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How to Apply For Fellowships

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How to Apply For Fellowships Becky Blankenburg, MD, MPH Associate Program Director, Advising and Career Development August 6, 2009 Special Thanks Special thanks to ... – PowerPoint PPT presentation

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Title: How to Apply For Fellowships


1
How to Apply For Fellowships
  • Becky Blankenburg, MD, MPH Associate Program
    Director, Advising and Career Development
  • August 6, 2009

2
Special Thanks
  • Special thanks to our panelists, who are here to
    provide their personal experience, wisdom, and
    advice on how to best apply to and select
    fellowship programs.
  • And to the Chief Residents for helping arrange
    this career development series.

3
Panel of Soon-To-Be Fellows, Fellows, and
Fellowship Directors
  • Fellows
  • Ritu Chitkara, MD (NICU Fellow)
  • Michal Cidon, MD (Gallo Research Fellow just
    completed Rheumatology)
  • Rouba Garro, MD (Nephrology Fellow)
  • Johann Peterson, MD (GI Fellow)
  • Fellowship Directors and Attendings
  • Hayley Gans, MD (ID Fellowship Director)
  • John Mark, MD (Pulmonology Fellowship Director)
  • Other Wise People Who Will Be Helpful in Your
    Application Process
  • Lynn Kahana, MD (PICU)
  • Bill Rhine, MD (NICU)

4
Longitudinal Plan for Subspecialty Fellowship
Preparation
Applying/ Thinking about Applying
Assuring success
How to decide
Interns Medical Students
Juniors
Seniors
5
ACGME Accredited Pediatric Specialties (2007-2008)
Programs Positions Filled
Adolescent 26 63
Anesthesiology 45 142
Cardiology 49 305
Child Abuse
Critical Care 62 358
Dev/Behav 33 76
Emergency Med 46 261
Endocrinology 68 215
Gastroenterology 51 209
Heme/Onc 64 352
6
ACGME Accredited Pediatric Specialties
(2007-2008) continued
Programs Positions Filled
Infectious Disease 61 162
Nephrology 36 105
Neurology 67 251
Pulmonology 47 120
Rehabilitation 11 9
Rheumatology 26 64
Sports Medicine 8 11
7
ACGME Accredited Non-Pediatric Specialties
(2007-2008)
Programs Positions Filled
Allergy Immun 71 303
Dermatology 109 1077
Genetics 48 90
Preventative Med 73 346
Toxicology 4 11
8
Other Pediatric Fellowships
  • Academic General Pediatrics
  • Pediatrics Hospital Medicine
  • Robert Wood Johnson
  • CDC-EIS (Epidemiologic Intelligence Service)
  • Alternative Medicine
  • Environmental Health
  • Palliative Care
  • Pain Management

9
How to Identify Career Goals
  • Particular passion
  • Specific areas of interest
  • Intellectual Content of the subspecialty
  • Variety of medical problems, ages, exotic vs.
    common
  • Subspecialty vs. primary care
  • Predominantly inpatient vs. outpatient
  • Chronic vs. acute
  • Continuity of care vs. short-term
  • Procedures
  • Deaths and bad news

10
How to Identify Career Goals continued
  • Academic vs. community setting
  • Clinical Work, Clinical Research, Laboratory
    Research, Education, Advocacy, Policy
  • Hours of work
  • Daytime vs. nighttime
  • On-service time vs. shifts
  • Ability to work part-time
  • Costs Time on-service, geography, lifestyle
  • Variety of Practice Opportunities (that is, are
    you able to tailor what you would like to do?)

11
Exposure to Subspecialties
  • Electives and Selectives
  • Away rotations
  • Division meetings
  • Attend subspecialty clinics during quieter months
  • Subspecialty conferences
  • Informational interviews

12
Identify Mentors
  • Associate Program Directors, Advising and Career
    Development
  • Laura Bachrach, MD and Becky Blankenburg, MD, MPH
  • Assigned Advisor
  • Fellowship Director at LPCH
  • Faculty in your division of interest
  • At LPCH
  • Elsewhere
  • Fellows in your division of interest
  • At LPCH
  • Elsewhere
  • LPCH Residency Graduates
  • Current LPCH Residents

13
LPCH Fellowship Directors
Adolescent Medicine Neville Golden
Allergy and Immunology Kari Nadeau
Cardiology Jeff Feinstein
Critical Care David Cornfield, Cristina Alvira
Developmental and Behavioral Peds Heidi Feldman
Endocrinology Darrel Wilson, Tandy Aye
Gastroenterology John Kerner
General Pediatrics Fernando Mendoza
Genetics (Residency Program) Greg Enns, Jon Bernstein
Heme/Onc Arun Rangaswami
ID Hayley Gans
Neonatology Lou Halamek
Nephrology Paul Grimm
Pulmonology John Mark
Rheumatology Tzeilan Lee
14
Find Out About Programs How to Get Information
on Programs
  • Look on the web
  • ACGME Website www.acgme.org
  • NRMP Website http//www.nrmp.org/fellow
  • Check subspecialty websites
  • E.g., American Thoracic Society for pulmonary
  • Individual Program Websites
  • Email/call programs for more information
  • Talk with advisor, fellowship director, other
    attendings and fellows in the division
  • Consider arranging an away rotation at the
    institution you are interested in

15
Find Out About Programs Figuring Out Where to
Apply
  • Think carefully about what you want to get out of
    fellowship
  • What type of clinical training
  • What kind of research/scholarly product you want
    to complete
  • What you want to do long-term
  • Possibilities for advanced training (MPH?, MSEd?,
    etc)
  • Where the mentors are who fit what you are
    looking for
  • Meet with advisor, fellowship director, and other
    attendings and fellows in the division to see
    what programs they recommend to you

16
Special Note About When To Do Fellowship
  • Its ok to take a year off (or even two or three)
    before fellowship
  • Think about what is best for your personal
    situation
  • Good to take time if you dont yet know what to
    go intobetter to be sure of your decision
  • Fellowship directors understand this

17
General Timeline
  • Varies greatly from subspecialty to subspecialty.
  • Check with LPCH fellowship director for more
    details.
  • Some fellowships are part of a national match
    (timeline follows)
  • Peds Cardiology
  • Peds Critical Care (PICU)
  • Peds Emergency Medicine
  • Peds Gastroenterology
  • Peds Hematology/Oncology
  • Neonatology (NICU)
  • Peds Nephrology
  • Peds Pulmonology
  • Peds Rheumatology
  • Primary Care Sports Medicine
  • Be aware that each of these subspecialties has
    some programs that are not participating in the
    match (so each of these subspecialties has some
    match and some non-match processes).

18
NRMP Match Programs Timeline
Fellowship Program Match Begins Rank List Due Match Day Fellowship Start Date
Allergy/Immunology 1/7/09 5/6/09 5/20/09 July 2010
Peds Cardiology Peds GI Peds Nephrology Peds Pulmonology 1/21/09 5/20/09 6/10/09 July 2010
NICU 5/13/09 9/9/09 9/30/09 July 2010
PICU Peds ED Peds Rheum 8/12/09 11/18/09 12/2/09 July 2010
Primary Care Sports Medicine 9/2/09 12/16/09 1/6/10 July 2010
Peds Heme/Onc 11/18/09 4/21/10 5/5/10 July 2011
19
Non-Match Specialties General Timeline When to
Start Applying
  • Peds ID Fall 1¾ years before starting (i.e.,
    Fall of second year for starting right after
    residency)
  • Other non-match specialties
  • Fall 1¾ years before starting to Fall ¾ year
    before starting (i.e., Fall of second year to
    Fall of third year for starting right after
    residency)
  • Sooner the better
  • Definitely check with the fellowship directors as
    these timelines are moving targets

20
How to Apply to Programs
  • For Match Specialties
  • Look at the NRMP Website http//www.nrmp.org/fell
    ow
  • Some use the ERAS applications
  • Some still have their own applications
  • For Non-match Specialties
  • Look at the program websites
  • Write/Email/Call Programs for information and
    applications
  • Brief cover letter
  • Puts you on the radar screen
  • Sooner the better

21
What is in an Application?
  • ERAS Demographic/Informational Section
  • Or if a non-match specialty, then a cover letter
  • CV
  • Personal Statement
  • Letters of Recommendation
  • Usually 3-4 total
  • 1 from your residency program leadership (from
    the Program Director or an Associate Program
    Director most fellowships want this)
  • 1-2 from Subspecialty/Area that you are applying
    in
  • 0-1 from an attending in another subspecialty or
    general pediatrics
  • 1 from your research mentor (if you have one)
  • The best letters usually come from people who
    know you well
  • When asking for a letter, ask Can you provide a
    strong letter in support of my application?
  • Ask for the letters early
  • Deans Letter/MPSE (from medical school)
  • Transcripts
  • USMLE Scores (need to be released by NMBE)

22
What is in an Application?
Plug Come to our session on how to write cover
letters and CVs next Thursday
  • ERAS Demographic/Informational Section
  • Or if a non-match specialty, then a cover letter
  • CV
  • Personal Statement
  • Letters of Recommendation
  • Usually 3-4 total
  • 1 from your residency program leadership (from
    the Program Director or an Associate Program
    Director most fellowships want this)
  • 1-2 from Subspecialty/Area that you are applying
    in
  • 0-1 from an attending in another subspecialty or
    general pediatrics
  • 1 from your research mentor (if you have one)
  • The best letters usually come from people who
    know you well
  • When asking for a letter, ask Can you provide a
    strong letter in support of my application?
  • Ask for the letters early
  • Deans Letter/MPSE (from medical school)
  • Transcripts
  • USMLE Scores (need to be released by NMBE)

23
Interviews Scheduling
  • Most interviews are offered, not requested
  • But if you havent heard from a program or will
    be in the area anyway, it is ok to contact the
    program and ask
  • Be persistent (but nice and appreciative) in
    scheduling an interview
  • Try to cluster interviews
  • Because the timing of interviews at some programs
    may overlap with offers from other programs
  • Sooner the better

24
Interviews Preparation
  • Learn about the programs you are going to visit
  • Why do you want to attend that program?
  • Why would you be a good fit?
  • What type of research and with whom would you
    want to work?
  • Read up on the particular research or clinical
    interest of faculty you may be meeting

25
Comparing Programs Things to think about in
preparing for and on actual interview day
  • Priorities of the Program, Fellowship Director,
    and Division Chief
  • Career advancement of fellows
  • Clinical needs of division- are there adequate
    faculty and support staff?
  • Research needs of division- are there adequate
    faculty and support staff?
  • Other needs of division (eg., teaching)
  • Recent or impending changes (retirements,
    sabbaticals, leaves of absence etc)

26
Comparing Programs Things to think about in
preparing for and on actual interview day
continued
  • Quality of Mentorship
  • Quality of clinical training
  • Quality of research training, opportunities, and
    facilities
  • May include being able to earn Masters Degree
  • Success with getting fellowship grants
  • Duties and ancillary services (advice nurses,
    clinical NPs)
  • Satisfaction of current and prior fellows
  • Post-fellowship placement of fellows

27
Comparing Programs Things to think about in
preparing for and on actual interview day
continued
  • Funding
  • Are they NIH training grant supported or not?
  • Who provides the funding for your fellowship?
  • Do you have to apply for grants during
    fellowship?
  • Is there a safety net in case you apply for a
    grant but are unsuccessful?

28
Interviews Actual Day
  • You are the consumer make sure the fellowship
    will be a good fit
  • Ask the right questions of the right people, but
    make sure your questions are answered
  • Fellows and administrative staff may be most
    appropriate to ask re logistics, salary, call,
    etc.
  • Talk with faculty and fellows about research
    opportunities, opportunities for pursuing
    advanced degrees during fellowship, etc.
  • Make sure to ask the obvious questions
  • Office space
  • Administrative support
  • Meals when on call
  • Computers, courses, meetings, book allowance
  • Home vs. in house call

29
Post-Interview
  • Thank you notes/emails
  • There was a lot of discussion on the panel last
    year about how necessary this is
  • Recommend thank you note/email to the fellowship
    director
  • Only need to send thank you notes/emails to
    others if you had particularly strong connection

30
Offers
  • Match (like residency match)
  • Non-Match (like med school offers)
  • Dont be pressured into making a hasty decision
  • Dont leave programs hanging too long
  • Remember youre the consumer
  • Contracts

31
What is the NRMP Match?
  • The NRMP Match was created to allow program
    directors and applicants to consider all their
    options before making final commitments, and to
    establish a uniform date and time for the
    announcement of residency position appointments.
  • After completing their respective evaluations,
    programs and applicants each prepare a final
    listing of their choices in preference order,
    which are then used by the Match to place
    applicants into residency positions.
  • The success of the Match depends on a high level
    of trust among all participants in the Matching
    Program.

32
Match Violation
  • What is a "Match Violation"?
  • The NRMP has established principles and policies
    to guide participants (programs and applicants)
    through the Match application and rank ordering
    process.
  • Match violations negatively affect all
    participants in the Match. Consequences can
    result in
  • An applicant being pressured by a program
    director to reveal the program's place on the
    applicant's rank order list.
  • A program director being notified that a matched
    applicant will be a "no show" and finding that no
    other suitable candidates are available.
  • An applicant being pressured by (or pressuring) a
    program director to sign a contract before Match
    Day.
  • A matched applicant who could have matched to a
    more preferred program because that program now
    has an open position because another applicant
    was a "no show".

33
Success as a Fellow
  • Good Mentorship!!!

34
Success as a Fellow
  • Most important Good Mentorship
  • Through your research advisor
  • Through your fellowship director
  • Scholarship Oversight Committee
  • Individual Development Plan (IDP)
  • Distribution of Areas of Effort
  • Research/Other Scholarly Activity
  • Patient Care
  • Professional Self-Development
  • Education (Teaching Activities)
  • Administration
  • Other Professional Accomplishments

35
Advice for Medical Students
  • Start to identify career goals
  • Take electives during your clinical years
  • Start to identify mentors
  • Choose a residency that exposes you to a variety
    of subspecialties
  • i.e., leave your doors open

36
Advice for Interns
  • Start to identify career goals
  • Start to think about subspecialties
  • Start to identify mentors
  • Meet with mentors
  • Request particular electives/rotations for junior
    year
  • Arrange away electives for junior year
  • Consider attending academic pediatric and
    subspecialty conferences
  • Pediatric Academic Societies Meeting (May 1-4,
    2010, Vancouver)
  • Other subspecialty conferences

37
Advice for Juniors/Seniors
  • Solidify commitment to fellowship and
    subspecialty
  • Start to think about training goals
  • Research programs
  • Write for applications
  • Arrange interviews
  • Interview
  • Weigh options
  • Choose a program
  • If possible and necessary, arrange your senior
    schedule so you have time to move to fellowship

38
Panel
  • Questions for the Panel
  • Introduce yourself
  • Briefly summarize your training/practice to date
    (where, why?)
  • Anything surprising about applying to or doing
    fellowship
  • Any advice
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