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Index
A CKNOWLEDGMENTS
F OREWORD
P ART O NE: S O Y OU W ANNA B E A D OCTOR . . .
I NTRODUCTION
H OW TO U SE T HIS B OOK
I am a college student thinking about applying to med school/I’m thinking about changing careers and applying to med school
I’ve already been admitted to med school, and I’m nervous . . .
But I’m already in med school . . . I wish I’d found this book sooner
I’m the parent/friend/sibling/significant other of someone going to med school
The Med School Confidential Mentors
C HAPTER 1: T HINKING A BOUT M ED S CHOOL ? T HINK A GAIN . . .
The Four Questions to Ask to Assess Your Readiness for Med School
The Top Five Reasons Not to Go for It
My parents were physicians
The money and prestige
I can’t think of anything else to do
The adrenaline rush
I want to help people
The Top Five Reasons to Go for It
I want to help people
I want to apply my love of science to my love of the humanities
I am fascinated by the human body
I want to build on my existing experience in patient care
I can’t imagine doing anything else
A Realistic Self-Evaluation for Med School
Am I smart enough?
Am I disciplined enough?
Do I have the perseverance?
Am I too old?
Can I afford it?
What about my life and my family?
C HAPTER 2: A R OAD M AP OF THE M ED -S CHOOL E DUCATION P ROCESS
Preparation and Prerequisites
Med School: Four Years, 125 Flavors
Traditional format
Integrated formats
M.D. Versus D.O. Programs
M.D./Ph.D. Programs
“The Match” and Applying to Residency
Internship, Residency, and Beyond
Medical Licensing
Fellowship Training
Board Certification
C HAPTER 3: S URVIVING P REMED
The Premed Requirements
Premed as an Undergraduate
Surviving and thriving in the premed curriculum
Premed as a Postbac
Where to complete your premed requirements
How to structure your course work as a postbac
C HAPTER 4: B EATING THE M CAT
What the Test Is All About
How the Test Is Structured
How the Test Is Scored, and What the Results Mean
Preparing for the MCAT
Getting started and doing a diagnostic test
Study strategies: deciding between self-study and commercial review courses
Practice, practice, practice!
Registering for and Taking the Test
Whatever the Score, Make It Work for You
P ART T WO: A PPLYING TO M EDICAL S CHOOL
C HAPTER 5: C RAFTING THE P ERFECT A PPLICATION
A Quick Overview
References and resources
The AMCAS universal application
A Self-Assessment of the Strength of Your Credentials
Scholastic fitness
Intellectual drive and curiosity
Maturity and responsibility
Integrity and ethical conduct
Desire to serve
Sincere interest in health care
Create a Timeline and a Master Task List
Getting organized
How to use your premed advisor
Take the MCAT in the spring
Soliciting letters of recommendation
Crafting the perfect personal statement
Putting it all together
C HAPTER 6: C HOOSING Y OUR S CHOOL
Research Resources
Finalizing Your List and Weighing Your Decision
Location
Curriculum
Reputation
Cost
Making your list and checking it twice
C HAPTER 7: F INALIZING Y OUR A MCAS A PPLICATION AND C OMPLETING Y OUR S ECONDARIES
Secondary Applications
C HAPTER 8: H OW TO A CE Y OUR M ED -S CHOOL I NTERVIEWS
How to Choose and Prioritize Your Interviews
Preparing for Your Interviews
Structure of the interview
Practicing your interview
Conquering your nerves
Top Ten Interview Dos and Don’ts
Interview Follow-Ups
C HAPTER 9: H ANDLING A CCEPTANCE , R EJECTION , AND E VERYTHING IN B ETWEEN
How to Manage Offers of Acceptance
Single or top-choice acceptance
Offers out of synch
Multiple offers
What to Do If You Are Wait-Listed
Coping with Rejection
P ART T HREE: T HE P RECLINICAL Y EARS
C HAPTER 10: T HE F IVE T HINGS TO D O B EFORE C LASSES B EGIN
Step One: Celebrate and Relax
Step Two: Familiarize Yourself with the Road Ahead
Step Three: Get Mentally, Emotionally, and Physically Fit
Step Four: Find Housing and Set Up Shop
Where to live
The roommate issue
Other housing considerations
Step Five: Learn to Keep Stress at Bay
Keep your perspective
Get organized and stay organized
Be ready to practice damage control
C HAPTER 11: F UNDING Y OUR M ED -S CHOOL E DUCATION
Show Me the Money!
Scholarships and grants
Subsidized and unsubsidized loans
Impact of personal or family resources
Work-study programs
Loan Repayment Programs
Budgeting
Record Keeping
C HAPTER 12: G ETTING O FF TO THE R IGHT S TART IN THE P RECLINICAL Y EARS
Goal of the Preclinical Curriculum
Establishing a Study Strategy
Larry the Lecture Hound
Curly the Curious
Moe the Meeting Man
Decide on a Schedule and Stick to It!
A Study Technique Toolbox
C HAPTER 13: T HE F IRST Y EAR : N ORMAL S YSTEMS
The First-Year Course Work
Anatomy
Physiology
Biochemistry
Cellular Biology
Neurobiology
Embryology
Genetics
Nutrition
Ethics
Introduction to Clinical Medicine—your first patients
A Welcome Summer Off
C HAPTER 14: T HE S ECOND Y EAR : D ISEASE AND M EDICINE
The Second-Year Course Work
Microbiology
Pathophysiology
Pathology
Pharmacology
Human Behavior/Psychiatry
C HAPTER 15: B RINGING I T A LL T OGETHER : T HE U SMLE S TEP 1 E XAM
An Overview of the Step 1 Exam
Preparing for the Step 1 Exam
Confronting Failure at Checkpoint 1
P ART F OUR: T HE C LINICAL Y EARS
C HAPTER 16: L IFE ON THE W ARDS
Rotations
What You Need to Learn from Your Rotations
A Typical Day on the Wards
Prerounds
Rounds
Lectures
Clinics
Call
Dealing with the Culture Shock
Professionalism
Reliability
Humility
How to Survive on the Wards
Reading
Basic Clinical Skills
Interviewing and physical-exam skills
Making chart entries
Calling consultants and other services
Working with nurses and other team members
Keeping Perspective and Developing Your Clinical Persona
But for Now, It’s Still School: Reports, Grades, and Evaluations
C HAPTER 17: P ROBLEMS IN THE W ARDS—AND H OW TO D EAL WITH T HEM
Act with Integrity
Resolving Conflicts with Attending Physicians or Residents
C HAPTER 18: C ORE C LINICAL R OTATIONS
Internal Medicine
Career considerations—internal medicine
Pediatrics
Career considerations—pediatrics
Surgery
Career considerations—surgery
Ob/Gyn
Career considerations—ob/gyn
Emergency Medicine
Career considerations—emergency medicine
Psychiatry
Career considerations—psychiatry
Family Medicine
Career considerations—family medicine
C HAPTER 19: B RINGING I T A LL T OGETHER A GAIN : T HE U SMLE S TEP 2 E XAM
The USMLE Step 2 Clinical Knowledge Exam
The USMLE Step 2 Clinical Skills Exam
For D.O. Students It’s the COMLEX Level 2
C HAPTER 20: E LECTIVE R OTATIONS
P ART F IVE: A PPLYING f OR R ESIDENCY AND S URVIVING THE M ATCH
C HAPTER 21: T HINKING A BOUT R ESIDENCY
Making the Choice: What Do You Want to Do with Your Life?
Learning opportunities
Long-term camaraderie
Lifestyle
Likelihood of success
Love of the particular field
Designing Your Application Schedule to Meet Your Goals
Making Contacts and Collecting Information
Paving the Way to a Successful Match
C HAPTER 22: A PPLYING A LL O VER A GAIN
The System
Tasks and Timelines
Crafting your application and essay
The dean’s letter
Letters of recommendation
C HAPTER 23: S ELECTING Y OUR P ROGRAMS
Applying as a Couple
Making Your Final List
C HAPTER 24: R ESIDENCY I NTERVIEWS
How They’re Different from Admissions Interviews
Interview Tactics
How to Evaluate Programs
Scheduling Your Interviews
C HAPTER 25: T HE M ATCH
Making Your List
Match Numbers and “The Scramble”
Match Day
C HAPTER 26: F INISHING U P
Elective Time: Have Fun, Try Something Different
Vacation!
Certifications
Financial Aid Considerations
P ART S IX: T HE T RANSITION TO R ESIDENCY AND L IFE AS A P HYSICIAN
C HAPTER 27: M AKING THE L EAP
Setting Up Shop
Organizing Your Life
Managing Your Loans
C HAPTER 28: S TARTING O UT S TRONG IN R ESIDENCY
Orientation
Your First Day on the Wards
Your First Call Night:
Understanding Academics in Residency
The Balancing Point
The USMLE Step 3 Exam
The Future
P ART S EVEN: A DVICE FOR THE S POUSES , P ARTNERS , S IGNIFICANT O THERS, AND F AMILIES OF M ED S TUDENTS
C HAPTER 29: T HE R EALITIES OF L IFE WITH A D OC-IN- T RAINING AND S TRATEGIES FOR M AKING I T L IVABLE
Why Should I Worry?
The Top Five Realities About Marrying a Med Student
How Will Your Med Student Be Spending His or Her Time?
Applying to school/premed years
Preclinical training (or the first few years of med school)
Clinical training in med school
Internship and residency
How to Survive Med School as a Spouse, Partner, or Significant Other
Coping Tips
Is the End Ever in Sight?
A PPENDIX
Fundamental References
Test Prep
Premed Curriculum and Med-School Applications
Clinical References
Finances
Residency and the Match
Resources for Family, Friends, and Supporters
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