Choosing a Medical Residency: Regions of the United States

The United States is one of the largest and most diverse countries in the world. A few weeks ago, we talked about the differences between medical residency programs in urban and rural areas. However, it is important to note that even within the category of “urban” or “rural,” there are significant differences between different parts of the country. Within the geographic borders of the United States, you can find an example of almost every climate zone, and there are distinctive cultural differences between regions as well.

During your residency, the characteristics of the region in which you live can affect both your lifestyle and your work as a physician. This is especially true if you are pursuing a residency in one of the more general medical residency subjects — such as family medicine or pediatrics — since the types of cases you encounter can depend largely on the cultural circumstances of the region. Therefore, if you are a foreign medical graduate looking to get matched to a residency in the United States, it can be helpful to learn more about the different regions of the country so that you can apply to programs in places where you will feel comfortable living and where you will have the chance to work on cases that fit in with your medical interests and career goals.

The East Coast

The East Coast is one of the most densely populated areas of the country. As a result, you can find more medical residency programs in this region than any other, and you will find most of them in urban and suburban areas. The East Coast is home to some of the largest cities in the country, including New York City, Boston, Philadelphia, and Washington, DC — each of which has its own unique culture. However, they do share some general characteristics, such as highly diverse populations, good public transportation, and easy access to restaurants and grocery stores.

If you live on the East Coast, you can expect to experience four distinct seasons. Summers are hot, and winters can be very cold. In the northern areas, you might get a lot of snow in the winter, but further south, heavy rain is more common. Both spring and fall on the east coast are considered to be beautiful. In general, the culture on the East Coast tends to be more formal than in other areas of the country.

The Midwest

The Midwest, also known as the Great Plains, refers to the inland states between the east coast and the Rocky Mountains. Some of these states include Ohio, Iowa, Illinois, Michigan, and Minnesota. Although large portions of these states are rural, there are also a few major cities, such as Chicago and Detroit. Like the states on the east coast, you can expect cold winters and hot summers in the Midwest states. People in the Midwest are especially well-known for being friendly.

One of the most significant health issues that you will face if you work as a physician in the Midwest is the opioid abuse epidemic. The misuse of opioid medications (such as morphine, oxycodone and hydromorphone) is a growing problem in all parts of the United States, but it is especially concentrated in the Midwest. As a medical resident in the Midwest, you may treat overdose cases or individuals who are seeking treatment for addiction, so if you are interested in pharmacology, psychiatry, or any other drug-related area of medicine, a residency program in the Midwest may be of interest to you.

The South and Southwest

As in the Midwest, the South and Southwest regions are mostly rural, but with a few major cities, such as Atlanta (in the South) and Houston (in the Southwest). The climate in these states is much warmer and more humid in the summer, but Southerners also enjoy milder winters. The South is famous for its hospitality and its delicious comfort food.

Two medical issues that are more prominent in the South than in any other part of the country are obesity and smoking. Southern states like Mississippi, Louisiana, Alabama, Kentucky, and West Virginia have some of the highest numbers of people who meet the criteria for obesity and who say they smoke regularly. As a result, physicians are challenged to treat patients with many obesity-related medical conditions (such as type II diabetes and heart disease), as well as health problems caused by smoking (such as lung cancer).

The Mountain West and the West Coast

The Mountain West region includes the states that are between the Midwest and the West Coast. Some of the states in this region include Colorado, Utah, Idaho, and Montana. Because of the Rocky Mountains, much of this region is rural, although there are a few large cities, such as Denver. The Mountain West is known for its dry climate. In the winter, there is often snow, especially in the high country. In the summer, you can expect a daily temperature swing, with warm days and cool nights.

Outside of the East Coast, the West Coast is the most populous area of the country. Most people on the West Coast live in California, where the climate varies considerably. Southern California is warm and sunny, while Northern California is overcast and cool for most of the year.

The Mountain West and West Coast states are well-known for being among the healthiest in the United States, with low rates of smoking and obesity, and high rates of activity and exercise. However, the outdoor adventure opportunities in the states — like hiking, rock climbing, and skiing — can cause traumatic injuries. If you are interested in treating sports- and outdoors-related injuries — in either an emergency room or a rehabilitation setting — this region could be a great place to work. California is also particularly well-known for cutting-edge technological advances, so a residency in this area could be of interest if you are interested in medical technology research and development.

Choosing Between Regions of the United States

As an aspiring medical resident, it can be a challenge to figure out which region(s) of the country you would be comfortable living in. One way to experience life in the United States first hand is to complete a student elective or graduate externship before you apply. Not only can this give you a better idea of what it is like to live in a particular region of the United States, but it can also give your CV a boost and connect you with physicians who could possibly write letters of reference for your application.
FMG Portal offers student electives and graduate externships in a wide range of fields. Contact us today for more information!

Medical Subspecialty Spotlight: Bariatric Medicine

If you want to dedicate your career to the prevention and treatment of obesity, you may want to consider an educational track that leads you to subspecialize in bariatric medicine. Physicians who choose this subspecialty work with adults and/or children who are overweight or obese. As a bariatric medicine specialist, you would help your patients manage their weight and the associated complications, and you would devise prevention strategies for at-risk patients who want to avoid becoming obese.

Understanding Obesity

According to the World Health Organization (WHO), “Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health.” More formally, overweight is defined as having a Body Mass Index (BMI) of 25 or above, while obesity is defined as having a Body Mass Index (BMI) of 30 or above. Being overweight or obese puts patients at a higher risk for a wide range of other health problems, including:

Heart disease
Stroke
Type II diabetes
Cancer
High blood pressure
Osteoarthritis
Gallbladder disease
Sleep apnea
Asthma

Obesity is a growing problem around the world. The WHO estimates that the population of obese individuals has doubled since the 1980’s. In 2014, an estimated 1.9 billion adults were overweight, with 600 million of them meeting the criteria for obesity. In the same year, the WHO estimated that 41 million children under the age of 5 were either overweight or obese. Obesity is a particular problem in the United States. According to 2011-2014 data from the Centers for Disease Control and Prevention (CDC), 36.5% of adults in the United States were obese, and 17% of children between the ages of 2 and 19 were obese.

The Bariatric Medicine Subspecialty

Given the increasing severity of the obesity epidemic in the United States and around the world, many American medical schools have started offering fellowships in bariatric medicine. To get a bariatric medicine fellowship, you need to have previously completed an ACGME-accredited U.S. medical residency program in a relevant specialty area. Some of the residency specialty areas that schools accept include:

Internal Medicine
Family Medicine
Pediatrics

These three residency focus areas provide the general medical education that you need in order to succeed in a career as a bariatric medicine specialist. In each one of these programs, you learn about diagnosing and treating patients with a wide range of conditions, which is important bariatric medicine specialists work with overweight and obese patients who have highly diverse physical and mental health histories. Importantly, these three residency specialties were also the top three specialty areas in which foreign medical graduates got matched in 2015, according to data from National Resident Matching Program (NRMP).

What to Expect from a Fellowship Program in Bariatric Medicine

After completing your residency, you can apply to a one-year fellowship program that focuses on bariatric medicine. It is important to note that most fellowship programs that focus on bariatric medicine are officially titled Obesity Medicine and Nutrition Fellowship programs.

Because obesity is such a complex health condition, bariatric medicine fellowships tend to be highly interdisciplinary. You will likely study prevention and treatment strategies that involve nutritional programs, behavioral changes, pharmacological interventions, and bariatric surgery. Upon completion, you will be prepared for the board certification exam offered by the American Board of Obesity Medicine (ABOM).

Getting Into a Fellowship Program

So far, there are only a few Obesity Medicine and Nutrition Fellowship programs in the United States, so entrance is competitive. However, you can boost your chances by demonstrating your commitment to a career in the field. Here are a few things you can do as a medical graduate and as a medical resident:

Complete a graduate externship program in bariatric medicine before you apply for a U.S. medical residency. Not only can this boost your odds of getting matched to a residency program in the United States, but it can also indicate to future fellowship application readers that you know what you are getting into and and are ready to take on the challenge of a career in bariatric medicine.
Do bariatric-medicine related research while you are a resident. Many U.S. medical residency programs in internal medicine, family medicine, and pediatrics allow you to do conduct scientific research as part of the program. Whether you do lab research on pharmaceutical treatments for obesity, or population studies on obesity risks in certain demographic groups, having already done research on bariatric medicine may give you an edge over the other fellowship applicants.
Complete a fellowship in a related field. At some schools, in order to enter the Obesity Medicine and Nutrition Fellowship program, you need to have already completed another one-year fellowship in a related subspecialty area, such as endocrinology, gastroenterology, critical care medicine, or nutrition. Be sure to look into the requirements of the programs you are interested in before you apply.

If you want to pursue a career in bariatric medicine, FMG Portal is here to help. We offer graduate externships in the field and other services that can improve your chances of getting into a U.S. medical residency program. Contact us today for more information!

Choosing a Medical Residency Setting: Urban or Rural?

As a foreign medical graduate, there are many factors that you must consider when applying to medical residency programs in the United States. With so many different residency programs available at universities and medical centers, it can be hard to narrow down the list, even after you have identified your specialty area of interest. One of the factors that you should take into account is the setting of the residency program — that is, whether your choose a program in an urban area, a rural location, or a small city / suburban area. The setting that you choose can make a big difference for your residency experience, in terms of both your medical work and your life outside of the program. Read on to learn more about what you might expect from U.S. medical residency programs in urban and rural areas.

Choosing a Medical Residency in an Urban Area

U.S. medical residency programs in urban areas offer distinctive opportunities for foreign medical graduates. In cities, you can find lots of hospitals, outpatient care centers, and community health centers, so your clinical rotations may take place at many different sites around the city. This can give you a broader range of experiences than you might get from a residency program in a rural area or a suburban setting.

Many of the cities in the United States are also characterized by significant racial and socioeconomic diversity. Indeed, a 2015 study by the Brookings Institution found that the 50 largest cities in the United States had a significantly larger gap between the rich and the poor than smaller cities and rural areas. Therefore, if your residency is in an urban area, you might have the chance to work with patients from a wider range of cultural and economic backgrounds. Depending on your country of origin and the city in which you choose to work, you may have foreign language skills that can come in handy when working with the diverse populations of American cities.

Choosing a residency program in an American city will also significantly impact your lifestyle outside of the program. One of the benefits of living in a large city is that you will never need to worry about being bored — from restaurants to museums to concerts, there is no limit to the cultural experiences you can find in American cities! However, one of the drawbacks is that living accommodations are more expensive in American cities, so you may need to live with roommates. At the same time, public transportation systems are better in cities than in rural areas, so you may not need to own a car.

It is important to note that there is no “typical” American city, so if you are looking for a residency program in an urban area, you should do additional research about the cities you are considering. As of 2015, the 10 most populous metropolitan areas in the United States were:

New York City, New York
Los Angeles, California
Chicago, Illinois
Dallas – Forth Worth, Texas
Houston, Texas
Washington, DC
Philadelphia, Pennsylvania
Miami, Florida
Atlanta, Georgia
Boston, Massachusetts

Choosing a Medical Residency in a Rural Area

The opportunities that you would get as a medical resident in a program in a rural area are different from those that you would get in an urban area, but they can be just as educational and fulfilling. According to the Centers for Disease Control and Prevention (CDC), health risks for Americans in rural areas are significantly greater than for those living in rural areas, so as a medical resident, you may have the opportunity to gain experience with more serious cases. Here are a few statistics from the CDC about health disparities in rural areas that can provide insight into some of the challenges that medical residents in rural areas face:

Compared to Americans in urban areas, rural residents are more likely to die from heart disease, cancer, chronic lower respiratory disease, and stroke.
Death from unintentional injury is 50% higher in rural areas than in urban areas — primarily due to motor vehicle crashes and opioid overdoses.
Children living in rural areas are more likely to have mental, behavioral, and developmental disorders than those living in urban areas.

Because there are fewer physicians in rural areas, residency programs in rural areas are more commonly available in the broader specialty areas of family medicine, pediatrics, and internal medicine. That’s good news for foreign medical graduates, since the NRMP reports that these were the top three areas in which foreign medical graduates got matched in 2015.

The rural areas in the United States are located primarily in the Midwest, the South, and the West, each of which offers different cultural opportunities and lifestyle options. For example, in many rural areas in the West, there is easy access to outdoor activities like hiking, rock climbing, and rafting. On the other hand, the South is famous for comfort foods like fried chicken and pecan pie. Rural Midwesterners are known for being particularly friendly. On a more practical note, if you are living in a rural area, your housing will probably be less expensive, but you may also need to own a car in order to get around.

Clinical Externships in Rural and Urban Areas

Researching rural and urban areas in the United States can be helpful as you decide where to apply for a U.S. medical residency program, but there is no substitute for real-world experience. A great way to learn what life is really like in one of these settings is to complete a clinical externship. FMG offers clinical externships in many areas around the country, including rural and urban settings, as well as small cities and suburban areas. Contact us today to learn more about all of the resources we offer for foreign medical students and graduates!

Medical Specialty Spotlight: Adolescent Medicine

As you look ahead to your medical career, one specialty area that you might want to consider is adolescent medicine. As an adolescent medicine specialist, you would provide care for pre-teens, teenagers, and young adults. The period of adolescence starts when the patient reaches puberty and ends when the patient is in their early twenties, so you would have the opportunity to work with patients during a crucial period of development. Read on to learn more about starting a career in this rewarding field.

The Educational Steps for Aspiring Adolescent Medicine Specialists

After earning your medical degree, you can expect to spend another six years in residency and fellowship programs before you can become a Board-certified adolescent medicine specialist. Specifically, you need to complete a three-year medical residency program and a three-year Adolescent Medicine Fellowship.

The first step is to complete a three-year residency program in one of the more general medical specialty areas. According to the National Resident Matching Program (NRMP), applicants for an Adolescent Medicine Fellowship must have previously completed a three-year medical residency in one of the following specialty areas:

Pediatrics
Medicine – Pediatrics
Internal Medicine
Family Medicine

That’ good news for foreign medical graduates, since internal medicine, family medicine, and pediatrics were the top three specialty areas in which foreign-trained physicians got matched in 2015, according the the NRMP.

After completing a three-year residency in one of those specialty areas, you can apply for a three-year fellowship in Adolescent Medicine. Unlike some other fellowship programs, the matching process for Adolescent Medicine Fellowship programs is facilitated by the NRMP. Therefore, after you have completed your first residency program, you would go through the ERAS process to get matched to an Adolescent Medicine Fellowship program, just like you would for any other residency program.

What to Expect From an Adolescent Medicine Fellowship Program

All Adolescent Medicine Fellowship programs last for three years. The time that you spend in the program is typically divided between clinical experience, research training, and didactic coursework. In general, the first year is spent mostly on clinical training and coursework, while the second and third years involve more academic research.

However, it is important to note that the proportion of time spent in each of these areas can vary depending on the program. Some programs are primarily intended for aspiring adolescent medicine clinicians, while others focus on training adolescent medicine specialists who spend more time on academic research that supports their practice. As you look at the different programs that are available in the United States, make sure to find out about the emphasis of each one of the programs that you are considering.

Clinical Training in an Adolescent Medicine Fellowship Program

During your clinical training, you will probably have the opportunity to gain experience in multiple settings. You may complete rotations in hospitals, outpatient care centers, behavioral health clinics, substance abuse clinics, gynecology departments, school-based health clinics, and even homeless shelters. If you are interested in public health, adolescent medicine can be a great choice, because many programs offer opportunities to work with teens and young adults from a wide variety of socioeconomic backgrounds.

Because adolescent medicine is such a broad discipline, your clinical training will equip you to treat young people with many different physical and mental health conditions. Some common topics of study include:

Eating disorders
Gynecology
Substance abuse
Nutrition
Sports medicine
Chronic diseases

Research Training in an Adolescent Medicine Fellowship Program

In addition to your clinical training, an Adolescent Medicine Fellowship involves academic research. In most programs, the research opportunities have implications for public health. For instance, you may conduct epidemiological research to try to understand disease frequency in certain adolescent populations, or you may conduct lab-based molecular biology research to develop sexually transmitted disease therapies that are safe for young adults. At some universities, your research can serve as the basis for a Master of Public Health (MPH) degree, which you can earn as part of the Adolescent Medicine Fellowship Program.

Starting Your Career as an Adolescent Medicine Specialist

Once you finish your fellowship program, you will be ready to take the Adolescent Medicine Certification Exam. This exam is developed jointly by the American Board of Internal Medicine (ABIM), the American Board of Family Medicine (ABFM) and the American Board of Pediatrics (ABP). The ABP administers the exam once a year to candidates who have completed an Adolescent Medicine Fellowship program. Passing this exam means that you are Board-certified in the subspecialty area of Adolescent Medicine.

Advice for Aspiring Adolescent Medicine Specialists

Even if you are still in medical school, there are steps you can take that can help you prepare for an Adolescent Medicine Fellowship program in the United States. Completing a student elective or a graduate externship in the field is a great way to learn more about the subspecialty area and increase your chances of getting matched. FMG Portal offers clinical externships for foreign medical graduates in Adolescent Medicine, as well as the three other relevant specialty areas: Internal Medicine, Family Medicine, and Pediatrics. Contact us today for more information about what we offer!

Polishing Your Personal Statement: The Editing Process

If you’re participating in the ERAS process, you’re probably spending part of your summer working on your personal statement, which is a key component of your application for a U.S. medical residency program. Over the course of the last few posts, we’ve been going over the major steps of the process: from the early stages of brainstorming, to the first draft, to the later revisions of your personal statement, there are lots of important things to keep in mind so that you can create a personal statement that will impress the application readers at your desired residency program. Once you are happy with the general content and overall organization of your personal statement, it is finally time to move on to the last step of the writing process — editing and polishing.

Steps within the Editing Process

When you submit your personal statement to a medical residency program, it is essential for the document to be free from errors in spelling, grammar, and punctuation. Even if you are telling a great story that shows your application reader exactly why you are an excellent candidate for their residency program, your reader can be easily turned off by a minor mistake. Mistakes can suggest sloppiness or a lack of true interest in the program — and you don’t want your reader to think either of those things! In order to ensure that the personal statement you submit is error-free, here are some key steps to take:

Run the spelling and grammar check in your word processing program. These tools are NOT comprehensive, so you should NOT rely solely on them to edit your paper…but they are still valuable tools that are readily available. You might as well use them.

Read the paper out loud. You might recognize this tip from the post about the revision process, but it can also help you as you edit your paper. When you read your personal statement out loud, it’s easier to catch minor wording errors, such as using “a” instead of “an,” because they just don’t sound right when you hear them. Reading your paper out loud can also help with the identification of grammatically incorrect sentence structures.

Print your paper out. Again, this tip applies to both the revision process and the editing process. Often, when you see the words directly on paper, errors in spelling and grammar are more likely to jump out at you.

Ask multiple friends to read your personal statement. At this point, you’ve been staring at your personal statement for days, weeks, or even months. People who have never read it before are much less likely to overlook spelling mistakes and grammatical errors. Also, it’s a good idea to get multiple perspectives on your personal statement. Sometimes, a sentence structure that makes sense to one person is confusing for another, so it can be helpful to have more than one person weigh in.

Ask an expert in American English to help you edit. If English is not your first language, it may be a good idea to have a native speaker look over your personal statement. Ideally, this person should be most familiar with American English, since you’re applying for a U.S. medical residency program. An American English expert might be able to detect subtle in grammar or diction that detract from the overall message of your paper, and they can help you tweak it so that it reads smoothly for an American application reader.

What To Watch Out For When Editing Your Personal Statement

When you edit your personal statement, or when you have a friend edit the document, it can be helpful to think about exactly what you are looking for before you start. That way, you’re more likely to notice the errors that exist in your personal statement. Here are a few of the things you should keep in mind:

Spelling. Misspelled words look bad in your personal statement. If you come across a word and you’re not sure of the correct spelling, consult a dictionary.

Punctuation. Does every sentence end with a period? Are the commas in the right places? If you used quotes or parentheses, did you make sure to close them? Are colons and semicolons used appropriately?

Grammar. Look for common mistakes, like errors in subject-verb agreement and the use of singular and plural nouns.

Capitalization. Make sure that names and other proper nouns are capitalized. All other nouns should not be capitalized.

Presentation. Although you may not be able to control the font size and style of your personal statement when you enter it into the ERAS system, make sure that the overall layout of the personal statement is visually appealing. Rather than having one long block of text, it should be divided into cohesive paragraphs that look good on the page.

By carefully editing your personal statement for problems in each of these areas, you can be sure to make the best possible impression on your residency application reader. As a result, you will maximize your odds of being accepted into your desired program!

For foreign medical graduates, landing a U.S. medical residency can be a challenge, but FMG Portal is here to help. Contact us today to find out more about the resources we offer!

Revising Your Personal Statement for a U.S. Medical Residency

If you are planning to apply for a U.S. medical residency in 2018, you’re probably already in the process of working on your personal statement. After successfully brainstorming and planning out your personal statement, you may have written your first, second, or even third draft by now. Once you feel like you have a solid draft in hand, you can move on to the next phase of the writing process: revising your personal statement.

Revising Your Personal Statement

Revising your personal statement means going back and reconsidering its overall content, organization, and flow. When you’re ready to revise your personal statement, take a look at our previous posts on what to do and what not to do when writing your personal statement. After ensuring that your personal statement meets those general guidelines, here are a few more things you can do to make the revision process as productive as possible.

Give it a day to rest. After you finish a draft of your personal statement, it can help to step away from the paper for a little while. Many writers get so wrapped up in writing that they start to miss obvious problems with organization and sentence fluency. Often, when you come back to your paper, the problems will immediately jump out at you, so they are far easier to fix. Plus, with so much of the summer remaining to work on your personal statement, you can afford to take your time!

Have a close friend or family member read it over. When you’re revising your personal statement, your main focus is on the overall content (not the grammar or punctuation — editing comes later), so it is best to have someone who knows you well read it over for the first time. Even your best friend isn’t a grammar whiz, they can tell you whether your voice and your story truly shine through, because those are the things that will stand out to your residency application reader!

Print it out. Many students no longer write anything by hand, but when you print out your personal statement, it can be easier to see how the changes you make fit into the paper as a whole. Also, when you cross things out on paper, they don’t get deleted on your computer — so you can add them back in later. If you do decide to revise your paper only on your computer, make sure that you save separate versions of each draft so that you can always recover the parts that you took out if you need to.

Read it out loud. Reading your personal statement out loud can help you quickly identify problems with flow. Your eyes might skim over a confusing sentence as you silently read over the document, but when you read it out loud, you have to consider every word and how they fit together. Also, reading your statement out loud can make you realize if you are starting every sentence the same way, which is a sign that you need to vary your sentence structure.

Imagine you are the application reader. Read over your personal statement as if you had never met yourself before. What questions would you have? Is there anything that does not make sense? Again, before performing this exercise, it can be helpful to step away from your personal statement for at least a few hours.

Have someone who is familiar with the U.S. medical residency application process read it. Whether it is an adviser at your medical school, an attending physician who was trained in the United States, or a friend who has already been matched to a U.S. medical residency program, it often helps to get advice from someone who has a general understanding of what application readers are looking for.

Seek advice from your letter writers. When you ask for letters of reference, some attending physicians ask for a draft of your personal statement. You should make sure that you hand them a copy that has already gone through multiple revisions (and has undergone enough editing that it is free of major errors in spelling and grammar) — but you can also ask them for any advice that they have on it. They may be able to help you tweak the content so that it does a better job of highlighting your character or emphasizing the quality of your clinical experience in your desired specialty area.

Keep revising. Even if you feel like the first draft of your statement is well done, remember that revision is more than a one-hour, one-day, or even one-week process. Leave ample time to create multiple drafts, try out different organizational structures, and add or remove content. That way, the content of your personal statement will be well-established when it comes time to move on to the next step in the writing process — editing. Stay tuned to the blog for advice on editing in a future post!

If you’re a foreign medical graduate and you’re thinking about applying for a U.S. medical residency, FMG offers lots of resources that can help you get matched. Contact us today for more information!

What NOT To Do on Your Medical Residency Personal Statement

Previously on the blog, we’ve had a few conversations about the personal statement. In the personal statement planning post, we talked about the importance of brainstorming ideas for your personal statement. Last week, we delved further into personal statement drafting. To recap: when it comes time to draft your personal statement, there are some important things to keep in mind that can help you write an outstanding personal statement — like telling a story, being conscious of your audience, organizing it to optimize fluency, and keeping the statement succinct.

That advice can serve as a foundation for a successful personal statement, but as you write, you need to be careful to avoid certain pitfalls that can derail your personal statement and reduce your chances of getting matched. Here is a list of some things NOT to do on your personal statement:

Do NOT simply rewrite your CV in paragraph form. On your residency application, you only have a certain amount of space available to demonstrate why you are an excellent candidate for a US medical residency program. If your personal statement only serves to repeat what is already on your CV, it won’t be adding anything to your application. You should choose a few particularly meaningful experiences from your CV and expand on them in greater depth, explaining how exactly they shaped your academic interests and career goals.

Do NOT use your medical school application as a template. Many residency applicants make the mistake of simply tacking on a paragraph about a residency to the end of their medical school personal statement. However, residency application readers are more interested in why you chose a particular specialty area — not why you wanted to enter the field of medicine in the first place. They also want to know about your long-term career goals, which should be much more clear than they were when you first applied to medical school.

Do NOT focus on political or religious issues. You never know who your reader will be, so you should be careful about discussing controversial topics. If a particular life experience related to politics or religion truly merits discussion — for instance, if you worked on a political campaign or volunteered for a religious charity — make sure to discuss it in a way that highlights how it shaped your experience and demonstrates your suitability for the residency program. Don’t spend time touting the political or religious message. The personal statement should be about you.

Do NOT try to be funny. On a personal statement, humor tends to fall flat. While it might be okay to include a witty comment or two, remember that you are discussing a very serious topic: your future training as a physician. You do not want your application reader to think that you are taking the subject lightly. Also, as a foreign medical graduate, there are sometimes cultural barriers when it comes to humor. An obvious joke in your country may be confusing for an American application reader, so it’s usually better not to risk it.

Do NOT use abbreviations, jargon, slang, or profanity. Remember that a residency application is essentially a job application, so you need to be professional with your language. You want to let your genuine voice shine through, but you don’t want to come off too casual. Also, abbreviations and jargon might be familiar to you, but they may confuse your application reader and distract from your message. If you need to use an abbreviation for an organization (like a medical society or volunteer group), make sure to spell it out first so your reader knows what you are talking about.

Do NOT be too repetitive. Application readers will notice if you use the same words over and over or if you start all of your sentences the same way. Don’t worry about it too much when writing the first draft of your personal statement, but as you read it over, try to find ways to vary your sentence structure. A thesaurus can also come in handy when looking for synonyms.

Do NOT try to make your writing too complex. While the last bullet point on avoiding repetitiveness is important, remember that your goal is to explain why you are an excellent candidate for a medical residency — not to impress your application reader by using lots of big words. Especially if English is your second language, stick to words and sentences that are simple, direct, and focused on your topic.

Your personal statement is one of the most important documents in your medical residency application, so it is essential to avoid common mistakes. That way, you can ensure that your reader will remember all of the reasons why you are a good candidate who is well-prepared to succeed in their program.

Need more help with residency placement? FMG Portal offers a wide range of helpful services for foreign medical graduates. Contact us today!

Residency Specialty Spotlight: Occupational and Environmental Medicine

If you want to focus your career on preventive medicine, a residency program in occupational and environmental medicine (OEM) could be right for you. This specialty area is unique because it is highly interdisciplinary. As a physician specializing in OEM, you will be trained to diagnose and treat work-related injuries and illnesses, so your education will include experience in both traditional medical care and public health.

Occupational and Environmental Medicine Residency Programs

Residency programs that train specialists in occupational and environmental medicine typically last for two years. They are designed specifically to train physicians in the competencies laid out by the ACGME for Residency Training in Preventive Medicine (Occupational Medicine specialty), as well as those defined by the American College of Occupational and Environmental Medicine. Specifically, OEM residency programs typically involve studies in:

Clinical practice of OEM
OEM-related laws and regulations
Environmental health
Disability management
Toxicology
Hazard identification, assessment, and management
Disaster management
Public health and disease prevention
Management and administration

Many programs also provide opportunities for academic research in OEM, and some programs even give residents the chance to earn a Master of Public Health (MPH) or Master of Occupational Health (MOH) degree in the first year. As a result, when you finish, you will not only have the skills needed to work in a clinic or hospital, but you will also be prepared to get a job in a corporate setting, work for a government agency, or serve as part of a legal or regulatory body.

Applying for an OEM Program as a Foreign Medical School Graduate

Because OEM combines studies in medicine and U.S. law, it is one of the less common choices for foreign medical graduates. However, if you are passionate about making a difference in the field of OEM, don’t hesitate to apply!

The most important thing to do on your residency application is to show that you are committed to a career in OEM. For instance, you can discuss previous work experiences or research that you have conducted in the field. It can be especially helpful to have completed a clinical externship in the occupational medicine, because it can demonstrate to your application reader that you have the knowledge and skills that are required for a U.S. residency in OEM. A clinical externship is also a great way to boost the quality of your CV, and you may be able to get a letter of reference from an attending physician in the United States, which is required for some programs.

FMG Portal offers clinical externships in many different specialty areas, including occupational medicine. Contact us today to get help with residency placement!

Drafting a Personal Statement for a Medical Residency Program

Earlier on the blog, we discussed the importance of brainstorming and planning out your personal statement. If you’re going to apply to a U.S. medical residency program in the fall, now is a great time to start writing your statement. From the first draft to the final copy, your personal statement will likely go through lots of revisions, so it is best to get started as soon as you can.

To recap the personal statement planning post, the content of your personal statement should highlight key aspects of your CV, explain why you have chosen your particular medical specialty area, outline your career goals, and demonstrate the personal qualities that make you a great candidate for a U.S. medical residency program. However, putting that down on paper in a convincing way can be a major challenge. Here are some tips to consider as you work on your draft:

Tell a story. Often, you can capture your reader’s attention by opening with a personal story or detailing a particularly meaningful experience that shaped your medical interests and career goals. Your personal statement can discuss experiences as recent as medical school courses and graduate externships, or it can reach as far back as your childhood — as long as your story is genuine and relevant to your decision to pursue a medical residency.

Think about your audience. The person reading your personal statement will also be reading hundreds of other applications, so you want to let your own voice shine through. That way, you can stand out from the rest. At the same time, you have to remember that the reader might not be familiar with some of the things you take for granted. Especially as a foreign medical graduate, you should make sure to explain anything that might be confusing — like differences in school systems — in order to clarify for your reader.

Pay attention to flow. On a similar note, you should make sure to organize your paper in a way that makes it easy for your reader to follow. You might organize it chronologically, or you could choose a cause-and-effect structure in which you show how various experiences directed you toward your goal of a U.S. medical residency. It all depends on the story you are trying to tell, but no matter what, your writing should flow easily from one idea to the next.

Keep it succinct. Many U.S. medical residency programs do not set out a word limit for your personal statement, but it’s usually best to keep it to 700 words or less. Remember that all of your academic and work experiences are already on your CV, so you only need to pick out the most important ones to talk about in your personal statement. That way, you can emphasize the most powerful information and avoid boring your reader.

Even if your first draft doesn’t come out perfectly, don’t worry! You still have lots of time to re-draft, revise, and edit until you have a personal statement that can truly impress the U.S. medical residency program of your dreams!

If you need help with the residency placement process, FMG Portal is here to help. Contact us today for more information!

Residency Specialty Spotlight: Pediatrics

If you want to dedicate your medical career to working with kids, a residency program in pediatrics may be the right option for you. According to 2015 data from the National Resident Matching Program (NRMP), pediatrics was the third-most popular residency specialty area for foreign medical graduates, behind only internal medicine and family medicine.

As a pediatrician, you could work with infants, children, and adolescents, ranging in age from birth to 21 years. Pediatricians are trained to provide preventive care and treat a wide range of conditions, including hereditary diseases, infectious illnesses, and traumatic injuries. You may choose to work in a primary care setting as a general pediatrician, or you may specialize your practice on a certain area of the field. It all starts with a pediatrics residency.

Pediatrics Residency Programs in the United States

US medical residency programs in pediatrics last for three years and provide general training in the wellness of infants, children, and adolescents. However, because pediatrics is such a broad specialty area, the programs can vary widely between schools. That means that when you are searching for residency programs, you should pay careful attention to what makes each one unique.

For example, programs may differ in the relative amount of time dedicated to clinical work in ambulatory and primary care settings. The location of a school often plays a role in this, since some schools are located in large cities where you may end up working at multiple hospitals and outpatient centers, while programs in rural areas allow you to gain extensive experience working at one or two locations. There are also programs that allow you to focus your studies by pursuing a certificate in an area of interest, such as global health, community health, medical education, or academic research.

In general, though, you’ll usually spend the first year of a pediatrics residency building a broad base of knowledge and developing basic skills in pediatric care, through a combination of clinical and didactic work. In the second year, you will have the chance to take on greater responsibility in clinical decision-making. You’ll probably also have the chance to pursue particular areas of interest through electives. Finally, the third year of a residency program will give you the chance to step into a leadership role in the clinic and prepare for your future as a pediatrician, whether you choose to focus on a specific subspecialty or practice as a generalist in the field.

Post-Residency Fellowship Options

Once you finish your residency in pediatrics, you can start your career as a general pediatrician or you can apply to a fellowship program. Almost all pediatrics fellowships in the US require an additional two or three years of study, although there are a few one-year fellowships available as well. Although this is not a comprehensive list, here are some of the options you could consider:

Adolescent medicine (3 years)
Allergy and immunology (2 years)
Pediatric cardiology (3 years)
Pediatric endocrinology (3 years)
Neonatal medicine (3 years)
Pediatric infectious disease (3 years)
Pediatric emergency medicine (2 years)
Pediatric sports medicine (1 year)

Getting Matched to a US Program

If you are interested in a US medical residency program in pediatrics, you might want to complete a graduate externship or student elective in the field. Not only can these experiences help you decide if pediatrics is the right specialty area for you, but they also look great on your CV. Many residency programs also require foreign applicants to submit a letter of reference from a US physician, and an externship program is a great way to make connections in the States.

FMG Portal offers student electives and graduate externships in many different specialty areas, including pediatrics. Contact us today for more information!

Year: 2017