When Deciding Where To Apply to Med School, Look Behind The Numbers

Learn Interesting Trends in the Medical Community. Consider Your Goals.

When deciding where to apply to medical school, there are numerous things to evaluate.  You will want to look at everything from admit statistics and geography to teaching style and grading systems.  But, what about your short and long term goals?  How important are they when it comes to choosing a medical school?  While it is far too early to get your heart set on a specific specialty, you may want to start thinking broadly about what you want to do long-term.  Are you set on primary care, interested in surgery, or committed to having a career in research?  Assessing your interests now is significant because, for instance, you won’t want to go to a school with a research requirement if you’re not interested in doing any. 

It is also important to dig deep and look behind the numbers schools report, so you know exactly what’s going on out there.  This is especially important when it comes to primary care.  If you’re interested in primary care, it is easy to just peruse the US News & World Report’s Primary Care Rankings and begin formulating a list of schools to which you could apply. However, the percentages of students going into primary care, that these schools report, are often aspirational to say the least.  Schools, such as the University of North Carolina, ranked 1st in the US News & World Report Primary Care Rankings, are finding that more than half of those who claim primary care actually end up specializing in something else. 

“About 10 years ago, our legislature passed a bill saying medical schools have to put 50 percent of people into primary care,” said Robert Gwyther, M.D. who advises students at UNC-Chapel Hill. “They count internal medicine and pediatrics and obstetrics as primary care, and it’s still a challenge for UNC to get the 50 percent.”

“And we know that 95 percent of the interns will end up practicing in a specialty,” he said.

Schools like UNC continue to combat primary care’s shortage of physicians, but it has proven to be a difficult task.  When Duke University School of Medicine experimented with what the school calls a “primary care leadership track,” several years ago, only three students out of Duke’s 102 graduates chose family-medicine residencies.  More recently, the Frank N. Netter MD School of Medicine at Quinnipiac University, opened with a very specific mission: mint new doctors who want to go into primary care practice.  Bruce Koeppen, Quinnipiac’s Dean, says it’s important to admit the right students to the program, so he will interview 400 applicants for 60 spots.  He will be looking more closely at women, individuals coming to medicine as a second career, those who are first in their families to go to college and students who have come from medically underserved areas, as these are the individuals more likely to go into primary care. 

Time will tell whether or not Quinnipiac will succeed.  And time will tell whether you decide to pursue primary care, a highly sought-after specialty or a career in research.  In the meantime, arm yourself with knowledge, look behind the numbers and start to formulate a vision for your future.  It will make the process of choosing where to attend medical school that much more meaningful.

Yield Protection: Know What You’re Up Against and Use It To Your Advantage

Colleges and graduate programs will do whatever it takes to protect their yield and won’t spare any expense.  Admit weekends will wine and dine prospective students with dinners at faculty clubs, organized social events and panel presentations featuring the school’s best and brightest alumni, faculty and current students.  Admissions departments will send gifts to admitted students and, in some cases, like that at a women’s college in Decatur, Georgia, school officials may even mail out a booklet containing scented pages to prospective students.  Admits of Agnes Scott College could smell pine while viewing a photograph of campus trees and a few pages later, got a whiff of freshly mowed grass while looking at an aerial shot of the Quad. 

Admissions directors and marketing managers will jump through all kinds of hoops to ensure admitted applicants matriculate as students in the next class.  But, why?  What are their incentives?  As long as programs get a full class eventually, why should it matter?  The answer is that it all comes down to rankings, as a school’s yield percentage is a significant player in the race for the top slots.     

Besides these obvious activities to woo admits, schools are also guilty of manipulating the admissions process, a practice commonly referred to as ‘yield protection.’  Some programs will waitlist average applicants so admissions directors can see who is interested enough to fight their way in.  Other programs will waitlist higher than average applicants if they believe these applicants would receive interview and admissions offers at more elite institutions.

As an applicant, instead of getting frustrated by these practices, use them to your advantage in the application process.  Whether you are applying to college, medical, law or business school, or other graduate programs within the arts and sciences, don’t forget the following tips:

Make Absolutely Sure Admissions Directors at Your Top Choices Know Their Program Is Your First Choice: Attend forums and recruiting events where you can introduce yourself to deans and admissions directors and reiterate how excited you would be if admitted to their institution. 

Put It In Writing: After events, send hand-written thank you notes to everyone you spoke with and, of course, drop in a line about your strong desire to attend if admitted.

Be Proactive: Don’t just attend scheduled events.  Arrange school visits through the admissions office and set up one-on-one appointments with various faculty members, deans, admissions directors and current students.  This not only shows your strong interest in their school, but this will also benefit you during the interview when you will be able to speak in-depth about the school’s offerings.

If You Are Waitlisted, Take Action: Visit the school if you haven’t already, send a letter with updates on your candidacy with a particular emphasis on how well you would fit in at your first choice school, send an additional recommendation letter and keep communication open.  You may think it could be annoying, but occasionally following up with admissions committees is a good way to reiterate interest and keep at the top of their minds.   

During a time of manipulative yield protection activities and marketing tactics that include scented brochures, you must arm yourself with the knowledge of this game and use it to your advantage.  In a few years, when you are studying on the quad of the reach school where you were initially waitlisted, the smell of that freshly mowed grass will be that much sweeter.

In Medical School Admissions, Assessing Your Ability To Compete In The Classroom Is Just The Beginning

Since its last major overhaul in 1992, the MCAT has included four sections meant to examine a test taker’s ability in verbal reasoning, biological sciences, physical sciences and writing.  After completing the multiple-choice questions and composing writing samples, medical school applicants hope for the best.  They know that, while this isn’t the only piece of the application puzzle, if they perform well, they are much more likely to be admitted to medical school.  They also assume that a high score means they will do well in the various classroom and clinical challenges awaiting them.  After further examination, however, medical educators and physicians have realized the current MCAT isn’t enough.   They believe that critical evaluative factors, currently left out, will be a much better predictor of a test taker’s effectiveness as a future physician.  As a result, new sections in the 2015 MCAT will stress the psychological and social dimensions of medicine as medical schools want more well-rounded applicants from a variety of backgrounds. 

And the MCAT is not all.  In an age when residency programs have been urged to pay closer attention to resident competencies in interpersonal communication and professional behavior, it is no surprise that medical school admissions committees are looking more closely at these qualities as well. “Future professionals need to have clinical skills and they need the science,” said Andy Ellner, co-director of the Harvard Center for Primary Care. “But they also need to understand organizations, how to work in teams, be leaders, manage people. They need to think about complex systems and make them work more effectively.”  

But how do you best express clinical intuition, communication skills and bedside manner in the personal statement, meaningful experiences, supplemental essays and interviews? Crucial to consider, your soft skills and how you present them could mean the difference between an acceptance letter and a denial notice.

Be Specific: Think back to some of those unforgettable moments you had in your undergraduate studies.  Why were they so memorable?  Was there a time you will always remember that put you on the path to pursue medicine?  As long as you are not applying to medical school just to please your parents, you are sure to have a compelling collection of memories you can mold into words.  Brainstorming is the first step and there are not limits at this stage.  Take the time to recall all the details.  You will soon see that the details of a situation and the descriptive insights you developed as a result is what is going to allow the admissions director to get to know the person behind file #38461.  Use colors, emotions, smells and reactions to bring the reader in, right at the moment you learned some of the most important lessons of your life.  

Failures and Weaknesses are OK to discuss: It is in times of failure you learn the most, so don’t be afraid to discuss weaknesses or failures in the application.  Admissions directors really want compelling applicants, rather than perfect ones and, most of all, they want to see that you are human and self-reflective.  The important thing to remember when handling weaknesses or failures is that it is a four-step process.  First, discuss the failure or weakness.  Second, address the result of that failure, ideally a particular scenario in which you can provide specifics.  Third, talk about steps you are taking to improve and finally, talk about the results of your improvement action plan.  What are the positives that have resulted from your ability to recognize a weakness and work towards a better solution? 

Intellectually Curious:  Most likely, at this stage of your medical education, you have not achieved grand things on the research bench or saved many lives in the developing world.  And that’s ok.  What’s important are your insights about what you observe, your intellectual curiosity and your willingness to get involved and learn as much as you possibly can, even if it means unpleasant circumstances or difficult patients. In every research endeavor or clinical experience, take notes.  What questions do you have at this moment?  Why did shadowing that particular physician have an impact on you?  What about this research process leaves you bewildered?  Why?  It will be much easier to compose entries demonstrating intellectual curiosity if you can refer back to the specifics of what you were curious about.

Go Beyond Your Research and Clinical Experiences, But Remember What They’re Looking For:  While clinical and research experiences are certainly important to discuss in your application, don’t limit yourself.  Just remember the qualities admissions directors are looking for, transferrable skill-sets that will be applicable when you are a resident and practicing physician.  For example, there are probably numerous ways to discuss your ability to emotionally connect with and influence others in your various teaching, community service and employment experiences.  Through these kinds of examples, you will also be able to show you are a well-rounded student who has been able to expand her perspective in a variety of areas.    

Social Media: You may assume your first impression to an admissions officer will be contained entirely in the memorable and polished application package you’ve been refining for months.  However, in the age of Facebook, Twitter and LinkedIn, this just isn’t the case. Therefore, it is important to be cautious, not only about the material you post online through social networking sites, but also about the information posted about you or others with the same name. A profile that lacks solid judgment may be looked down upon and create a disadvantage for you in the medical school application process. However, a well-written profile highlighting personal and professional achievements could help you stand out from the crowd.

If attending physicians are looking for more from their residents and patients are looking for more from their doctors, experts have decided that one of the first places to go, for a possible solution, is medical school admissions.  Applicants have always been more than test score and a transcript but now, more than ever, an applicant’s interpersonal ability and professionalism are moving closer to center stage.