Reapplicant following a research year.
Med School: Top 40 Private
Boards: Step 1: 230s, Step 2: 240s
Rank: No class rank, but about top 1/3 by GPA I think
AOA: Nope
Clinical Grades: All Honors except High Pass in Psych and OB/GYN
Sub-I x2: Home program and one away. Didnât do any additional Sub-Is during research year.
Research: 20+ publications, abstracts, presentations, most ortho, including 5 submitted/accepted ortho papers from my research year.
Letters: 1 home chair, 1 home PD, 1 home attending, 1 research chair, 1 research PhD, 1 non-ortho letter. I only sent programs that requested a chair letter my home chair letter because that one was probably the least personal (although I donât know that for sure). The non-ortho letter only went to those programs that specifically asked for it (UCSF, Tufts, and maybe a few others).
Other stuff: College athlete
Applied: 140
Offered: 42
Attended: 17 (UAB, U Conn, Yale, Emory, AMC, Hopkins, Wash U, NYU-HJD, Rochester, Cleveland Clinic, Case, Brown, MUSC, Orlando, New Mexico, Mizzou, and Wayne St)
Canceled: 25 (UCSF, UCLA, USC, Harbor, Kentucky, Dartmouth, Stony Brook, Cincinnati, Ohio St, WVU, MCW, Shreveport, DMC, Grand Rapids, Seton Hall, Albany, Downstate, LIJ, Lenox Hill, Upstate, Wright St, St. Lukeâs, Hamot, JPS, and Marshall)
Most cancellations were due to date conflicts, but 5-6 were cancelled because I was simply burnt out.
Ranked 17: Did not rank one program, ranked one 6-year research track.
Rank criteria: want to do academics (ie. research/reputation), location (near family), cost of living (afford single family home), operative experience (broad exposure, early operative experience), lifestyle (prefer night float), rotations (prefer no away rotations, minimal clinical sites), felt like my personality fit well with faculty and residents, collegial attitude between residents and faculty.
Ranked alphabetical by tiers:
Tier 1: Programs with strong academic reputations, mostly in locations close to family and reasonable cost of living, with good operative experience.
Brown: The biggest drawback for most is itâs a 6-year program, but since I like research and want to do academics it was a plus. Moreover, Brown is different from most 6-year programs. You do not do a full research year between your junior years, but 6 months of a mini-trauma fellowship and 6 months of research at the end. Also, you get paid more like a part time attending during this fellow year than as a resident. The faculty and residents seemed very laid back and collegial towards each others. Well organized and faculty run didactics. Good location for me, reasonable cost of living for NE. No night float and residents said intern and PGY-2 year pretty rough with not much operative time to offset the pain.
Emory: Really seemed to fit in well with the residents and faculty. The operative experience at Emory sounds amazing. Interns do all their call during the year with ortho at Grady, meaning an impressive amount of OR time as an intern and even more as a PGY-2. The lifestyle seems pretty rough for the first couple years since most of it is at Grady, but at least you get to operate a ton. Later years have a better lifestyle with mostly home call. Atlanta is an affordable city with great weather, near family and friends. Apparently starting up a research collaboration with GaTech for mechanical and biomedical engineering projects which is awesome. The only real downside to Emory is they have many clinical sites spread around the city, which can be a pain with traffic. However, this is only for a couple specialty rotations with most time being at Grady or the Emory Ortho hospital.
Rochester: Number one NIH funded ortho department. A night float type call. Didnât get a good idea if I fit in very well with the residents during my interview, but I was amazed at all the faculty just hanging out and chatting with applicants. Rochester weather sucks, but I have family in the area. Lots of volume, every specialty covered, only have to spilt time between a few clinical sites that are very close to each other. Very affordable and family friendly city.
Wash U: Iâll be honest, Wash U is up here because itâs Wash U and I pretty much knew I had no shot to match here (I requested email feedback and was not âhighly competitiveâ). Obviously an awesome program. Has night float, every specialty, mostly centralized clinical campus, no away rotations, great didactics run by faculty. But I have no family or friends anywhere near by. I actually really liked St. Louis, good size city, affordable, family friendly, and weather pretty good for Midwest. The interviews were definitely intense, and didnât really get a sense of how the faculty or residents interacted with each other. The residents were very nice, but I felt I was too politically incorrect to fit in well. Not to be sexist, but it could really have just been that I was unused to being around a program with so many women.
Yale: One of my biggest surprises of the season. Some of the happiest residents I met. Sound like they get great operative experience early as an intern and PGY-2 while also having tons of dedicated research time (2.5 months as a 3, 4, and 5). Good mix of faculty experience. Every specialty covered, but you do have one joint rotation about an hour away. Also spend a good chunk of intern year at a different clinical site 30+ min away. New Haven was a really the biggest minus. Cost of living not too bad, but no international airport would really suck for my wifeâs family that would need to fly to visit.
Tier 2: Either less academic programs with a great operative experience in goof locations, or great academic programs with something missing.
AMC: Good location (see Emory above). Awesome operative experience with great trauma experience at main hospital and then community rotations with the best private guys in Atlanta including numerous physicians of the pro teams. Also rotations with Emory for tumor and possibly spine and trauma. The residents were real laid back with each other and the faculty. Nice new bioskills labs. The main drawback was the lack of research and academic reputation. However, it sounds like effort is being made to improve this.
Cleveland Clinic: Amazing program, really liked the faculty and residents I met, great academic reputation and research, but the two things that knocked it down were Cleveland (no friends/family) and the lack of trauma. I also didnât like how many clinical sites you rotate through including 45+ min away for peds.
Orlando: Felt very similar to AMC. Good location, close to family and friends, good weather, and Disney World for the kids. But like AMC, not much research going on which they are also trying to establish with UCF.
Rochester 6-year: All the same as above, but an extra year of research. Donât really want to spend another year just on research but would rather spend an extra year at a program in a location I want to be at than some of the programs further down the list.
U Conn: Close to family and friends in NE. Sounds like they have a pretty good lifestyle with a lot of mid-level support (no weekday call, covered by PAs!). Awesome bioskills and wetlab space. Seem to have a lot of research money with new faculty coming in. I met almost every residents during the social and interview day. I think it shows a lot if a program can basically give their residents an entire day off just to hang out with applicants. Hartford seemed okay.
Tier 3: Mostly big name places in locations Iâd prefer not to be.
Case: Great name, great operative experience. Just felt most of the residents were not happy being in Cleveland.
Hopkins: Iâve been to Baltimore many times, and for some reason I just donât want to live there. All the faculty and residents were very nice, but I had concerns about the operative experience, especially in trauma and the Shock rotation being dropped.
Mizzou: I think the attendings were the most down to earth and nicest I met. However, I didnât feel like I fit in well with the residents. Moreover, I did not want to be in a college town and the program is going through a lot of changes.
NYU-HJD: Awesome name and research, Zuckerman is the man, the residents I met were cool, but there are so many of them I felt I barely grazed the surface. It just would have been a huge sacrifice of lifestyle trying to live in NYC. If I was 5 years younger and without kids, it would have definitely been in my Tier 1.
UAB: Good location near family and friends, I just didnât feel I fit in with the residents and faculty. Plus there seems to have been a lot of faculty leaving recently, so that made me a little wary. But known as a strong program with great operative experience. Birmingham seemed like a very affordable and family friendly city.
Tier 4: Told me I was not a good fit for them, soâ¦
MUSC: Some faculty and residents said I wouldnât fit in because I wanted to do academics. Honestly, I was not impressed and almost didnât rank them. But I figured spending 5 years in Charleston would be better than not matching.
New Mexico: Was told by PD I was too academic. Not sure why they invited me for an interview, but at least I got to eat some good food while there.
Not ranked:
Wayne St: New program, weird interview day (no tour, no social, only met a couple residents and faculty), decided Iâd rather not match than live in Detriot.
I matched in my Tier 1 and am absolutely ecstatic!