The Nitty-Gritty of Interviewing

I've been blogging over at The Differential for a year, and have a few more stories/rants/ideas to broadcast in that venue before I finish medical school. This week, I've reflected a bit on the logistics of interviews and the parts that I'm not so keen on.


But this isn't my standard refer you to The Differential post. I must also alert you that the whole blog has migrated from the Typepad interface to the Medscape platform. That's good for me because I can post entries myself and not have to email them to my editor first. But it COULD be bad for you because you'll have to sign up for a free Medscape account. If you want to bask in the old, all of my articles are available here.

Illegal Questions

How old are you? Do you have kids?

My latest article at The Differential focuses on one component of my interview experience: illegal and inappropriate questions. Check it out, and if you are so inclined, back me up! And while you're there, check out a companion piece by co-blogger Anna Burkhead ponders another ageism related issue.

By the way, special thanks to DrugMonkey for inspiring the legwork to sort out the legal and social rules for this topic.

Next Stop: Rank Lists

Interview season is finally over for me. So I've removed my handy reference of programs and interview dates from the side banner. I still need a convenient link list to organize program websites for the places I've been. Here's a chronological list.

• UCSF Nov 20
• U of Chicago Nov 25
• Northwestern Nov 26
• Harvard Dec 1
• Boston Medical Center Dec 2
• Yale Dec 3
• NYU/Bellevue Dec 5
• Highland (Oakland) Dec 23
• NY Presbyterian Jan 5
• Penn Jan 6
• Wash U (St. Louis) Jan 12
• Stanford Jan 16

I suppose I could have built a bookmark folder, but this cut-and-paste enables me to check back from any compy... The next deadline is February 25. That's when rank lists are due. We haven't decided if we will publicize our list, but I'm guessing the cards are going to fall close to the electronic chest.

I Would Walk How Many Miles?

I'm working on a post over at The Differential about all the traveling I've been doing to interview at residencies around the country, and am curious about the number of miles that residency applicants travel (by plane, train or auto) in a given interview season. Anyone have any ideas?

Interviews Continue

In the process of making some of my last reservations for airfare and hotel, I cannot help but think about how fortunate in these ever-worsening economic times we senior medical students are to have a say in where we will work next year. It seems more of a pain than a privilege to have to jet across the US in search of the best-fit residency. But as each interview unfolds and as I'm toured the guts of America's hospitals, and as I observe how emergency departments operate on this coast or that, I feel tinges of conflict. Here I am with great opportunities - only one of which I will pursue - while the patients I'm chomping at the bit to meet, treat and advocate for face the converse: evaporating opportunity, escalating suffering and vanishing resources.

When framed this way, I ponder canceling the rest of my interviews. My pro&con lists from each program pick out relatively small differences between places. In the end, I know I must continue on for another few weeks. While the next month may consist of greenhouse gas guilt, travel fatigue and missed loved ones, the four years of residency will consist of lost sleep, steep learning curves, stresses of responsibility and the anguish of bearing witness to great pain and suffering. It will be important to live in a context of a supportive environment. Academic, social and even political and geographic context will play a part in my decision to rank programs. After then, it is up to the big computer in the sky to decide where is best.

4th in 5 Days

I'm in NYC ready to interview at the NYU/Bellevue emergency medicine residency. It's my 3rd city in 4 days, and tomorrow will be my 4th interview in 5 days. On my day off, I observed for a few hours in the New Haven hospital before going by Amtrak to NYC. I'm not particularly tired, but I do miss being home. Some things that have made this trip easier include:

• Traveling by train in the northeast is easy: show up at the station, get on the train, work in peace and quiet for a few hours, get off the train & you're there.
• Staying with friends from med school is great. Since I took 4 years to do my PhD, my classmates are all 4th year residents and therefore very knowledgeable hosts. It saves lots of ca$h, too.
• Traveling light is a must. For me, that's a bike messenger bag and a shoulder garment bag.

Negatives include:

• Not seeing or talking to my wife much - The three hour time zone difference further complicates the fact that she is working a night shift and sleeping days, and "everything's in a fog" for her.
• Gum on transit seats. Bad form folks... If only we were in Singapore! My impromptu road extraction kit lacks a key solvent. Hopefully the friendly neighborhood dry cleaners will be able to help me next week. My evaluators will have to look REALLY CLOSE at my backside to notice the gum remnant!
• Answering the SAME QUESTION over and again. At least my response stays the same each time.

Well then! Enough from me...

Dr. Goatee

In searching the internet for possible residency interview questions, I stumbled upon some other 'tips' about interviewing. Most notably, one site from Rush University offers the following prescription for a successful personal presentation:

Dress should always be conservative, tasteful, neat—and comfortable.

Have the appearance of a successful, mature physician, not a medical student.

MEN should wear a suit, not sport coat or khakis.

• Navy or gray, solid or pinstripe.
• White or pale-blue shirt.
• Conservative tie: solid, stripes, or small pattern (red or navy).
• Keep jewelry to a minimum.
• Short hair, preferably no goatees.

It's not just the Chicagoans at Rush that offer this advice. I found websites penned by schools from LA to Boston arguing for a clean shaven face. But there are other things I noticed about these suggestions:

Dress should always be conservative, tasteful, neat—and comfortable.
Okay, I buy this. Comfortable helps when you're running to catch your next flight, too.

Have the appearance of a successful, mature physician, not a medical student.
I think I have this down, what with being older than most of the residents at some programs; in five interviews (three schools, so far), I've received the follow-up question, "How old are you?"

Men should wear a suit, not sport coat or khakis.
Okay, I'll give here. Although when I interviewed at UW for the MD/PhD program, I wore khakis and a tie - no jacket. Look where that got me!

Navy or gray, solid or pinstripe.
Evidently black is out?

White or pale-blue shirt.
Whoops again. I don't own white or pale blue.

Conservative tie: solid, stripes, or small pattern (red or navy).
My real goal here is: not ugly.

Keep jewelry to a minimum.
Nickle allergy keeps this in check for me.

Short hair, preferably no goatees.
Does a shaved head count for short hair? Maybe shaving up there will cancel out the apparent transgression I make with this:



I did end up shaving, but it was the top of my head...

EM Interview Questions

There are a number of standard residency interview questions that candidates are asked in the interview circuit. A Google search will provide you with some stock questions you should be prepared to answer. For various reasons, I tend to take advice from those sites with a grain of salt. So here are some actual questions I've been asked on my emergency medicine residency interviews.

• How did you decide to apply to our program?
• Where will you be in 10 years?
• You've a different background than many applicants. Describe your trajectory in deciding on emergency medicine.
• What have you been reading?
• What is Wunderkammern? (A hobby I listed on my application.)
• So! What do I need to know about you?
• Which of your letter writers do you admire the most?
• What questions about our program can I answer for you?
• How would you respond to (insert complicated ethical dilemma here)?
• What are you doing the rest of the year?
• What are your plans for the holidays?
• What courses are you enrolled in this year?
• Why emergency medicine?
  
• Where else are you interviewing?
• Why (insert city here)?
• What will your first book be about?
• How have you responded to a situation of personal conflict?
• What areas of emergency medicine need the most work?
• Do you want to go back to Seattle to practice EM?
• What do you do to relax?
  

I'll give periodic updates to this list. I've only interviewed in three places. Do any of you co-applicants have any additions?

Inner Viewing

You can expect my posts over at The Differential to focus on interviewing for the next few weeks. After I finished my interview at the UCSF residency last week, I jotted down a few tips for future interviews. The article is now up over at the MedScape blog.


Stay tuned for more tips. Both here and there!