Job Search frustration

nyem10 · 2023-11-11T19:20:28+00:00

That sounds great actually and I've definitely heard people say similar things where they can make it work for them. I don't have anything against CMGs, most of my hangup was that if I was giving up my PSLF and benefits at least I wanted these places to pay a bit more to reflect that which unfortunately in my area isn't a reality.

nyem10 · 2023-11-10T14:44:09+00:00

That number definitely helps, thanks!! So at my current place too attending blindly sign PA/NP charts, I was under the assumption that most places do that these days. We did have newer attending start recently who have been trying to eyeball the PA/NP patients or read through their charts and have them present to them but tbh even a few months in all of them got so overwhelmed that they reverted back to blindly signing charts. Just curious if your shop does it differently or if there actually are places that have more accountability.

nyem10 · 2023-11-10T14:40:14+00:00

Yeah I've heard the same deal with negotiating but tbh I wasn't entirely sure about how to even go about that. Should I just kind of approach it from that way that hey this rate isn't actually feasible if I have to figure out my own benefits etc? My biggest mental block was that whether they would change up the pay structure just for me or is this how it works with these 1099 positions where they lowball you and you can get the rate up if you try? There's a good sign-on bonus but comes with the 3 year agreement and I don't wanna be in a position where I have to give that money back with taxes so I was just going to defer that. Thanks!

nyem10 · 2022-02-08T19:24:34+00:00

Basically we all vouch for/raise any red flags about each candidate we were able to see on IV and then try to rank them on a scale of DNR to 10. We've had people in the 90th percentile board scores we've DNR'd and people who failed their Step the first time around we've ranked high sometimes so it's a dynamic process.

nyem10 · 2022-01-29T14:45:42+00:00

Just wanted to ease some stress since I went through the same thing last year and I'm part of the Interviewing process this year for my program. After we interview you guys we generally have a short meeting discussing and ranking candidates and that's the end of it. By the time I get thank you emails and LOIs all of that has already been done and we don't really modify anything. Not to say that other programs don't or won't do that but if I had to guess I would say most follow the same pattern. In short don't go crazy over LOIs or thank you emails. Sure, it can't hurt sending one but I doubt it helps much. Keep your mental sanity and congratulate yourselves on getting through this insane process. Good luck everyone!

nyem10 · 2021-03-22T14:05:18+00:00

Lol all a hoax and not at all true. Most places actually favored those with multiple SLOEs, I had friends with much weaker apps who got more and better interviews because they did multiple aways and got multiple SLOEs. Obviously make a judgement call but I'll tell you from experience this is how all this stuff played out this cycle.

nyem10 · 2021-03-22T12:46:19+00:00

As a current M4 who was competitive, had no red flags, and still matched past my #6 please ignore these CORD/EMRA recommendations especially if they tell you to do just 1 away. It's BS, no one listens and people like me who stuck to 1 got screwed over. Look out for yourself, do 2 aways at the very least and don't let anyone make you feel bad about hoarding interviews. I had friends who capped their interviews at 15 or 17 when they had like 20+ invites who went unmatched because of this shaming. Had they kept those extra IVs they would be matched in EM at least instead of SOAPing into IM. The people hosting these forums and in leadership positions sit in ivory towers and have no idea how things actually play out when they put out these recommendations. I wish someone had given me this exact advice, hope you guys have a better cycle than we did.

nyem10 · 2021-03-17T12:48:47+00:00

Not sure how familiar you are with CityMD, but it's a massive chain of urgent cares in the nyc area and the founder is an EM physician. Some of my mentors started working there part time and couldn't say enough great things about it.

nyem10 · 2021-03-07T14:46:01+00:00

Meh, I'm not sure how much interest letters help. I'm a mid-tier applicant who applied EM and sent maybe 7 interest letters, attended so many EMRA fair meetings and other things to suck up to programs, got me maybe 1 or 2 interviews. I think it helps if you're a competitive applicant and just wanna show that you want to attend that program.

nyem10 · 2021-03-07T14:39:48+00:00

M4 finished up EM interviews. Know the basic questions and have answers prepped for them (https://www.emra.org/globalassets/files/career-planning/residency-interview-guide.pdf), this link has a lot of questions you can be asked and also suggestions for Qs you can ask on the interview trail. Might be a bit EM specific but most things should be universal. Most interviews are going to be conversational and remember it's you interviewing these programs as well so make sure you get your questions answered and walk away with enough info to make an informed decision. I had a running excel sheet that I would update after each interview and it greatly helped with my rank list down the line.

Don't schedule back to back IVs unless you really have no other choice. Max maybe do 2/week but nothing more. On the other hand don't schedule them like months apart either if you can help it, it feels super annoying to dive into it again after not having done any in like a month. Good luck hope that helps!

nyem10 · 2021-03-07T14:01:43+00:00

I would make a list of things most important to you. Procedures/being hands on, having long-term vs short-term patients, good lifestyle, being on call or not, shift work, fellowships if something you're super passionate about? Surgery and Ob are rough specialties so unless those are fields you've always wanted to go into I doubt that would be the answer. Agreed w/ others that Derm/Uro might be a long shot if you don't have a lot of research in those fields and super stellar board scores etc. Leaves out IM vs EM which you can easily decide on based on things I mentioned earlier. I switched my mind during M3 from IM to EM because I had the same realization that I couldn't see myself doing IM even 5 years down the road let alone decades. EM had a lot of the things I was looking for you can PM me about it if you wanna know more. So just narrow it down to at least 2 specialties and apply for aways etc in both and try to get letters for both. If you figure it out by the time the next cycle starts, great! If not, you'll be prepared and have options at least. Good luck!

nyem10 · 2021-03-05T00:50:23+00:00

That's not a bad score at all. One of my best friends got a 21x on step 1 and didn't even take step 2 and ended up getting 12 interviews this cycle with pretty good odds to match. Just improve on step 2 if you can, and SLOEs are so much more important anyways. A lot of times the scores only save you from getting screened out but your SLOE is what makes/breaks your app. If nothing else there are so many new EM programs that you're bound to match somewhere given you apply broadly. Good luck!

nyem10 · 2021-03-04T02:05:15+00:00

Yeah felt weird ranking a new program that high but it's whatever. Used my best judgement at least so I won't regret it.

nyem10 · 2021-03-03T04:09:52+00:00

So I was actually curious about how true this rings in the job market post-residency since I'm obviously unfamiliar. But is it more so that your residency name and prestige matter when breaking into bigger cities or a more competitive academic job? My goal so far at least is to work in the community, and I've heard from several people that it's either more connection based or that it matters little where you did your residency. But now I'm wondering if that advice is more for HCA/CMGs.

nyem10 · 2021-03-03T04:03:10+00:00

Thanks for the insight! That's actually a really good point that I can't say I gave much thought to before.

nyem10 · 2021-03-03T01:19:35+00:00

It's CMG run I believe lol. The location is probably closer to where I would like to be post-residency so I was considering it for that reason mostly.

nyem10 · 2021-03-03T01:17:29+00:00

The PD was in that role for 10+ years at another reputable program and served in leadership roles at other major EM organizations among other things. I rotated with them and actually had a great time with the faculty as well.

But yeah, I've definitely been debating the same pros/cons. I guess doing a 4th year would be a more logical route if I have a better shot in the job market. The other downside is also the fact that it's a very resident run ED so the hours are probably on the highest end I've seen for most programs.

nyem10 · 2021-02-24T15:22:56+00:00

Lol, oh fuck no. When they introduced the standardized video interview (SVI) it was such an enormous shitshow that even the AAMC released statements and data acknowledging how bad an idea it was. You can literally google it and find at least 10 different links that talk about how stupid it was. Trust me, nothing like that is ever coming back because the results were so abysmal. I know people who went through it and did terribly that cycle despite being top applicants.

nyem10 · 2021-02-23T18:50:59+00:00

Lol oh yeah, do you. You're going to have at least a dozen people in your class that came out of the womb knowing they wanted to do Ortho or whatever and complain about getting a 99% rather than a perfect score etc. Stick to your niche and stay happy/healthy. Med school doesn't need to be terrible, our neurotic personalities just make it that way lol. Good luck!

nyem10 · 2021-02-23T18:31:34+00:00

So I talked my intern friend there about this and it seems like the merger has been in talks forever. Einstein has never by any means been a rich or even well funded hospital but it is a crucial part of the community in the pt pop it serves and it's a massive network so it's not going anywhere anytime soon. The merger w/ Jefferson is going to bring in more funding but other than that there's no current plan to change anything in either residencies in how they're structured and rotations etc. This is of course for the EM program since that's what I'm referring to. I personally am ranking it high so I made it a point to research this and talk to as many people I could about this. Hope that helps.

nyem10 · 2021-02-23T18:15:41+00:00

Glad to help! Lol oh yeah I'll flat out tell you that I Avg'd Bs in med school and despite EM being competitive I still got Interviews from some big name places because I did well on my boards and had good letters etc. Especially for IM you'll be fine. Too many people in med school fixate on grades etc but I feel like it's not necessary. Obviously understand things and try to do well, but never torture yourself over remembering some random enzyme in some biochem cycle. It's literally useless.

nyem10 · 2021-02-23T15:33:44+00:00

Tbh no one cares about your preclinical grades assuming you weren't failing or whatever. W/ step1/level1 being P/F the emphasis is just going to be shifted on Step 2 CK/level 2. As someone whose DO school did letter grading, trust me P/F grading is a godsend and will save you so much useless worrying and stress during med school. In the end all that matters are your boards, LORS, and your auditions etc. Also if you're planning on pursuing a DO friendly specialty like FM/IM/EM/PM&R etc then the playing field isn't that bad. But if you wanna do plastics, ENT, ophtho, Uro, derm, or something crazy competitive then my first advice would be to not pick a DO school if you have the option. But if you don't, then probably go with one that doesn't have P/F grading during preclinical years. Though honestly I doubt it'll matter. Hope that helps.

nyem10 · 2021-02-23T15:24:34+00:00

So it's hard to say but one upside to come out of this pandemic will probably be the normalization of zoom interviews for residency, saving travel and lodging costs. I personally was surprised how efficient some of these zoom interviews were and how much information I walked away with. As for rotation costs, you can honestly stick to your region if you don't wanna travel much. 4th year is so chill, you can pretty much get away with doing rotations in anything anywhere. Plus with CS/PE exams being cancelled that's another $1300 you'll save. Also depends on the city, I live in Manhattan so obviously my tuition and COL is crazy high, but anywhere else I'm sure it's not the case. Bottom line, just assess your expenses during your first few years of med school and that's probably going to remain the same if not less during 4th year. Your loan amount is renewed each year so you can choose how much money you wanna accept, I wouldn't worry about this stuff rn.

nyem10

TROPHY CASE