Thursday, December 15, 2011

Emerging from the Rabbit Hole

Time flies when you are having fun or doing interviews for residency. I was doing the latter. Doesn't seem to matter how many times I sit across a table from another human being for an interview, it never gets any easier. imageI'm sure my facade is glowing calm, but my insides are churning of sweat and sheer panic.  I realize that it's not supposed to be that way, but the pressure of presenting yourself to one person or another in a short amount of time is brain busting. Combining a rather long history with honesty and trying to highlight the important qualities that fit the setting = nerves. At least the suit looked good.

But then, once in awhile there is a merging of the minds, a synchronous dance of perfect symbiosis and "Tsaheylu" is formed. I jump up and down inside when that happens. It's a moment in the interview time, place continuum when you know you are answering the questions easily, appropriately and becoming one with the interviewer. The portal into this rabbit hole could be something simple like a highlight from your past that fits their future view of the program. It could be a shared venture outside of medicine or a key word or phrase. It could be a testing struggle you both shared. And there doesn't seem to be any rhyme or reason and certainly no way to Google it in advance.

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But I'm not asking for much, just a chance. A chance to show how passionate I am about medicine and patient care. A chance to prove beyond my average test scores that my clinical skills, honors rotations evaluations and experience means something beyond the sheer numbers. Match is what this last 4 years has been all about, and it's about to happen; As soon as these interviews are all over and the rank order lists are submitted. This is the nerve wracking season of medical education for MS-4's and graduate MD/DO's everywhere.

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Since the 80's the number of applicants for the Match is growing at a faster pace than the number of spots available. This leaves the clear picture to many that residency is not possible. Everyone doesn't match. So more and more applicants are vying for a proportionally smaller number of post graduate training program spots. That's a recipe for a nervous interview season.

And so it goes. About 3 months after the holiday season, everyone will know their fate and where they'll be going come July 1. Could be family medicine in Florida, surgery in South Dakota or dermatology in Des Moines. The future of medicine is in the hands of a few powerful men and women interviewing a few very nervous applicants.