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Sheriff of Sodium
Приєднався 28 кві 2019
Videos and podcasts on medical education and residency selection from thesheriffofsodium.com
Advice for the Residency Interview
Interview Day is where your rank position is determined - which is why I’m always surprised that so many residency applicants under-prepare for the interview, make avoidable mistakes, or fall into traps. Here’s my advice for how to put your best foot forward.
_
NOTES:
NRMP Program Director Survey (2024):
www.nrmp.org/match-data/2024/08/charting-outcomes-program-director-survey-results-main-residency-match/
Maxfield CM, et al. Bias in radiology resident selection: do we discriminate against the obese and unattractive? Acad Med 2019; 94(11): 1774-1780.
journals.lww.com/academicmedicine/fulltext/2019/11000/bias_in_radiology_resident_selection__do_we.41.aspx
Kassam AF, et al. Swipe right for surgical residency: exploring the unconscious bias in resident selection. Surgery 2020; 168(4): 724-729.
Dr. Glaucomflecken video: How to Ace Your Neurosurgery Residency Interview
ua-cam.com/video/C5BD9DGXoYk/v-deo.htmlsi=h5KM6bMEkqLAYlNh
_
CREDITS:
Images:
wojak-studio.com
Music:
“Clutch,” by Nicolas Major.
_
NOTES:
NRMP Program Director Survey (2024):
www.nrmp.org/match-data/2024/08/charting-outcomes-program-director-survey-results-main-residency-match/
Maxfield CM, et al. Bias in radiology resident selection: do we discriminate against the obese and unattractive? Acad Med 2019; 94(11): 1774-1780.
journals.lww.com/academicmedicine/fulltext/2019/11000/bias_in_radiology_resident_selection__do_we.41.aspx
Kassam AF, et al. Swipe right for surgical residency: exploring the unconscious bias in resident selection. Surgery 2020; 168(4): 724-729.
Dr. Glaucomflecken video: How to Ace Your Neurosurgery Residency Interview
ua-cam.com/video/C5BD9DGXoYk/v-deo.htmlsi=h5KM6bMEkqLAYlNh
_
CREDITS:
Images:
wojak-studio.com
Music:
“Clutch,” by Nicolas Major.
Переглядів: 13 755
Відео
Charting Outcomes in the Match: Winners & Losers Edition
Переглядів 14 тис.2 місяці тому
Every two years, the National Resident Matching Program releases their “Charting Outcomes in the Match” reports. This year, we got three reports, with 799 pages of charts and data showing how applicant qualifications are associated with the likelihood of matching into different specialties for MDs, DOs, and international medical graduates (IMGs). The Charting Outcomes reports are a treasure tro...
Board certification for exceptionally qualified IMGs: Winners & Losers Edition
Переглядів 6 тис.3 місяці тому
For as long as the American Board of Internal Medicine has existed, completing an accredited U.S. residency program has been a pre-requisite to sitting for the internal medicine board exam. But last week, the ABIM announced a proposal that would allow “exceptionally qualified” international medical graduates who complete a U.S. fellowship program to to sit for both their general and specialty m...
The Man Who Beat the USMLE (in Court)
Переглядів 13 тис.4 місяці тому
In 2020, resident sent an email to a state medical board. Attached was a copy of a USMLE score report showing a passing score on Step 3. There was just one problem. The score report was fake. This is the incredible-but-true story of how that resident beat the USMLE in court and received a medical license without ever passing Step 3. _ NOTES: 1. In the United States, there is a public right to o...
Tuition-Free Medical School: Winners & Losers Edition
Переглядів 7 тис.5 місяців тому
Earlier this week, Michael Bloomberg donated $1 billion to Johns Hopkins University in order to make the school “tuition free” for (most) students. The announcement generated lots of fawning media coverage and inspired debates and hot takes on social media. So you know what that means. It’s time to break it down, Winners & Losers style. _ References and call-outs, in chronologic order: 1. New Y...
Inside the Sausage Factory: How the USMLE Passing Standard is Set
Переглядів 8 тис.5 місяців тому
How is the passing score for the USMLE determined? And why does the minimum passing score keep increasing over time? In this video, I’ll answer both questions - and provide an overview of the Angoff standard setting method; the Angoff modifications used by the National Board of Medical Examiners; the differences between norm-referenced and criterion-referenced exams; and even review some questi...
FACT POLICE: The USMLE Step 1 Pass Rate
Переглядів 12 тис.6 місяців тому
Have you heard that more students are failing the USMLE Step 1 exam than ever before, or that 25-50% of students are deferring their Step 1 exam because they’re unprepared to pass the test? Me, too! Thing is, there’s a lot of silly, sky-is-falling, and self-interested misinformation out there. So today, I’m back as the FACT POLICE, to explain how we should - and shouldn’t - make sense of change...
Improving Surgical Education: How to Build Windmills - and Stop Tilting at Them
Переглядів 4,9 тис.6 місяців тому
Improving Surgical Education: How to Build Windmills - and Stop Tilting at Them
Do USMLE scores *really* predict patient care outcomes?
Переглядів 9 тис.8 місяців тому
Do USMLE scores *really* predict patient care outcomes?
Match Day 2024: Winners & Losers Edition
Переглядів 35 тис.9 місяців тому
Match Day 2024: Winners & Losers Edition
Death of a Program: The ACGME vs. Private Equity
Переглядів 18 тис.9 місяців тому
Death of a Program: The ACGME vs. Private Equity
Mailbag: Wrapping Up the USMLE Cheating Scandal
Переглядів 32 тис.9 місяців тому
Mailbag: Wrapping Up the USMLE Cheating Scandal
MORE Emergency Mailbag: The USMLE Cheating Scandal, Part II
Переглядів 19 тис.10 місяців тому
MORE Emergency Mailbag: The USMLE Cheating Scandal, Part II
EMERGENCY MAILBAG: The USMLE Cheating Scandal
Переглядів 36 тис.10 місяців тому
EMERGENCY MAILBAG: The USMLE Cheating Scandal
ERAS and Financial Conflict of Interest at the AAMC
Переглядів 7 тис.10 місяців тому
ERAS and Financial Conflict of Interest at the AAMC
Mailbag: Letters of Intent and Post-Interview Communication
Переглядів 8 тис.11 місяців тому
Mailbag: Letters of Intent and Post-Interview Communication
Mailbag: Questions about the USMLE
Переглядів 3,9 тис.11 місяців тому
Mailbag: Questions about the USMLE
FACT POLICE: Residency applicants and residency positions
Переглядів 6 тис.Рік тому
FACT POLICE: Residency applicants and residency positions
The Battle for Clinical Training Sites
Переглядів 3,3 тис.Рік тому
The Battle for Clinical Training Sites
Touching the Elephant: The Pediatric Subspecialty Shortage
Переглядів 4,8 тис.Рік тому
Touching the Elephant: The Pediatric Subspecialty Shortage
The ERAS Preliminary Data Drop: Winners & Losers Edition
Переглядів 4,8 тис.Рік тому
The ERAS Preliminary Data Drop: Winners & Losers Edition
Academic Capitalism: Rethinking the Expansion of Subspecialty Fellowships
Переглядів 7 тис.Рік тому
Academic Capitalism: Rethinking the Expansion of Subspecialty Fellowships
Mailbag: Help! I’m Getting Kicked out of Medical School
Переглядів 4,6 тис.Рік тому
Mailbag: Help! I’m Getting Kicked out of Medical School
Residency Application Mailbag: The Personal Statement
Переглядів 8 тис.Рік тому
Residency Application Mailbag: The Personal Statement
The ABIM Under Fire: How Doctors Can Realistically Fix MOC
Переглядів 2,7 тис.Рік тому
The ABIM Under Fire: How Doctors Can Realistically Fix MOC
The OB/GYN - ERAS Divorce: Winners & Losers Edition
Переглядів 2,2 тис.Рік тому
The OB/GYN - ERAS Divorce: Winners & Losers Edition
The Applicant’s Guide to Strategic Preference Signaling
Переглядів 18 тис.Рік тому
The Applicant’s Guide to Strategic Preference Signaling
What about the other medical staff that play a role in patient care? This study is a bit ….. bold in a foolhardy sense.
All around fantastic channel! Busy schedule, so it takes me time to get around to your videos, but you’ve earned my loyalty. This is maybe my favorite of all your videos!! I wish everyone in medicine would watch.
As someone who only applied to DO schools because of my interest in OMT, I completely agree with your COMLEX argument and I’d venture that 95% of my colleagues do too. I’d gladly take a 3 part series of OPP exams, hell even a CS equivalent for OMT, if it meant not having to pay for and take both USMLE and COMLEX. And as long as DO students perform as well as MD students, that’s just concrete defense for any critics claiming osteopathic education is inferior.
SF match only takes 1 week instead of 2, so that's slightly better at least.
Hi Dr. Carmody: would you consider doing a video or series on US healthcare insurance? In the wake of the “DELAY… DENY… DEFEND… DEPOSE”, there is a lot of interest - tremendous outcry really, on this topic. It’d be great to hear your opinions :)
i couldn't watch shi*! there's an add every 10 seconds !
I am an IMG in Canada with an interview for Family Medicine in ON, and am so grateful for the opportunity. This is my first time watching your channel and I truly appreciate how you are so honest and yet still very considerate while speaking of delicate subjects. The advice is golden, thank you for taking the time to share 🙏🏼
The fact that there is people who love it when the ICUs are full is what is wrong with this world.
With Trump administration planning to cut medicaid budjet i would never risk my future by pursuing Paediatric residency 😢
I know theyre part of different boards but don’t forget about child neurology and child/adolescent psychiatry
I really love your delivery of each topic. Very nice!
TPS reports 😂
Glad someone noticed that
I always enjoy your well thought-out information. It's good to keep thinking about these things even when you're the interviewer.
Thank you for taking the time to watch. I appreciate your kind words.
IMHO for residents, cultivating an aptitude and habit of reading leading journals, writing in a professional style and rigor, possibly “publishing” some of the writings in certain places are helpful and beneficial. But there are some caveats: 1, the programs must make more time for this activity. It’s contradicting to have residents working 80 hours per week and it is not enough time to only give 2-3 weeks for the whole year to do research; 2, the programs should create opportunities for residents to first present their academic writings internally, and these should be accounted as academic achievements 3, the programs should NOT use resident publications as a metric for standing and graduation. Residents should be motivated to do research by their own motivation and schedule. With these caveats, I’d encourage residents to do research during residency.
I wanna vilify the cream puffs that get extra time. Sry. Just saying.
What about fellows in fellowship training? Should they follow this paper in practice sense?
And how many admins ? CEO salaries. Greatly damaged the quality of medicine by allowing PA’s and nurses to practice independently
Dr. Carmody, I almost never comment on these videos, ive been interviewing this season for the upcoming match. The question what was bad about your medical school is devious and extremely good. That question would put me on tilt instantly. I havent met a single medical school student past or present that never had anything bad to say about their medical school. Thanks for giving us the trade secrets. This channel has been a constant companion to me over the last 3 years as a us img applying for psychiatry. Thank you so much for all that you do.
I'm struggling to see any industry in which Private Equity comes in and leaves it in a better state when they came in
AWESOME short. Nicely done.
I looked up online and found the following CIR/SEIU announcement: “Stanford Resident Physicians Reach Historic Tentative Agreement after Thirteen Months of Bargaining “this historic deal … includes a 21% increase in compensation, preservation of essential departmental benefits, a $50,000 annual stipend for a resident wellness committee, a $20,000 fertility benefit package, a retirement plan with a 2% contribution and 2% match, retention of essential departmental benefits, a new grievance and arbitration process, and crucially, a new fatigue mitigation policy providing all housestaff access to free rideshare services home after working a long shift. Significantly, under the terms of the new contract, the 2025 cohort of first-year resident physicians at Stanford will become the first interns in the country to earn six-figures.” Congratulations !! 🎉🎉
Another great video as always :) The number of the graduating US MD snd DO seniors is “far”less than the total of available open resident positions in recent years. Q1: In principle, if they’re ranked first and ranked alone - and willing to take on any specialty if not matched to their desired ones, then all qualified US MD and DO seniors should all be matched, right? Q2: Does NRMP matching process rank the US MD and DO seniors BEFORE rank all IMGs ? For other jobs, the law requires that the employers must provide evidence that they can’t find qualified US workers BEFORE hiring foreign workers.
I tried to look up the UNM Neurosurgery online today and found some news from Yahoo reprinted an article from 《Albuquerque Journal, N.M. 》on April 8, 2022 with title “UNM Neurosurgery Department regains residency accreditation”, and it reported: “Now, by July (2022) the school will have 11 neurosurgeons as well as 21 advanced practice providers - which are nurse practitioners and physician assistants - to handle much of the day-to-day duties and allow the residents to focus on training. Problems within the department came to a head in 2018, when the budding brain surgeons sent a letter to the accrediting council complaining of the conditions.” It’s a “juicy” story, but it lacks the “meat” of any financial data, unfortunately 😢😂
Selective statistics... A smart statistician can prove anything they want, no matter how wrong A wise statistician knows they can fool themselves
People don't come to the hospital to see the CEO. ROFL. Someone tell the CEO this
I see primary care isn't far behind specialists, but makes less than half of what they make. Getting shafted again.
Any data on how much revenue Residents generate?
I actually have a whole video that gets into that… What are Resident Physicians Worth? ua-cam.com/video/uLvb9vv03xE/v-deo.html
@@sheriffofsodium the CEOs must be very disappointed that the Flash Report didn’t report that residents got extra pay of $304,312, too 😂😂
One can always count on The Sheriff keeping them honest!
Thank you for bringing attention to this
Great great video! Thanks!
Is it ok to interview via zoom with smartphone. Or does it look bad. If the zoom on ur laptop keeps freezing and u had to rejoin using ur smartphone.
I love your deck template, Sheriff
Thank you for this talk. I recently joined my residency educational development group (current junior resident) as we try to adapt our surgical curriculum given all our OR time restraints and losing important intraoperative experience. Lots of food for thought and much progress to be made since I keep hearing the same arguments over and over again without much headway or building of windmills so far. Appreciate the time making this presentation.
Thank you for watching. I hope that somewhere out there, this video (or at least, this logic) will reach someone who matters and can create some positive change.
There’s no way thank you notes make a difference. Any anecdotal evidence doc?
We’re talking about edge cases… but somewhere out there, I’ve gotta think there are situations where someone’s numeric score or rank position gets nudged up vs. an otherwise identical candidate just because a note pushes them to the top of mind or shades the rating ever-so-slightly. I don’t think it’s a big effect. But again, if you write a simple, non-cloying email that doesn’t suggest the need for a response, I really see no downside.
Strong thumbnail game
Game recognize game
Hi Dr. Carmody: would you know the force and process that lead to the change of STEP1 to pass or fail?
Oh, I know quite a bit about it. What in particular did you want to know?
@ I think it’d be so cool to have Part 7 to this series to bring the USLME exams up to date, with some descriptions about the forces and process to turn STEP1 into Pass/Fail and possibly also will turn STEP3 into Pass/Fail as an one-day test instead of two.
Super informative and helpful! I didn't send "Thank you" emails to two interviews i had 3 weeks ago. Is it still advisable to send some form of email, or should I just pray it doesn't affect my ranking? Thanks again for the video!
No, I wouldn’t do it at this point. And I wouldn’t worry about it, either. Like I said, I think this only matters on the margins.
I sent the thank you email 3 weeks after I don’t know how that would be perceived
“No one wants to look up at your nostrils”😂😂😂
Thank you so muchhhhh!! This is so helpful!
I clapped my program director’s cheeks
Thank you so much Dr. Sheriff for this amazing video, it was really so much helpful for the interview prep. video after 33:45 was really fun, but true!
Well it's better to adress him by his last name so he is Dr. Sodium not Dr. Sheriff
@@OAB96 btw who are you?
@@mahaveersuther8439 my name is Bob Barnsley
@@mahaveersuther8439 I am who I am
Here is the wonderful sheriff. Thank you!
This is the reality check I really needed to wake up and realize the danger.
I love how he says "Don't ask me how I know this".
Great video! 1 caveat is that programs that are explicitly faith-based are going to want you to talk about your faith, etc. That is a very specific instance in which bringing your whole self to the interview I think is actually a benefit. What are your thoughts on how to obtain the interviewer's emails for 'Thank You letters' if the program didn't supply them?
Good point (although I guess this could also logically follow from some combination of “do your homework” and “put yourself in the interviewer’s shoes”). If the program didn’t give you the interviewer’s emails - then I wouldn’t worry about trying to email them. If you really want to find someone, though, best bet is to find a recent manuscript for which they were corresponding author.
Doesn't IM have good options for fellowships? It's just the default if you want to specialize in any organ system.
It can be… but I think the point I was trying to make still stands. If you want to compete for highly competitive IM subspecialties (cardiology, GI, etc.) it helps to go to a certain type of IM residency - and DO graduates face a tougher road matching into those types of programs.
@sheriffofsodium That's true, I guess it's pushing the problem further own. But, your position as an attending vs a med student fresh out of school with debt is drastically different. Thank you for even responding doctor!
Dr. C, this is another great piece of work, and I will be passing it on to my MS4 residents to make sure they watch. I am a PD (ortho), and I want to respectfully provide another take on just two of the points: 1) “Do you have any questions for me?” I struggle with this one, as I I want to honestly give applicants a chance to inquire about my program, but I do NOT want to ask it that way. Why? It’s about the “put yourself in the interviewer’s shoes” again. 90% of interviewees will ask the same two questions when given the opportunity: 1) “what changes do you see in the near future for the program”, and 2) “what kind of resident are you looking for?”. I am very happy to talk about my program. I wouldn’t be PD if I wasn’t. But I am sick of being made to regurgitate those same points 20 times today just because you felt obliged to “have a question” so that you would look good. It comes across as fake, and it slightly rubs me the wrong way to have to give my whole schpiel again for a non-genuine question. And you never want to do anything that rubs your interviewer the wrong way. What is my solution to this? First, in my dumb welcome PowerPoint, I list all the upcoming anticipated changes to the program. I tell them “this is so you don’t have to all ask me about it individually” 😂. Second, applicants, please think of something that you genuinely, and specifically, want to know about ME or MY PROGRAM, and ask me that. 2) I’m going to be a contrarian on thank you notes. I throw most of them straight into the trash, and in fact think a bit less of those who send them. Again, put yourself in my shoes. If I interview 50-75 people, all of whom follow your advice and send me perfunctory TY notes because they were told it was a good idea, and therefore none of them contains any genuine sentiment, it pisses me off that they are all wasting my valuable time. Send a TY note if you have something genuine to say, but not because you think it is something you are supposed to do. Some poor interviewer is on the receiving end of all of those insincere cards and emails, and it is very transparent, and it is just ever so slightly annoying. You NEVER want to be “ever so slightly annoying” to your interviewer. I now also tell our interviewees explicitly that we’d prefer to not received be TY notes. Interestingly some don’t believe us and still send them despite that advice! I only sent one thank you note in all my residency and fellowship interviews. I mentioned book in the interview, which was of interest to the interviewer. I wrote him an email later with the details about the book. I had something specific to say, so it was a useful thing for him to receive. That should be your litmus test. Also, practically speaking (especially if you are mailing a TY note), decisions about your interview/rank are usually made the same day, long before your TY note arrives! Thanks again for all of your work. You are an invaluable resource to students, and I wish every PD would read ALL of your work.
Thank you for the kind words - and for such a thoughtful response. (And I actually think we mostly agree… I wouldn’t recommend sending a physical thank you note, and I wouldn’t even send a few lines of email if the program tells you not to!).
I appreciate your advice and have been an avid follower of all of your videos. I agree with you that for the purposes of maximizing odds of matching, we should not talk about what’s going on in the Middle East. It’s a sad reflection of state, however. I vividly remember learning about slavery and segregation in Middle School social studies class and thinking to myself, “I would’ve never accepted that. I would’ve said something.”Similar thoughts followed after learning about the Trail of Tears, lynching, the holocaust, Nelson Mandela, and Japanese internment. Now here I am in 2024, witnessing a genocidal colonial project that has been decades in the making and knowing full well that I’ll be silent about it for my job. For better or worse, I understand and can only envy the scathing judgement of my middle school self.
This video is really great!! I'm a Match applicant and it's really really helpful. Thank you!
Thank you for taking the time to watch.
Would have appreciated this BEFORE my interviews started lol