🧵 Part 14 of my #Tweetorial Series for #Match2022: Rank Order List 🧵
Let's talk about what to consider when making your ROL!
@FuturePedsRes @Inside_TheMatch @InternalMed_Res @FutureGenSurg @futureradres @NMatch2022 @IMG_Advocate @FutureAnesRes @futureENTres @FamilyMed_app
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Let's talk about what to consider when making your ROL!
@FuturePedsRes @Inside_TheMatch @InternalMed_Res @FutureGenSurg @futureradres @NMatch2022 @IMG_Advocate @FutureAnesRes @futureENTres @FamilyMed_app
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In this thread, I’ll be sharing what I feel are the Top 15 most important things to consider when formulating your rank order list (ROL) of residency programs.
So without further ado, let’s get started!
In no particular order:
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So without further ado, let’s get started!
In no particular order:
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Resident Vibe
Virtual meet-and-greets are different than in-person socials, but you should have been able to get a general sense of the vibe of the residents from each program. What are the kind of people you want to be around? How did the residents make you feel?
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Virtual meet-and-greets are different than in-person socials, but you should have been able to get a general sense of the vibe of the residents from each program. What are the kind of people you want to be around? How did the residents make you feel?
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This is arguably the most important factor to consider. These are the people you will be spending the vast majority of your waking hours with on a near daily basis. You want to go to a program where the culture and personalities of the residents resonate with you.
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Your co-residents will make work enjoyable, long days bearable, lift you up during tough times, lend a helping hand when you need it, and lead to friendships that last a lifetime. Regardless of where you train, you will always remember the people you shared that journey with.
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Location
What part of the country do you want to move to? Do you want to be in an urban, suburban, or rural area? Prefer the warmth or the seasons? Does proximity to family matter? If you want to explore a new part of the country, residency can be a great time to do that.
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What part of the country do you want to move to? Do you want to be in an urban, suburban, or rural area? Prefer the warmth or the seasons? Does proximity to family matter? If you want to explore a new part of the country, residency can be a great time to do that.
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Cost of Living
Most places are affordable on a resident salary, but this can be difficult in more expensive cities and areas. Create a rough monthly budget. Research types of housing and prices in advance. Think about how far you are willing to be from the hospital.
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Most places are affordable on a resident salary, but this can be difficult in more expensive cities and areas. Create a rough monthly budget. Research types of housing and prices in advance. Think about how far you are willing to be from the hospital.
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Hobbies
Don’t forget those hobbies you talked about so much! Residency can be exhausting, and you need to be able to do the things that give you joy and allow you to recharge. Your hobbies will give you the energy to thrive and be yourself. Make sure they are accessible!
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Don’t forget those hobbies you talked about so much! Residency can be exhausting, and you need to be able to do the things that give you joy and allow you to recharge. Your hobbies will give you the energy to thrive and be yourself. Make sure they are accessible!
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Exercise
Beyond the physical benefits it provides, exercise enables motivational goals, encourages a healthy lifestyle, decreases stress, elevates your mood, improves your sleep, and provides opportunities to join communities.
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Beyond the physical benefits it provides, exercise enables motivational goals, encourages a healthy lifestyle, decreases stress, elevates your mood, improves your sleep, and provides opportunities to join communities.
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If you like running, are there good trails? If you enjoy team sports, are there local leagues or communities? If you enjoy group fitness like Orangetheory or CrossFit, are there gyms close by, and do the class times/hours work for your schedule?
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Career Interests
Are your interests and goals supported at the program? And not only subspecialties, but also other focuses, such as research, global health, and medical education. Have other current/past residents successfully gone on to do what you are hoping to pursue?
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Are your interests and goals supported at the program? And not only subspecialties, but also other focuses, such as research, global health, and medical education. Have other current/past residents successfully gone on to do what you are hoping to pursue?
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PDs and APDs
What impression did you get from program leadership? Looking back, my top 5 ranks were my 5 favorite PDs, and I know that’s not a coincidence. Their passion, attitude, vision, and personality trickle down to the entire program and impact the program culture.
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What impression did you get from program leadership? Looking back, my top 5 ranks were my 5 favorite PDs, and I know that’s not a coincidence. Their passion, attitude, vision, and personality trickle down to the entire program and impact the program culture.
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Training Structure
Are you at an academic or community institution? How many weeks long are rotations? Does X+Y appeal to you, and if so, does the program have it? Depending on your specialty, you might consider how many shifts you work or what your surgical load is like.
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Are you at an academic or community institution? How many weeks long are rotations? Does X+Y appeal to you, and if so, does the program have it? Depending on your specialty, you might consider how many shifts you work or what your surgical load is like.
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Autonomy
Autonomy fosters confidence, encourages ownership of your patients, develops independence, provides valuable experiences with critical decision making, and promotes leadership and teaching. The skills you acquire through autonomy translate to your own life as well.
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Autonomy fosters confidence, encourages ownership of your patients, develops independence, provides valuable experiences with critical decision making, and promotes leadership and teaching. The skills you acquire through autonomy translate to your own life as well.
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Call Schedule
You don’t realize how much the call schedule matters until you experience it. Is there 24-hour call? If so, which years and rotations? Is there Q3/Qweek (or other) call? Do you do night team? Is there short/long call to get you out early? Cross coverage?
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You don’t realize how much the call schedule matters until you experience it. Is there 24-hour call? If so, which years and rotations? Is there Q3/Qweek (or other) call? Do you do night team? Is there short/long call to get you out early? Cross coverage?
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Jeopardy System
Life happens. How does jeopardy work at your program? Who covers jeopardy? Is the jeopardy system a payback or no-payback system? What is the culture of jeopardy like, and how is it perceived by current residents? How much is the jeopardy system used?
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Life happens. How does jeopardy work at your program? Who covers jeopardy? Is the jeopardy system a payback or no-payback system? What is the culture of jeopardy like, and how is it perceived by current residents? How much is the jeopardy system used?
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Fellowship Matches
Think you may be interested in fellowship? What subspecialties have residents matched into previously? Where have they gone? How strong of a foundation does the residency program provide, and how well-prepared did previous residents feel?
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Think you may be interested in fellowship? What subspecialties have residents matched into previously? Where have they gone? How strong of a foundation does the residency program provide, and how well-prepared did previous residents feel?
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Family
Take time to talk things through with your significant other. Both of your careers and opportunities matter. If you have children, prioritize them too. You want to be someplace that allows your entire family to be happy and supports a healthy and happy relationship.
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Take time to talk things through with your significant other. Both of your careers and opportunities matter. If you have children, prioritize them too. You want to be someplace that allows your entire family to be happy and supports a healthy and happy relationship.
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Response to COVID
Enough time has passed that you should be able to gauge how programs and institutions have responded to COVID and supported residents specifically. How is COVID and vaccination perceived? What are healthcare workers' attitudes and perceptions there?
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Enough time has passed that you should be able to gauge how programs and institutions have responded to COVID and supported residents specifically. How is COVID and vaccination perceived? What are healthcare workers' attitudes and perceptions there?
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Your Happiness
You can go to the #1 ranked program and be surrounded by famous physicians and researchers at a world-renowned institution. None of that matters if you’re unhappy. Nothing matters more than your happiness. All of the above contribute to that. Remember that.
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You can go to the #1 ranked program and be surrounded by famous physicians and researchers at a world-renowned institution. None of that matters if you’re unhappy. Nothing matters more than your happiness. All of the above contribute to that. Remember that.
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