Tag: applications

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Why Mission Statements Are Mission Critical

mission statements

Ever thought about what kind of radiologist you wanted to be? Many of you, you were probably thinking about private practice. Others have thought about writing papers and becoming the academic type. Maybe you are a hands-on radiologist and like to have your fingers on everything. And, a distinct minority of you may have opted for the business route. But have you ever noticed the website of the residency you attended or are interested in joining? Many of you have not thought twice about it. But, at the beginning of your residency website, mission statements describe what the residency program strives to be. Does that match what you have ultimately wanted to become? You may not realize it, but it is probably a pretty good match in most cases. And that is for a good reason. It is what the program that you attended trained you to become.

For those applying to residencies, this message about your residency should play a significant role in your decision to interview and rank the programs you attend. But, it usually is barely a thought within the application process. Getting into a residency program itself can be daunting enough. Nevertheless, I wouldn’t blow this message aside. It could make the difference between a career you desire and one you will regret. And here are the critical reasons why.

Mentorship

If you attend a program with a mission statement that contradicts what you strive to achieve, it can make it a bit more challenging to obtain the desired outcome. For instance, if you are going to a program without a research emphasis and want to learn to write papers, you will have a more challenging time finding a mentor who can teach you the ropes. It’s not impossible. But, you will not find it as easy to learn the tricks of the trade. To get high-quality papers published, you need certain ingredients. And, you are more likely to find the know-how in a program that does say research in its mission statement.

Or, if you are interested in global radiology and the program does not state anything about it, you are less likely to find a radiologist that works outside the country to emulate. You will have a harder time finding the connections you need to make a similar jump in your career.

Location/Reputation

Some programs mention that they are well known regionally, nationally, or internationally. Depending on where you want to stake your reputation, this factor can influence the location of your practice when you finally set up shop. A regionally known residency is excellent if you want to stay in the area. Likewise, if you wish to have connections throughout the country, consider a program with a national reputation. And, if you want international referrals and work, a residency with this reputation may be the right one for you. These choices can impact where you decide to work in the end.

Procedural

You will notice the words hands-on in some residency mission statements. This verbiage symbolizes that the staff has the procedural know-how to train its residents to feel comfortable with many radiology procedures. Not all programs emphasize these skills. So, it is critical to figure out if you want a residency with a procedure-heavy emphasis. It’s not necessarily for everyone!

Cultural Factors

Other mission statements will claim to have to maintain a diverse class. These residencies may utilize culture/race/sex in addition to interests and competencies to decide which residents to rank in their program. So, expect a more racially/ethnically diverse mix in these programs than another one that does not mention this factor. 

Connections and Mission Statements

If you cull through mission statements with a fine-tooth comb, you will notice that they may talk about connections within the community, global resources, businesses/industry, or other departments. Take these connections seriously because they may influence your residency and where you ultimately decide to practice. They may allow you to branch out to other areas that may jibe with your interests. It’s something else to mull.

Mission Statements Are More Critical Than What You Might Initially Think!

When you decide on a residency, that little phrase at the beginning of the residency website holds much power over your future career. Generally, it is a theme that the residency program follows seriously and can impact where you want to practice and what you will eventually do. So, before deciding where you want to go, take a second look at this clause. And determine if the values and ideals derived from these mission statements mesh with yours!

 

 

 

 

 

 

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Do “Fancy” Residency Websites Mean Better Programs?

residency websites

Sure, some residency websites blow others out of the water. They have more fancy videos, smiling attendings, and satisfied residents. Their FAQs are thorough, and the mission statement is clear. But does this fluff and bluster mean you are in for a better ride during your residency? Or, does the word of your colleagues and faculty take precedence over anything you might see or hear on a residency application website? Let’s come to our conclusions. 

The History

Once upon a time, years ago, believe it not, there were no residency websites. And even after that, when I applied in 1997-1998, they were more of a mere afterthought. Anyone worth their salt would do their digging into the ins and outs of residency programs. Programs barely updated their information because the number of eyeballs hitting the web was far from what it is today. It simply was not the primary way to assess a program.

Fast forward to our time, and that is no longer the case. The currency of the world as we know it is the internet. And, if you don’t play that game, you lose.

Does A “Fancy Pants” Website Equal Better?

Let’s talk about some of the positives of well-curated residency websites. First, it shows that the residency program or hospital put some forethought into their online presence. So, it signifies hospital organization and a desire for the entity running the video to recruit residents. Remember. Creating a decent website is not required, so that is all well and good. Therefore, there is a tendency for residencies with high-quality websites to have more resources.

However, websites only show you the best of what the residency program and institution want to show. They will not let you know that they have not met their annual requirements to publish articles. Or, it will not tell you that they barely passed the last site visit due to a lack of faculty motivation. So, be very careful to believe everything the website wants you to see.

How Should You Evaluate Residency Websites In Your Calculus For Making A Decision?

Websites are helpful for a superficial survey of what the program may have to offer. Suppose the mission statement on the website declares that they aim to produce community radiologists. Then, it is probably true that you are looking at a program that deemphasizes research to make residents into good quality overall radiologists. So, if you are gung-ho about radiology research, it may be a way to exclude that residency program.

However, suppose you like the residency because the faces all looked happy, and the culture seemed benign. In that case, you will never know from watching a few videos from the institution and mulling the rhetoric on the website. It is a facade. I recommend checking the institution for yourself to know more about a program’s reputation.

Residency Websites: A Serious Business

Given the competition for the best residents among institutions, residency websites have become more of a significant business than years ago. But, it is a means of promotion. It may not demonstrate all the facts you need to hear before making your final decisions. So, regardless of whether a website is glorious or lousy, look under the cover and dig a little bit deeper if you are still interested in the program. Interview and check out the facilities if you still like them. And, of course, talk to the residents in the program if possible to get the real scoop. Don’t ever rely on a residency website and your primary/only source of information to make your final decisions!

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What To Do If You Have A Blemish On Your Radiology Application!

blemish

Some of you are applying for radiology this year with a blemish. Maybe, it’s a course or two in medical school that you initially failed but later retook it and did fine. Or maybe, you had a tough time in one of your clinical rotations because of an errant resident or attending. Regardless, now is the time you need to deal with these issues. Why? Because radiology has become more competitive, many program directors toss aside many applications with a blemish since there are many without them. This problem can also be the case, even though you would be an excellent candidate for radiology. So, what can you do?

Own The Blemish

First of all, don’t disregard the facts. Own your blemish. Yes, you may get fewer interviews than others. But, if you play your cards right, you can increase your chances of acceptance at sites where you interview.

By owning the blemish, you need to have insight into what caused it in the first place and use it to make you stronger. Yes, it will affect you. But, you need to address the issue. The program director will ask you about it. So, explain in your personal statement. Show what you learned from your blemish and why it can be a strength rather than a weakness. No radiologist is perfect,  Don’t go hiding it or sweeping it under the rug. Most programs will know or find out!

Complete Radiology Research

Radiology research is the grand equalizer. It shows that you are interested in radiology even while busy with an internship or senior-level courses. And, it allows you to succeed even though other parts of your application are subpar. It is not a cure-all, but it can compensate for some faults elsewhere. Heck, a paper of yours that gets into the New England Journal of Medicine will undoubtedly elevate your application to a much higher level!

Ace Your Internship/ Senior Level Courses

This statement goes without saying. However, many applicants concentrate so much on the blemish that they don’t get the grades in their most recent courses or internship that will give them that needed boost. Don’t forget that your current courses can count just as much as the blemish. If you don’t perform well on your current rotations, all may be lost!

Do Well On Your Remaining USMLE Exams

All is not lost if you did not ace Step I or even II. Yes, it will make it a bit harder since many programs screen those exams. But, whether it is step II or III USMLE that you need to take, they can still matter a lot if you do very well, especially while you are busy with other endeavors. It shows you can handle stress well and have the potential to pass the radiology core exam.

 And remember, for those of you who have not yet graduated, USMLE step I is no longer going to be scored in the future. So, the Step I exam will become less of an issue (unless you fail, of course!)

Get To A Know A Radiology Residency Program

Finally, try to get to know the faculty in a radiology residency near you. Maybe, you are in medical school and have access to the folks in a residency program. Or you are amid an internship. In any case, attempt to get to know the staff in the local residency program. Ask to meet with the faculty or participate in projects. These connections can help get them to know you as a person and not just as an application with a blemish!

Applications With A Blemish: All Is Not Lost!

I cannot give you a money-back guarantee that you will find a spot in a residency with an application blemish, especially as radiology has become a bit more competitive. However, in most cases, all is not lost. If you own the blemish, complete research projects, do well at your current level, ace the following USMLE exams, and get familiar with a radiology residency faculty, you can surely up your chances of getting accepted!

 

 

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Considerations For An Internal Medicine Resident That Wants Radiology!

internal mediicine resident

Question From An Internal Medicine Resident:

 Hi,

I am an internal medicine resident and want to switch to radiology. I’m also a DO and didn’t take the USMLE. I realize most programs require the USMLE exams. I am thinking of taking the exams and applying to advanced or R positions or completing an internal medicine residency and applying to radiology as a 2nd residency. What are your thoughts regarding taking the USMLE while in residency and switching residencies? Any words of advice regarding how to get letters of recommendation from radiologists? Thank you

 

Answer:

First issue For An Internal Medicine Resident

I would consider applying to radiology as soon as possible. Why? Because the longer you spend in an internal medicine residency, the more likely medicare won’t fund your entire radiology residency. That can deter residency programs from choosing you when you apply for a radiology residency. So I would not delay. After two years of other residency/internships, you lose a good chunk of funding!

 

Second issue

It would help if you took the USMLE before applying to radiology. Most programs use this as a screening criterion. And you will be screened out of most programs. You should take the USMLE exams if you want to significantly increase your chance of getting into a radiology residency program. It would be best if you took this as soon as you can. The COMLEX just does not hold as much weight in radiology residency circles.

 

Third issue

Letters of recommendations from radiologists are not necessary if you have great letters. Although desirable to have at least one letter from a radiologist, most programs would understand if you do not have access to a radiology program at your institution. The quality of the recommendations counts the most, not the recommending physician (unless it is some famous name somewhere!) Of course, if you can rotate through a radiology department somewhere and get a LOR, that would be good too!

Regards,
Barry Julius, MD
Radsresident.com
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Will Translational Research Help My Radiology Application?

translational research

Question About Translational Research And Residency

 

Hi Dr. Julius,

I’m a first-year MD student and wondered, for research-heavy residencies, whether the type of research I’ve done is essential. For example, do PD’s like to see more translational research rather than clinical?

 

Answer

 

That is an excellent question. I would look at an application with research dramatically different from how a program director at some of the other research-heavy institutions like Mass General, University of Pennsylvania, or Washington University would look at the same application. Since I am in more of a clinical residency, my eyes begin to gloss over when I see too many bench-type research projects on an application. This soporific circumstance happens, mostly, when I see lots of enzymatic reactions with words that I have not heard of before without much explanation. It just does not capture my attention. On the other hand, at one of those bench research institutions, that same application with enzymatic reactions may excite them.

In my world, I am always trying to figure out the relevance to radiology residency. Nevertheless, even if not directly related to radiology residency, any exposure to research for you makes our lives a lot easier when you need to complete research requirements as a resident. You will know some of the basics and can “hit the ground running.”

More importantly, most of the more clinical-based residencies (like ours) are looking to see if you have had some research exposure. In the setting of my residency, clinical-based research would trump the translational variety. That being said, having done some research in any area does add a little to the application. It shows a commitment to learning and studying a topic in depth.

Bottom line. You may want to emphasize research a little differently at the various institutions when you apply. Think about the residencies you are applying to and gear your experiences and your applications to those residencies. It will augment your ERAS application to make it more relevant!

 

Regards,

Barry Julius, MD

 

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From The Trenches! How Competitive Is Diagnostic Radiology For The 2021 Match?

2021 match

From a program director’s standpoint, the competition for residents this year has been one of the most difficult to ascertain. First, we have a pandemic preventing applicants from traveling to the institutions they have been applying to. Second, applicants can now apply to as many programs as they like without having to travel. And, finally, most programs are relying on the internet entirely for the interview experience. All these experiences are new and unique for radiology residencies. So, how can you compare the competitiveness of this year to others for the 2021 match? Is the increasing number of applicants and interviewees related to the match’s new dynamics, or is it a real increase in numbers?

Even the quality of applicants this year does not entirely help answer how competitive is diagnostic radiology. Increasing applicant quality may relate to the growing ease of interviewing with Zoom and a decreasing number of excellent canceling their interviews. Why cancel when it is so easy to complete your interview online? Nevertheless, let’s take on some of the secondary criteria and try to tackle the answer to how competitive is radiology this year using our crystal ball.

What Are Some Of The Secondary Criteria To Help Us To Determine Radiology Competitiveness For The 2021 Match?

Applicant Board Scores

No. I am a firm believer that board scores cannot measure the quality of a future radiologist. However, it is associated with future pass rate on the core exam test (another marginal exam!) And, “higher quality” applicants do tend to have higher Step I board scores. (Soon to disappear!)

So what is my first-hand experience with board scores? Of course, I am working in a microcosm. Therefore, I can’t vouch for other institutions. Nevertheless, board scores overall seem to be grossly the same as in other recent years. I have not seen a noticeable uptick in the numbers. These statistics lead me to believe; perhaps, applicant competitiveness may have marginally changed, if at all.

Residents Applying From Other Specialties

I have noticed a significant uptick in applicants applying from other subspecialties this year, especially surgery. This phenomenon only tends to happen when applicants perceive radiology as a hot field. Why sacrifice another residency and go into radiology if the prospects of finding a suitable job are not there? This secondary statistic does bode well for the increasing competitiveness of applicants.

Foreign Versus American Graduates

In more competitive years at our institution, we have tended to see a lot more students from American medical schools, fewer students from the Caribbean and foreign schools, and fewer students from D.O programs. This year’s numbers are grossly very similar to other recent years regarding the mix of students applying to our institution. So, I don’t see this as a vote for increasing competitiveness.

Amount of Research Published

More students do more research when the match is very competitive because applicants know they need it to ensure a spot. What about this year? Well, it seems to be very similar or marginally increased compared to other years. This statistic does not significantly change the outlook.

So, What Is My Final Assessment Of Radiology Competitiveness For The 2021 Match?

You would think that the pandemic would increase radiology’s desirability due to the ability to work from home and the increasing utility of imaging in the health care system. However, based on the secondary statistics, I see a similar to slightly increased match competitiveness for radiology. Like other institutions, we are interviewing more candidates. But, otherwise, the changes seem to be less significant than one might think, with little difference in board scores, similar numbers of foreign grad applicants, and overall unchanged research quantity of applicants. Of course, the one factor that can bode more increased competition from my small world is an increasing number of applicants are applying from other specialties. But, it is only one of many. All these factors add up to a similar year as the last few when it comes to radiology competitiveness. We will see what the future holds on 2021 match day!

 

What do you think? If your opinion differs throw me a comment or email!

 

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Postponed COMLEX Due To Covid: What Do I Do?

postponed COMLEX

Question About Postponed COMLEX:

Hello, I am DO third year medical student interested in radiology. However, I worry about the current situation that I put myself in. During this COVID summer, exam dates got thoroughly messed up to the point where my COMLEX was pushed back two times, leaving me with the decision to delay the beginning of my third year to take Step I or to leave it and focus on COMLEX 1. I chose the latter decision because I was thoroughly exhausted from studying due to my postponed COMLEX. Unfortunately, I received a low score and have dug a relatively large hole for myself.

I know that trying to take Steps I, II, and COMLEX 2 is not an option in my third year. But I wanted to ask you if I had to take a year off, would it be worth taking Step 1 since by then it would be a pass/fail exam? And if I did not take Step I and significantly improved on Step 2 and COMLEX 2, what would my chances be for matching into DR after 4th year? What are other things that I can do to optimize my chances of matching right away or, if not, matching after taking a year off?
Best

Answer:

For most programs, the COMLEX exam holds much less weight than the USMLE. If you score well on the USMLE and don’t score so well on the COMLEX, it does not matter as much. That said, if you decide to take the new pass/fail USMLE Step I, the scores for the USMLE Step II become much more important, especially coming from a DO school. So, it will become a much more critical exam to do well on. I would go as far as to say that a good USMLE Step II score will become a requirement for you to get in since programs will most likely use this score as a screening criterion for interviews. (in the past, you only needed Step I.)

Taking a year off to take an exam is a red flag from a program director’s perspective. Why? Because it shows that you may not be able to multitask well. And, radiology residencies involve lots of multitasking. So, if you are taking off an entire year to take exams, it raises lots of questions from a program director’s view. If you decide to take that route, you need to do something else that will add to your CV for getting into a radiology program, such as a relevant radiology research year/fellowship. Taking off a year just to retake the exams would be a disaster for your application.

My two cents,
Barry Julius, MD

 

 

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How To Keep Up The Momentum For Residency?

momentum

 

Question About Maintaining Momentum For Residency

Hi Dr. Julius,

I’m a first-year DO, and I am just finishing up the final exams for the first term. I’ve done very well so far and am on track to be near the top of the class, if not first (Though it is just the first term, much can change). I’ve had a strong interest in radiology before medical school, much of it due to my physics background as an undergrad.

I wanted to ask, how can I keep the ball rolling to make for a successful radiology application? I’ve heard conflicting answers about research. Some say that research isn’t as important in the eyes of PDs, but most of that advice I hear is towards MD candidates and may not necessarily apply to me.

I have two publications from undergraduate in my specialty field of physics. Still, I am a little lost on finding opportunities in radiology research, given that my school does not have a radiology department. Is it unprofessional to reach out to nearby departments to see if residents have any ongoing projects?

The Momentum Chaser

Answer About Maintaining The Momentum:

Hi Momentum Chaser,

I’m glad to hear that you are starting your medical school on the right foot. However, remember that the first couple of years are very different from your school’s clinical portion. Many students who do well during the first two years do not repeat the same grades when they make it to the clinical years when the medical school evaluates you on some of your softer skills. (Although some do) So, try to play nice in the sandbox to keep the momentum when you get to your clinical years!

Importance Of Research For Residency

Regarding research, the importance of it to residency programs differs widely depending on where you apply. And, I don’t believe it changes anything if you are DO or an MD. Some highly academic programs rely on their residents performing research during the four-year residency program. So, a Mass General type of program is going to want to see lots of research. On the other hand, a community program will not care to the same extent about the research you have conducted already. They will worry a lot more about having a good quality clinical resident. Specifically, they want one that can handle the overnight call and the residency workload. So, the answer to your question about the importance of research is it depends.

What To Do If Your School Doesn’t Have Radiology Research Opportunities

To answer your last question, it is certainly appropriate to ask other departments within your school or other sites for ongoing research opportunities. You may also want to consider finding a project within your school that may overlap with radiology, although not radiology specific. For example, there may be an internal medicine project that requires some imaging. I mention this because it can be more challenging to find projects outside your institution (although possible). To also answer your question, it is also professional and appropriate to ask about projects in nearby departments. It may be helpful to continue the momentum for your application and career!

I hope that helps a bit,

Barry Julius, MD

 

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Non-Traditional Student: A Disadvantage For Radiology Residency Application?

non-traditional

Non-Traditional Student Question:

 Hello, Dr. Julius!

My question is regarding the perception of non-traditional medical students during the radiology residency match process. I am a current MD student who is ten years older than the average admission statistic for my school with class rank and scores well within the published ranges for a successful match. Should I expect my non-traditional status to be an extra hurdle during residency interviews? If so, what advice can you offer to help ease residency directors’ concerns? Also, would you recommend addressing it in my personal statement?

Your thoughts on the subject would be much appreciated!

Regards,

Non-Traditional Student

 

Answer:

From my experience and I believe from most program directors’ experiences, your older age will be a plus at application time. I have found that non-traditional applicants tend to be more mature, precisely know what they want, and are more conscientious than their younger peers. Additionally, they tend to become less distracted by the minutia of a residency and are more goal-driven. You should never apologize for your additional years of wisdom. Instead, embrace it.

When you write your personal statement, you should expound on your vast experiences that a younger resident does not have. Remember, also, to check out my blog called How To Create A Killer Radiology Personal Statement. Honestly, though, I would not worry about your age either when you write your personal statement or at the interview time. If this was an average job on the street, age could be a detriment. But, in the world of radiology,  it is a plus, not a minus!

 

Respectfully,

Barry Julius, MD

 

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Do Board Review Companies Help With The USMLE?

board review

Not all students learn the same way. And, each method of studying has different pitfalls and benefits. For a distractible student, you need an isolated organized environment to study. And, a large group may not benefit this individual. As a kinetic learner, the action of performing a lab or dancing while reciting study material may allow you to absorb the material better. But, sitting in one place staring at a book may not work as well. My point is that board review is not a “one size fits all” activity. And I recognize that.

Moreover, in my experience, I have seen board review companies giving an unqualified boost to some test-takers in question. And, others who have not taken a board review course do just fine So, to answer the question posed on this post, do board review companies help medical students and residents with the USMLE, I will have to be a little wishy-washy and give you an unqualified maybe!

But if you are reading this post, what you are asking is will a board review company help me. And, perhaps, even more importantly, is the course a waste of money and time? So, another way to word the question would be, what types of medical professionals would and would not benefit from using a board review company? And, those are just the questions that I will answer!

Students That Benefit From Using Board Review

Residents Without Organizational Skills

What board review companies do best is to provide you with a routine and a defined way to study for the examination. They give you the material that you will need to make sure that you will pass the exam. For some students and residents, the course leaders’ material and the demands provide a bit more structure. Of course, a system and a routine can allow these test-takers to focus on studying for the exam.

Poor Test Takers

Some residents and ‘medical school students either develop anxiety or think too deeply about a question and perseverate for a half hour. Board review companies are good at making sure you understand the how’s and why’s of taking tests to improve your test-taking skills. What’s interesting about many poor test-takers is that they don’t necessarily translate into bad radiologists. In this situation, a board review company can provide a bit of a boost to your scores. It is most likely worth your time and money for that extra help if you consider how much more you will make in your lifetime.

Previous USMLE Low Board Scores Failures

They say that the definition of crazy is expecting a different outcome after doing the same thing again. Well, anyone that has not done well on a board exam beforehand should utilize the extra help to get you over the hump to increase your chances of acceptance into the radiology fold! Board review companies can help to change the way you study the next time around.

Students/Residents With Borderline Credentials For Acceptance

If you are a resident toward the middle or bottom of your medical school class, a higher score on Step I (Or now Step II USMLE with the new changes) can make all the difference between acceptance to residency/fellowship and rejection. Many residencies (and to a lesser extent fellowships) will use cutoffs in Radiology to ensure that the accepted class will pass the core exam. Why? Because there is a correlation between doing well on the USMLE exams and passing the core exam. And, a boost of only 5 points on your exam can make all the difference between capturing that interview and total rejection. It’s probably worth it to shell out that extra dough.

Foreign Applicants

Finally, if you are coming from another country, the programs will scrutinize your application more. Any advantage can help your case. If you have reached this far, you are better off taking a course even if it only increases your score by a few points. It may make all the difference!

Students That Don’t Need The Extra Help

Natural Born Test Takers

Yes. Some students and residents can take almost any test and pass it with flying colors. (Aren’t you jealous?) They have just mastered the art of examination to a tee. Based on the question itself, regardless of the information at hand, they can almost sniff the right answer. If that is you, then forget about board review. Save your money!

Honors in Every Course With Twenty Papers Already Completed

Check. Some folks have had an incredible academic record, and no matter what will get into the residency of their choice with or without excellent board scores. If this person is you, why bother to pay up for another exam?

You Get The Point!

I think you see what I am getting at here. Some folks don’t need to pay for that extra boost of a few points. It may not be worth the extra outlay of cash for those folks.

Board Review Companies Work Well For The Right Fit!

I know how painful it can be to shell out a bit more money when you already have umpteen gazillions of dollars of debt. But, sometimes, it is worth it to pay up for the additional help, especially if it may mean the difference between having a long career in the specialty you want. Having a guide that can get you through the pitfalls of studying for these tests is invaluable for the right sort of test-taker. So, consider where you stand and decide if it is right for you. Here are some of the more frequently used board review companies below that my residents have used to help you along with your decision. You can click on them if you are interested. I am an affiliate of both! (Princeton Review currently has a discount that expires on September 3!)

 

 

 

 

 

 

 

 

 

 

 

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