Preparing for 4th Year
and the Match
 Danielle Maholtz, OMSIV
 Licensing Exams: timing, preparation, to USMLE or
not to USMLE?
 Scheduling Electives and VSAS
 Roadmap to 4th year
 ERAS: selection of programs and cost
 Interviews, travel and budget
 Preparing the ROL
 Match Day and SOAP
Licensing Exams
 COMLEX Level 1: Second year
 COMLEX Level 2 CE: Third year
 COMLEX Level 2 PE: In Conchahocken, PA
 Register early (summer/fall of 3rd year) for best dates
 COMLEX Level 3: Intern year
 COMLEX is accepted for Licensure in all 50 states
 Board Certification is a separate process: Board
exams are taken at the end of residency
To USMLE or not to USMLE?
 If you plan to complete your residency and fellowship within an AOA
program, USMLE is not required
 ACGME Program Director Survey
 94% of program directors selected USMLE/COMLEX Level 1 score as most important
factor in selecting applicants to interview with an importance rating of 4.1/5
 31% of programs state they use USMLE Step 1 score only to know if applicants
 36% of program directors state they use COMLEX Level 1 score to know if applicants
PASSED and an additional 41% of program directors state they use it to see if
students hit a target score
 Total of 77% USE COMLEX Level 1 (12% less than USMLE Step 1)
 65% look at ethics and professionalism with an importance factor of 4.5/5
 If you plan to apply for ACGME programs, check with each individual
program to see if they require Step 1, Step 2 or both and what their
minimum scores are
 Check Freida (
Preparing for Licensing
Exams: Level 1
 Study for your classes: Lots of pharmacology and pathology on
Level 1/Step 1
 First Aid +/ Doctors in Training, Kaplan, PASS program, Pathoma, etc.
 Question Banks: USMLE World, COMBANK, COMQuest
 Make a schedule and allow yourself some time for exercise,
sleep and family
 Schedule Exams a few days apart if you choose to do both
 COSGP Medical Education Research
COMLEX Level 2
 Your COM will send you an email when you are eligible to
 Cognitive Evaluation (CE)
 Similar format and study resources as for Level 1
 Material tested is less basic science and more clinical
 Performance Evaluation (PE): 12 standardized patients
 6 hour clinical skills exam at the NBOME testing center in PA
 14 min encounter + 9 min SOAP note
 8-10 weeks for scores to be reported
 Ideally, you want passing PE scores at the time that ERAS opens
(September 15th) so try to schedule your COMLEX PE during summer
of 3rd year (May, June, July)
Licensure vs Board
 You apply for a license through the state in which you practice
 Requires all 3 steps of COMLEX
 Some residencies cover cost – different based on state
 Board Certification is specialty specific and requires
completion of residency training
AOA Board Certification
American Board of Medical Specialties (ABMS)
Dual Certification is available
CME will be based on which Board certification is obtained
Electives and Core Rotations
 Check to see what requirements your school has and make sure
you schedule blocks to fulfill them
 Electives: Some schools have max number of weeks in a single
specialty (ex: 16 weeks max in Pediatrics)
 If you can, schedule vacation weeks that allow sufficient time to
study for Level 2 and travel to PA for Level 2 CE
 You may need to schedule vacation time for interviews and/or
COSGP meetings
 Check your school policies and MAKE SURE you meet all requirements
for graduation
Audition Rotations/SubInternships
 Pros
 “Mandatory” for some
osteopathic programs: you are
more likely to be ranked if you
rotate there
 Try out a program
 Prove yourself
 See an area of the country that
you may want to train in
 Some programs offer courtesy
interviews to Sub-Interns
 Adventure!
 Cons
 Not always necessary for
allopathic programs
 Expensive!!
 Double rent vs living out of
 People will see your
shortcomings in addition to
your strengths so you have to
perform at your peak at all
 Learning a new system (EMR,
hospital layout, etc) every
month is a challenge
Away Electives
 Call the medical student coordinator at the host site
 Program specific application process
 Check the website of the program you’re interested in rotating at
 Visiting Student Application Service (VSAS) –
 Centralized application service: Upload required documents and
assign them to specific programs ($15 per application)
 Check application opening dates, required forms (specific
immunization forms)
 Earliest opening date for Applications is February 1 but many
programs take applications beginning in March, April or May for Fall
Helpful Resources & Ideas
 Try to schedule in August, September and/or October (new
interns in July
 Interview season is October-January
 Rental cars are MUCH cheaper if you go through
or a similar site
 Now is a great time to apply for a credit card which gives you
airline miles if you don’t already have one!
 Check with the host site about visiting student
 Websites -,,
 Consider rotating in places where you have
generous friends/family with an extra room
Preparing for
ERAS and the
Registration for the Match
 Registration for NMS and NRMP are separate from ERAS!
 National Matching Service: Osteopathic Match
 $60 Registration fee. Deadline: Nov 1, 2014 to avoid late fee.
 National Resident Matching Program: Allopathic Match
 $65 registration fee. Deadline Nov 30, 2014 to avoid late fee.
 Match Prism tracking App for iPhone and Android
ERAS: Electronic Residency
Application Service
 Documents: COMLEX/USMLE transcripts, LORs, Personal
Statement(s)- assign these to programs
 Application:
General Info, Licenses (ACLS, etc.), Medical Education
Medical School Honors/Awards
Membership in Honorary/Professional Societies
Education and Prior Training
Experience: Research, work, volunteer
Publications: Peer Reviewed Articles/Abstracts, Other articles, Oral
 Languages
 Hobbies and Interests
 Other Awards and Accomplishments
 Search and Apply to MD and DO programs
 Assign documents to the programs you apply to
 You can have multiple personal statements
 Most programs require 3 LORs but will take up to 4
 EM may require a SLOE (standard letter of evaluation)
 Some programs will require a LOR form the
Department Chair
 Applicant Document Tracking System (ADTS) allows you
to see when your documents are downloaded
 ERAS Application Fees:
 Programs Up to 10 - $95 total
 Programs 11-20 - $10 each
 Programs 21-30 - $16 each
 Programs 31 or more - $26 each
 Requesting COMLEX Scores $75
 Requesting USMLE Scores $75
Helpful Resources and Hints
 Start ERAS early! It will take several hours to enter all of
your amazing accomplishments.
 The Personal Statement (PS) might be the hardest
thing you write in med school. Revise, Revise Revise!
 Have people proofread your application and Personal
 Don’t embellish your CV just to fill space but be sure to
include any presentations you’ve given for your SGA
or COSGP. They count!
 Check each program’s website for application
requirements. Some want your PS to address a specific
topic or have LOR specifications.
 Number of programs you apply to will depend on your
specialty and qualifications.
Researching Programs and
 Osteopathic GME Match Report:
 NRMP Charting Outcomes in the Match:
 NRMP Charting Outcomes in the Match: Specialties Match
Interviews and Budgeting
 Most people do between 6-12 interviews
 Interview invitations will start being issued within
days of ERAS opening and continue well into
December. Respond ASAP to get your choice of
dates. Check your spam folder!
 Some programs will pay for your hotel
 Event with residents the night before, Interview
day usually ~8a-2p. Details in program email.
 If you’re doing an elective at a site where you
end up getting lots of interviews, try to schedule
them so that you can drive.
 Use a spreadsheet and/or Google Calendar to
keep track of logistics and program details that
are important to you.
Outline Options
 Program title and
 University vs community
 Interview offered?
 Research opportunities
 Interview date
 Moonlighting
 Travel and lodging
 International elective
 Number of residents
 Salary
 Residency start date
Preparing the Rank Order
 ROL opens for Osteopathic Match Participants on Jan 7, 2015due Jan 23, 2015
 ROL opens for Allopathic Match Participants on Jan 15, 2015due February 25, 2015
 Must certify your ROL prior to deadline but can make changes
up until the deadline
 Rank programs in order of your training preferences, not how
you think the programs will rank you.
Match Day and SOAP
(Supplemental Offer and Acceptance
 Friday before Match week: email notification of SOAP eligibility-does
not mean that you didn’t match!
 Find out WHETHER you have matched on Monday of Match week
 SOAP (the scramble): applicants apply for any unfilled spots through
 Find out WHERE you matched on Friday of Match week
 Osteopathic Match: February; Allopathic Match: March
 If you Match in the Osteopathic match you MUST withdraw your
application from the Allopathic Match!
 To participate in the osteopathic scramble, you must have
registered for the NMS Match (even if you don’t rank any programs)
**If you do the Allopathic Match you cant scramble into Osteopathic programs until after the
Allopathic scramble**
Side Note
 Criteria for AOA Recognition of ACGME PGY1 Training
 The applicant must be an AOA member in good standing
 The applicant must complete the application for AOA training
 The ACGME must submit a letter listing PGY1 core rotations
 Applicants must participate in an osteopathic educational
 Attend 1 category 1-A CME sponsored educational
conference for minimum of 8 CME credits
 Osteopathic clinical presentation for peer residents
 Develop an original research paper on a clinical or
educational topic in osteopathic medicine
 May present at a category 1-A CME sponsored conference
in a specialty area that includes an osteopathic component
if you have completed residency
Overall Timeline
Third Year
Fall – Register for COMLEX Level 2 CE and PE
January – Contact programs for possible rotations
February – VSAS opens
March/April – Submit VSAS applications
Fourth Year
July 15 – AOA ERAS Application Submission Begins
September 15 – MD ERAS Application Submission Begins
October-January – Interviewing
November 1 – NMS Match Registration Due
November 30 – NRMP Match Registration Due
January 15 – NMS ROL Due
February 25 – NRMP ROL Due
February – NMS Match Day
March – NRMP Match Day
May/June - Graduation

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