Friday, January 18, 2019

New Program: Orange Park Medical Center in Florida

Here is the information from a flyer sent out by Dr. Steve Warrington, the Program Director of the new EM Residency at Orange Park Medical Center.  They are now in ERAS and are looking to match their first class this year:

Orange Park Medical Center
Orange Park, FL (Southwest corner of Jacksonville)

Highlights:
·      Volume ~115k between main campus and freestanding ED (~10 min drive)
·      Level 2 trauma center with helipad
·      Comprehensive stroke center with neuro-interventional
·      Chest pain center
·      Facility has its own PICU
·      Level 3 NICU to be completed spring 2019
·      Second FSED opening up in March 2019
·      Integrating advanced technology throughout the institution.  Some of the examples include:
o   RFID tracking
o   Electronic communication boards in patient rooms integrated with RFID tracking and EMR (i.e. Dr. X entered the room, 1/3 test results are back)
o   Hand sanitizers linked to register badges nearby when used
o   https://orangeparkmedical.com/campaigns/hospital-of-the-future is a link to a video that shows some of the capabilities for those interested.
·      Attendings from (15+) different EM residency programs provides exposure to different practice styles and approaches
·      FL has no state income tax
·      Located 45 minutes from the beach
·      Located 45 minutes from the airport
·      Only 2 weeks are scheduled outside of OPMC, and those are at Memorial Hospital ~30 minutes away.

Other Residency / Fellowship programs:
·      Approved: FM, IM, TY, Psych, Derm, Cardiology, Palliative care
·      Awaiting decision: GS, Clinical informatics

Residents are provided:
·      Laptop
·      Smartphone
·      Meals in cafeteria (not limited such as ‘on-call meals’)
·      Along with general / competitive resident stipends / benefits

Schedule on 13 blocks:
PGY-1: Orientation/EM, T/SICU, P/NICU, Anes/US/Res, OB/CT, EM
PGY-2: T/SICU, MICU, US/EM/Res, Elective, EM
PGY-3: ICU-elective, US/EM/Res, Admin/EM, EMS/Education/EM, Elective, EM




Steven Warrington, MD, MEd
EM Residency Program Director
Orange Park Medical Center 
Orange Park FL
SWarring@neomed.edu

Sunday, January 13, 2019

The Making of a Rank List



As interview season comes to an end it is time to think about what you need and want, and begin putting your rank order list together. First make sure you know the process and important dates. This year the Rank Order List Certification Deadline is FEB 20 at 9pm ET. Go over how to input your rank order list into R3(NRMP Registration, Ranking, and Results).

In recent years we have covered composing your rank list in great detail, go ahead and review the data and approaches you can take. This was written by Tony Zhang, an Emergency Medicine Education Fellow and member of the CORD Advising Student Committee in EM. A version of this guide is part of the CORD SATF Applying Guide to Emergency Medicine.

Last year EMRA published something similar using a survey of residents training in Emergency Medicine and drawing themes from those responses. They do a nice job showing the variety of different viewpoints and approaches that can be taken in creating a Rank List.

No two people approach their rank list the same way for good reason. This is all about you and your best fit. Many of you are starting to second guess your top programs. This is normal. Everybody does this. You hear from friends, advisors, and deans, and they all have different opinions on where you should go. Remember to focus on what YOU want, above all else.

Think about the top 3-4 programs on your list. Picture them in your mind and see which one causes the biggest smile to split across your face. That is your number one. Stop perseverating - that is YOUR number one. 

When deciding the order of the next few programs, continue to follow your heart. The Match is student weighted, so you get preference. The order you rank the programs matters. You want your list to reflect your true desire to train at the program. Put the spreadsheet down, stop talking to everyone, and focus on how you feel overall about each program. Above that, these are the common pitfalls to avoid:

Squirrel - Being distracted by shiny objects 
Many of the superficial attributes of a program are not going to determine if you are satisfied with your experience training there. You will spend the bulk of your time in the ED, focus on how that learning environment will work for you. 

Location is really important for most people. Though being in a location that others think is cool, but you don’t see yourself in, shouldn’t count as an asset. 

Glossing over glaring negatives
There are only a few things in a program that will have an enormous impact on your training experience:
Program Director - If you didn’t click with the PD- think hard before ranking this program highly. This is not a person you can avoid.
Residents - If they weren’t really happy, or you don’t see yourself as a part of their group, this is not the program for you.
Curriculum - ensure the educational approach, the design of the rotations, and the responsibilities on shifts match up with your needs.

Being Flattered by attention
Be careful to not allow a program’s perceived response to you influence your ranking. Many programs purposefully withhold telling students how well they were liked, while others may overestimate where you are on their rank list. This is a time to trust yourself and be wary of being influenced.

In the end you need to trust your gut, rank your programs in the order you want to be there. Keep in mind more than half of you will get your top choice, and 80% will get in your top 3. You have the control. Use it wisely.



Friday, October 26, 2018

New Program: Southside Hospital on Long Island, NY

Here is a message to the CORD-EM mailing list from the APD of a new EM Program in the 2018-19 Match:

We are very excited to announce that we are recruiting for our inaugural class for the new EM Residency at Southside Hospital in Bayshore, New York. Southside is part of Northwell Health and is a rapidly expanding tertiary care facility in Suffolk County, NY. Our first class will comprise of 6 residents, and the program will be for three years. We are currently ACGME certified and listed on ERAS for application purposes. Our state of the art ED just finished construction last year, and we are eager to begin educating the next generation of EM physicians!

Southside Hospital is the tertiary referral center for Northwell Health's eastern Long Island region and receives transfers of patients from community hospitals throughout the area. The Department is an American College of Surgeons level 2 trauma center, with in-house trauma surgeons 24 hours a day. Our hospital is recognized by the American Heart Association as Gold awarded STEMI institution, with 24-hour cardiac catheterization lab availability. We are also recognized by the American Heart Association as a Gold-Plus Quality Achievement, Stroke Elite-Plus Honor Roll Award for our Stroke care. Our hospital has comprehensive Cardiology and Cardiothoracic services, Orthopedics, Women's Health, Neurosurgical services, receives patients from the Northwell Imbert Cancer Center, and transfers from community hospitals throughout Long Island.

Twitter: EMSouthside
Website: BayshoreEM.com

------------------------------
Andrew Mastanduono
Associate Program Director
Southside Hospital

Wednesday, October 24, 2018

Great Question! - Cancelling excess interviews?

A fortunate student who received a lot of early interview offers asked...

I’m thankfully in a position where I have gotten a lot of interviews offers, including many of my top choices.

I’m starting to make a more concise top choice list of programs and want to begin releasing interviews that I am less interested in to make room for other applicants. 

I’ve read varying things about releasing interviews, with some suggesting you just cancel on interview broker and some suggesting you should email programs explaining as well. 
  • Do you know which programs prefer? 
  • Should I preemptively withdraw from any programs I have not heard from that are lower on my list than my current interviews?

These are great questions and I am glad you are thinking about purging your interview list.  

You can withdraw from programs lower down your list that you have not heard from, or simply wait to decline until they offer you a spot.  Waiting does not interfere with others getting interviews. 

You can just release/cancel interviews in ERAS or interview broker.  I would only email them if they handle all their scheduling themselves.  Nobody needs more email or phone calls this time of year.  Programs appreciate you giving us as much notice as possible to find someone else to fill that interview spot.  

- Adam

Sunday, October 21, 2018

Interviews: the good the bad and the ugly

Interviews are very shortly about to begin. You already overcame the greatest hurdle - you got the interview, now make it count. This is your opportunity to really get to know programs and in turn let them get to know you. While you may find in the end that you love the spot you always thought you'd go, most applicants are surprised along the trail and fall in love with an unlikely program that captures their heart. Be open to the change that is likely to occur during this process. The interview trail is designed to do just this - let  you slowly gain exposure and with it find what you truly need and want.

Ways to succeed:

  • Make the pre-night events - almost all EM programs will have a pre-interview social gathering the night before you interview. Residents will be there to answer your questions and get to know you. This is your chance to really get the feel for a program. You can see how the residents interact with one another, with interviewees, and with faculty if they attend. This is the most honest exposure you will have - take the time to go and discover if you fit with the group already at the program.
  • Try your suit on now and get a friend to give you input on your appearance. How you present yourself counts - an ill fitting suit reads as ill prepared.
  • Compose questions before you arrive. This makes you appear genuinely interested - if you have no questions you seem disinterested. You are spending time and money to be there, set yourself up for success. If you have the names of the faculty you will be interviewing with, go ahead and look them up so you can explore interests you share. Ask what matters to you - consider asking:
    • What keeps you at this program?(gets at strengths)
    • What issues have arisen over the past year and how did they get handled?(gets at weaknesses)
    • What changes do you foresee over the next few years?(gets at vision) 
  • Lean in(literally) - lean forward in your chair and make eye contact. Body language counts. If you slouch or fail to look at your interviewer you look disinterested, overconfident, or worst awkward. You only have a few minutes to stand out, so lean in make eye contact and have a conversation.
  • Finish with a thank you note (electronic is fine but I remember the hand written) - it certainly won't hurt.

Classic Blunders:

  • Don't check your luggage - carry just what you need and have it with you so you are not the applicant this year in jeans and a teeshirt.
  • Don't be late - early is on time - on time is late - and late is unacceptable.
  • Plan for weather - it snows in many spots you will be traveling to - expect it and have appropriate clothes and extra time.
  • Don't over schedule - you can do two interviews per week no more. When you try to squeeze more, you can't make the pre-night, you end up tired and don't present your best self. 
  • The sherpa applicant - there will be a safe spot for your luggage and carry on - you don't need anything but yourself in the interview. If you want to carry a CV or card with you go ahead but programs have this information and don't need it from you.
  • Needy and nervous are not positives. If you want to make contact with your top choices once after you interview, go ahead but do not call or write repeatedly.

Lastly the rules of the game:

Conduct for interviews:

  • Most programs will offer interviews after your Dean’s letter is released on October 1st on a rolling basis(sending a group out at a time, waiting for answers then sending more)
  • You may hear an answer quickly or have to wait to hear - breathe
  • Many programs purposefully send invitations after 5pm to avoid you having to check email during your rotations(try and be respectful of your rotation and patients)
  • Once you receive an invitation answer it quickly
  • Do not double book - it is unfair to programs, your fellow applicants, and against policy. Programs will be notified after 72 hours if you hold two interviews for the same date - they may choose to cancel your invitation.
  • If you need to cancel, do so as soon as you realize you need to. Give programs enough time to allow another applicant to fill the spot, at least two weeks.


Lucienne Lutfy-Clayton is an Associate Program Director at UMASS Baystate Health, Chair of the CORD Application Process Improvement Committee and former Clerkship Director. She has the attention span of a nat and needs shiny sincere applicants to draw her attention. She is also really short and some believe this is where the real problem begins.

Wednesday, September 19, 2018

New Program: Eisenhower Medical Center in Rancho Mirage California

From Matthias Barden: 

"Eisenhower Medical Center has just received ACGME initial accreditation. We are now applying to be listed on ERAS/NRMP, which may take 7-10 days. Please pass on the word to look for our program on ERAS If anyone advises student's who may be interested in applying.

EMC is in Rancho Mirage California. We have 55 licensed ED beds and see about 85k patients per year. We have in house STEMI and Stroke centers. Residents will rotate away at a level 1 trauma center, pediatric center, and facility with OB-GYN services.

We will be recruiting 6 residents per year for a 3 year program.

More information is here: Emergency Medicine - EisenhowerHealth.org - formerly Eisenhower Medical Center"



Thursday, July 26, 2018

Getting your ERAS Application Together - Personal Statement: Time to put your thoughts down

At this point most of you have finished your CV details together and it is time to stop avoiding that personal statement(PS). The PS is a point of high anxiety for most applicants, so lets dissuade it right now. Program Directors complete a survey with NMRP each year, on it only 62% report the PS as a factor in selecting applicants for interview with a mean importance of 3.2 on a scale from 1 (not at all important) to 5 (very important). 

At the top 97% report SLOE as factor in selecting applicants for interview with a mean importance of 4.8 and at the bottom 11% report Honors in basic sciences as factor in selecting applicants for interview with a mean importance of 2.4. 

The list of factors more important than the PS include: 
USMLE Step 1/COMLEX Level 1 score 
Letters of recommendation in the specialty
Medical Student Performance Evaluation (MSPE/Dean's Letter) 
USMLE Step 2 CK/COMLEX Level 2 CE score
Grades in required clerkships
Any failed attempt in USMLE/COMLEX 
Class ranking/quartile 
Perceived commitment to specialty
Personal prior knowledge of the applicant 
Grades in clerkship in desired specialty
Audition elective/rotation within your department 
Evidence of professionalism and ethics 
Leadership qualities 
Alpha Omega Alpha (AOA) membership
Perceived interest in program 
Other life experience
Passing USMLE Step 2 CS/COMLEX Level 2 PE 
Volunteer/extracurricular experiences
Consistency of grades


If your goal is to get interviews and match you can relax about your personal statement, and get it done.

What you should do:

  • Write a personal statement that gives the reader a window into who you are, what is special about you, why you want EM, and what you will bring to EM. It does not need to be an epic novel and it does not have to be worthy of the Moth Radio Hour. Be authentic and as with all of EM succinct and on target.

  • Keep it under one page single spaced. Longer will definitely hurt your chance at an interview - so keep one page as an ABSOLUTE limit. 

  • Have someone who loves you read it to ensure it reflects you.

  • Have someone who is involved in an EM residency program leadership read it to ensure it will not hurt you.

  • Have someone who is good at grammar and spelling proofread it.

  • Last if you have a "red flag" this is the spot to address it. Don't make excuses, own it, and tell us how you have learned from it and how you will avoid repeating it. Remember if you write about it in your PS, you should be ready to talk about it on interviews

Next up you need to finish up choosing where to apply to.

Lucienne Lutfy-Clayton MD is an Associate Residency Director and a previous Emergency Medicine Clerkship Director. She is the current chair of the CORD Application Process Improvement Committee and past-chair of the CORD Advising Student Committee. Her eyes cross reading applications each fall.