<p>Hi again, everybody. First, let me say that if you sent me a private message, I still have a bunch I have to answer, and am slowly but surely making my way through all of them, so please be patient and know that I will answer you! Keep the questions coming; it offers a great opportunity to procrastinate from studying. :)</p>
<p>I thought Iâd do a frequently asked questions post, because some of these questions come up a lot, and I think theyâre interesting, so here we go. </p>
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<li>Are there merit scholarships for medical school? </li>
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<p>Yes, and some schools offer more of them than others. I know that Vanderbilt School of Medicine offers about 30% of their incoming class each year a full tuition scholarship for four years. Mayo, a really small school, offers nearly all of its class full-tuition scholarships. Most of these scholarships are awarded to the schoolâs top admittees, but nearly all schools also offer need-based aid as well. Sadly, for most med school attendees, your MD will be paid for via loans, Iâm afraid. </p>
<p>There also other opportunities aside from scholarships to go to med school for free. There are programs that you can apply to that would require you to practice in an underserved community for 2 years after residency in exchange for loan forgiveness. In addition, some med students take advantage of the military, which not only pays tuition, but also gives a monthly stipend for room and board, in exchange for your commitment to practice in a military setting for a specified number of years. Finally, thereâs the old MD/Phd option. If you pursue a PhD in addition to an MD, your medical school and PhD training will be paid for. Most medschools have MD/PhD programs, and in addition to free tuition, you also get a stipend to cover living expenses. The downside is that it takes a LONG time to finish MD/PhD programs, but if youâre genuinely interested in a career in research or academic medicine, this may be a good, and less expensive route for you. </p>
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<li>What is the med school curriculum like? How hard is it, really?</li>
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<p>Your med school curriculum will vary depending on what school you go to. Actually, there is a big push now to shift the traditional curriculum for a more integrated approach, so I can only comment on the curriculum I am currently taking: </p>
<p>Your first two years of medical school are called the pre-clinical years, because you spend most of your time in class learning how to treat patients. First year is the study of the ânormalâ human. Youâll study anatomy (with human cadaver dissection), histology, embryology, physiology, biochemistry, cell and molecular biology, neurobiology, biostats and epidemiology, genetics, and nutrition. In addition, at Chicago we get some introduction to clinical medicine with clinical classes on taking a medical history, vitals, and the cultural context of medicine. Weâve also taken several seminar classes on healthcare in the United States and medical ethics. Second year is the study of what happens when stuff goes wrong. Second years study pathology, microbiology, pharmacology, physical diagnosis, and clinical pathophysiology. </p>
<p>Third and fourth years are the clinical years, where youâre actually in the hospitals, working with residents and attendings to take care of patients. At Chicago and most other med schools there are 7 required clerkships (or rotations) for third year: Neurology, Ob/Gyn, Surgery, Internal Medicine, Psychiatry, Family Medicine, and Peds. During fourth year, students generally complete the final required clerkship (Emergency Medicine), and take electives and subinternships, and apply to residency programs. Fourth year internships and electives allow students to get more experience in areas that are related to their desired specialties. For example, a 4th year entering emergency medicine may spend time in cardiology to better understand the pathophysiology of heart failure and other acute cardiac conditions. </p>
<p>Med school is hard, but everybody gets through it. If there is any advice I could give to someone picking a med school, it would be to go to a school that has a pass-fail system for the first two years. I have found that the lack of competition that comes from the pass-fail system has really created a collaborative, non-stress learning environment for our class. </p>
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<li>What are the most competitive specialties to get into?</li>
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<p>So during your fourth year of medical school (which is a long way off for most of us), you go through this program called âthe MatchââI will omit most of the details here for simplicity. Basically, you apply to a bunch of residency programs in the specialty youâd like to enter and rank the list of programs that you applied to after interviewing at all of them. The programs then rank all of their applicants and there is a mysterious computer program that compares applicantâs rank lists to programâs rank lists and matches graduating med students to residency program spots all over the country. For instance, if you applied to hospital A and ranked it your number 1 choice, and hospital A also ranked you itâs number 1 choice, youâd end up at hospital A. I know itâs confusing, but bear with me. </p>
<p>Some specialties have fewer spots available than applicants applying, and those specialties are known to be the most competitive, because there will always be a number fourth years who wonât match into a program in these specialties. These specialties include plastic surgery (which only has 80 spots nationwide), dermatology, ophthalmology, orthopedic surgery, and radiation oncology. Other specialties are less competitive, and have more spots open than applicants applying, or a similar number of spots to applicants applying: Internal medicine, family medicine, and peds. Many other specialties (i.e. Ob/gyn and emergency medicine) are somewhere in the middle. </p>
<p>When choosing a medschool, itâs sometimes helpful to get a list of where the schoolâs fourth years have previously matched, especially if youâre interested in one of the competitive specialties or would like to do a residency at a top hospital. If you want to do orthopedics, but a given med school doesnât match well at ortho, you might want to choose a different school. If youâre into plastics, itâs best to choose a school that has a history of matching in plastics. </p>
<p>Stay tuned, more to come.</p>