The Gateway to Your Orthopaedic Career.
  Thursday, 08 July 2010
  9 Replies
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Hi Everyone,

I'm a first year resident doing a transitional year and then going into radiology, but for an elective rotation I'm doing ortho and am really enjoying it and have started considering switching over to ortho. I'm a little nervous about my prospects for getting in though. I have a good application I think except for a HUGE glaring hole:

Step1: 268
Step 2CK: 281
AOA
Some research, not ortho, no publications
Honors in all preclinical classes, mostly honors in clinical rotations (honored surgery, but did NOT honor a 2 week mandatory ortho rotation we had)

So basically I only have that 2 weeks of ortho that I had late in my 4th year (at which point I was sort of in interview land and not caring about rotations, hence just a passing grade). I don't know any of the faculty at my home school, and maybe I can get one or two LORs from ortho docs that I'm working with right now, but they are private practice docs and will probably only know me moderately well.

Any ideas on my chances of matching somewhere? I was thinking if I decided to go through with it I would apply to mainly "middle tier" programs as I think I would have a real hard time getting in somewhere that's a really competitive program. Let me know if you think this would be a good strategy or not.

Thanks fora any help.
15 years ago
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#56505
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I would focus on the positives here: you got a 268? That's kick-ass.
I understand that many places have cut-offs. At least you won't have to worry on being excluded based on your Step I score. Nice job.
15 years ago
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#56506
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Thanks netminder. Yeah, I studied for quite awhile to pull off that score. I'm thinking more and more that I'm going to go through with the switch, but I'm just getting nervous because it's growing closer to crunch time and I have a nice radiology slot at a top program that I would be giving up for the hopes of matching into ortho. But I suppose I'll take the plunge.

So I've been thinking I should explain my whole situation and lack of medical student rotations in ortho in my personal statement. Do you that would be a good way to use the personal statement?

Thanks again.
15 years ago
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#56507
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I am a student myself and as such am no authority. However, I have sought the advice of many. If I were in your position, I wouldn't sound more than a sentence or two of my PS "explaining" why you don't have, really, anything. The thing to remember is that your stats are eyepopping: 268, 271, AOA. Numbers like that WILL catch the eyes of PD's. Most people only dream of having stats like yours. I would spend the majority of your PS discussing why you want to do ortho. Exlpain what inspired you, how, and why. If someone asks you about your almost-radiologiness on an interview, tell he truth based on how you feel. Maybe I can hit you up for some Step I studying advice as it gets closer for me.
15 years ago
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#56508
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As for leaving behind he great radiology spot in a top program, give it up for someone who really wants to do radiology. If you truly want to do ortho, for yourself, do the right thing, not the safe thing. You will be much happier.
15 years ago
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#56509
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Thanks again for the advice netminder. I've found the hardest part of med school for me has been figuring out what I want to do with my life. I've changed my mind so many times that I feel like I can hardly even trust myself to come up with the right decision. Parts of radiology feel right and parts feel wrong. Parts of ortho feel right and parts feel wrong...although I suspect the parts that feel wrong may just be concerns over lifestyle issues...which I think I can probably overcome once I get to residency.

As for USMLE advice: I studied for about 33 days after the end of 2nd year. I spent 8-10 hours per day studying. I used First Aid and Kaplan Q-bank almost exclusively. For the Q-bank I only did full length tests on a timed, random question content setting. If you haven't yet taken the test then I would say you should try to use a similar strategy and just hope for the best.
15 years ago
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#56510
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Best of luck, my friend. As mentioned before, you'll have no trouble getting through the door, the question is whether you can develop a plausible bridge between your sincere burning to become a Radiologist and a sincere burning to become a licensed carpenter. In many respects the disciplines are at different ends of the same continuum, and you could probably knit a very clever argument from "diagnosing to treating" an MSK disease, but someone somewhere will ask about the "hands-on" aspect so have a good answer.

The old joke goes:
How do you hide $100 from an OBGYN? -tape it to the patient's forehead.
How do you hide $100 from an Internist? -put it under the dressing.
How do you hide $100 from a Neurosurgeon? -give it to his kid.
How do you hide $100 from a Radiologist? -make the patient hold it.
How do you hide $100 from an Orthopaedic Surgeon? -put it in a textbook.
How do you hide $100 from a Cardiologist? -you can't.

Also, I've written before on how LoR are generally crap, but if there's someone famous at your institution it might help your cause a great deal to get his/her name at the bottom of one of yours.
15 years ago
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#56511
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Merlin, this is a great version of the old joke. rh2010, thanks for the perspective on studying for Step 1. No, I have not taken it yet, and you are clearly a credible source of information.
15 years ago
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#56512
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Thanks again for the advice netminder. . .

As for USMLE advice]

rh 2010, thanks for the advice re: Step 1. I really appreciate it. I have a lot of studying to do, and a lot to learn in general. It's good to hear from folks who have been through all of this and done so well. Good luck with your decision. Keep us posted.
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