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Academic Psychiatry, 30:3, May-June 2006 http://ap.psychiatryonline.org 239

Applying to Psychiatry Residency Programs
Mina K. Bak, M.D., Alan K. Louie, M.D., Lowell D. Tong, M.D.
John Coverdale, M.D., M.Ed., FRANZCP
Laura Weiss Roberts, M.D., M.A.
Dr. Bak is afliated with San Mateo County Mental Health Services,
San Mateo, California. Dr. Louie is afliated with San Mateo County
Mental Health Services, San Mateo, California, and the University of
California, San Francisco, California. Dr. Tong is afliated with the
University of California, San Francisco, California. Dr. Coverdale is
afliated with Baylor College of Medicine, Houston, Texas. Dr. Rob-
erts is afliated with the Medical College of Wisconsin, Milwaukee,
Wisconsin. Address correspondence to Dr. Louie, 222 West 39th
Ave., San Mateo, CA 94403; [email protected] (E-mail).
Copyright 2006 Academic Psychiatry.
T
he purpose of this article is to provide some practical
ideas to help senior medical students understand and
navigate the process of applying to a psychiatry residency.
Individualized advice on how to nd the best tting pro-
gram for a particular student is beyond the scope of this
article. The comments are intended to provide guidance,
but are not meant to be a rigid recipe. Perspectives were
integrated from a recently matched psychiatric resident
(Dr. Bak), a director of a psychiatry residency (Dr. Louie),
a medical student career adviser (Dr. Tong), a medical ed-
ucator (Dr. Coverdale), and a department of psychiatry
chair (Dr. Roberts).
Preparation in Medical School
The core clerkship in psychiatry is often the rst clinical
introduction to psychiatry for most medical students and
an opportunity to see whether the specialty would be a
good t. In the event that psychiatry becomes a serious
consideration, the student should survey the residents and
attendings on their decision to pursue this specialty. At the
end of the rotation, the student may choose to ask for a
recommendation letter, especially while the students per-
formance is fresh in the attendings memory.
Receiving the top grade (e.g., honors) in the core psy-
chiatry rotation is not essential for matching, but it is no-
ticed by selection committees. In many medical schools,
the top grade in the core psychiatry rotation has stricter
criteria than the top grade in an elective or advanced psy-
chiatry rotation and is therefore of special note. Students
not receiving honors in a core psychiatry clerkship may
augment their transcript by exceptional performance in
subsequent advanced psychiatry rotations.
In order to verify a good t with psychiatry, medical
students should plan one fourth-year psychiatry elective.
A psychiatry subinternship, during which the student has
primary responsibility for the management of patients, is
advised. A second psychiatry elective might be scheduled
if the applicant wants to sample a subspecialty of psychiatry
(e.g., child, forensic, or addiction psychiatry). Some stu-
dent advisers suggest taking no more than two psychiatry
electives in order to leave time to explore other areas of
medicine prior to graduating. Applicants should attempt
to complete the psychiatry electives and a medicine sub-
internship (desirable for competitive programs) before
November so that those do not interfere with interviewing
schedules and to enable associated grades and potential
letters of recommendation to be available to programs.
A psychiatry externship at a program outside the stu-
dents medical school affords a student more accurate in-
formation about a program, and vice versa. Doing so is
not, however, necessary in order to match at such pro-
grams since it is well understood that it is inconvenient to
do away with electives. If applicants are considering a
fourth-year externship, they should request these applica-
tions promptly (Appendix 1); programs require applica-
tions, sometimes with a fee, transcript, and/or a letter of
reference.
Most residents, even at top academic programs, pri-
marily tend to become clinicians; thus, researchexperience
is not essential for applicants to successfully match. Nev-
ertheless, medical school is an excellent time to pursue to
psychiatric research as an educational credential and to
consider a research career. Applicants who are interested
in future research should inquire about time that will be
protected for research opportunities and established re-
search tracks.
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Students should look into or start a psychiatry interest
group at their medical school and consider joining APA;
medical student membership is free and comes with an
online newsletter and subscription to the American Journal
of Psychiatry. Of note, their website features a Guide to
the Match in Psychiatry (1). The APA website also fea-
tures links to a collaboration of various interest groups,
including ones that target women, minorities, medical stu-
dents, and gays, lesbians, and bisexuals (2). The websites
of national medical student organizations also may be in-
formative.
Selecting Programs
Applicants should research psychiatry residencies ap-
proved by the Accreditation Council on Graduate Medical
Education (ACGME) (3). A user-friendly source of infor-
mation is the Fellowship and Residency Electronic Inter-
active Database (FREIDA) (4), which lists data about all
of the ACGME-accredited medical education programs,
as well as ACGME-approved combined specialty pro-
grams. This database may be searched according to spe-
cialties or states. The statistics available on this database
are of limited value, and applicants will have to visit the
websites of specic programs for more details; links are
usually provided by FREIDA. The APA also publishes a
directory to psychiatry residency training programs.
There is signicant variation in training emphasis
among psychiatry programs, so applicants will need to
learn about the differences between programs. They
should rst speak with a psychiatry training director or a
career adviser in psychiatry at their school for suggestions
on programs. The most current information may be ob-
tained by networking with recent graduates from their
medical schools who are in psychiatry residencies, with
other applicants who have visited programs, and with at-
tendings who came from other programs. Applicants
should then reviewtheir preliminary list of residencies with
their medical schools psychiatry adviser to determine
whether their list is compatible with the applicants goals
and likely ability to match.
Psychiatry Residency Application Process
Programs use the Electronic Residency Application
Service (ERAS), which was developed by the Association
of American Medical Colleges and uses the Internet to
transmit application materials from medical schools to
programs, including medical student performance eval-
uations, personal statements, letters of recommendation,
transcripts, and other documents. Applicants must reg-
ister separately for the National Residency Matching Pro-
gram (NRMP) (http://www.nrmp.org/res_match/index.
html) and the ERAS; registering for the former, which is
a residency matching service, does not automatically reg-
ister the applicant for the latter, which is an application
information transmittal service. Applications should be
sent in to ERAS (http://www.nrmp.org/res_match/about_
res/application_process.html) soon after it begins accept-
ing them. Appendix 1 provides an application timeline (5,
6, 7). Exact dates, which are available at the NRMP web-
site, are not listed since they vary annually.
Documents Submitted With the Application
Selection committees look at the entire application and
the individual; thus, applicants should pay diligent atten-
tion to all aspects of the application. Generally, these com-
mittees do not focus solely on core clerkship grades,
USMLE scores, or personal statements. The exception to
this would be programs that use grades or scores in a rst-
cut screening process.
The following are required documents to be submitted
by US medical school applicants (international medical
school applicants may need additional documents).
Application
As honesty and accuracy are fundamental elements of
professionalism, they are essential throughout the appli-
cation process. For example, exaggerating accomplish-
ments or capabilities in the application may become evi-
dent during the interview; if the applicant claims uency
in Spanish, the interviewer may want to converse in Span-
ish.
Curriculum Vitae
ERAS has a template for the applicants curriculum vi-
tae (CV). Descriptions of academic training, employment
and extracurricular activities should be concise; applicants
will have opportunities to expand further upon this infor-
mation during their interviews. The dates of various edu-
cation, work and personal experiences should be clear and
allow the reader to construct a continuous timeline of ac-
tivities since high school. Gaps in this timeline are red ags
and require explanation, usually in the personal statement.
Applicants should outline the depth and breadth of their
experience to date, but should avoid listing minor awards
or activities, which may look more like padding and be
more distracting than helpful. An adviser can provide per-
sonalized help on what information to include and where.
In the case that honors occur after the application is sub-
mitted, such as election to the Alpha Omega Alpha (AOA)
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Honor Medical Society, the applicant should sendseparate
notication of this directly to programs.
Personal Statement
Instead of being a repetition of the information in the
CV, the personal statement should bring to light informa-
tion about the applicant not found elsewhere in the appli-
cation.
Many applicants begin their personal statements by ex-
plaining why they are interested in psychiatry. In doing so,
applicants frequently write about an experience with a pa-
tient that encouraged them to pursue psychiatry. Though
this is adequate, it is also common, so one should spend
no more than a brief paragraph about such a vignette.
Readers want the statement to give a sense of the applicant
as a total person. Thus, applicants should feel empowered
to expand on how, in addition to why, they ended up
applying to psychiatry. For example, if the applicant has
an advanced degree (e.g., M.B.A., Ph.D.), he or she should
explain how this aided development and how it might be
integrated into a career in psychiatry. Some creativity is
warranted in expressing oneself; while keeping in mind
that personal statements should not be literary or poetic
works, there should be an appropriate balance of individ-
ualization with professionalism.
Applicants should be aware that the reader may be look-
ing for particular information like an explanation of any
gaps in education, academic difculties, or unusual cir-
cumstances. The applicant should not try to obscure such
information and should consider mentioning it in the per-
sonal statement, providing an explanation for and indicat-
ing what was learned from it. The type of program the
applicant is seeking may be worth addressing. Applicants
who have specic reasons for applying to particular pro-
grams may customize the personal statements going to
those programsERAS allows this, but applicants are ad-
vised strongly to ensure they are sending the right state-
ment to the corresponding program. Finally, the readers
may like to have an idea of applicants goals, such as future
type of practice or intentions for further training after res-
idency.
Selection committee members read many personal
statements each year, so well-written and concise state-
ments are essential. Longer is not necessarily better. Ap-
plicants should have some colleagues and faculty who are
excellent writers (including some who do not know them
too well) to review drafts of the personal statement. Many
medical schools also provide workshops on writing CVs
and personal statements.
Medical Student Performance Evaluation (MSPE)
Medical Student Performance Evaluations, formerly
called the Deans letters, are released on November 1st.
MSPEs rst mention time gaps in training and disciplinary
actions. They describe the applicants background, perfor-
mance in medical school, especially in the ve core clerk-
ships (psychiatry, medicine, surgery, OB/GYN, and pedi-
atrics), and involvement in extracurricular activities.
Though the most important evaluations are the ones from
psychiatry, those from the other core clerkships are also
noted, especially those frominternal medicine andprimary
care rotations. Along with the actual grades recorded, the
MSPEs will include quotes from faculty and residents
about the applicants competence, interpersonal skills, and
professionalism. Some MSPEs will break down the grades
into the contribution from the written nal exams and the
clinical performance, which is helpful to applicants who
are not good test takers. MSPEs will also include a sum-
mary statement of the overall performance, usually in the
last paragraph where an adjective (e.g., outstanding, ex-
cellent, very good, etc.) is assigned or, in the case of a few
schools, a numeric ranking based on a formula of grades
unique to each school is assigned.
Transcripts
The transcript should be up-to-date and include any re-
cent elective rotations in psychiatry. Red ags are any in-
complete, repeated, or failed rotations.
Letters of Recommendation
Applicants are expected to obtain three to four recent
letters of reference from direct supervisors (usually two
from psychiatry rotations). A few programs require one
letter to be from a nonpsychiatrist. Applicants should use
letters from senior or chief residents only if in an acting
attending role.
When selecting references, applicants should reect on
who would know them best and be able to discuss their
qualities in detail. Applicants should communicate with
each of these letter-writers by August or September, to
give them enough time to compose the letters. To assist
the reference, the applicant should offer a CV and a ver-
sion of their personal statement, even if it is a preliminary
draft, and remind the writer of memorable cases seen with
them. Letter-writers should be given a specic deadline
before October 1st and a reminder a week prior to that
date.
Most letters are quite similar and do not help in differ-
entiating applicants unless they include specics about par-
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242 http://ap.psychiatryonline.org Academic Psychiatry, 30:3, May-June 2006
ticularly outstanding performance. The most effective let-
ters say something specic about the applicant, such as,
This applicant is the one of the top three applicants I have
ever supervised and list reasons why. Letters from a re-
search mentor should be included, especially if the appli-
cant is contemplating a research career. Letters from well-
known psychiatrists, the chair of psychiatry, or senior
professors are of little benet if the writer does not know
the applicant well enough to make meaningful and specic
remarks.
USLME Scores
The usefulness of USMLE scores is limited to being a
measure of knowledge. Though an imperfect metric, it is
the only measure included in the application which is stan-
dardized across the country. While top USMLE scores are
helpful, they are probably less crucial in psychiatry, com-
pared to other subspecialties, since evaluation of the whole
person is emphasized.
USMLE is of practical importance because passing is
required for licensure as a physician and surgeon in most
states. Directors want to feel condent that applicants will
be able to pass Step 3, which is taken after the rst year of
residency, because failure to pass Step 3 in a timely manner
may prevent the resident from obtaining a medical license
and progressing in the residency.
USMLE Step 1 scores must be included in the appli-
cation. USMLE Step 2 scores are not required by many
programs, although those who scored belowtheir potential
on USLME Step 1 may want to take Step 2 earlier to show
a better performance in their application. The selection
committee will be especially interested in the applicants
Step 2 scores if at a medical school in which passing Step
2 is a criterion for graduation, because the residency does
not want to be in the position of matching applicants who
are not guaranteed to graduate from medical school on
time. Applicants with multiple failures of Step 1 or 2
should list these failures on their applications and consider
explaining them in the personal statement.
Photograph
ERAS does not release photographs to the residency
until the applicant has been invited for an interview. Pho-
tographs are essential memory prompts for the selection
committee and help safeguard against interviewees being
accidentally confused with other applicants. Photographs
should convey a professional look, but do not need to be
absolutely formal.
Interview
Interviews, perhaps the most important part of the se-
lection process, occur from late October to the end of Jan-
uary. After being invited, applicants should call back
within 1 week to schedule interviews. Competitive pro-
grams sometimes run out of interview slots and have to
turn down applicants who are highly qualied. When the
applicant is seen during the interview season is not crucial.
Early in the season, the applicants and interviewers are
fresher; during the middle of the season, the applicants are
more practiced; and by the end of the season, both appli-
cants and interviewers tend to be more tired, but appli-
cants are remembered better by interviewers. Applicants
should interview at their favorite programs beforeJanuary,
thus leaving the option to revisit the program. Limiting the
number of interviews decreases burnout. Scheduling
more than three interview days in a week is inadvisable
because applicants may start to mix up programs and may
not have time to prepare sufciently for each interview
day. Any applicant canceling an interview should call the
program as soon as possible. Programs commit the time of
several faculty members for interviews of each applicant,
and to simply not appear, without canceling, is highly un-
professional. Timely cancellations will also allow other ap-
plicants on a wait list to be scheduled.
Though being relaxed and rested is best, preparation is
prudent. In order to maximize the usefulness of the inter-
view day, applicants should spend some time beforehand
reecting on their goals and expectations for the interview
day, as well as on the most important characteristics they
seek from the program. Applicants should devise lists of
questions they anticipate being asked, and lists of ques-
tions to ask of interviewers and current residents, like the
sample ones in Appendix 2 (1, 5). In order to ask informed
questions about the program, the applicant should become
familiar with the program beforehand, by carefully study-
ing the programs website and, perhaps, by reading about
some of the faculty members. Applicants should thor-
oughly review every component of their application prior
to interviewing and then bring a copy of their application,
along with literature about the training program to refer-
ence during breaks.
On the actual day of the interview, applicants should
arrive early and be dressed professionally and comfortably.
The denition of professional attire depends on the type
of program and the geographic location, ranging from
business-casual to a black suit. Nevertheless, the appli-
cants clothes should reect his or her personality and feel
naturalit should not be the rst time the outt and shoes
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have ever been worn. During the interview, the applicants
should be sharp and engaged, but they also need to be
themselves. The optimal interview will supply insights, for
both the applicant and interviewer, about the degree of t
between the applicant and the program, so candor is im-
portant. What is the best training must be evaluatedrela-
tive to the particular applicants career goals. For one ap-
plicant the best program may be the one with the most
research grants, while for another it is the diversity of the
patient population. The process of interviews at multiple
programs may serve as a time for self-reection, looking
back at ones reactions to various medical school experi-
ences, and predicting what will be most gratifying during
residency and beyond.
Interviewers will sometimes ask questions that are in-
appropriate or even illegal during an interview. Many are
not aware that one may not ask about family status, age,
creed, pregnancy, race, or physical status (8). Such ques-
tions put the applicant in a difcult position. Questions
should relate in some way to how the applicant will per-
form in the job being discussed. An applicant might con-
sider reframing a question and then providing an answer
in this vein. If the applicant feels sexually harassed by the
interviewer, the applicant should diplomatically terminate
the interview, report the incident to the department chair,
and write down details of the harassment (8).
Every program has its own protocol for the interview
day. Faculty members tend to be interviewers, but more
senior residents may also be utilized. Interviewers have
sometimes read the applicants materials (not blinded in-
terviews), but others have intentionally not (blinded inter-
views). Interview rating systems are devised by each pro-
gram. Published accounts describe interviewers assigning
scores for dimensions like empathic quality, academic
potential, clinical potential, team player, and overall rat-
ing (9) or personality factors, psychological mindedness,
ability to communicate, and performance in the interview
(10). Of note is the emphasis on interpersonal qualities
and personality. Psychiatry residencies view interpersonal
and communication skills as essential and, other than sec-
ondhand reports from recommendations, interviews are
the primary means of assessing these skills.
The interview day is also a chance to meet residents at
the program. Applicants ought to get a sense of whether
these are the types of people with whom they want to
spend time. Residency is a form of employment and work-
ing with people is different fromgoing to school with them.
Instead of just asking questions about the program, appli-
cants should use some of the time to get to know a few
residents. Do they share similar values, goals, and work
styles? If a program does not have a social hour at the end
of the interview day, the applicant should ask if he or she
may interact with residents at lunch or a seminar.
After an Interview
Applicants should record their impressions after each
interview. Some maintain a chart listing important char-
acteristics (Appendix 3) which they use to rate programs.
Though optional, it is generally courteous for applicants
to send a thank you letter or card within a few days of the
interview to the training director. It is not necessary to
send notes to every interviewer. At the end of the interview
season, some medical schools will hold a meeting of all
students applying in psychiatry, at which a faculty member
facilitates discussion of interview experiences.
Communicating With the Training Director
If an applicant is seriously considering a program, the
interview should not be the last communication with the
training director. Most applicants send an e-mail to the few
programs about which they are most serious to indicate
their interest. Similarly, if the program is highly interested
in the applicant, the training director may contact the ap-
plicant and ask whether the applicant has any further ques-
tions. If the applicant is truly interested, having additional
questions and, if practical, revisiting the program can af-
rm whether it is a good t. A few programs will routinely
call applicants several weeks after their interviews to pro-
vide feedback. In contrast, some training directors may
wait until most interviews are complete before calling top
applicants; follow-up calls from these residencies may not
come until January or February. One cannot draw any
clear conclusions if a program calls late in the process or
not at all.
Applicants and programs making any deals or verbal
or written contracts prior to the submission of rank order
lists is a violation of the NRMP rules (11):
Both applicants and programs may express a high degree
of interest in each other and try to inuence future ranking
decisions in their favor, but must not make statements im-
plying a commitment. It is a material breach of [the Match
Participation Agreement] for a participant in the Matching
Program to make any verbal or written contract for appoint-
ment to a concurrent year residency position prior to the
Matching Program. In addition, although applicants or pro-
grams may volunteer how they plan to rank each other, it is
a material breach of this Agreement to request such infor-
mation.
It is, however, useful for both parties to indicate interest
if it is sincere since selection committees generally prefer
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applicants who are enthusiastic about their program. In-
terviewers become adept at picking up on disingenuous or
contradictory comments.
Within these rules, a training director may volunteer a
programs sincere interest in an applicant. Though such
expressions are informative, the applicant must not over-
interpret them. Statements like, We plan to rank you
highly, We feel you would be a good t, or We would
be delighted if you matched here in no way guarantee
matching with that program. Additionally, since training
directors dont know how far down their rank list they will
be taking applicants, they dont usually know the proba-
bility of matching a specic applicant, even if highly
ranked. A special situation arises for applicants in the cou-
ples match. Applicants should inform training directors
about how matching of their partner may inuence their
interest in a program. If the partner is applying to another
department in the same institution, the training director
may, on occasion, call the other department to express the
great desire to match the applicant and to have the couple
in the same city.
Rank List
Applicants and programs will enter their ranks lists via
the Internet by mid-February of each year. Appendix 3 lists
some characteristics that applicants may want to consider
when formulating their rank list. The match endeavors to
match the applicants highest choices with the residencies
highest choices. Thus applicants should rank programs
from most desired to least desired, independent of how
they think the programs are ranking them. For instance, if
the training director at program Z volunteers that an
applicant will be ranked number one, this should not ob-
jectively affect the applicants rank list of programs. If the
applicant still prefers programs X and Y, he or she
should still rank X and Y higher, and rank Z num-
ber three. The applicant will still have the same chance of
matching at program Z, but only when not matching at
programs X or Y rst.
By submitting a rank list, applicants are agreeing to join
the program to which they match. Violation of the Match
Participation Agreement may result in serious conse-
quences for the applicant, including being barred perma-
nently from subsequent NRMP matches (12). Therefore,
applicants should be sure they are willing to attend each
and every program that they rank and not rank any pro-
gram they would not join.
Applicants should give signicant weight to how com-
fortable and compatible they felt at each program. Appli-
cants need to realize that picking a residency is different
from selecting colleges or medical schools. The residency
will be their place of full-time employment for some time,
and the quality of the work environment is important in
any job choice.
The Match
The results of the match are released in March, on
Match Day. A few days prior to the release of these
results, their school will notify applicants who have not
successfully matched anywhere. The following day, a list
of programs with unmatched positions is released, and un-
matched applicants then scramble by calling the pro-
grams for these positions.
Match Day is a positive experience for most students. In
2005, nearly 83% of all applicants matching in all subspe-
cialties were assigned to one of their top three residency
choices (13). Our hope is that this article will assist senior
medical students in navigating the application process.
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APPENDIX 1. Suggested Application Timeline*
AprilMay
Plan fourth-year schedules with faculty advisors (assuming fourth year electives start in July; some schools start earlier, requiring
earlier planning)
If considering externships at outside institutions, request applications
Start reviewing FREIDA and program websites
Residencies: Update programs website and brochures
JuneJuly
Obtain application photograph
ERAS website opens; applicants may begin working on applications (around July 1)
Residencies: Graduation and welcome new PGY1 residents; review externship applications
AugustSeptember
Request letters of recommendation not obtained during the third year clerkships
Begin writing and editing personal statements
Registration opens for NRMP (around August)
ACGME accredited programs on ERAS begin accepting applications (around September)
Residencies: Prepare for NRMP and ERAS; review externship applications
October
Begin scheduling interviews
Complete fourth-year psychiatry electives by November, if possible
Residencies: Download applications from ERAS and invite a few applicants to interview; others will only be invited after the MSPE is
reviewed.
NovemberDecember
MSPEs are released (around November 1)
Check that all application documents are available on ERAS
Continue the interview process and maintain communication with programs of interest
Applicant registration deadline for NRMP (around December 1) (late registration fee after deadline)
Residencies: Review MSPEs and put applications into categories (invite for interview, wait list for invitation, and reject). Send out
bulk of invitations and schedule interviews as applicants respond. Some programs will start preliminary ranking and give feedback
to applicants at some interval after the interview.
January
Complete last interviews; send thank you notes to training directors and others (optional)
Consider a second-look at top residency choices
Consider sending follow-up communications to training directors of top interest programs
Applicants and programs may begin entering rank list on NRMP website (around mid-January)
Residencies: Invite back some applicants if it is felt that the applicant or the program needs more information (these are not
necessarily the top applicants). Some programs will invite top applicants for a dinner to wine and dine, but many programs do
not subscribe to this.
FebruaryMarch
NRMP late registration deadline and deadline for applicants to certify their rank order lists (around mid-February) (NRMP staff will
be available to answer questions during the nal deadline hours)
Status of applicant as matched or unmatched is released (around mid-March, 3 days before Match Day)
Scramble for unlled positions if applicant failed to match (around mid-March, 2 days before Match Day)
NRMP match results are available (Match Day, around mid-March)
Residencies: Formulate and submit rank list. Program(s) may or may not choose to let some applicants know how they anticipate
ranking them.
* The activities of the residencies have been added alongside the student timeline for a contrasting perspective. Abbreviations may be
found in the text.
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APPENDIX 2. Sample Questions
Sample questions asked of applicants
Describe your strengths and weaknesses.
When, why, and how did you decide on going into psychiatry?
Describe your experience during your psychiatry rotations. If you did not receive the top grade, why not?
Describe an interesting case you have seen. What did you learn from this case?
Describe your educational history. Are there any gaps in your education? Were there any disruptions due to sickness, family illness,
academic problems, disciplinary actions, or the like?
Explain any unusual information in your application, personal statement, Medical Student Performance Evaluation,
recommendations, transcript, and test scores.
Why did you choose the college and medical school you attended?
What are the best methods by which you learn?
What are the important factors you are considering in psychiatry training, and why do you think our program would be a good t?
How did you rst learn about our program?
Are you interested in pursuing fellowship training after residency? Do you want to leave after PGY3 for a child and adolescent
psychiatry fellowship?
What career plans do you currently envision?
Which geographic areas are you considering?
What questions do you have regarding our program?
Sample questions applicants ask of faculty or training directors
What do you see as the programs strengths and weaknesses?
What are the qualities of the residents who thrive in this program?
How do the residents perform on the PRITE exam and psychiatry board exams?
What do your residents do after graduation? What percentages pursue fellowships, academics, and private practice?
What is the evaluation process for the residents and the program?
What is the balance between psychopharmacology and psychotherapy training?
How many hours per week of psychotherapy supervision do residents receive, and how is this organized?
What are the research and teaching activities for residents? Are they required?
What is the diagnostic, socioeconomic, and ethnic mix of the patient population?
What are the afliated hospitals in which residents work, and how close are they?
What is the variety of clinical settings in which residents will be exposed? How much time is spent doing inpatient versus outpatient
work?
May I have a list of the didactic seminars and elective rotations?
Which medical schools and colleges did your residents attend?
Do residents get an allowance for buying books and attending conferences?
Are modications of the program likely; will there be changes in the psychiatry department or medical center that will impact the
program?
Sample questions applicants ask of residents
What do you think are the programs strengths and weaknesses?
Which other programs did you seriously consider?; Why and how did you rank this program?
Do you have any misgivings about your matching here?
What is the culture among the residents, and what is their relationship amongst themselves and with the faculty?
Have residents left the program? What do residents do after they graduate?
How much autonomy and oversight do residents have when making clinical decisions?
What are the on-call requirements, and what is that experience like?
How do you feel about the case conferences? Grand rounds? Elective rotations? Didactics? Is didactic time protected from clinical
duties?
Do you have a resident process or support group? When is it and is this time protected?
How diverse is your clinical work and patient mix?
What type and how much psychotherapy exposure and supervision do you get?
Have adjustments been made in response to residents complaints regarding didactics or rotations?
Do residents engage in moonlighting jobs?
Where do residents live, and what are typical housing costs?
How are the accommodations (library, cafeteria, and sleeping rooms)?
Do residents have enough free time to continue doing the things they enjoy?
BAK ET AL.
Academic Psychiatry, 30:3, May-June 2006 http://ap.psychiatryonline.org 247
APPENDIX 3. Characteristics to Consider in Evaluating Training Programs
Location
Balance of training in psychotherapy, psychopharmacology, and social psychiatry
Training in various clinical settings (e.g., forensic, student mental health, community) and health delivery systems (e.g., public
sector, private hospital, academic, managed care)
Quality of psychotherapy training and supervision
Research opportunities
Administrative and teaching opportunities
Patient population
Program size
Teaching faculty quality and diversity
Residents quality, diversity, and background
Residents post-graduate career paths
Residency culture, morale, and quality of life
Residency directors commitment to education
Salary and other benets
On-call schedule
Moonlighting opportunities
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