Hovering over the shoulders of program directors throughout the country right after the NRMP match, sponsoring hospital and medical school administration eagerly monitor the match results and statistics from each radiology residency. And, what excites these bureaucrats?
First and foremost, they love it when you’ve matched all your spots, a legitimate achievement. Second, these administrators want to see how far down the rank list you went. Now, I believe this to be a bogus statistic because many of our best residents have been ranked farther down the rank list. But, OK, I will give them that statistic willingly (although I think it’s silly!)
And, finally, they ask to see how many residents came from “Ivy League” institutions. Now, this arena is where I have a real problem. It shows a lack of insight into the residency selection process and medical school training, as well as demonstrates a hubris undeserved of the sponsoring institution. And, let me tell you why.
Medical School Selection Bias
With all this talk about Lori Loughlin and the unfair practices of the university selection process and knowing what I know about the university selection process, I believe that university selection biases also apply to many medical schools. In particular, these issues tend to affect “Ivy League” medical schools more than most because of the aggressive pursuit of applicants (and snowplow Moms!) to get in. Between legacy favoritism and the eternal quest for diversity (not necessarily having to do with the making of a quality physician), these institutions do not necessarily select for the best candidates at our radiology program. Now, don’t get me wrong. There are some great students at these institutions. But, great students sit on the rosters of almost any medical school.
Poor Fit For The Institution?
Many of the candidates that come from “Ivy League” medical school (not all) want to work in radiology residency programs that have a preference for getting grants and bench research. And, not all programs offer this sort of work. Instead, some residencies provide a solid clinical experience without in-depth bench research. Why would these candidates fit in well with the philosophy of these programs? They do not!
No Difference In Resident Performance
In this realm, I am a bit biased. But, in a look back of all the residents that we have had over the years, our best residents ironically have often come from Caribbean medical schools or have been D.O. candidates. Not to say that the “Ivy League” graduates have been terrible. But, I have not seen standouts of increased performance compared to the other residents in our program.
And this same idea you can also see in the top 20 CEOs in this country. Take a look at the Crain’s Chicago Business article called No One Asks Where The Top 20 CEOs Went To College. (Hint: Only one went to an Ivy League institution) So, why make an increased effort to recruit these applicants when these residents have not performed any better?
Possible Attitude Issues
And finally, as an associate residency director, what is one of the worst things I can do? Well, naturally, recruit residents that do not want to be here. If we are a profoundly clinical residency without that hardcore research component, why would I want to hire an applicant who intends to apply for research grants? These sorts of residents can develop the wrong attitude for a residency program without these resources and will regret being there. Discontented residents make for a miserable residency experience.
The “Ivy League” Applicant
Now, I am not saying that programs should avoid taking applicants from these prestigious medical schools. Indeed, many will make excellent residents. My point is that great residents can come from any medical school. To make accepting these residents into your program as a badge of honor neglects the right reason for the application process in the first place. And what is that reason? It is to find a candidate who thrives and performs successfully over the four years of training!
Hello! I am a U.S. Allopathic medical third-year medical student who is highly interested in applying for a residency in diagnostic radiology. However, I am concerned that my Step 1 score (227) will hinder my application. I ultimately would like to return home to California. However, I do understand that some of the most competitive residencies are in the Westcoast. Other than improving on my Step 2 score, what other steps could I take to increase my chances of matching? Do away rotations help, especially since I’d like to return home to the Westcoast?
Thank you!
Answer:
Away Rotations
Let me start by answering the end of the question first because I have received several requests to find out about if away rotations work to enhance the application. So, I like to say that away rotations are a double-edged sword. On the sharp-edged side, if you are the type of person that is outgoing and forms spontaneous connections with the folks you work with, then an away rotation can work well. You will be memorable to the admissions committee in a good way. On the other dull-edged side, if you are timid or not very remarkable, an away rotation can work against you.
When the admissions committee meets at most institutions, the program coordinator and the residents will usually speak up and say that a candidate did or did not work well in the institution. If the residents and program directors do not get to know you well, that can become a red flag.
California And The USMLE
For California specifically, as of this more competitive calendar year, your scores may prevent you from getting through some of the screening protocols at the residency programs. California programs for anything has become more and more competitive. Not that a score of 227 is terrible, but residency programs do have lots of applications to screen. And, some use it as a prelim screening criteria. I would imagine that some institutions may have higher minimums and some not.
That said, I would not let your USMLE scores dissuade you from applying to any institution. Many programs will deem your number to be adequate depending on what else you have accomplished during your residency. And yes, an improved Step II score will help your application a lot.
Other Issues
Assuming that you are still in the midst of your third-year rotations, the best thing that you can do to bolster your application is to do well on your clinical rotations at this point. The Deans Letter is the most scrutinized piece of the application. So, anything that you can do to improve that would be high yield.
And finally, if you have some time, I would try to pursue a short radiology project or two during the rest of the year. What kinds of projects? Well, case reviews or quick retrospective studies would be the types of projects that you should look for specifically. These sorts of projects show interest in the field of radiology and give you significant involvement in the field. At the bare minimum, it will provide you some talking points during interview season. And, at best, they will give you a few published or presented projects before the application screening/interview season begins.
I have recently discovered your website, and I am amazed by your level of empathy and willingness to help. Your effort here is something quite unparalleled. I highly value taking and giving feedback, and after reading tons of your articles, I wanted to express how much I appreciate your work here on this website. Especially the last article gave me extra courage to contact you.
I am an FMG as well, and I am currently working as a full-time research fellow in the United States, and at the same time, I am studying for the steps. If I can take all three (Step I USMLE, CK and CS), I will apply for Match 2019, but I am not sure if I can make it till September. So what would be the latest date to upload my ERAS data to be on the safe side? I am afraid to make a hasty move that can ruin the whole application.
Secondly, how should I spend my time here to increase my chances of matching apart from my research? I truly believe this blog is a treasure so I will probably read all the articles (Yes, believe me!, that is what I usually do when I find something excellent to read) and give you more comprehensive feedback.
Also after reading all, I may find the courage to write an article myself and send it to you for a review but I must disclose that I am not well versed in writing at such a great level. I am looking forward to hearing from you and thanks in advance for your time and consideration.
Answer:
Hi, Thanks for the compliments. I have created to my blog to help out folks like you who are beginning. It’s tough out there!
Application Timing
Anyway, regarding your questions. First, I would make sure to get your applications in as early as possible. Often, programs will not interview those that have sent their applications in later. So, particularly as an international student, this would be critical. As soon as you get your scores back, I would recommend that you get that application in right away. Of course, don’t forget to edit it and check it over!
Fellowship 101
When you are doing your fellowship, I would make sure to get to know the program director and critical faculty in the radiology department. They often have significant connections that can help you to secure a position, whether in your fellowship institution or other programs as well.
Also, make sure to perform well in your fellowship. No slacking off (not that I believe you would). Put in that extra effort when you are there. Give great presentations and sound knowledgeable. Read a lot. Ask good questions.
Summary For The Research Fellow
These simple tasks will help you to create a good impression. And, any time you have an idea for an article, I would be happy to consider it for the website. I could always use a few more guest posts!
Hello, Dr. Julius. I am a foreign medical graduate in my third year of medical school, and I want to apply for a radiology residency after graduation. I wanted to know from your perspective what would make a foreign grad application stand out and prompt you to interview them.
Thank you for taking the time to answer my question!
Regards,
Want To Stand Out
Answer:
Foreign Grad Categories
To begin with, not all foreign residents are equal. I like to classify foreign medical grads into a few separate categories. First, you have the foreign medical grads who are United States citizens and have passed the USMLE exams. These folks tend to have the most excellent chance of acceptance because they do not have any VISA issues.
The second type of applicant is not a United States citizen but has also graduated from a foreign radiology residency in addition to an international medical school and has passed the USMLE exams. These graduates are usually a bit higher up on the totem pole because they have loads of experience to bring to a radiology residency program.
To categorize the rest, you have the non-US citizen foreign grad who has completed the USMLE series. Finally, the last group is non-US citizen foreign grads who have not completed the USMLE.
Depending on which category, your chances of an interview will vary dramatically. If you are part of the first category, you have the best chance of an interview. Instead, you have almost no chance if you are in the last group.
Regardless of which category, some U.S. radiology programs will not even look at your application if you come from a foreign medical school. So, you cannot expect to have as many interviews as a U.S. graduate. However, if you have U.S. citizenship, the odds are a bit higher.
Oh, and one more thing. Since the ACGME merged with the AOA, a D.O. graduate in the United States has the same options for residency as an M.D. Separate D.O. residencies will no longer exist. So, in effect, unfortunately, the increased pool of these non-MD candidates decreases the chances of obtaining an interview as a foreign grad.
Now That I Know My Chances, What Should I Do?
What can you do as a foreign grad if you are in any of these groups? First, I would recommend getting to know the program director and faculty to get the “inside track.” Often, personally knowing the faculty may be the only way to get an interview as a foreign grad. So, that would be my first strategy. What else? Participating in research or an observership can also help the foreign grad. Finally, the board scores of a foreign grad will often need to be significantly higher than an American grad to receive an interview.
Also, I received a lot of questions about how to apply. Most programs will not even look at your application unless you go through the ERAS system. So, make sure that you are filling out the ERAS application! And, unless it is a unique circumstance, don’t even bother to apply to a program without going through the online system.
Well, take a look at the following quote as one of the final statements in the interview as a summary for the articles, “The photograph does not provide useful information that is necessary for selecting qualified candidates. Unless there’s a compelling argument for why you need a photograph, which so far no one has brought to me, I think it is unnecessary. Everyone I’ve shown the article to has agreed with our point of view. I am concerned that this is a possibly illegal practice, that it can cause people to be discriminated against, and that it is unfair.”
What The Articles Got Right
Let’s step back for a moment and think about this statement. At first glance, I initially agreed with the concept behind the article. Programs should never use a photograph to prescreen candidates. For instance, let’s say that one of the screeners in a program happened to hate nose rings. And, the image of an applicant showed her wearing a nose ring. Then, we might have excluded this applicant from the interview pool not based on credentials, but rather a nose ring on a photograph. It could theoretically work that same way for race or ethnicity. That should never happen. I get it.
Where The Articles Went Too Far
But, let’s take it to the next level. Once applicants have made it through the prescreening process and have arrived at our site for an interview, pictures can be beneficial to the applicant and the process. We’ve already seen the candidate. And, every time I look at a picture of the applicant, it jogs my memory about the person, the conversation, and the time. Often, the picture saves the day since so many interviews on a busy day can blur the lines between the candidates. Why would you want to get rid of such a tool?
Furthermore, we all have eyes and faces. You can’t ask all applicants to wear masks to an interview. Likewise, you cannot blindfold all the interviewers. And, if the picture is not biased enough, what about our voices? I mean everyone has a distinct accent. Uh oh, now applicants must wear sound mufflers to make sure that we cannot determine their identities. And, what about our clothes? Our clothes can give away our culture and attitudes. Why don’t we have all applicants arrive at our interviews wearing the same required outfit? I think you get the point, but you can take anti-bias precautions to an extreme that no longer makes sense. And, that’s where both of these articles went.
My Final Opinion About Applicant Photographs
Applicant photographs do not belong in the prescreening process. We should choose who we interview based on merit alone. Perhaps, we should look at these pictures only after we have selected the candidate for an interview.
However, I believe these papers over-sanitize the interviewing process and residency program use of photographs. We are not perfect in making decisions about our candidates. And, we all have our innate biases. But, we should not erase the interview pictures from the applicant’s record just because it may affect our judgment. We need our judgment to decide who we should choose for our programs. Let’s not take this anti-bias point too far!
Every once in a while, radiology residents and former radiology residents will ask if they should use radiology recruiters to search for jobs. And, if you glance at some forums (which will remain nameless!), radiology recruiters are labeled the epitome of evil. But, what is the real story behind radiology recruiters? Does it ever make sense to utilize their services? Or should you believe the hype online? Based on my own experience and the perceived experience of current and former radiology job seekers, I will give you the lowdown on the lowly radiology recruiter. By the time I finish, you will understand the good, the bad, and the ugly! (the Amazon affiliate link to the actual movie!)
The Good
Let’s start with the merits of a recruiter. For some with less job experience, recruiters can help improve the applicant’s overall package. What do I mean by that? They can provide services like interview practice, resume scrutinization, and general mentorship. For some, these services can be invaluable.
And then sometimes, these recruiters can provide insights to the applicant, such as contract negotiation tactics, legal help with contracts, and tips for the uninitiated. The recruiter can serve these individuals well if you don’t have the appropriate background to know some of the finer details of these job negotiation skills.
In some markets where the job seekers are scarce and applicants have lots of opportunities, some practices will utilize a recruiter to gain an edge. Rumor has it that those practices that use a recruiter are second-class. But, I don’t believe that is necessarily so. Sometimes, these practices may be smaller or do not have the connections with the local residency program as a feeder for positions. In these situations, recruiters can provide a valuable service to these lesser-known smaller practices, matching the appropriate applicant for the right job opportunity.
Finally, if the applicant is unfamiliar with an area or market, good recruiters can provide a good reference for the lay of the land. A good radiology recruiter will know a lot about the location and the market opportunities. Sometimes, searching for this information can be challenging to find on one’s own during the throes of residency or fellowship.
The Bad
The interests of the radiology recruiter and the applicant do not always align. What do I mean by that? A radiology recruiter can heavily advocate for an applicant to take a job that does not match his needs. If you think about who typically pays the recruiter (the practice), it almost always makes sense for the recruiter to push the job. Now, this can happen whether the job fits or not. To that end, an “honest” radiology recruiter may avoid this conflict of interest. But this is the real world, folks. And, not all recruiters follow the rules of nobility!
The Ugly
So, think about it. How are recruiters paid? Typically, most recruiters receive payment from a practice (a retainer) when they have placed a candidate successfully. And now, who do you think would be the preferred candidate, all things being equal, if you have two folks with precisely the same credentials, one using a recruiter and the other going it alone? Well, it’s pretty simple. The applicant without the recruiter will get the job. Why? It’s free for the practice to acquire the resident without the recruiter! This problem leads to the ultimate paradox of recruiting!
The Real Truth Behind Radiology Recruiters
Radiology recruiters can be a godsend for those applying to noncompetitive locations who are unaware of job opportunities or do not have honed business skills. On the other hand, recruiters can put you at a distinct disadvantage for those interested in more competitive locales with a bit more experience and those who know the opportunities and most of the practices in the neighborhood. So in these cases, I recommend you try to network or cold-call first.
As you can see, based on your situation, a recruiter may or may not be suitable for the applicant. Here’s the bottom line. Do your homework before looking for a recruiter. Radiology recruiters can be the reason for obtaining or losing your next job!
Picture this: It’s more than halfway through radiology interview season. And you’ve already traveled through much of the United States to meet all sorts of radiologists. You’re a bit weary from all the work (Imagine how your interviewers feel!) So, with all that time and effort you have put into the radiology interview process, did the interviews make a significant difference? I mean, this is only radiology, right? A specialty that does not value human interactions as much as internal medicine let’s say? And what happens if some interviews went well and others stunk up the joint? Does it significantly change how the programs rank you on the rank list? Well, today, you are in for a treat. You are going to get an insider’s view of the process!
The Power Of The Radiology Interview
Even in radiology, if I were to say that the interview held no weight whatsoever, I would be lying! A radiology interviewee with good interviewing skills can potentially increase his chances of matching. On the other hand, the interviewee that fails miserably can detract from their application. So much so that occasionally the interviewer can give you the dreaded acronym DNR (Do Not Rank!). But let’s go into some more specifics here.
The Interviewing Maven
Are you one of those medical students who always sound intelligent to everyone you meet? Or, perhaps, your charisma infects the entire room? Let’s say your interviewers have a 10-point scale that considers all the information, including your Dean’s letter, recommendations, personal statement, research, experiences, and board scores. I have seen certain applicants bump themselves up to 3 points. So what does that mean? A lot! Most candidates drift around the middle of the rank list or in the 4-6 range. When you add three points to your application, that can place your application in a rarified atmosphere. It can almost ensure your acceptance to a program.
The Interviewing Wall-Flower
Are you shy or uncomfortable during interview situations? Or maybe, you always appear depressed and lethargic? Hmm… Perhaps, you have a bizarre schizoid appearance? How do these interviewer qualities affect your application? Let’s see. In my experience, an applicant that should be somewhere in the middle or top of the pack can go down to (drum roll please…), the land of nowhere. And where is that may you ask? DNR (Do Not Rank)!!!
On the other hand, the average poor interviewee who is not quite hitting the answers to questions well or making a few flubs usually gets detracted by a few points. However, that can still make an enormous difference in a competitive application process.
My Final Point
So, if you consider these calculations, which radiology interview has the power to change the status of your application the most, the good or the bad? It’s simple. A bad radiology interview trumps the potential positive effects of someone with a great one.
What is my final point of this exercise? Make sure to take the interview very seriously. Please, please, please. Practice before you come in. Tape yourself on your cell phone. Do whatever you must before arriving or showing up on Zoom. A radiology interview is critical. Your future livelihood is at stake!!!
As part of the radiology residency interview trail, most interviews begin with a welcome presentation delivered by the program directors. I know. Your eyes may start to glaze over as you think about these presentations. All of them blur together by the time you have reached your second or third interview.
But wait… Maybe there is more to these conferences than meets the eye. Although sometimes painful, these presentations are chock full of information that will become very important once you begin the radiology residency. And, believe it or not, the initial program director lecture content usually does summarize the residency programs well. So, try your best to maintain awareness instead of falling asleep in that comfy chair in a warm room with the program director droning on about the program. Listen very carefully and take notes. Your future career is on the line. Ignore it at your peril!
To summarize for today, my goal is to cue you on what you should tune into when you hear these lectures. Most quality presentations contain wide-ranging information, from residency rotations to information about ancillary staff and even imaging equipment. But what do you need to get out of the production? I’ve divided some of the most important themes you may not find elsewhere with the following subheadings: program theme, staff availability, teaching methods, program stability, and fellowship connections. We will go into all of these in more detail.
Program Theme
Every program has a general theme. Some programs are academic. Others produce community radiologists. And even others gear themselves to the interventional radiologist. Usually, the presentation develops one or more of these general themes. Most of the time, you will not find this information on the website or paper. For instance, I can tell you that when I gave the welcome presentation, I emphasized how our program runs as a private practice in an academic community setting. It doesn’t say that anywhere on the website or in the packets we give the applicants. You will be hard-pressed to find this information elsewhere. So, you need to take notes and write down the kind of program you are interviewing.
Staff Availability
Often, the welcome lecture summarizes how open the program is to input from the residents. Can you ask the attending a question on the fly? Or do you have to make an appointment month in advance to get the program director’s ear? You can derive a sense of the general communication between the residents and the attendings from the interaction with the program director and residents during the welcome session. Again, you won’t receive this information quickly from other sources.
Teaching Methods
Most presentations mention the styles that attendings utilize to teach the residents. Does the program emphasize multiple-choice questions at conferences? Do they like to use the Socratic method of teaching how to read films? Or maybe, the residents are taught chiefly by total immersion in the rotation. For some residents, this may be a crucial determiner of the effectiveness of their learning over four years. I’m unsure how you begin to find this information unless you know the other residents or the program director well.
Program Stability
If you listen carefully, the program director may talk about the attending staff at the institution. Are they all young? (Usually, that means there has been a recent collapse of the residency program) Or, as I like to say, do all the staff members stay around until they are in a “proverbial box.” The average age of the staff is 70. (If you see a residency program like this, maybe they churn their young attendings) This information can also be hard to come by using other means.
Fellowship Connections
Usually, you can find out where the former residents went to their fellowships after residency online. However, the program director may drop hints about getting their residents into these fellowships. That is just as important. Do the attendings have deep seeded connections at other institutions? Or rather, the program director may not talk about staff connections at all (A red flag!). Typically, the welcome presentation will divulge some additional information about these connections.
The Welcome Presentation- More Than Meets The Eye
As you can see, a welcome presentation is more than just a summary of all the information everyone already knows about the program. Typically, it summarizes facts about a residency program that you may not be able to find easily elsewhere. So, I recommend listening (as dull as some of them may be!). You may learn a thing or two that will help you decide where you want to match!
As radiology attendings, we need to sit next to our radiology residents for hours at a time. We get to know your quirks, mannerisms, and other personality features for better or for worse. (Kind of like a marriage!) Interviews are a time to let that personality shine through. We want to make sure that you are a living, breathing person with a soul. Can you speak understandably? Can you hold a conversation? Are you funny/witty? What’s your hygiene?
A radiology residency interview can also confirm that you are the person you say you are in the application. Can this person be trusted? Is this person going to lie to his attending about a procedure or history? For these reasons, significant weight is placed on the interview even though the process is imperfect. Furthermore, it does not always weed out the bad from the good.
Even knowing the importance of the radiology residency interview process, many prospective radiology residents enter the interview unprepared and have the perceived emotional/situational IQ of a tomato. If that were you, I recommend you practice your advertising pitch numerous times before beginning the interviews. If you want that residency job, you need to be the greatest of actors/actresses during the interview process. Show us that you can handle the demands of radiology residency!!!
Throughout my interview experience, I have seen all sorts of applicant disasters during the radiology residency interview process, usually related to unprepared applicants. Most can prevent these catastrophes with attention and practice. I am going to go through 10 real interview characters that have sabotaged their application. I hope these scenarios will be instructive in the art of the radiology residency interview. DON’T LET ONE OF THESE CHARACTERS BE YOU!!!
The Liar
Our third radiology residency interview candidate of the day walks into the room and shakes my hand firmly as we sit down to talk. He seems very focused, and I enjoy talking with him. He starts talking about how he developed an organization that hires famous CEO guest speakers to come to his medical school and lecture on business in medicine. Wow, very impressive! The interview ran smoothly, so I preliminarily gave him high marks.
After the interview session, the selection committee convenes to review each of the applicants. It turns out, the application and the other interviewer had different stories. Upon review of the application, it says he was just a member of the organization’s club. The other interviewer said he would only chauffeur the CEO to the meeting. Out of concern for the applicant’s integrity, we put him in the do not rank pile.
Bottom line: Make sure to get your story straight. Your oral presentation and written information should all be aligned. The interviewers regularly reconcile everything together. You need to tell the truth and stick with the same story!!
Smelly Guy At The Radiology Residency Interview
Before the formal interview procedure, we have a social interaction period with the residents to get to know the applicants. After most of the residents leave the room, we begin to hear some grumbling from the residents. So, I walk into the room, and as I walk toward a particular applicant, a stench becomes stronger and stronger. Oh my God!! It smells pungent, and I can almost taste it in my mouth. My impulse is to run, but I have to be cordial due to the circumstances. I am dreading the one on one interview process.
Bottom line: Make sure your hygiene is appropriate before starting your interviews. Appearances and “smells” are essential!!
The Sleepy Man
My introductory lecture to our residency program starts, and the lights begin to dim. I typically look at all the applicants in the room to keep the interest level high. But after 5 minutes of lecturing, I hear a loud freight train-like noise emanating from the back row in the form of an applicant in a suit. My assumption is he is not interested in the residency program: suitable applicant but low-interest level. We rank him toward the bottom of the list.
Bottom line: It is imperative to get a good sleep the night before the interviews. Even if the applicant was only tired but interested in our program, sleeping during the interview shows a lack of interest and respect.
Ms. Robot
I warmly introduce myself to an applicant as she enters the room for the formal interview. Entirely devoid of emotion and empathy, she responds, “Hi” quickly. We sit down, and the applicant immediately launches into this speech about herself without any voice inflection or changes in tone or speed. I have the sense she has done this a thousand times before. There is no “conversation-like” tone to her speech. No interactive quality. Is this the way she will behave when I have to sit with her for hours at a time? Even though her application was excellent, the applicant committee decided to give her a do not rank assessment.
Bottom line: Practice interviewing with others. Pretend you are having a conversation and interacting with your interviewer. Perceived personality is vital!
Shy Radiology Residency Interview Guy
The applicant walks into my interview room and introduces himself, but I can barely hear what he says. He stretches out to shake my hand. His hand feels cold, limp, clammy, and weak. The interview starts, and I try to get him to respond to my questions, but it’s like “pulling teeth.” The answers last 10 seconds at most. I asked the residents sitting next to him in the conference room about the candidate, and they said he didn’t speak a word. No one was able to figure out his personality. Even though his application was OK, we felt we could not put him on the rank list.
Bottom line: You need to get over your fears and act and speak with confidence. It may involve practice, coaching, and psychological evaluation. If we can’t figure out who you are during your interview, we are not sure if we want to sit next to you as a resident!!!
Mrs. Bizarro
Across from me in the interview area sits a pleasant-looking woman dressed appropriately. Everything seems fine until our conversation begins. Her eyes start to bulge out. Smiles and giggles burst out inappropriately in the middle and end of sentences. Even though she answers my questions mostly appropriately, something is off.
After the interview, we meet with the selection committee, and the first thing I ask is: what’s with Mrs. Bizarro? All the committee members look at me and say, “We were thinking the same thing!!!” We quickly took her off the rank list.
Bottom line: Practice your interviewing skills in front of a mirror or tape yourself on an iPhone. You need to know that your expressions are appropriate for the interview context. This lady may have been an excellent radiologist, but we sure would not feel comfortable having her sit next to us!!!
Not Quite Right, Joe
Toward the end of the interview, we start to talk about extracurricular activities and hobbies. The applicant proceeds to say that he was into cow-tipping as a college student. And one time, the college dean reprimanded him for the activity. Automatically, mental bells start ringing. Who would mention something like that in an interview setting? Why would someone want to do that to a cow? Off the rank list, he goes!
Bottom line: We are not your friends in the interview setting. Do not release any information that could jeopardize your application and make you appear strange. We do not want any issues during residency that could cause probation, suspension, or worse!
The Guy all the Residents Hate At The Radiology Residency Interview
I am having a great conversation with one of the applicants. He tells me about some of his exciting research projects and hobbies. He seems to be a straight shooter and is very witty. We end the conversation on a high note with expectations that we will rank the candidate highly.
After our interview, we met with the rest of the admissions committee. The admissions committee consists of the residency director, associate residency director (myself), chief resident, and several other senior residents. We begin to discuss the candidate at hand. Every single resident states something negative like: “This guy was obnoxious”; ‘He was chauvinistic,”; “Really bitingly sarcastic.” The directors are dumbfounded. We place the applicant in the do not rank pile.
Bottom line: You need to play nice with all members of the staff, especially the residents. They have essential input in the residency application process and interviews. The wrong statement can get you kicked off the rank list!!!
The Cell Phone Gal
I started giving the introductory talk to the applicants about the program. Every minute or two, I notice a woman looking down at her lap. Oh well… I continued with my lecture.
An hour later, we meet for an interview, and we shake hands. We sit down, and I start asking questions. The applicant seems a little bit distracted. Again her eyes continue to float down toward her lap every few minutes. All of a sudden, I hear a ring. She picks up the cell phone and says to me, “I need to get this.” She is not interested in our program.
Bottom line: Shut off your cell phone. You are here to interview for a job. It is a sign of disrespect to use your cell phone at any time during the interview process!
Opaque Sam
We parse through an applicant’s resume and ERAS transcript. The package states that the resident had a DUI arrest when he was a college student. So, the interview begins after some ice-breaking small talk. Naturally, a DUI arrest is a big deal. It signifies that the applicant has the potential to be an alcoholic and engage in risky behaviors. So, I anxiously pop the question: Tell me about what happened with your DUI arrest when you were in college? The applicant bluntly states, “It happened. It’s over. I don’t really want to talk about it further…” A moment of silence ensues.
Flash forward to the selection committee meeting. All the interviewers received the same response from the applicant. There was no response of remorse. No explanation for the event. Nothing. Our committee put the applicant in the do not rank pile.
Bottom line: Candidates should address any adverse events upfront, or else an admissions committee may perceive the applicant as hiding something significant, whether true or not. Don’t be like Opaque Sam!!
Sabotaging Your Radiology Residency Interview!
Interviewing is often about what not to do as much as it is what you should say. Make sure you prepare for the interview day. And, don’t be like our ten catastrophic characters!!!
Personal statements in the radiology field are the least effective way to bolster your application. (1) Rarely, do they help an applicant. Occasionally, they hurt the applicant’s case. Regardless, I am aware that the personal statement will often become essential to many viewers of this article who apply to radiology regardless of whatever I say. Therefore, I am creating this blog for anyone that is applying for a radiology related job to learn to create that killer radiology personal statement. And, today I am going to recount some of the basics for creating one. Specifically, I am going to start by explaining the parts of a great radiology personal statement and then give you some general tips that I have learned over the years from blogging and reading many personal statements.
First Paragraph:
The Hook
After having rummaged through thousands of radiology personal statements and writing lots of blogs, I can definitely say that the key paragraph for the reader begins at the beginning. If it is average/boring, I have almost zero desire to read the rest of the statement, especially when you have another 10 more to read that day. Something in the few first few sentences needs to draw the reader in quickly. You are not writing a short story or novel where you can slowly develop your characters and plot. Rather, you need to write using a technique that I like to call the hook. Reel that program director in.
There are several techniques that I have seen over the years. Let’s start by using the writing technique of irony. Notice the irony I chose in the first paragraph of this article. I started by saying personal statements are the least effective way to bolster your application. Whoa, wait a minute! The title of the article is How To Create A Killer Personal Statement. That’s somewhat interesting. The dissonance in that first paragraph draws the reader in.
So, what other techniques can you use to maintain the interest of the reader? Sometimes quotes can certainly help. Once in a while, I come across a quote that really interests me. I tend to like quotes from Albert Einstein. They tend to be witty and have double meanings. But, there are certainly millions to choose from. A good quote can set the tone for the rest of the personal statement.
Finally, you can write about an interesting theatrical description of a life-altering event that caused you to want to go into radiology. Use descriptive novel-like adjectives and adverbs. Go to town. However, be careful. Don’t choose the same events as everyone else. Read my other blog called Radiology Personal Statement Mythbusters to give you some other ideas about what not to choose!
Tell Why You Are Interested In Radiology
The first paragraph is also an important place to tell the reader why you are interested in radiology. Many times I will read a radiology personal statement and say to myself that was kind of interesting, but why does this person want to go into the radiology field? He/she never quite answers the question and I am left feeling that this person does not know why they want to enter the field. Don’t let that be you!
Second Paragraph:
Explain Any Problems/Issues
I like the applicant to be upfront with the reader rather quickly if there was an issue that may cause a program director or resident to discard an application. It could be addressing something as serious as a former conviction for drunk driving when you were young and stupid. Or, it could be something milder like a questionable quotation from a mentor that you found in your Deans Letter. Either way, you need to explain yourself. Otherwise, the problem/issue can declare itself as a red flag. Subsequently, it can prevent you from getting the interview that you really want.
Second and Third Paragraphs
Expand Upon Your Application
Let’s say you don’t really have any red flags in your application. Well then, now you can write about some of the things that you accomplished that you want to bring to the attention of your reader. Typically, these may be items in your application that are partially explained in the experience or research sections of the ERAS application but really deserve further emphasis or explanation.
Show Not Tell
In addition, the meat of any personal statement should contain information about what you did. Do not, instead, describe all the characteristics you had to allow you to do it. This is a cardinal mistake I often see in many personal statements. What do I mean by that? If you have been working at NASA on the Webb Space Telescope, you don’t want to say I was a hard worker and was well liked by everybody. Rather you would want to say I spent 1000 hours building the mirror for the telescope constantly correcting for mistakes to such a fine degree that the engineering societies considered it to be almost perfect. And to show you were well liked by everybody, you can say when you were done completing the telescope, NASA held a ticker tape parade for me!!! (Well, that’s probably not the case. But, hopefully, you get the idea.)
Final Paragraph
Time to Sum Up
This can be the most difficult part of writing a personal statement (and blog too!) How do you tie everything together into a tight knot so that everything comes together and makes sense? Well, one thing you can write about is what you will bring to the table if your residency program selects you based on what you have stated in your radiology personal statement. Back to the Webb telescope example: Given my experience with my successful quest for perfection by creating an almost perfect telescope mirror, similarly, I plan to hone my skills to become an incredible radiologist by always learning from others and my fellow clinicians to get as close to perfection as possible. Bottom line. You want to make sure to apply your experiences to the job that you want to get.
General Issues With Editing
1. I have learned a few things about writing over the past years, whether it is blogs, personal statements, letters, or whatever else you need to write. However, the most important is the obsessive need to review and re-review whatever you are writing for editing. It may take 100 edits to get it right!!!
2. Have a friend or a relative read your personal statement to catch errors you may not see. Your brain is trained to already know what you have written. Many times the only way to catch your own mistakes is to have another person read your writings.
3. Also, make sure to the read the personal statement out loud. Sometimes you can only detect errors by listening to what you have actually written. It happened many times when I edited my book Radsresident: A Guidebook For The Radiology Applicant And Radiology Resident
4. Finally, I recommend the use of grammar correcting programs. The one that I would like to bring to your attention is the program called Grammarly. I am an affiliate of Grammarly. However, that is only because I use the program myself for my blogs all the time. It has saved me from really stupid mistakes. One version is for free and corrects simple critical errors. The other uses more complex grammatical corrections and is a paid service. Regardless, either version will assist you in catching those silly errors. In addition, I usually paste my blogs into the Microsoft Word program to correct any other possible errors. I have found both programs to be complementary.
Other Useful Tidbits
Avoid Too Many I Words
When writing a radiology personal statement, try to reduce the usage of the word I for multiple reasons. First, it begins to sound very redundant. Second, you appear selfish. (It’s always about you, isn’t it?) And finally, you want to create the impression that you are going to be a team player, not in the field of radiology just for yourself.
Active Not Passive Tense
If you want a passage to sound great, make sure to almost always use the active tense, not the passive variety. When using the passive form, the reader has more work to do because he/she has to figure out who is doing the activity. In addition, the environment appears to control you rather than you controlling the environment. And finally, sentences sound more verbose when using the passive tense. Think about the following phrases: The job of creating a computer algorithm was completed over the course of 10 years vs. My colleagues and I created a computer algorithm over the course of 10 years. Which sounds better to you?
Use Sentence Transitions
If you want your personal statement to sound smooth, I find words other than the subject at the beginning of the sentence help to diversify the sound of the individual sentence. Also (notice this transition word!), it allows for a change of idea without being so abrupt.
Don’t Use The Same Word At The Beginning Of Each Sentence
In that same train of thought, try not to use the same word to begin a sentence over and over again. It’s a surefire way to bore the reader!!!
Creating That Perfect Radiology Personal Statement
Now you know some of the rules I would utilize to create an interesting radiology personal statement. Some of these are general rules that I apply to my blog on a weekly basis that I also see in the best personal statements. Therefore, I know that they work well. So, go forth and write that killer radiology personal statement. You now have all the tools you need!!!
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Join our mailing list for free to receive weekly articles and advice on how to succeed in radiology residency, the best ways to apply, how to have a successful radiology career, and more. Also, get a copy of the free ebook Called The New Attending Physician Guidebook: How To Search For The Right Job And What To Do Once You Start.
