The Medical School Interview: A Day-Long Extravaganza

This week we’re providing information on the various medical school interview formats.

The Day-Long Extravaganza. In a day-long session, there's more than an interview happening. A member of the admissions committee might give you a rundown of the program, there could be a student led tour, an optional session on applying for financial aid, a meal with first-year students, and you could even get to sit in on a class. (If your interview time conflicts with a class you'd like to sit in on, you can request to come back to campus in the future.) Sometimes an interviewer will need you to meet them off-campus, perhaps at a nearby teaching hospital.

An obvious but important note: Stay awake and appropriate. If you're getting sleepy or about to roll your eyes at a presentation, go to the bathroom or get some water. Sorry to creep you out, but per multiple deans of admissions, you are always being observed on campus. We don't tell you this to make you paranoid and tense. If you're behaving in a normal way, no one will blink. This is simply to say that a school's assessment of you goes beyond the interview. If you check your phone at the day's finale event, someone will clock it.

The Medical School Interview

Interview cycles run from early September through mid-January. If the school is not doing rolling admissions, your interview date doesn't matter. Non-rolling schools send out all acceptance letters at once. If they are doing rolling admissions, you want to interview as soon as possible. These schools are why we recommend turning your AMCAS application in early. 

What an Interview Day is Like. There's no standard-issue interview day. A one-on-one interview is common. (You might do two or three of those on the same day.) Or a panel of folks might interview you. Virtual interviews became more common after COVID-19 came into our lives. A group interview with other applicants in front of a panel of interviewers is also on the table. The Multiple Mini Interview (MMI) involves multiple interviewers and even some acting. A school might have you do some combo of these interview types, like a mini-MMI and a traditional interview. Still, another program might have a day-long on-campus session, where the interview is just a portion of your experience. (Harvard Medical School follows this format.) 

This week we’ll provide more information on each interview type, check back daily.

What to Expect in Your Traditional Medical School Interview: “What Do You Think About [Current Event in Healthcare]?"

When it comes to your medical school interview, preparation is the best antidote to anxiety. But there are better ways to prepare than just churning through sample questions. Over the next week, we will walk you through everything you need to know to prepare for the traditional medical school interview. Check back daily as we discuss the question types you can expect and provide response structures and practice questions.  

General Healthcare News

You will not be asked medical questions during your interview. No one is going to need you to walk them through setting a bone. But you should be prepared to speak about the medical field and current events related to it. Your interviewers want to know that you're keeping up with the times and that you've deeply considered some of the big questions that come with this work.

Spend some time each day reviewing the news. The New York Times is great for current events related to health care, as are MedPage Today, MedScape, and Stat News. We also recommend that you set up Google alerts for key phrases related to healthcare and/or your research interests and desired specialty to ensure you’re up to date.

You may be asked:

• What have you been following in healthcare news lately that is of particular interest to you?

• What healthcare-related or academic publications do you read?

• Do you have an opinion on the current [X medical news] controversy?

• What would you say is a major problem in the healthcare system today?

• What do you think is the greatest medical development in history?

• What's the difference between Medicare and Medicaid?

• What can be done about rising healthcare costs?

Take Care of Yourself: Strengthen Your Tolerance for Ambiguity

All the healthy behaviors we’ve mentioned on the blog this week can also strengthen your tolerance for ambiguity. Studies have measured this quality in medical students and physicians for years. Several studies have shown that a physician's ability to tolerate ambiguity correlates to their level of psychological well-being. Those with a low tolerance for ambiguity and uncertainty "tend to report a higher rate of referrals, burnout, and anxiety, and lower level of satisfaction, less comfort in dealing with dying patients, and higher levels of dogmatism, rigidity, and conformism," according to a 2017 study in Medical Teacher, which utilizes many others' findings as well as their own assessments.

Schools are very interested in your reactivity and ability to handle uncertainty. In 2019, the AAMC surveyed students using a Tolerance for Ambiguity (TFA) Scale. Scores could range from 7 to 42, with higher scores correlating to a higher tolerance for ambiguity. The mean for incoming medical students across all schools was 24.9. Want to do better than that? Take care of yourself—and be ready to grow. A study published in 2021 found that strong TFA over time was associated with greater empathy and openness to diversity.

Take Care of Yourself: Try Meditation

Preparing yourself for the intensity of applying to and attending medical school is important. This week we’ll highlight healthy behaviors to incorporate into your schedule.

Meditate. We're not trying to proselytize here. If it's not for you, it's not. But you could try it. (And cynically speaking— we sound a bit scheming here—schools might be into it if you mention meditation in your application or during your interview. It shows both openness and dedication.) Meditation isn't about having a blank mind; it's about acknowledging and letting go of intrusive thoughts and accepting what is happening at the moment. This can aid performance, according to George Mumford, a mindfulness coach who taught Kobe Bryant and Michael Jordan how to meditate. "Mindfulness is the process of making yourself flow-ready," he says. And don't all doctors want to be ready for whatever happens next?

Take Care of Yourself: Consider Professional Help

Preparing yourself for the intensity of applying to and attending medical school is important. This week we’ll highlight healthy behaviors to incorporate into your schedule.

Get professional help. Even if you're not feeling extreme turmoil right now, this could be something to explore. "Studies suggest medical students experience high levels of mental distress during training but are less likely than other students to access care due to stigma and concerns regarding career progression," according to a 2020 study published in BMC Medical Education. The University of Cambridge developed a mental health program for medical students. Cognitive Behavioral Therapy, Interpersonal Therapy, Eye Movement Desensitization Reprocessing Therapy, or Cognitive Analytic Therapy was provided to 189 students. Stress, anxiety, and suicide risk were "significantly reduced" and students' functioning "significantly improved."

Take Care of Yourself: Prioritize Sleep and Movement

Preparing yourself for the intensity of applying to and attending medical school is important. This week we’ll highlight healthy behaviors to incorporate into your schedule.

Sleep. When sleep is in your control, try to maximize the opportunity. A study published in the December 2021 Journal of Clinical and Diagnostic Research found that anxiety and stress directly impacted medical students' sleep during the second wave of COVID-19. One thing that you can do to combat that right now is to put away your phone every night. You've heard it before—but it's especially relevant to you. In a study published in the January 2022 Journal of Affective Disorders, medical students’ anxiety was associated with problematic smartphone use and sleep deprivation.

Move. Do whatever you comfortably can do; this is not ableist advice. You don't need to have six-pack abs to be a strong candidate for medical school or med student—exercise is just another way to reduce your risk of a meltdown. A study published in Academic Medicine in 2017 surveyed 12,500 medical students across the country and found that those who met the CDC's exercise recommendations had a lower risk of burnout and a higher quality of life.

Take Care of Yourself

This isn't advice you expected to get from us, we know. And we're not going to share any simplistic Instagram #selfcare adages here—but if you're going to dedicate your life to healthcare, start at home.

This might seem like a non-priority right now, but it is serious. Medical students have a significantly higher rate of mental illness than similarly aged postsecondary graduates, according to a 2019 study in Academic Medicine. One harrowing quote: "Higher rates of distress and burnout in physicians and medical learners have been linked to poor academic performance, increased thoughts of dropping out of medical school, lower levels of professionalism, decreased empathy, increased medical errors, increased substance abuse, and increased suicidal ideation."

Preparing yourself for the intensity of applying to and attending medical school is important. Practicing mindfulness, getting rest, and being a person in the world are part of being ready for a rigorous academic environment. This week we’ll highlight some of these healthy behaviors.

Stay social. This is not to say that you should be partying the night before retaking your MCAT. But you do need to leave your desk—or at least have a Zoom that isn't a study group. Even if you're a natural introvert, if you want to be a physician, you will benefit from speaking to people regularly. This advice might not apply to you—you could be a social butterfly. But trust us, some applicants need to hear it, including one of our all-time favorites. (Yes, we have favorites.) Keeping your relationships strong also provides a safety net in hard times and helps you to be empathetic and less self-centered.

Common Secondary Essay Topics: School Specific

This week on the blog we’re covering common secondary essay topics. Stay tuned for a new topic each day along with pointers on how to make the most of your response.

Why our school?

This is a place to mention courses you're excited to take, potential mentors you'd seek out, clubs you'd join, what the school's hospital affiliations and research opportunities mean to you, etc. And you want to share how those offerings are relevant to your past experiences and/or passions. If you've spent the last two years volunteering at a free clinic and doing community health outreach and the school has a brand-new mobile clinic serving the unhoused, you want to be working on it. If you aim to become an OB/GYN and Professor So-And-So just published a 10-year study on geriatric pregnancy, you want her as a mentor and to become involved in her current research.

You also might share how the school's location will set you up for the kind of career you want. Say, for example, the school is in a city, and you ultimately want to practice in an urban area. If true, you could take your reasoning one step further, saying that you want to work in the school's city or state when you're a physician. State schools love applicants who are committed to practicing in their state post-residency.

Mentioning that you find other aspects of the town or city appealing or that it is located near friends and relatives is also relevant here. Schools want to know if you have a local support system.

Similar Q: Tell us about your special interest in the campus you selected.

If a school has multiple campuses, à la The Lewis Katz School of Medicine at Temple University, they will likely ask you to choose a favorite. Again, you should share your interest in the local clinical opportunities and how the campus location relates to your career aspirations. A personal affinity for a larger or smaller city or rural campus is noteworthy too.

Common Secondary Essay Topics: Key Attributes

This week on the blog we’re covering common secondary essay topics. Stay tuned for a new topic each day along with pointers on how to make the most of your response.

What are the most important attributes a physician should possess?

Which one do you embody? This question is self-explanatory, but again, don't just tell, show. Share a story (or, better yet, more than one instance) where you exemplified an attribute that means a lot to you.

Describe a time where you worked on a team.

Teamwork is a huge part of working in medicine, so make this example count. Choose the best anecdote from your Teamwork and Collaboration Bucket in your brainstorm. Be detailed: What was your team's goal? What problem did you solve together? If the team was small, include everyone's first name. (It shows that you valued these people as collaborators.) What did each of them bring to the table? How did you delegate tasks? When did you choose to lead and when did you choose to follow? Did a conflict arise? How did you solve it? If you didn't, is there anything you would do differently if faced with that situation today?

Common Secondary Essay Topics: Adversity and Failure

This week on the blog we’re covering common secondary essay topics. Stay tuned for a new topic each day along with pointers on how to make the most of your response.

Tell us about a time you faced adversity.

This prompt can be a trap because it tempts you to be very negative. Obviously, you don't have to be all sunshine and smiles in your essay about facing adversity. But be careful not to paint yourself as pitiable or overly criticize others, even those who deserve it—let their actions speak for themselves. Present the event in detail, but you want about 80% of your answer to focus on the actions you took, lessons you learned, and how you grew through facing adversity. How did this incident affect your long-term view of something? How will it affect your future actions? How will having navigated this experience make you a better healthcare provider?

The tone to strike and structure to follow applies to other common questions, such as, "Describe a conflict you've had. How did you resolve it?" and "Reflect on a time when you had to show resilience.”

Tell us about a time you failed.

Talking about a failure or weakness can make you feel vulnerable—good. To get a little Brené Brown: Vulnerability leads to bravery. When you share a failure, you want to spend about 20% of your answer explaining what happened and 80% on what you learned and what you've done since to improve. Lastly, how are you feeling now? Hit these beats: Situation. Action. Result. You don't need to seem ever-resilient and impervious to future failure, just like you've grown.

Common Secondary Essay Topics: Mission Alignment

This week on the blog we’re covering common secondary essay topics. Stay tuned for a new topic each day along with pointers on how to make the most of your response.

What disparities in health will you try to address as a medical student and physician?

A question about health disparities and inequity could be direct like this or the topics could come up in a question about your alignment with a program's mission statement. Many schools' statements tout their commitment to addressing these issues. There are plenty of health disparities to write about; explain why you're passionate about one or two and show your knowledge of them, preferably through previous experiences. Share the steps you have already taken regarding inequities and plot out the steps you plan on taking in the future.

We had a client who went to college where Black maternal healthcare was ranked the worst in the country. While this was attributable to multiple factors, physician bias certainly played a role, she wrote. After college, she participated in several unconscious bias trainings. Discussing implicit bias raised her awareness of how dangerous it is in a healthcare setting and caused her to pause and consider where beliefs she had originated. She's going to take that practice with her throughout her career. And on campus and in her future practice, she plans to organize implicit bias trainings.

What about our mission statement resonates with you? How do or will you embody it?

A version of this question might be phrased in several long-winded ways (you'll see what we mean), but this is what they are all asking. Mission alignment matters to schools. They want to know that you share their values and will be a proactive member of their community.

Schools often hit similar themes: innovation, collaboration, and servant leadership. Health equity and social justice also frequently appear in mission statements. (Some schools have a separate question related to those topics.) Even if you're not drafting this answer yet, think about experiences you've had that involve those themes and jot down some notes. Hit up your brainstorm and find the times where you utilized critical thinking. When were you a leader? How have you been involved in social justice or what's a critical topic that you are making an effort to learn more about?

If a question like this isn't in a school's Secondaries mix, you should be looking to reflect the mission statement back to the school in your other essay responses. For example, if a school especially values collegiality, you might include a story about how you collaborated on a class project in one of your answers. (This is another example of show don't tell.)

While you should be researching schools individually to learn other specifics, AAMC has a tremendously convenient document that rounds up all allopathic schools' mission statements in one place.

Common Secondary Essay Topics: Diversity

This week on the blog we’re covering common secondary essay topics. Stay tuned for a new topic each day along with pointers on how to make the most of your response.

How will you add to the diversity of our student population?

Your response doesn't have to be about race, sexuality, or religion. (Of course, it can be.) What unique experiences and perspectives can you share? And how have you thrived in and learned from diverse environments in the past?

We had one client write about how she chose to spend her gap years between graduating college and matriculating to med school in a corporate setting. Working at a consulting firm that advised biotech and pharmaceutical companies gave her a better understanding of disease etiology and product pipelines and insights into healthcare inequity. Part of her job involved speaking with doctors and researchers from around the world; between this and working in a hectic office environment, she improved her communication skills—vital to contributing to a medical school community, never mind in her career. And her atypical premed job meant she'd bring unique knowledge and experiences to her medical school class.

A To-Do List for Your Personal Statement: See Feelings as Information

This week on the blog we’re providing you with a to-do list for your personal statement and school-specific essays. Check back frequently as we’ll provide one key area of focus each day this week. 

See feelings as information. If you can state or allude to how an experience made you feel, you will paint a dynamic picture for the admissions team. You can include "negative" emotions like fear but also positive ones like joy, camaraderie, and pride.

We don't believe in self-aggrandizing but don't self-deprecate either. We think the "pride"-vibe you're aiming for is best explained by organizational psychologist and author Adam Grant: "Downplaying your achievements is not the antidote to appearing arrogant. Humility is acknowledging your weaknesses, not denying your strengths. Generosity is elevating others, not diminishing yourself. Owning your success doesn't make you a narcissist—it makes you a role model.”

(Bonus!) Understand that you will rewrite most things. Embrace it. Know now that having to write several drafts is not a failure. It is a way to success.

A To-Do List for Your Personal Statement: Don't Avoid Fear

This week on the blog we’re providing you with a to-do list for your personal statement and school-specific essays. Check back frequently as we’ll provide one key area of focus each day this week. 

Show fear when it's applicable. Similarly, the "show no fear" image people often want to flaunt in their applications doesn't seem authentic because it isn't. You have many terrific qualities; being 100% fearless isn't one of them. You've experienced fear, whether it was about not finishing your Honors thesis on time or confronting a colleague about a sexist comment. Good. Fear helps you assess a situation, prepare yourself to address it properly, and take (sometimes very cautious) action. Addressing a fear can be quite humbling—it's another way to show vulnerability in your application. And fear can be a pathway to courage.

A To-Do List for Your Personal Statement: Show Self-awareness

This week on the blog we’re providing you with a to-do list for your personal statement and school-specific essays. Check back frequently as we’ll provide one key area of focus each day this week. 

Show that you're self-aware. Many of our clients shy away from sharing examples of their weaknesses or times they've made mistakes in their Personal Statement. But replaying a fumble is an opportunity to then share actions you took to remedy a situation and lessons you learned. That said, not every issue you present must be one that you've fully resolved. For example, say you're great at presenting ideas on paper but you have a hard time speaking up in professional settings. Likely, one beautiful, clarifying moment didn't change that forever. That's something you work on over a long period. You may share an anecdote where you spoke well in front of an intimidating group and how you prepared to do it. Then say how you will continue improving your verbal communication skills and how you plan to exercise that muscle regularly in the future. That's a stronger, more realistic take than "I will never have this problem again!”

A To-Do List for Your Personal Statement: Remember what Resonates

This week on the blog we’re providing you with a to-do list for your personal statement and school-specific essays. Check back frequently as we’ll provide one key area of focus each day this week. 

Remember what resonates most with reviewers. Passion. Depth of Impact. Potential. We probably don't need to explain passion to you. Depth of impact means expressing how much an experience and your actions during it changed things within you and/or outside of you. Potential is you exemplifying one or more qualities that medical, law, or business schools admire: Leadership, collaboration, critical thinking, etc. You know these from your brainstorm “buckets."

Related:

Your Med School Application: Build a Brainstorm Document

Your Law School Application: Build a Brainstorm Document

Your MBA Application: Build a Brainstorm Document

A To-Do List for Your Personal Statement: Emphasize Past Experiences

This week on the blog we’re providing you with a to-do list for your personal statement and school-specific essays. Check back frequently as we’ll provide one key area of focus each day this week. 

Emphasize past experiences. Focus on what you've done more than on what you want to do. So many of our clients think their essays should exclusively be about their fantasy future. But this isn't a magic carpet ride. Your rug must be on the ground. What you have accomplished and learned is the only proof that you are committed to the study and practice of medicine, law, or business. (We use that phrase a lot because you should be reinforcing this commitment throughout your application.) 

Johns Hopkins Medical School to Go Tuition Free

Johns Hopkins University just became the latest medical school to announce plans to go tuition-free after a $1 Billion gift from Bloomberg Philanthropies. 

Starting in the fall, Johns Hopkins medical students from families that earn under $300,000 per year, which includes 95 percent of all Americans, will receive free tuition. Medical students from families earning under $175,000 annually will receive financial aid that covers living expenses in addition to tuition and fees. Approximately two-thirds of current and entering medical students will qualify and will receive their updated financial aid packages over the summer. 

"As the U.S. struggles to recover from a disturbing decline in life expectancy, our country faces a serious shortage of doctors, nurses, and public health professionals—and yet, the high cost of medical, nursing, and graduate school too often bars students from enrolling," said Michael Bloomberg, Founder of Bloomberg Philanthropies and Bloomberg L.P and 1964 graduate of Johns Hopkins. "By reducing the financial barriers to these essential fields, we can free more students to pursue careers they're passionate about—and enable them to serve more of the families and communities who need them the most."

The gift will also fund expanded financial aid for other graduate health programs, including students at the Johns Hopkins Bloomberg School of Public Health and School of Nursing, as well as those pursuing graduate degrees at the Johns Hopkins schools of Education, Engineering, Business, Arts and Sciences, and Advanced International Studies, the Peabody Institute, and the School of Government and Policy. 

This donation to Johns Hopkins by Bloomberg Philanthropies expands upon a 2018 donation of $1.8 Billion to support undergraduate financial aid. 

Overcoming Loneliness

In our next Emotional Intelligence (EI) Friday blog series, we will examine loneliness by considering research on social isolation in the workplace. We will discuss who is affected, the psychological effects of prolonged loneliness, and how you can support yourself or others who may need your help. We hope you enjoy this three-part series.

Click here to read Part 1 of this series. 

Click here to read Part 2 of this series.

So, what should you do if you are experiencing loneliness? Being aware of the dangers of prolonged loneliness is a starter. Below, we have also compiled suggestions for keeping loneliness at bay, for yourself or within your workplace or network.

1. Take cues from your loneliness. If you feel lonely at work or in your personal life, act on the emotional prompt! Do not ignore the feeling or focus on work to the detriment of your own professional, social, and physical well-being. Consider how you can find more consistent person-to-person interaction. If you work remotely or travel frequently, think about facilitating work discussions over video conference or the phone rather than relying on email or instant messaging.

2. Form personal relationships. While you’re at work, speak to people and don’t allow yourself to rely solely on emails or other technology to communicate. Ask people about their lives outside work and tell them about yours. Leave your desk to have lunch and invite someone to walk and/or eat with you. Take the occasional coffee break with peers. Join office committees or participate in community service activities. In the Work Connectivity survey, almost three-fourths of Gen Z and just under 70 percent of Millennials say that they would be more inclined to stay with their company if they had more friends. As a manager working to staunch loneliness on your team, Barsade and Ozcelik warn against falling into inauthentic means of relationship-building such as holiday parties or company picnics. Relationships are built in small groups by people sharing about their lives. Large parties often result in people feeling more isolated as they witness the socially connected enjoying the event.

3. Find shared meaning. According to a Harvard Business Review study, finding shared meaning with colleagues—understanding the meaning that they derive from the work and connecting it with the meaning that you find in the work—creates meaningful “social cohesion” and insulates team members from feeling isolated. This also addresses Barsade and Ozcelik’s point about the meaning and identity that younger generations are looking for in their careers. Younger generations are seeking to be part of something bigger, not just to receive a paycheck. This may also provide a way to connect with others when there are not obvious shared interests or a foundation for a relationship.

4. Work for companies and managers who take their emotional culture seriously. Some companies have cultures that are more prone to driving isolation than others. Consider this as you look for jobs. Do the employees seem connected beyond meeting corporate goals? Do they seem to know and care for each other on a more personal level? “Mandy O’Neill (management professor, George Mason University) and I have done some work in emotional culture—the norms around what emotions you’re allowed to express at work and what you’re better off suppressing. We found that in emotional cultures of companionate love [that include] care, compassion, and tenderness, even lonely employees were more likely to be perceived as approachable and committed to the organization… Anything that a manager can do in terms of creating a culture that sends out cues that are supportive is helpful,” Barsade said. When interviewing, look for signs that your manager and co-workers will be interested in forming real relationships with you that extend beyond your work together.