The first year of post-graduate training following medical school is called "internship." Medical school graduates in the first year of post-graduate training are called an "interns" regardless of what that first year of training consists. Your initial year could be one of the following: a Categorical Year, Transitional Year, or Preliminary Year.
In many specialties, graduates can go right into specialty training, but several require an intern year of more generalized training before specialty training; hence the Transitional and Preliminary Programs. When this occurs, students must apply and interview at both their specialty programs and their intern year programs, even though they will not begin their specialty training a year after their intern year. This has also made Preliminary and Transitional Programs highly competitive, as many of the very competitive specialties require these types of intern years before specialty training.
Some of the fields that require a basic training year before beginning residency include:
A Transitional Year is an intern experience that many fields require or prefer where the student experiences a global training before beginning residency training. In this training, the graduate would experience both surgical and internal medicine rotations and be well prepared to enter a specialty where a thorough understanding of pathology, physiology, and surgical procedures are necessary.
The alternative to the Transitional year for some is the Preliminary Year. Preliminary Programs are further divided into Internal Medicine or Surgery. Surgical specialties will obviously require a Surgical Preliminary Year, but other specialties, such as anesthesiology will accept either a Preliminary Year in Surgery or Internal Medicine.
Students that are accepted straight into the program without going through a separate intern year are entering a Categorical Position. Often students that must match into a Transitional Year or Preliminary Year prior to entering their Residency Year, must do so in another location requiring that they move twice in two years. Matching straight into a Categorical Position allows the graduate to move only one time. However, there are many programs where students match into Transitional or Prelim Years at the same location as their residency training.
Often students will use a Preliminary year or Transitional year as a backup plan in case they do not immediately match into the specialty of her/his choice. The applicant then takes a preliminary or transitional year to improve her/his chances and qualifications for the next year's residency match. This is especially important if you do well in your intern year and intend to apply to the residency program at the same institution where you just did your prelim or transitional year. However, you will be matching into the program for 1 year following the match year unless you manage to arrange a job outside of the match. This will be more difficult to manage if the NRMP is successful in its lobby to change to the “All-in” match where institutions must commit to all of its residency positions going through the NRMP match with no pre-match offers beginning in the 2013 match; however, it may still be a viable and useful plan rather than going a year without an internship.
Things to know:
1. You can find Transitional Programs on FREIDA and list them separately it their “Specialty” section under the “Program Search” tab.
2. To find Preliminary Internal Medicine and Preliminary Surgery Programs in FREIDA, you search “Internal Medicine” or “Surgery” as a Specialty, then check off “Preliminary Programs” Under “Optional Criteria Selection.”
Go the FREIDA page to search for residency and fellowship programs with FREIDA Online, the AMA Residency & Fellowship Database.
It’s important to have a strategy for what and when you will study. Many students find the structure of the Doctors In Training USMLE Step 1 Review Course, the Doctors In Training USMLE Step 2 Review Course and the Doctors In Training USMLE Step 3 Review Course beneficial to their exam preparations. Our courses present the high yield information you need to know and are updated annually to reflect student feedback.
While I can be the queen of procrastination, I feel it is my duty to shake some of you out of denial and into reality: ERAS is coming soon. Very soon. In a few short months you will be applying to residency and the application can be extremely daunting, especially the personal statement. I’m not sure why essays of this nature are so intimidating. Maybe it’s because not all medical students are well versed in language arts, we hate writing, or maybe just the thought of putting ‘who you are’ onto paper brings to the surface formerly suppressed feelings from your dark past (whoa—this just got intense!).
I’m mostly kidding, but to be honest, sometimes when we sit down to write our personal statement we immediately think things like “I’m not that interesting,” or “I haven’t done anything cool in life, I’ve spent most of my time in school thus far.” And that is completely normal. The majority of us haven’t had these pivotal moments in life that shake the ground beneath us and form a new foundation for who we are, and that’s OK! Your personal statement isn’t intended to be a best-selling memoir; it is intended to add another dimension to the otherwise black and white ERAS application full of scores and grades. It is an opportunity to show Program Directors your personality, what motivates you and what you're looking for in a residency program.
While you've probably heard all of this before, you probably have more questions, specific questions, about how to tackle this personal statement (I know I did).
Here are the 7 most important questions answered about your personal statement:
1. How big of deal is my personal statement to program directors?
The 2014 NRMP program director survey revealed that 78% of program directors cite the personal statement as an important factor in deciding which candidates to interview. The average importance was rated 3.6/5. So basically, 78% of program directors think this is important. Now from experience in talking to different program directors and mentors, I have learned that the most important thing is that your personal statement is well organized, well written, with proper grammar, and no red flags…oh… and that it’s ONLY ONE PAGE.
A personal statement typically isn’t the “maker” but it can be a deal “breaker” if it doesn’t have these attributes. That said, if you have a memorable, well written personal statement, program directors WILL mention it, and it will make you stand out as an applicant. If they are on the fence on whether or not to interview you, a personal statement could potentially be the deciding factor. So I guess it is pretty important. Are you surprised?
2. What should I include in my personal statement?
While everyone’s personal statement will be different, all of them should include the following components:
- A catchy introduction to grab the reader
- An overview of your desirable qualities. Word of advice: SHOW, don’t tell. Instead of saying you are compassionate, describe a story from your life that demonstrates your compassion.
- Highlights from your life experience (jobs, extracurricular activities, hobbies) that would help you to be an ideal candidate for <<<whatever>>> residency you are applying to. Pro tip: DON’T REGURGITATE YOUR CV. This is your opportunity to tell people things that aren’t on your CV (do you play chess in the park every Saturday or have you traveled to some amazing places?... Tell us about it!).
- Why you are interested in your specialty. This doesn’t have to be a profound story, but it should be the truth!
- What you are looking for in a residency program. Is a strong procedural curriculum important to you? Is the culture of the program more important?Suggestion: Try to include things you know your programs of choice embody.
- Address any red flags on your application. Did you do poorly on Step 1? Did you take a leave of absence for a long time? Best to just come out and talk about it without being defensive. Show how you have grown from the experience, rather than apologizing for it!
- A cohesive closing statement. Sometimes the first and the last sentence of the statement are the hardest to come up with, but it's worth your time to make it tidy, even if it isn’t profound.
3. What shouldn’t I include?
Avoid any topic that is controversial. Stay away from extreme religious or political statements. It doesn’t mean you can’t say you are an active member of church, but don’t use this as an opportunity to discuss whether or not you are pro-choice. You never know who is going to be reading this, and anything too polarizing can be off-putting for some readers.
Additionally, as stated before, don’t just list your accomplishments straight from your CV. Anything that you include should be in a bigger context (otherwise how is it any different than your CV?).
Lastly, leave out any traces of bitterness, defensiveness or anger about anything that has happened in your life. Everything MUST have a positive spin.
4. How can I make my statement unique?
As evidenced by The Voice and American Idol, it is everyone’s impulse to divulge their “sob story” to help them stand out and garner sympathy with the audience. While it is important to include stories that helped shape you as a person, it is very transparent and cliché to talk about that person you know who died, and how ever since you vowed to ‘save people.’
The best way to make your statement unique is to allow your personality to shine through. Use your words, your humor, and your depth to tell your story. Find a way to show yourself to your reader, and if you do this, your paper will be unique. Start brainstorming ideas as they come to you.
5. Should I have more than one to upload?
In short: absolutely. Especially if you are applying to more than one specialty, it's essential that you have several versions of your personal statement. That doesn’t mean you have to write a whole new one; you just have to tailor it to fit that specialty. If you're applying for a preliminary year, tailor your personal statement to explain how important you feel a solid foundation in medicine is for Dermatology (or whatever) and what you're looking for in a preliminary year.
Furthermore, I found that for the programs I REALLY wanted to interview with, I would upload a tailored personal statement for that program saying something like “I am seeking a Family Medicine Residency position with ABC University program because of their dedication to XYZ.” Just name-dropping their institution demonstrates your attention to detail and interest in THEIR institution. Even if you are an amazing applicant, if a program doesn’t feel you are interested in their specific program, they won’t interview you. It's best to make sure you give those out of state programs some extra attention so they know you are willing to relocate for them!
Lastly, you should know that you can upload as many versions of your personal statement as you like onto ERAS, but be especially careful when uploading and make sure you apply the correct personal statement to each program! Triple check your work! Pro Tip: Use your file names to help you stay organized. Pick a format and stick with it. Ex. PS-JohnsHopkins, USCF-PS, etc.
6. When should I start writing it?
Do I really have to answer this? The sooner the better, people! Get cracking now. You can even begin to think of ideas during your third year as you develop your interests in specific specialties. As ideas come to you, jot them into your phone so you don’t forget!
7. Can/should I get any help with my statement?
Yes. Yes. A thousand times YES! After getting your draft finished, show it to whomever will look at it BUT please remember to take everyone’s advice with a grain of salt and to strongly consider the source. If you have an advisor at your school, ask for their input. Do you have an English Lit friend? Ask them for advice on polishing your essay.
Be careful asking other people applying for help. Sometimes people get weird and competitive and try to give you advice about making their statement more like theirs because they want to feel justified in their own efforts.
Now, it should be mentioned that there are services out there that will “write your personal statement” for you. Aside from the obvious reasons why not to do this, you have to be really careful. Those services don’t know you, don’t know your voice, and often times have very generic ways of putting these statements together. Using a service to help polish your statement, though, is A-OK. Overall, it’s best to stick with getting help from people you know and trust!
So without further ado, get writing!