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View Full Version : What "Really Matters" in Medical School + My History!


jrmodmd
09-20-2009, 01:44 PM
Well - I'm sure this question has been posed many times. So sorry if this comes off redundant...then stay tuned for a little life history about me - I'd love to hear what you have to say about my particular story.

I'd like to know thoughts, opinions, and/or experience's on what REALLY matters when it comes time to land your #1 residency match.

Does the school really matter? In the U.S., is a Caribbean school “just” a Caribbean school? If one does well academically, especially does well on Step 1, therefore landing good clinicals, etc…is that more important than the school itself?

Should a person put themselves in the best possible academic environment to excel and succeed academically/Steps - in an environment which may be better suited for them - and consider passing over the "Big 3 or 4"? This is with the understanding that perhaps certain larger schools provide a more difficult academic environment for certain individuals.

Of course, I do understand that larger established schools like Ross have many more affiliations, opportunities, and options to match - but do they really?

For example, Ross is now with HUGE class sizes which arguably - based on what I am reading in several forums - has created some concern and sacrifice for students with respect to learning, academic success, and the critical Step I.

I have recently been accepted to UMHS and AUA, and I'm anticipating an acceptance to Ross very soon - and SGU is a real possibilty.

SO...now I'm going to throw this at ya...

A little history about myself, I am not the “normal” entering student – I'm a "therapeutic" optometrist (O.D.), 45 years old and in private practice for almost 20 years, with a very large successful multilocation practice and surgery center (3M+/year). My father started the practice in 1966. My role is pure medical eye care - I am therapeutically licensed with respect to all topical ocular medications, oral meds as it relates to the eye, and Sched III/IV DEA licensed. I do not perform routine exams but see about 200+ patients/week - I have a very large glaucoma practice along with every ocular condition you can imagine - as well as surgical comanagement. We have 3 ophthals who rotate through our surgery center to provide surgical services (Retina, LASIK, and Cats). Very unique in that our practice model is the OD (me) subcontracting Ophthals to provide purely surgical services. We provide the facilities, staff, billing, instrumentation, surgical center, etc. We've developed this ideal model over a period of 45+ years.

So why am I here??? I love what I do - but - I would LOVE to do the surgery. And I feel I have "mastered" what I wanted to master as an OD. In pursuing medicine and surgery, the learning process itself, the science, the technology, and knowing that if given the opportunity, I will excel is absolutley thrilling to me. And it can be a "fun" adventure. And I would love to do more teaching as time goes on.

Obviously, this is not about money, if it was about money I would not even consider going forward. I've had the Porsche's & Mercedes, we have a beautiful home, etc. When you have all the material stuff, you'll learn it really does not matter, nobody cares! And to you new college grads...don't forget that! Working with people is what really matters...the money will come if helping people is your passion and you become the best you can be...and if you learn to have a little fun with what you do.

With our model in place, I am willing to "temporarily" leave our practice to do this - and yes, my wife is a little scared but supports me. My father (an OD) is in shock and my mother feels I am abandoning the practice and is barely speaking to me. They are not happy. Certain friends think I have lost my mind and am being foolish. However, it's been interesting to find that anyone involved in healthcare, actually understands me and thinks my decision is just great! (But of course, very bold!)

With very proper and strategic planning, I believe our practice can continue to be sustained and grown - tricky but doable.

Finally, I never knew this opportunity existed - I applied back in 1995 but hit a brick wall when applying to a couple U.S. schools. Was told it was actually a "detriment" to have an advanced degree, established career, etc. Why should they give up a slot to someone like me - when there are thousands of new college grads landing in the 99th percentile on the MCAT's and GPA. So I put the idea away until I recently learned about the international opportunities and the evolution of schools like Ross, SGU, UMHS, AUA, etc...

Of course, regarding ophthalmology residency, I have associations within ophthalmology and I have a unique background, perhaps better than anyone to land an ophthal match - provided I do well in medical school - and I am ready. I am grateful for this opportunity and will do what it takes to get there.

I understand I can also pursue a match independently outside the normal match? And knowing that there is first a transitional internship, again, what really matters?

Let me hear from you! THANK YOU!

oishii_onigiri
09-20-2009, 04:42 PM
It's all based on your tastes and capabilities. From reading your life story, you've got the capability, so it's just personal tastes now.

Big, old school vs. little, new school has been thrown around for a while now. Schools like SGU and Ross are established; they've got the 30+ years of existance, so there's the associated pipelines (e.g., licensure in all 50 states, established infrastructure/teaching methods, set clinical spots, etc.) I believe SGU just threw a whole bunch of money at the state of NY to guarantee clinical spots there for the next 10 years or so.

Smaller schools like UMHS are pretty much working off of name only; a good handful of the inaugural students came in b/c the school was run by Dr. R and administrators from Ross SOM. The curriculum and some of the faculty positions are still being adjusted every semester, there's no graduating class yet for this 1 yr old med school, and the campus is still a work in progress.

But despite being a WIP, just coming down to visit or see the place will show that big money has been put into place; once the campus is finished it might even rival the true blue campus over at SGU lol. The president, Mr. R., is very accommodating and visits the campus every semester to address new concerns.

Despite being w/o a graduating class, our first 5th semester class ,made of primarily transfers from SMU, have demonstrated that they have what it takes to be our first graduating class, w/ a 100% pass rate on the step 1, w/ scores in the 220-240 range.

And right up until the sept 09 class (which is still fairly small at 90 something students), each med semester has been very small (15-30 something students), allowing for tons of interaction b/w professor and student; I've found it to be a great initiative to show up to class and perform well when the professor and all my classmates know me to the point where I feel "all eyes on me" >.>;;

My personal opinion on small, new schools is that even if they just ooze potential to be a great med school in the future, until that point, they are what they are: small new schools. So if you want a challenging curriculum, established faculty, proven pipelines and you want them _now_, then you might want to take a gander over at one of the Big 4. But if you want to take a gamble and see what UMHS has to offer, then you're welcome to that choice too : )

-calvin

jrmodmd
09-20-2009, 07:40 PM
It's all based on your tastes and capabilities. From reading your life story, you've got the capability, so it's just personal tastes now.

Big, old school vs. little, new school has been thrown around for a while now. Schools like SGU and Ross are established; they've got the 30+ years of existance, so there's the associated pipelines (e.g., licensure in all 50 states, established infrastructure/teaching methods, set clinical spots, etc.) I believe SGU just threw a whole bunch of money at the state of NY to guarantee clinical spots there for the next 10 years or so.

Smaller schools like UMHS are pretty much working off of name only; a good handful of the inaugural students came in b/c the school was run by Dr. R and administrators from Ross SOM. The curriculum and some of the faculty positions are still being adjusted every semester, there's no graduating class yet for this 1 yr old med school, and the campus is still a work in progress.

But despite being a WIP, just coming down to visit or see the place will show that big money has been put into place; once the campus is finished it might even rival the true blue campus over at SGU lol. The president, Mr. R., is very accommodating and visits the campus every semester to address new concerns.

Despite being w/o a graduating class, our first 5th semester class ,made of primarily transfers from SMU, have demonstrated that they have what it takes to be our first graduating class, w/ a 100% pass rate on the step 1, w/ scores in the 220-240 range.

And right up until the sept 09 class (which is still fairly small at 90 something students), each med semester has been very small (15-30 something students), allowing for tons of interaction b/w professor and student; I've found it to be a great initiative to show up to class and perform well when the professor and all my classmates know me to the point where I feel "all eyes on me" >.>;;

My personal opinion on small, new schools is that even if they just ooze potential to be a great med school in the future, until that point, they are what they are: small new schools. So if you want a challenging curriculum, established faculty, proven pipelines and you want them _now_, then you might want to take a gander over at one of the Big 4. But if you want to take a gamble and see what UMHS has to offer, then you're welcome to that choice too : )

-calvin
Thank you Calvin - I appreciate you taking the time to answer. I believe a definite gamble no matter where I choose to go. My gut tells me a smaller school, with the latest and greatest teaching methods/technology, will better allow me to accomplish what I need to do - kill Step 1. Of course, I think that is the best environment for any student.

I'm happy to hear the success of the first class passing and excelling on the 1st Step! Appears UMHS is doing it the right way from the get-go. Well done.

I like your comment regarding taste and capabilities. I know I am very capable and I know my taste - but I definitely need a school that will personally work with me to coordinate and realize this dream. It will take a little more than just good grades and high step scores. I am very determined to do it the right way in the right place!

Thank you again!

-J.

dash
09-20-2009, 10:43 PM
what really matters is a good question. as a student finishing up my last semester of basic I'm not a good one to ask, but a good person to ask would be the dean of basic at UMHS. Dr. M is a straight shooter. he will not give you any fluff. he knows medicine well and will give you the answers you are looking for. Ask him!!

jrmodmd
09-20-2009, 10:48 PM
what really matters is a good question. as a student finishing up my last semester of basic I'm not a good one to ask, but a good person to ask would be the dean of basic at UMHS. Dr. M is a straight shooter. he will not give you any fluff. he knows medicine well and will give you the answers you are looking for. Ask him!!
Thank you Dash! I will track him down this week...I do love what I see at UMHS...