As part of our ongoing series on medical school admissions, life as a doctor, and the challenges of life in medicine, today we interview Dr. Aloysius Fobi, MD and Dr. Rachel Pilliod, MD. Dr. Fobi is a board-certified Emergency Medicine physician and professor of Emergency Medicine at Oregon Health Sciences University. Dr. Pilliod is a Maternal-Fetal Medicine Specialist and ObGyn who trained at Massachusetts General Hospital / Brigham & Women’s Hospital in Boston, and currently is an attending physician at Oregon Health Sciences University. Today, they talk about persistence in the medical school process, how to differentiate yourself from other qualified doctors, and what committing to medicine means on a practical level.
If you need help with your medical school applications, please check us out at FourthWrite.com/medical or email us at info@fourthwrite.com
For med school applicants, writing your AMCAS Personal Statement can be hell. You spend weeks perfecting every sentence. Then… secondaries come. Maybe even dozens of them. It can feel overwhelming. Here are some tips for how to think about this process.
Letters of recommendation are a vital part of your application, but people often don’t treat the process like it! Even though your recommender is doing the writer, you still have real work to do in order to make sure that it is a strong letter that advances your candidacy. Here are some hints and insights on letters of rec.
When I work with scribes on their personal statements to medical school, the thing I encounter over and over is that, despite their many relevant and often amazing experiences, they have no clue what to write about in their personal statements. Importantly, it’s not that they struggle to choose from among so many great options, it’s that they feel like they don’t have a single story that’s compelling and interesting enough to make for a powerful personal statement.
When this happens, I’ll direct our conversation back to the days before they began scribing, ask them to talk about their first few days, and then slowly go through all of their experiences. What happens is that there’s often this, “oh yeah, I DID do that, didn’t I!??” moment where they start to recall all of the interesting cases they were a part of and, more importantly, gain a sense of just how much they’ve learned, changed, and grown since they began scribing. These are all components of an effective personal statement.
Though we do offer essay revision services and broader medical school application writing consultation, we are committed to providing thoughtful and effective resources for people who might not have the means to pay for what we offer. With that in mind, we’ve spent the past several months speaking with scribes, successful MD applicants we’ve helped, doctors, and people who have worked in medical school admissions to put together a guide that will help you transform your experiences as a medical scribe into a powerful personal statement (and secondaries, etc.) that position you effectively for medical school.
We elected to make this in the form of a journal so that you can begin the process now, even if you’re a year (or even two years) away from applying. The most important thing is that you should start as early as possible, when your memories are fresh, and you can lay down markers that track changes in your understanding, ideas, ambitions, self-perception, competence, and confidence.
We urge you to download this free document, share it with friends if you’d like, and use it regularly so that when it comes time to write your personal statement, you’ll have a wealth of information, moments, accomplishments, and insights to call upon.
Yesterday, I put up a Scribe Journal designed to aid medical scribed who want to become doctors document their experience in a manner that will help them when it comes time to write their personal statement. The inspiration for this journal comes from helping hundreds of applicants -many of whom were medical scribes- through their application process. The consistent repeated theme that I encountered is that scribing is such an intense experience, that you can sort of lose track of just how much you’ve done, how much you’ve changed and learned, and why this work can be so meaningful to aspiring doctors.
Last spring, while consulting with a scribe who aspired to become an orthopedic surgeon, I asked him about his clinical experiences, and whether there were any moments that stood out. He reflected for a second, then said, “hmmm… yeah, I don’t know. Probably not?” Knowing what scribes see and do, I was skeptical, so I asked him about his very first day on the floor, following an ER doctor.
He proceeded to tell me a story about how unprepared and nervous he felt, and how every case -each of which he described in some detail- left him feeling in awe of what the doctors did. I took a moment to dig down on one particular case, and the scribe described in fascinating detail the patient’s presentation, what the doctor suspected, and how that physician was able to figure out what the issue was.
I then asked the scribe to talk about the most interesting case he’d seen that week. His tone changed completely, and it was apparent that at each stage of the patient’s presentation, diagnosis, and treatment, the scribe had ideas and suspicions about what was going on that were informed by his experience over the prior year working as a scribe next to doctors. I set my notebook down and said, “you don’t know it, but you have the framework of your Personal Statement. Those two experiences are benchmarks for your growth and, when combined with some other aspects of your life, tell a compelling story about you.”
Though we designed our journal allow you to note important moments and then circle back to reflect on them, even if you don’t use this one, it’s a smart idea to, from time to time, write down important moments. Good days, really rough days, days you failed, days you had a meaningful conversation with a doctor, days that you realized that working in medicine is the only thing you could ever do, days that you’re so tired that you question your decision… if you document these moments, you’ll find that, when you sit down to write your AMCAS personal statement (and, later, your secondaries), your mind will start to race with recollections, ideas, and options for themes and stories that you can include in your text.
If you are a medical school applicant, and you think you might need help with your Personal Statement, Secondaries, or Work & Activities Section, either give us a shout (info@fourthwrite.com) or check out our website.
Applying to doctoral programs can be stressful and mysterious, and one of the real challenges is that most of the advice that you’ll find online about the application process comes from people whose experience is in the world of business school, law school, or undergraduate admissions. This advice isn’t well suited to graduate school applications because the process is simply different, as are the goals of the admission committee and the people who staff that admissions committee. We detailed much of this in a recent blog post.
Today, I want to follow up on some of the items we talked about by giving you three practical tips that will help you with your PhD application.
1.It’s okay if you don’t know exactly what you want to study. In my last blog, I pointed out that, the closer you can get to articulating what the thesis of your eventual dissertation will be, the better. This advice often elicits two concerns from clients. First, will being overly specific hurt my chances of admission? No, quite the opposite. If you don’t have a really specific answer to “what?” and “why?” you’ll come across as someone who isn’t quite ready for graduate school. The old joke that ‘PhD’ stands for “Piled Higher and Deeper” is a reminder that doctoral studies are about becoming highly expert in a very narrow question within a very specific field. Or, as my old PhD advisor put it, “Brian, your task is to become the world’s foremost expert in the thing you’re writing about.”
Second, people are often concerned that they either don’t yet know what exactly they want to study or that they might change their mind along the way. Now, if you have no earthly clue whatsoever what you want to investigate, the short answer is that you have no business applying to graduate school. You should at least enter graduate school with some idea of what you want to study. BUT, even if you don’t, you should at least be able to articulate a plausible question that you may want to study. It’s fine if you end up changing your focus because most people don’t actually end up researching the precise areas that they intended to when they arrived. Now, obviously, you will stay close to home, intellectually speaking, so it’s not as though you’ll go from studying Medieval History to Cell Biology, but chances are that you might, for instance, go from studying how neural cell plasticity is impacted by traumatic injury to studying how neural cell plasticity might be involved in autism. It’s the same general subject, be very different questions. That’s a VERY normal thing to happen. In fact, your initial classes and (if you’re in the sciences) rotations through labs are designed to give you a broader exposure so that you can select a precise topic that interests you.
So, if most people end up changing their intended thesis, why do the admissions committees even emphasize your laying out your intended intellectual route? Two reasons: 1.) applicants who can articulate what they see as a cognizable and important question have done the requisite homework and thus demonstrated their seriousness, and 2) you are showcasing your ability to think and write about complicated questions within the field, and especially your capacity to position yourself vis-à-vis the important debates. This is very important skill in academics.
2. You HAVE to email the professors. So, technically speaking you don’t have to do this. Many people are admitted without having done so. That said, you really should do it. The reasons have mostly to do with the nature of graduate school and the nature of graduate admissions. Suppose, for instance, that you want to study Cell Biology under Prof. Jones at State University. In fact, the work she’s doing is what inspired you to study cell biology, her papers are groundbreaking, and her excellence and reputation are what State University’s Department of Cell Biology are built upon. Given this, you need to find out if it’s possible to study under her. She might, for instance, be retiring, moving to a new position at a new university, or may not be taking any more graduate students into her lab. You would thus be in a bad way if you showed up at State University to study under her, only to discover that Prof. Jones is now at Stanford! Or, she might tell you that she doesn’t think you’d be a good fit, and that if asked, she couldn’t enthusiastically support your application. This would hurt, no doubt, but it would allow you to adjust your application tactics.
This brings us to the second reasons. You should email potential advisors because, if you mention them in your personal statement, the admissions committee will usually forward your application to them and ask if they are a good fit for what they do. Them saying “yes” certainly doesn’t guarantee your admission, but either a “no” or an indifferent response will hurt you. As such, you should let that professor know who you are so that when they get that email, they can, “Oh Jennifer? She’s great, and I think she has some interesting ideas and could do great work in my lab.”
Just so we’re clear, if a professor hasn’t heard of you and the Admissions Committee asks them about you, they likely aren’t going to take a ton of time to look over your application at that point. Professors are very busy with other teaching, research, writing, committee work, etc., and they rightly don’t see it as their job to resuscitate your application because you didn’t bother to reach out to them before you name-dropped them.
So, how do you reach out to a professor? I’ll have more on this tomorrow, but the short version is that you should write a VERY short email introducing yourself, identifying what you’re working on, and asking if you could have 10 minutes of their time. Attach your CV and any relevant other documents. (Again, more on this tomorrow)
3.Copy-Paste will kill your application
We all know that applying to graduate school is hard and time-consuming. You have to study for the GRE, get letters of recommendation, write a personal statement, research and contact potential advisors, revise your writing sample, and fill out lots of other forms. BUT, one thing that will really hurt your chances is to use a personal statement that is very obviously just a single standard essay with the names of your various schools copy-pasted in. It shows that you haven’t done your research and aren’t particularly interested in that school. This doesn’t mean that you have to write completely different essays for each school. In fact, it’s usually the case that you can write your first essay for your first school and repurpose the first two-thirds for every school, and then the final third or so that focuses on your fit with the school you’re applying to can be written custom for each university. But readers know when they’re reading generic broadly-applicable text with the school’s name pasted in, and they don’t like it. So if you have a section like this, dump it and rewrite it:
I want to attend Stanford University because of its excellent faculty, abundant research resources, and the opportunity to work within a renowned university. I have looked at the Course Catalog, and there are many classes that fit my intellectual interests…
You could replace “Stanford” here with any top school, so you’re not really saying anything useful or demonstrating that you know anything about Stanford other than it’s a good university.
All three of these points make clear that a lazy applicant is probably going to be an unsuccessful one. Yes, it takes extra time to email professors, generate a plausible dissertation thesis, and write lots of unique text for all of your schools. But if you’re thinking about spending 7 years in graduate school, why wouldn’t you take an extra 10–12 hours to make sure that you are attending the right graduate school and are positioning yourself for long-term success and happiness?
Okay, as some who has four graduate degrees, this might seem like hypocritical advice. And, in truth, many people should go to graduate school. But my experience is that far too many people do and that folks rarely invest the requisite thought before they begin applying.
While researching for an upcoming article on graduate school completion rates, I came across this blog post from a few years back in which Christopher Pierznik reflects on his decision to drop out of graduate school. He calls it “the best decision I’ve ever made.” His wisdom and perspective resonated with me, so I thought I’d share it. Most of what I do professionally is help people get into top graduate and professional schools, but when working with clients I often get the distinct impression that many people have invested far more time into trying to get into a school than they did in figuring out if they should go in the first place.
In my old job as a university professor, students would often come to me for letters of recommendation for graduate or professional school (med, law, business, etc.). Whenever they did, I saw it as my job to try to talk them out of it. This isn’t necessarily because I didn’t want them to go -indeed, for many people it’s the right move- but because I wanted to make sure they were going for the right reasons. Going to graduate school if you’re not passionate about the material will probably lead to you dropping out, and starting medical or law school if you’re not 100% committed could mean taking on massive amounts of debt that lock you into a professional track you despise.
So, when these bright-eyed youngsters came to me seeking affirmation, I did my best to show them the hard road ahead. I’d ask them all sorts of important questions that they probably hadn’t asked themselves. For aspiring doctors, I’d talk about debt and the fact that, once you start down the path of medicine, it’s almost impossible to get off: four years of medical school, at least two years of residency (and up to 7), and maybe a decade in which you’ll have to stay within the profession to pay off your loans.
For people thinking about graduate schools, I would ask why they want to get a graduate degree. The most common response I got was, “because I like the subject.” That’s a good start, but it’s not nearly enough. First, for all kinds of graduate degrees you need to have a clear conception of how it moves you closer to your professional goals. What job do you want to get right out of graduate school? Why is that the job for you? If you don’t know the answer to that question, delay graduate school until you know.
For folks who are seeking to pursue doctoral work with the idea of entering academia, the job question is an even more pressing one, since even very high-performing newly minted PhDs from elite programs struggle to get jobs. Almost none get tenure-track positions. What’s your plan if you’re among the substantial majority of PhDs who can’t get a fulltime position? More to the point, what’s the question that you will enter graduate school wanting to answer? If you’re doing doctoral research, “I like the subject” isn’t nearly specific enough to sustain the immense effort needed to get you through the slog that Pierznik is talking about here.
As a professor, my fear was that bright students who did not know clearly and passionately what they wanted to do were just using graduate school as a fallback. In law school and in graduate school, I saw so many people who fell into this category, and in every instance they were miserable, and most did not graduate.
So, if you’re not sure about graduate school, take a year off. Travel. Get a crummy job. Try things. And, if you do go to graduate school and recognize that it isn’t for you, take Pierznik’s advice and jump ship while you still can.
On the other hand, if you’ve done your homework, gone through a rigorous process of introspection, and still feel committed to this path, then let’s get to work!
The author is the founder and CEO of Gurufi.com and FourthWrite.com, two educational consultancies dedicated to helping students get into the graduate schools of their dreams. For questions about your graduate school application, you can email the author at fobi@fourthwrite.com
If you have a draft personal statement, get it revised by our team of experienced Ivy League educated consultants at Gurufi.com. If you need more comprehensive assistance developing, outlining, drafting, and refining your text, check us out at FourthWrite.com!
