist of the program. You will need this to ask questions. They may also ask you why that program.

I’ve had questions asked about all of these to me. So at least review what you put. It won’t hurt to refresh your memory and give you good ideas of things to talk about. Some of my interviews were very by the book like this and they straight up asked me to confirm things/expand on my application what I put. Some really just asked me random things/wanted to get to know me.

I have put some links that I used to prep. There were definitely curveball questions at one site that I wasn’t expecting and no amount of prepping would have helped.

Common Interview Questions

110 Residency Interview Questions

100 more Residency Interview Questions

A common thing I was asked was to explain my poor board scores and how I planned to improve my scores in residency. Some places just wanted to know I had thought about a plan to improve. Since my board scores were my weakest part of my application, this one was asked at 2/3 places I interviewed at.

THINGS YOU SHOULD NOT BE ASKED:

Yes, actually. There are things that they cannot ask you (but try to anyways because they are pricks) and shouldn’t ask you. I found a blog post interviewing another physician on these types of questions and different ways you can answer them. This post/blog is very woman-centric but the information in this post is very good.

Here is a study done on what questions were asked and the percentage that was asked. Very interesting read. Titled “Potentially Discriminatory Questions During Residency Interviews: Frequency and Effects on Residents’ Ranking of Programs in the National Resident Matching Program.” Honestly, I would have picked a shorter title but whatevs.

Tracking Interviews:

As a suggestion from another fourth year, she recommended keeping an excel sheet/google sheets document with dates of your interviews and zoom links. Along with other information. This way, you don’t need to panic trying to find the one email in your inbox with all this information on it. You can also organize it in a way that makes sense to you.

Additionally, if you are lucky enough to get multiple interviews or more than you feel you need, you do not need to take all of them. Make sure if you did auditions there you do try to interview with them (as you did take your time to go to their program). But if you feel you have too many or there are programs that you threw your application into the wind at and just aren’t feeling it, you are able to decline their interview offer.

Wardrobe:

At this point you should know how to dress professionally. NOT BUSINESS CASUAL LIKE WHEN YOU WORK AT AN OFFICE. Needs to be a suit and tie for men. And a suit and/or appropriate work dress with suit blazer for women. Women should wear nylons or tights if wearing a skirt/dress. Otherwise, I think you can figure this out.

In Person vs Zoom?

So, I preferred zoom just because I didn’t have to travel back to a location that I did a rotation at and it was easier. I had a slip-up with one of mine due to time changes and let me tell you I was glad I was already home. Straight up threw on a blouse and suit jacket and left sweatpants on. You know… classy.

Zoom will save you money on traveling and time. But if you are able to get an interview while rotating there in person I do think in person is the best way to gauge a program. You get to physically feel the room and how things are going. Plus, while there you’ve either been working there or visiting there and you get an idea of the program and people itself. Hard to do over zoom.

Call Schedule

Make sure you ask about this. It is appropriate to know several things since you will be a resident there. If the call schedule seems wayyy to hectic maybe not the program for you. You are gunna be run down and tired as a resident. No need to make your life harder if the call schedule is insane.

  • How often do you have call?
  • Do you have a post-call day? Or are you expected to work the entire full workday following call?
  • Is call based on nights vs weekends, is it a full 24 hours, etc.
  • Do you have a buddy system for first years?
  • How many teams are you responsible for during call?


QUESTIONS TO ASK YOUR PROGRAM

These questions are by far going to change based on location/program/and specialty. These were mine. You can add/delete/change things for yourselves and obviously you need to ask questions that will work for you and your specialty. Again, this is just to help you out if you are stuck. I do recommend if you are rotating there you will come up with questions while you are there so make sure to have a list. If you get offered an interview, ask the most pressing questions you want to know during the interview. Usually 1-3 are fine per person/group of people. The rest ask the residents.

  • what % of graduates that pursue fellowships get accepted?
  • any global health opportunities?
  • How frequent are residents required to travel to other cities for rotations? (If they have other locations this is something to ask).
  • what opportunities are there to practice my skills outside of the OR? I.e. skills labs?
  • what are you doing to improve the program?
  • what advice to you have for me to succeed in this position?
  • early intra-operative experiences?

Hope this was helpful and good luck. Cheers!

Internal Medicine Shelf

Sup ya’ll!

So you are looking into taking your internal medicine shelf or COMAT for your third year of medical school. Well, I didn’t do terribly on it but I am definitely a middle of the road type of student. So if you need some advice on just passing, then this is the place for you!

Your internal medicine shelf will be like a mini level 1 or step 1 exam. Internal medicine spans MANY different specialties and is the actual base of the medicine stepping stool. You need to know a lot about a lot for this shelf. So pace yourself a bit because it is a lot of information. Topics they like (at least on my shelf):

  • Screening. Know the different indications for this. I.e. colonoscopy, breast cancer screening, AAA screening, vaccinations for adults, etc.
  • Cardiac basics. I.e. ACS vs MI vs NSTEMI. How do you diagnose it. What do you order vs next steps. How do you treat?
  • Cardiac continued: there are several classifications. I.e. Diamond classification for ACS, CHADS2VASC score for anticoagulation, NYHA for CHF. They will ask questions about these. So will your preceptors, so just be familiar with them.
  • INFECTIONS. Oh man I was so mad about this. I’m terrible with infections and antibiotics. They will ask.
  • Sepsis is hit or miss. I had a lot of sepsis practice questions but didn’t feel like I had that many on my shelf personally. But either way, it is a big hitter in medicine in general and patients die from it, so understand it and how to treat it.

How I prepped:

My internal medicine rotations were back to back. So I started studying during my first rotation a little bit throughout regardless of if I was in clinic or not to try to get through some of this.

  • Online med ED videos and questions. There is a lot, and it can be difficult to get through all of it. I started with one topic and tried to dive into it. Some of it will come back from your first two years. The rest you will see for the first time (or at least your brain will think it has). You will be exposing yourself to a lot, so take it chunk by chunk.
  • Case X. Yes, very helpful!
  • Aquifer cases: more helpful for screening and outpatient medicine guidelines. Less helpful I thought for inpatient medicine.
  • Anki Dorian deck: oh yes. Wish I would have been able to get through more.
  • U world and Truelearn questions. Even if I only did 10 at a time, I tried to go through all those incorrect answers. I would pick the topics I was studying from the videos I was on at the time to really drive in the content home in my brain.
  • Case files. Helpful, just couldn’t get through that much. A good quick way to see high-yield or common presentations and how to assess them.

On my off days, weekends, or weeks where I was off to do my assignments as I am a hybrid student I tried to do a good mix of my assignments and the above. Weirdly enough my school didn’t require me to watch the OME (online med ed) videos/do questions for internal medicine which I thought was just whack. But I did it anyways, because it was a good source of information/study material for me.

My shelf exams were 125 questions. I think it is around 2 hours for a time limit? For the most part I was able to pace myself. The ending there I was a little peeved because I was worried I would run out of time. Just try not to spend too much time on one question. You can always guess, flag it, and if you have time go back and try to glean a better answer.

Anywho, good luck and cheers!