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  • You're a medical student hoping to match  into a highly competitive specialty,  

    你是一名醫學生,希望能匹配到一個競爭激烈的專業。

  • like dermatology, plastic surgery, neurosurgeryor something else highly sought after. The problem  

    比如皮膚科、整形外科、神經外科,或者是其他很搶手的東西。問題是

  • is that you didn't quite nail your USMLE Step  1. But don't worry, all hope is not lost.

    是你沒有完全搞定你的USMLE Step 1。但不要擔心,所有的希望並沒有失去。

  • Dr. Jubbal, MedSchoolInsiders.com.

    朱波醫生,醫派內參網。

  • Residencies are overrun with applicantsas we have too many freshly minted doctors  

    住院醫師的申請者過多,因為我們有太多剛畢業的醫生。

  • graduating from medical school each year, but  not enough residency positions for all of them.

    每年從醫學院畢業,但沒有足夠的住院醫師職位供他們全部畢業。

  • Confronted with over 100 applicants  for a single residency seat,  

    面對100多個申請者的一個居住席位。

  • residency program directors need  a way to narrow down the list.  

    住院項目主任需要一種縮小名單的方法。

  • For this reason, they use a "standardized  screening process", specific to each program,  

    為此,他們採用 "標準化篩選流程",具體到每個項目。

  • to reject approximately 50% of applicantsThis includes USMLE scores among other factors.

    以拒絕大約50%的申請人。 其中包括USMLE成績等因素。

  • We often focus on USMLE scores as the end  all in terms of residency competitiveness.  

    我們常常把USMLE成績作為住院醫師競爭力的終極目標。

  • But upon closer examination of the data, you'll  see there were a handful of students matching into  

    但仔細查看數據後,你會發現有少數學生匹配到了

  • plastic surgery or dermatology or neurosurgery  with USMLE scores below 230. What gives?

    整形外科或皮膚科或神經外科,USMLE成績低於230分。什麼給?

  • If you've ever wondered how to get inside  the mind of a residency program director  

    如果你曾想知道如何瞭解住院醫師項目主任的心思,那麼你就會發現,你的心思是什麼?

  • to figure out what they care aboutyou're in luck. Every two years,  

    想知道他們關心什麼,你很幸運。每兩年一次

  • the NRMP surveys program directors from  all residencies and publishes the NRMP  

    NRMP對所有駐地的項目主任進行調查,並公佈NRMP。

  • Program Director Survey, showing what factors  are most important in selecting applicants to  

    項目主任調查,顯示在選擇申請人時哪些因素是最重要的。

  • interview. And this is a big dealafter allonly 13% of applicants are offered an interview,  

    面試。而這是一個大問題,畢竟只有13%的申請人獲得面試機會。

  • making it one of the most challenging  parts of the application process.

    使其成為申請過程中最具挑戰性的部分之一。

  • USMLE Step 1 tops the list in the surveywith 94% of programs citing it as important  

    USMLE Step 1在調查中名列前茅,94%的項目認為它很重要。

  • with an average importance rating of 4.1. In  other words, they care about it quite a bit.  

    的平均重要度為4.1。換句話說,他們相當在意。

  • In fact, approximately 2/3 of all  programs have a target score for Step 1.  

    事實上,大約有2/3的計劃都有步驟1的目標分數。

  • This cutoff score varies based on the specialtyOn average, plastic surgery, orthopedic surgery,  

    這個分界點根據專業不同而不同。 平均來說,整形外科、骨科。

  • and dermatology programs will have a cutoff much  higher, around 230 and sometimes even up to 240.  

    和皮膚病學項目的截止日期會更高,230左右,有時甚至達到240。

  • On the other hand, programs like family medicine  and neurology have cutoffs closer to 200.

    另一方面,像家庭醫學和神經病學等項目的截止日期接近200。

  • And if you really crush Step 1,  there are threshold scores above  

    如果你真的粉碎了步驟1,有閾值分數以上的。

  • which you're almost guaranteed  an interview. For dermatology,  

    其中你幾乎可以保證面試的機會。對於皮膚科。

  • that cutoff is on average 241, up to 251.  For plastic surgery, it's on average 248,  

    該截止值平均為241,最高為251。 對於整形外科來說,平均是248。

  • up to 256 — the highest of any specialtyFor family medicine, it's 219, up to 223.

    高達256--是所有專科中最高的。 對於家庭醫學來說,是219,高達223。

  • But wait a minute - USMLE  Step 1 is becoming pass/fail,  

    但是,等一下--USMLE Step 1正在變成pass/fail。

  • therefore will this even matterAs I've [discussed on my personal  

    是以,這甚至會有問題嗎? 正如我[在我的個人網站上討論過的

  • channel](https://www.youtube.com/watch?v=LrJ5i9afqP8),  this will largely shift the importance  

    管道](https://www.youtube.com/watch?v=LrJ5i9afqP8),這將在很大程度上轉移重要性

  • in applicant selection to other  factors, like Step 2CK. And besides,  

    在申請人的選擇中,要考慮其他因素,如步驟2CK。此外。

  • this video isn't about telling you why crushing  USMLE is important. You already know that. We want  

    這個視頻並不是要告訴你為什麼粉碎USMLE很重要。你已經知道了。我們希望

  • to know how else you can stand out and still match  into that competitive specialty without a 260.

    要知道,在沒有260的情況下,你還能如何脫穎而出,還能匹配到那個競爭激烈的專業。

  • If you take a step back, you'll find that the  most important factors in screening applicants  

    如果你退一步講,你會發現篩選申請人最重要的因素是什麼?

  • for interviews are largely high-level broader  assessments. The top 5 most important factors are

    為面試主要是高層次的廣泛評估。最重要的5個因素是

  • 1. USMLE Step 1/COMLEX Level 1 score 2. Letters of recommendation in the specialty 

    1.USMLE Step 1/COMLEX 1級成績 2.專業的推薦信

  • 3. Medical Student Performance  Evaluation (MSPE/Dean's Letter

    3.醫學生成績評價(MSPE/院長函)。

  • 4. USMLE Step 2CK/COMLEX Level 2CE score 5. Personal Statement

    4.USMLE Step 2CK/COMLEX Level 2CE成績 5.個人陳述

  • Again, these are primarily summative  assessments. Your board exam scores  

    同樣,這些主要是終結性評估。您的董事會考試成績

  • are proxies in assessing your mastery of  preclinical and clinical content. Your MSPE,  

    是評估您對臨床前和臨床內容掌握程度的代理指標。你的MSPE。

  • or Dean's letter, summarizes your performance  as a student. At the end of the letter,  

    或院長的信,總結你作為學生的表現。在信的最後。

  • they often use one of 4 keywords to indicate  the class quartile in which the student ranked,  

    他們經常使用4個關鍵詞中的一個來表示該學生在班級中的排名四分位數。

  • even at supposed unranked programs. The letters of  recommendation from physicians in that specialty  

    甚至在所謂的無等級的項目。該專業的醫生的推薦信。

  • summarize the opinions of experienced attendings  who have worked closely with you. Are you a good  

    總結與你密切合作的有經驗的服務員的意見。你是一個好

  • "fit" for this field? And your personal  statement reflects your story and motives.

    "適合 "這個領域?而你的個人陳述反映了你的故事和動機。

  • Without understanding the perspectives and  priorities of residency program directors,  

    如果不瞭解住院醫師項目主任的觀點和重點。

  • most medical students poorly  allocate their time and energy,  

    大多數醫學生的時間和精力分配不當。

  • placing too much emphasis on things that don't  matter, and too little on areas with a higher ROI.

    把太多的重點放在不重要的事情上,而對投資回報率較高的領域強調得太少。

  • Understand that applying to residency isdifferent beast than applying to medical school,  

    要明白,申請住院醫師和申請醫學院是不同的野獸。

  • and what matters to medical schools isn't  necessarily the same as what matters to  

    而醫學院的重要性不一定是相同的,什麼是重要的醫學院

  • residency programs. Let's take extracurriculars  for example. When applying to medical school,  

    住校生項目。我們以課外活動為例。在申請醫學院的時候。

  • the depth of your extracurriculars are important  — do you have clinical exposure? How about  

    你的課外活動的深度很重要--你有臨床經驗嗎?怎樣

  • volunteering and leadership experience? Medical  schools want to know you're well rounded, that  

    志願服務和上司經驗?醫學院想知道你是一個全面的人,而且

  • you understand what medicine is about, and that  you're going into the field for the right reasons.

    你明白什麼是醫學, 你進入該領域的原因是正確的。

  • But when you're applying to residency, you're  already well on your way to becoming a doctor.  

    但當你在申請住院醫師時,你已經在成為醫生的路上走得很順利了。

  • Now the priority is seeing if you'll be a good  fit for that specialty and residency program.  

    現在的首要任務是看你是否適合那個專業和住院醫師項目。

  • It's not a priority to them  if you were part of X or Y  

    如果你是X或Y的一部分,這並不是他們的優先事項

  • student group. In fact, extracurriculars and  volunteering ranked at #19 in the survey.

    學生群體。事實上,課外活動和志願服務在調查中排名第19位。

  • I'm not saying to avoid interesting organizations,  

    我不是說要避開有趣的組織。

  • as they can offer value outside of your residency  application. In fact, being a co-founder of the  

    因為他們可以提供你的居留申請之外的價值。事實上,作為聯合創始人的

  • Future of Medicine student group at my medical  school got the gears turning in my head,  

    醫學院的 "未來醫學 "學生小組讓我腦海中的齒輪轉動起來。

  • resulting in me founding the Blue LINC biomedical  incubator that resulted in me falling in love with  

    導致我創辦了Blue LINC生物醫藥孵化器,導致我愛上了。

  • entrepreneurship and innovation. And that  led me to starting Med School Insiders and  

    創業和創新。而這也導致我創辦了醫學院內參和

  • Memm. But none of my residency interviewers  cared about the Future of Medicine group.

    Memm.但我的住院醫師面試官沒有一個關心未來醫學組。

  • Similarly, many students obsess  about their preclinical grades.  

    同樣,很多學生也會糾結於臨床前的成績。

  • Ask your school if the MSPE or dean's letter  is reflective of your preclinical grades.  

    詢問你的學校,MSPE或院長的信是否能反映你的臨床前成績。

  • If so, strive to be in the top quartile. And  if your school has AOA, an honors society that  

    如果是這樣,就爭取進入前四分之一。如果你的學校有AOA,一個榮譽社團,那就是

  • is based on ranking, try to meet the cutoff. But  if the letter doesn't reflect preclinical grades  

    是根據排名來的,儘量滿足截止日期。但如果信中沒有反映出臨床前的成績

  • or you don't have an AOA chapter at  your school, focus on just passing  

    或者你的學校沒有AOA分會,只需把精力放在通過

  • and spending extra time preparing for USMLE  or building your research publication list.

    並花額外的時間準備USMLE或建立你的研究出版列表。

  • As a medical student, time is of the essenceand it's imperative to be mindful of the  

    作為一名醫學生,時間是最寶貴的,一定要注意到

  • opportunity cost of any given activity. Don't  be a robot, and don't forget to live your life.  

    任何特定活動的機會成本。不要做機器人,不要忘記生活。

  • At the same time, understand that  time spent with a student club  

    同時,要明白與學生社團相處的時間

  • means less time on other goals that will move  the needle on your residency application.

    意味著更少的時間在其他目標上,這將推動你的住院醫師申請。

  • You already know it's important to do  your best on USMLE Step 1, Step 2CK,  

    你已經知道在USMLE Step 1、Step 2CK上做到最好很重要。

  • and your clinical rotations. But how  did those students with sub 230 scores  

    和你的臨床輪轉。但那些230分以下的學生是怎麼做到的?

  • match into plastics, derm, and neurosurgery?  

    匹配到整形、皮膚和神經外科?

  • It comes down to three areas that can override  score cutoffs and compensate for deficiencies.

    歸根結底,有三個方面可以凌駕於分數切入點,彌補不足。

  • First, it's a matter of who you know, and who is  in your corner. It's no surprise that students  

    首先,這是你認識誰,誰在你身邊的問題。這並不奇怪,學生

  • pursuing a competitive specialty have the highest  odds of matching into their home program. It's  

    追求有競爭力的專業,有最高的機率匹配到自己的母校項目。它的

  • simple human psychology and risk assessment —  you'll have a higher degree of direct interaction  

    簡單的人類心理學和風險評估--你會有更高程度的直接互動。

  • with faculty and your program directorincluding the opportunity to rotate there.  

    與教師和你的項目主任,包括輪流在那裡的機會。

  • Assuming you exhibit strong performance and  impress them through clinical rotations,  

    假設你表現出強大的性能,並通過臨床輪轉給他們留下深刻印象。

  • research, and perhaps supporting them  on their side projects or initiatives,  

    研究,或許還可以支持他們的副業項目或舉措。

  • chances are they'll take a strong  liking to you. Comparing two candidates,  

    他們有可能會對你產生強烈的好感。比較兩個候選人。

  • they'll favor the one who they know  personally and has a proven track record.

    他們會傾向於一個誰,他們知道個人和有一個成熟的記錄。

  • You can still do this with faculty  at other programs, too. This is most  

    你也仍然可以和其他項目的教員一起做。這是最

  • traditionally done through away rotationsIn 2020, that's going to be less common,  

    傳統上通過客場輪換來完成。 在2020年,這種情況將不常見。

  • but you can still make connections outside the  formal rotation setting. For example, say you find  

    但你仍然可以在正式的輪換設置之外建立聯繫。比如說,你發現

  • a faculty's clinical interests from their website  and reach out to them to assist with case reports  

    從教師的網站上了解他們的臨床興趣,並與他們聯繫,協助他們撰寫病例報告。

  • or research articles remotely. If you're part of  a national organization committee, this is another  

    或遠程研究文章。如果你是一個國家組織委員會的成員,這是另一個。

  • worthwhile opportunity to interact with faculty  committee members and build a relationship.

    值得與院系委員會成員交流和建立關係的機會。

  • Beyond that, having faculty in your corner who are  willing to bat for your at application time can  

    除此之外,在申請時,有願意為你打抱不平的教員可以

  • massively influence your outcomes, particularly  if you're applying to a smaller specialty where  

    大大影響你的結果,特別是如果你申請的是一個較小的專業,在那裡

  • most faculty more or less know one anotherWhen you apply, they'll reach out to their  

    大多數教員或多或少都認識對方。 當你申請的時候,他們會主動聯繫他們的。

  • contacts in residency programs to specifically  vouch for you and help you secure an interview.

    住院醫師項目的聯繫人專門為你擔保,幫助你獲得面試機會。

  • These faculty advocates are most impactful when  they have significant direct contact with you.  

    當這些教務倡導者與你有重要的直接接觸時,他們的影響最大。

  • After all, it's much more meaningful whenfaculty member has worked with you closely on  

    畢竟,當一位教師與你密切合作時,它的意義就更大了。

  • research for 18 months and can speak to your  amazing skills and how any program would be  

    研究18個月,可以說你的驚人技能和任何程序都會如何

  • lucky to have you. This isn't something you  can simply figure out at the last minute.  

    幸運的是有你。這不是你能簡單地在最後一刻才想出來的。

  • Rather, you'll need to begin working  on this earlier during medical school.  

    相反,你需要在醫學院期間更早地開始工作。

  • A great place to start is simply pursuing  research projects or interest groups in your  

    一個很好的開始是簡單地追求你的研究項目或興趣小組。

  • particular specialty to find a faculty mentorYou can also ask medical students and residents  

    特定的專業來尋找教師導師。 您也可以詢問醫學生和住院醫師

  • who may offer more insight as to which faculty  members would be more receptive and helpful.

    他們可能會更深入地瞭解哪些教員更容易接受和幫助。

  • Next, it should be no surprise that being prolific  with research can transform your application.  

    接下來,多產研究可以改變你的應用,這一點也不奇怪。

  • Looking at the NRMP official match data, you'll  find that for many competitive specialties,  

    從NRMP官方比賽數據來看,你會發現,對於很多競技類專業。

  • there is a large difference in the total number  

    總數相差很大

  • of research items between those  who matched and those who didn't.

    匹配者和不匹配者之間的研究項目。

  • Research is attractive because it  demonstrates initiative, work ethic,  

    研究之所以有吸引力,是因為它能體現出主動性、工作熱情。

  • curiosity, and the pursuit of knowledge. Perhaps  more importantly, it helps programs look good  

    好奇心,以及對知識的追求。也許更重要的是,它能幫助程序看起來很好。

  • when their residents and faculty publish  frequently, and it helps them secure funding.

    當他們的住院醫師和教師頻繁發表文章時,這有助於他們獲得資金。

  • Standing out in research is often  a key differentiating factor.  

    在研究中脫穎而出往往是一個關鍵的差異化因素。

  • I have 65 publications and abstracts primarily  in plastic surgery, and at every institution,  

    我有65篇論文和摘要,主要是在整形外科,而且在各個機構都有。

  • interviewers loved talking about how I was  able to be prolific with research at such an  

    面試官很喜歡談論我為什麼能在這樣的環境下多產研究。

  • unusual level. Some even told me they were  excited to have a future resident like me  

    不尋常的水準。有的人甚至告訴我,他們很高興能有一個像我這樣的未來的居民

  • to help them push through various  projects they've been working on.

    來幫助他們推進他們一直在做的各種項目。

  • Ever since [the video on my personal  channel explaining my research  

    自從[在我的個人頻道上播放了解釋我的研究的視頻後。

  • experience](https://www.youtube.com/watch?v=H9aMenyBdkk),  I've had a large number of students asking  

    經驗](https://www.youtube.com/watch?v=H9aMenyBdkk),我有大量的學生問過

  • for specifics on how they can do the same. There's  a great deal of complexity and nuance to it,  

    以瞭解他們如何做到這一點的具體細節。這裡面有很大的複雜性和細微差別。

  • much more than a single video can encompass, so  I'm considering making a course. To gauge interest  

    遠遠超過一個視頻所能包含的內容,所以我正在考慮製作一個課程。為了衡量興趣

  • and see if it's worthwhile, drop a comment below  if you'd like me to work on a research course.

    並看看是否值得,如果你想讓我做一個研究課程,請在下面留言。

  • Lastly, a highly compelling ERAS application and  personal statement can make a huge impact on your  

    最後,一份極具說服力的ERAS申請和個人陳述會對你的申請產生巨大影響。

  • competitiveness. But this is much easier said than  done. Many applicants write a personal statement  

    競爭力。但這說起來容易做起來難。很多申請人在寫個人陳述時

  • or have other components of their ERAS application  that holds them back in some way. Others write an  

    或者他們的ERAS應用中有其他組件在某種程度上阻礙了他們。其他人則編寫了一個

  • application that doesn't hurt or help them muchAnd only a small minority are able to craft an  

    應用,對他們沒有什麼傷害和幫助。 而只有少數人能夠精心製作一個

  • ERAS application and personal statement that  truly serves as an asset to improve their chances.

    ERAS申請和個人陳述,真正起到提高自己機會的作用。

  • Your application should make the reader want  to meet you, while also highlighting the  

    你的申請應該讓讀者想見見你,同時也要突出你的

  • aspects of your application that would  make you a great fit at their program.  

    你的申請中,有哪些方面會讓你很適合他們的項目。

  • Depending on your experiences and the program's  priorities, this can be anything from specific  

    根據你的經驗和項目的優先級,這可以是任何東西,從具體的?

  • research interests to advocacy workand anything between. We have some  

    從研究興趣到宣傳工作,以及兩者之間的任何事情。我們有一些

  • example personal statements on the Med School  Insiders website that show a range of essays.  

    醫學院內參網站上的個人陳述範例,展示了一系列的文章。

  • One was so strong that the applicant was  told their essay was the main reason they  

    其中有一個很強,申請者被告知他們的論文是他們的主要原因。

  • were offered an interview at MGH and a few other  elite programs, despite having weaker USMLE scores  

    儘管USMLE成績較弱,但還是獲得了MGH和其他幾個精英項目的面試機會。

  • and minimal research. You can sign up at the  link in the description to receive your free  

    和最小的研究。您可以通過描述中的鏈接註冊,以獲得您的免費的

  • copies of those essays, including commentary  explaining the essays' strengths and weaknesses.

    這些文章的副本,包括解釋這些文章優缺點的評論;

  • Getting into your dream specialty can be  overwhelming - I was there not too long ago.  

    進入夢想中的專業可能會讓人不知所措--不久前我也是這樣。

  • But by intelligently approaching your application  and prioritizing your energy and efforts based on  

    但是,通過智能地處理您的應用,並根據您的精力和努力的優先級來確定

  • relative yield, you should be able to better  position yourself for a successful match.  

    相對收益率,你應該可以更好地定位自己的成功匹配。

  • Keep in mind your stage in training too. In  your preclinical years, focus on optimizing  

    也要記住你的訓練階段。在臨床前的幾年裡,專注於優化

  • for USMLE Step 1 performance and dip your toes  into research. In your third and fourth year,  

    為USMLE Step 1的表現,並涉足研究。在你的第三年和第四年。

  • prioritize clerkship grades, because those matterand set yourself up for success on Step 2CK.

    優先考慮文書成績,因為這些很重要,併為自己在步驟2CK上的成功做好準備。

  • If you need help with any step of the  process, from USMLE and shelf tutoring  

    如果您需要任何步驟的幫助,從USMLE和架上輔導。

  • to optimizing your research to fine tuning  your personal statement or interview skills,  

    到優化你的研究,再到微調你的個人陳述或面試技巧。

  • visit us on MedSchoolInsiders.com. Our Insiders  are superstars in their respective fields,  

    訪問我們的MedSchoolInsiders.com。我們的內部人士是各自領域的超級明星。

  • representing almost every specialty, from  plastic surgery and neurosurgery to derm, ortho,  

    幾乎代表了所有的專業,從整形外科、神經外科到皮膚科、骨科。

  • anesthesia, radiology, psych, and much more. When  building out our services, we found a common issue  

    麻醉科、放射科、心理科等等。在構建服務體系時,我們發現了一個共同的問題

  • plaguing other companies in the industrylack  of consistency and expertise. One student may  

    困擾行業內其他公司的問題--缺乏一致性和專業性。一個學生可能

  • get assigned a great advisor or tutor, and the  next may get unlucky. That's simply not fair.  

    被分配到一個很好的顧問或導師,而下一個可能會變得不幸運。這簡直是不公平的。

  • Just as I obsess about my personal systemswe obsessed over creating the best tutoring  

    就像我執著於我的個人系統一樣,我們也執著於創造最好的輔導。

  • and advising experience for aspiring future  doctors. We've shaken things up, innovating  

    併為有志於未來的醫生提供諮詢經驗。我們已經動搖了,創新了

  • with systems that offer a consistently  elevated and high quality experience,  

    用系統提供持續提升的高品質體驗。

  • with results that speak for themselves. And unlike  others, we have the experience and expertise to  

    結果不言而喻。與其他公司不同的是,我們擁有豐富的經驗和專業技術,可以做到

  • back up our claims. These are the same systems  that helped me score in the high 260's on USMLE,  

    支持我們的主張。這些都是幫助我在USMLE上取得260分高分的系統。

  • secure 65 research publications, match into  plastic surgery in Southern California,  

    確保65篇研究論文,匹配到南加州的整形外科。

  • while also starting multiple profitable  companies. We'll teach you the methods and  

    同時還可以創辦多家盈利的公司。我們將教你方法和

  • help you achieve your version of successVisit MedSchoolInsiders.com to learn more.

    幫助你實現你的成功版本。 訪問MedSchoolInsiders.com瞭解更多。

  • If you enjoyed this video, check out my video  on securing 65 research items or this video  

    如果您喜歡這個視頻,請查看我的視頻,確保65個研究項目或這個視頻。

  • comparing medical school and residencyMuch love, and I'll see you guys there.

    比較醫學院和住院醫師。 很多愛,我們那裡見。

You're a medical student hoping to match  into a highly competitive specialty,  

你是一名醫學生,希望能匹配到一個競爭激烈的專業。

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如何在USMLE低分的情況下匹配到住院醫師(競爭性專業)。 (How to Match into Residency with a Low USMLE Score (Competitive Specialty))

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    Summer 發佈於 2021 年 01 月 23 日
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