Med School: private, northeast, not top 50
Step 1: 240s
Rank: Top 1/3
AOA: Senior AOA
Preclinicals: mostly honors
Clinicals: Honors: Family, Peds, Psych, Ob/Gyn, Ortho, HP everything else
Ortho: 2 away rotations, plus home
Letters: home chairman, home program director, home well-known spine surgeon, 1 non-ortho from 3rd year medicine rotation. All letters were pretty strong, but I have a hard time believing someone will write a letter that is weak for any student. Name matters a lot and I was consistently asked about my letter writers.
Research: A very important part in my opinion. 2 papers in print, 2 submitted, 1 book chapter, 5 abstracts (1 accepted, 4 submitted). 6 of these were 1st author, rest were 2nd or 3rd. Work hard here, itâll pay off later.
Extracurriculars: leadership roles in a professional club, a service club, and student council.
How many Programs:
Applied to: ~80 (overkill in hindsight, but better safe than sorry)
Offered Interviews: 24
Attended: 17
Did not attend (mostly conflicts): BU, Indiana, Maryland, Maimonides, USF, SUNY Upstate, Campbell Clinic
What I looked for: Good mix of academics and operative experience. No deficiencies (ie need strong mentorship in departments in case you want to go into a particular specialty). City location (single scene, activities). Strong resident camaraderie. Good leadership but down to earth faculty also. Needs to be strong in things Iâm interested in (spine, joints, peds, sports).
Tier 1a (aka would be ecstatic to go to any of these)
1. Northwestern: rotated here. Great program with a great location in a great city. Big program (9) with residents that I got along with. Faculty are very supportive. Didactics every morning, and residents are committed to learning from the books before learning with the knife. World-class facilities. Only downsides: recently tumor surgeon and future chairman unfortunately passed away, faculty are dedicated to education but academics is not very pervasive here for some reason despite all the resources, trauma-light (could be considered as a pro also), operative experience was average.
2. University of Miami: My favorite program all together. Did not rotate here. Wasnât sure what to expect, but I was blown away by the interview day. Loved that the program had no deficiencies in any department, resident camaraderie was very very strong, great Miami location, faculty were all down to earth. Very strong in Spine, Trauma, and Tumor. Residents also hang out outside and enjoy Miami a lot. Also, residents operate like crazy, and from what I understand, they get top fellowships for this reason as well as the strong leadership from their chairman. Cons were getting killed as a PGY2 (which is at every program), work hard/play hard may not be for everyone, Miami was far from home.
3. UCLA: rotated here. Close to home, so very tempted by its location. Great academics. Faculty is dedicated to teaching and well-represented in every field. Biggest knocks were very very slow trauma service, operative experience rumors (I thought it was average, others said it was notâ¦this is a program where you learn properly how to operate from teaching but not from repetition). Bottom-line: great academic name with a great location but average operative experience.
Tier 1b(aka would have loved to match here)
4. NYU: strong program in awesome location. Big (12 residents), cool residents, mixed personalities due to size. Faculty are supportive, but lots of staff means mixed personalities. They operate a lot and have a strong academic profile. Didactics were pretty good. Cons were NYC unionized nursing system can be a hassle and rumors of malignancy (not sure how true these are).
5. UCSF: most balanced program I saw. Once again, great academics, good location, cool residents. Something with the vibe didnât fit well with me. Cons: SF is not for everyone, expensive, rumors of malignancy? (not sure again)
6. Jefferson: Rotated here. Strong program in Philly with especially strong spine, joints, and shoulder/ elbow. Program is creating a larger trauma/ tumor base, so it should be even better in coming years. Cool residents who match well into fellowships. Huge volume = less time to learn from your mistakes in the OR. Very busy. Would love to do a fellowship there, but for residency I wanted a program more focused on education.
7. UCI: Very impressed on interview day. Complete, no deficiencies, strong leadership, great fellowships, operate early and often. PD and chairman will vouch for you down the line for jobs also. Residents were OK, mixed bag, some werenât very social. Orange County is nice, but its very suburban, and I wanted a city.
Tier 2 (aka I liked all of these, ranked by location)
8. UChicago: Really wanted to live in Chicago if I didnât match in my top tiers. Awesome chairman. Got a great vibe on the interview day, felt welcomed, and I fit right in. Very strong in tumor. Residents have to drive around a lot.
9. UIC: Wanted to live in Chicago. Nothing stood out, but nothing looked bad. Cush life for residents, but they operate a lot. All of them seemed to enjoy it. Lots of driving.
10. USC: SoCal location, and they operate like crazy. Cool group of residents who can handle anything. Maybe too trauma heavy for me which left less time for other specialties. Residents all loved it. Weak didactics. Big program (10, I think)
11. GWU: Strong program in DC. Residents operate a lot, and academics is pretty strong. Peds exposure starts in PGY4, which was a big downside. Chairman is old-school, but an advocate nonetheless. All-in-all, well-balanced and DC is a great town to live in.
12. UMDNJ- NJMS: No program operates as much as UMDNJ. Faculty are all very supportive. Residents were friendly. Newark is not a desirable location for meâ¦close to NYC but not in it.
13. Drexel: Trauma-heavy Philly program. Complete, no deficiencies. Residents liked being there. Hospital is a bit run down. Lots of driving.
14. Ohio State: A very strong program. New chairman has really turned things around and this will be a powerhouse in coming years. Promises are not guarantees though. Beautiful new facilities. Columbus is a college town, but still has a metropolitan feel. Location was the key that made me drop it down.
Tier 3:
15. SUNY Downstate: Operative-heavy Brooklyn program. Hospital gets a lot of dump-off cases from other NYC hospitals and many unique cases. A bit run-down, but residents come out ready to handle anything. Not much academics.
16. Loma Linda: Great program for operative experience. Not my cup of tea in terms of 7th Day Adventist feel and suburban setting.
17. Wayne State: Relatively new program. Cush life, not too busy, operate a lot. Detroit suburbs was not cutting it for me despite having some family nearby.
Matched at: Tier 1a and Iâm very very excited to get started.
My advice to future applicants:
1. Pick your aways carefully, go where you would like to go for residency and not where you will get a strong letter. I didnât use a single letter from my aways.
2. For your aways, be helpful but also be a human being. They want people who they can get along with and a share beer after work with. Know your stuff in the OR. Donât try to show-off.
3. Letters matter a good amount, but the content will not be terribly different from one to another. Get letters from people who you know will support you if they receive a phone call from a PD at a program you interviewed at. Having people who will make calls for you down the stretch is key also.
4. Research matters and I think it was a good reason I got some interviews. The more the better, but the key is to have something to talk about during your interview.
5. The interview matters a lot. Be yourself, be personable, smile. I cannot emphasize this enough. This is an interview for them to see how you are normally. Donât try to be overly serious, but donât try to be too loose either.
6. Be humble and apply broadly. Interview broadly. You donât want to mess things up when youâve worked so hard for 4 years.
7. In my opinion, 95% of programs will train you well. Know what you want in a program and donât let reputation or academic name cloud your judgment. Every program matches well into fellowships.
Hope this helps!