Tag: match

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How Competitive Is Radiology For The 2022 Match?

2022 match

We are well through a good chunk of our interview season. So, it’s about that time for me to start making predictions for the up-and-coming 2022 match as I have done for the previous years. Check out my blog for last year called From The Trenches! How Competitive Is Diagnostic Radiology For The 2021 Match? Based on last year’s predictions, it seems I was pretty close to the mark if you compare my thoughts to the NRMP stats. My goal is not to freak everybody about getting to residency. Instead, I want to paint as realistic of a picture as I can for those applying to give them some expectations of the process. Let’s see if I can also get it right for this year. (Hell, a broken clock is right twice a day!) Like last time, let’s use some of the objective and more subjective criteria to determine the application competitiveness.

Moreover, this year, we can make a fairer comparison between the interview candidates because we are directly comparing two zoom interview years. It’s more of an apples-to-apples comparison than last interview season when we didn’t have such a comparison. Hopefully, that will make my conclusions even more precise than the previous year.

“Objective Criteria” For The 2022 Match

Applicant Board Scores

Alright, let’s start with the obvious. The board scores are noticeably higher than last year when it comes to our applications. And, I would say a significant five to ten points higher. Although not the norm, scores above 260 are sometimes seen, more commonly than last year. Therefore, we have raised our cut-off slightly this year due to this increase. That certainly bodes well for the applicant pool, but not so much for the individual.

Interviewing Less Foreign Grads

At a smaller institution like ours, we tend to get more foreign grads than some of the bigger programs. That, of course, may change to some extent when we eventually merge. Nevertheless, the number of foreign grads invited to interview slots has decreased slightly. Why? It seems there are more local U.S. grads from which to choose. Now, I have traditionally loved our foreign medical school-trained residents, but our program obligates us to peruse the U.S. applications first. Be that as it may, I perceive a noticeable difference in the numbers of American medical school applicants to our program this year.

Fewer Zoom Cancellations

So, far I have also noticed fewer zoom canceled interviews at this point. Usually, folks get tired of interviewing by the midpoint of December, and the numbers begin to drop off a bit. This trend is not so much the case so far this year. Our interview days have been chock full of eager applicants. That also points to a more competitive year.

“Subjective Criteria” For The 2022 Match

More Interesting Applications

Every year has its fair share of interesting applicants. But, this year, the pool seems more varied. I see more “self-starters” like former business owners, high-performing talented musical folks, and folks with many other impressive side hobbies and unique talents. This increase seems to happen more often with a more competitive pool of applicants.

“The Covid Factor”

This year is the first year where applicants had a decent amount of time to mull over applying with the effects of Covid playing a role in their future specialty choice. For many applicants, this is where radiology begins to look even more attractive. First of all, many applicants have thought about and noticed the flexibility of specialty regarding patient care. Some folks have realized they may not have wanted to spend as much time with covid positive patients as, say, an internal medicine physician. Unlike other specialties, we can sometimes work from home and not have to worry about contracting and spreading Covid all the time.

Furthermore, many applicants see the critical role that we play in the diagnosis and management of Covid. To some, this is an attractive feature of radiology. Regardless of the motives, I see the “covid factor” making radiology a more attractive specialty than ever before

“Good Job Market”

The job market has been going strong in radiology for several years, except for the sudden blip/drop-off of the initial covid outbreak. When the job market has been relatively strong for some time (usually a few years), medical students begin to notice when salaries are relatively high, and the job market is healthy. Indeed, that situation has been active, and I believe it will remain this way for the foreseeable future (until the next market swing!)

My Final Assessment Of Our Radiology Competitiveness For The 2022 Match

Sorry to those that are worried about this year’s competitiveness. But, I see a significant uptick in the competitiveness in the application situation. I have found it noticeable compared to last year. But, the devil is in the details. Let’s see what the folks at the NRMP have to say in March!

 

 

 

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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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AUR Update 2019: What’s In Store For Your Radiology Residency?

For those of you that don’t know, the Association of University Radiologists (AUR) annual meeting is the main forum for all radiology residency programs throughout the country to discuss the most critical issues affecting radiology residency programs, GME education, and radiology medical student education. These include anything from the radiology residency match to the job market as well as the hardcore academic issues.  So, once again, I would like to keep you up to date with the AUR update 2019 on what is new in radiology education and the main factors that may impact your training.

Radiology Match/Competitiveness

As I had previously promised in a previous blog on the match, I will provide with a summary of the numbers compared to past years. Slightly different from my experience in the match, the numbers pointed to an overall similar year for radiology residency competition. Compared the previous year, 18 spots were left open (previously ten places). And, the percentage of foreign graduates were also similar (32% vs. 29%). However, the number of applications per resident had increased significantly, perhaps driving somewhat more competitive applicants into the interview spots.

Given the numbers, however, the facts show no significant change in competitiveness from year to year. Interestingly enough, in my experience, the overall quality of the applications was higher. (my experience can differ from the overall statistics!) So, I believe that some increased self-selection has been happening, not measured by the statistics. In terms of competitiveness, one of the hot topics lectures stated that radiology this year was similar in competitiveness to emergency medicine.

The Job Market

Like the previous year, the future has become rosy for new radiology residency graduates. Droves of retiring radiologists and a good economy are leading to the robust job markets for new radiology resident graduates. Also, similar to the last year, there are nearly two jobs available for each diagnostic radiology residency graduate. I would say that is not too shabby!

Furthermore, the needs of practices remain similar to the past. Body imaging, neuroradiology, and interventional are the most common available first jobs. And, the greatest need for radiology practices remains breast imaging, body imaging, and neuroradiology. Most jobs posted are again available in the South and the least in New England.

What I found particularly interesting: 8% of all graduates were able to find a job with no fellowship training. I’m not sure what the statistics were for the previous years (probably a lower percentage in past years), but I have a feeling these folks would still have a hard time finding a position on the populated coasts. However, these statistics bode well overall for all graduates trying to find a job.

Change In Board Pass Rate Minimums

From an associate residency director of a “smallish” program, ACGME board passing changes have the potential to make some issues for smaller radiology residency programs. No longer is the minimum requirement an 80% pass rate for residencies by the end of the residency.  Instead, each program needs either an 80% first-time core examination pass rate or be over the 5th percentile for all residencies (that makes up about seven programs) with a look-back of five years. If you happen to have a “freak” year or two of a lower pass rate as a smaller program, the ACGME can target your residency for a new site visit. And, that can wreak all sorts of havoc!!!

Radexam

Now that the monthly evaluation exam has matured a bit, we have more details on this evaluation system. You can expect the availability of a more sophisticated assessment of individual scores and more customizable examinations to different institutions. You will see new exams in fluoroscopy, GI, and GU. Even the AIRP plans to have a distinct test to confirm that residents have attended the conference!
Also, they have instituted a new overall R3 level assessment test for these residents before going into the core exam. The examination will be available until June 20 and may be a great way to assess the progress of the resident for the core. We will see!

Unconscious bias

The quality of the speakers at the meeting varies widely. But, this year the AUR meeting provided us with a treat. Straight from the NPR news station, Shankar Vedantam gave an excellent lecture on unconscious bias and how that can affect radiologists when it comes to issues like the selection of diverse radiology residency applicants. No, it did not provide us with a formula for maintaining diversity in our residencies. But, it did give a new perspective on how we make the decisions that we do. If not this year or next year, I would expect some future changes in the rules for the overall process of residency selection and evaluation to incorporate some of the principles from this talk.

AUR Update 2019 and Change

The one constant in all radiology residencies is “change.” And, this year with the AUR update 2019 is no exception. Between the match, the improving job market, changing pass rate standards, an evolving Radexam, and new perspectives on unconscious biases, I foresee that our program, as well as all programs across North America, will have to roll with the punches and continue to adjust!

 

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I Didn’t Match In Radiology! What Do I Do?

match

Question:

Thank you for providing great information. I have been utilizing it throughout my residency application process and have found it to be an invaluable resource. Currently, I am in the process of SOAPing (Supplemental Offer And Acceptance Program) to match into a position and was hoping to get your input on applying for research fellowships in radiology as an alternative to SOAPing into an undesirable program/alternative specialty. I am a US MD 4th year with a 230-240 range for both USMLE1&2 and with previous research experience in genetics and interventional radiology.
Thank you for your time and consideration,
A Worried SOAPer

Answer:

Sorry to hear about having to try to SOAP into a position. I would continue to try to get into a slot in radiology if you can. Getting a residency slot in a marginal program is better than not getting anything if radiology is your chosen field. I believe that you can always make the most of your experience regardless of the residency that accepts you.
However, I would imagine that there are not that many empty slots in the SOAP this year. (Only ten programs did not fill as of the time I am publishing this article). So, if you do not match into an opening, I think doing a radiology research program would be a great way to make yourself more desirable the next time you apply. I would probably opt to find a clinical program this year first as well (if you have not done so already), so you have that clinical year that you need under your belt. But, getting a research year afterward would be an excellent way to stay immersed in the field. It is the closest you can get to remain in radiology without completing a residency year.  It will also demonstrate your interest in the programs when/if you reapply.
Good luck with the SOAP,
Barry Julius, MD
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Military Gap: How Will It Affect The Radiology Match?

military

Question From The Military:

Dr. Julius,
I’ve stumbled across your blog and have enjoyed reading your content/advice. No, I didn’t see a specific scenario such as this (though maybe I am somewhat in the similar pool as an IMG), but what advice do you have for someone applying for radiology residency four years out from internship? First, I am a US graduate from an accredited MD medical school, completed an ACGME-accredited transitional year internship, and currently have my state license. Additionally, I have competitive step scores. Currently, I am now working as a general practitioner (GMO) in the military (hence the 4-year gap) with moonlighting work in urgent care/occ health. Also, I am beginning to engage with a local radiology program and am looking for research opportunities (currently only one publication and one poster presentation in my CV) to bolster my application. I feel that research is probably my weakest point. Is there anything else I should focus on to put myself in the best position to match?

Thanks for your time and consideration.

Answer:

Let me be honest with you. It is more difficult to match with a gap in your application. The more years that you are out after internship, the more likely programs will discard your application sight unseen. Therefore, you will need more of an insider’s card and establish relationships with the programs. (as it seems you are doing) I would recommend that you should get to know the program director at your local hospital (if you have one). Or, you should work at a hospital with an accredited residency program so that you can get to know them. 

However, what you do have going for your application is that you are in the military. The folks that I have worked with from the military have been more mature and stable. I think that can work in your favor. I would play that card. Moreover, make sure to let the residency know that you delayed your radiology training to complete the military requirements. That would take away the stain of a gap between your med school training and your application to radiology.

In terms of research, you are doing the right thing. I would try to get involved in a research project or two to show that you are involved and interested in radiology. Any bit can help when you are interviewing for spots.

To summarize, I would be sure to make it known that you are military and focus on that. That will put you way above the rest of the “gap” applicants. Moreover, I think that may take away the “gap” issue entirely and will give you a serious shot.

Followup:

Dr. Julius,

Thank you for your advice. There is not a lot of advice readily available for GMO’s who separate from the military after their obligation and then enter residency as a civilian (whether it be Diagnostic Radiology or any other specialty for that matter) so I hope it can help other people in my position. I will certainly focus on the military accomplishments and experiences in my application/interviews. It has certainly taught me some excellent professional and “life” skills that I will use to try and stand out among the crowd. 

Very respectfully,

The Military Guy

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A Common Rank Order Dilemma For Radiology Applicants

rank order

Question

Hello Dr. Julius,
I am an aspiring Radiologist who is currently preparing for the USMLE exams. In the future, I plan to apply for Radiology residency as well as Internal Medicine as a backup. However, I am a little worried and confused about submitting my NRMP Rank order list when the time comes. Specifically, I would like to ask if it is acceptable to apply for a Radiology position, preliminary position, as well as a full 3-year internal medicine residency position at the same program. How would my rank order list look?

Also, what would be an appropriate response to give interviewers if they know I have applied for both a prelim position and a full three year IM position? I am worried about being in a scenario where I would not match into any program at all due to the improper listing of my Rank Order List.

Thank you for your time,

Concerned applicant

Answer:

How To Rank Order For The Match

Good question! For confirmation about the process, I recently spoke with a few of my residents. Typically, you can tie the preliminary spots to the advanced radiology programs such that you need to match into a combination of the two or none at all. That can leave you with potentially hundreds of combinations and permutations depending on the number of programs you decide to rank. Furthermore, after you rank these tied together programs, you can then list the 3-year internal medicine programs. That way, you will rank any combination of a prelim and radiology programs more highly than a categorical three-year internal medicine slot. As you specified, you need to be careful to make the appropriate order when you create this rank order for the list. You may want to write down (on paper or electronically) the permutations before clicking the submit button!

Prelim Medicine And Three Year IM Programs Rank Issue

I would have to say that the other more controversial question to answer would be what to tell the Prelim and Three Year IM Programs to which you are applying at the same place. In this situation, I firmly believe that honesty is the best policy. Any other tact would make you seem a bit ridiculous since they already will know your motivations.

Make sure to make it known that you enjoy medicine as well as radiology. And, tell the interviewers that you will perform exceptionally no matter which program you attend. Program directors most want to know that the folks beginning in their program will make it through to the completion of their residency. So, this strategy should satisfy the program director’s biggest concerns.

Hope that allays your concerns,

Barry Julius, MD