The Life Cycle of an "Average" Premed: a ragecomic chronicle

I've finally settled down enough to reflect on the last 4 years of applications... and thought it would be a good idea to share my application history for those of you who may be in similar positions.

As requested (many times), my year-by-year undergraduate GPA (OMSAS) :

Year 1: 3.64
Year 2: 3.75
Year 3: 3.86
Year 4: 3.86

cGPA: 3.78
wGPA (weighted for U of T): 3.88

Not the most impressive stats, as you can clearly see.

I first started applying during third year of undergrad, more for practice than expecting actual interviews given my stats at the time. I've applied every year since then, at one point applying to the US (which was a complete and utter fail- for good reason). Here's a year-to-year breakdown along with graphical illustrations of my reaction to rejections each year:

Cycle 1- 2010-2011

Applied: Queen's, Toronto, McMaster
Rejected: Queen's, Toronto, McMaster

Figure 1. Pre-intervew rejections.

Summary: Rejected pre-interview for the three schools I applied to. I was periodically checking the library computers during lab break times. My lab partner at the time didn't apply, but was accepted in our 4th year- to the same school I'll be attending, actually.

This was the year Queen's first started taking ECs into pre-interview scoring, hence the lack of an interview...

Cycle 2- 2011-2012

Applied: Queen's, Toronto, McMaster, Western, Ottawa, Manitoba, Calgary
Interview: Manitoba, Western
Rejected: Manitoba, Western

Interviews at Western & Manitoba- see How to really, really screw up important interviews: a ragecomic presentation.

Summary: As a (slightly) socially awkward & nervous interviewer, interviews did not go down well (see above link). This was during my 4th year, while I did not have any back-up plans planned. This was/is a terrible idea, I still can't stress this enough. See How I got my first research position: a ragecomic illustration for what is usually highly unlikely to happen for people without solid backup plans.

Cycle 3- 2012-2013

Applied: Queen's, Toronto, McMaster, Western, Ottawa, Manitoba, 14 US schools
Interview: McMaster (off waitlist), Western
Rejected: McMaster, Western, all US schools

Figure 2. Overly-exaggerated graphical illustration of post-rejection celebrations.

Summary: Sad times here. I prepared extensively for both interviews, practicing with friends, labmates, etc. I think the problem was (like many others) I was over-prepared, and sounded as if I was reading off a script... and consequently didn't seem like a real person. Interestingly, now that I look back- I actually thought I did well in the interview (see Interviews & raging times at the lab)... idiocy, idiocy everywhere.

To be honest, this was probably among the most (but not the most) depressing, disappointing moments in my life. Especially considering the amount of help I was given by some awesome people around me... also didn't help that I was receiving pre-interview rejections year-round (starting from September? Or something like that) from the US schools I applied to. More on that later, but mostly due to bad reference letter(s), terribly written essay & secondaries, and lack of quantifiable research during applications.

Cycle 4- 2013-2014

Applied: Queen's, Toronto, McMaster, Western, McGill

Interview: Queen's, Toronto, Western (MD/PhD)
Rejected: All MD/PhD programs, and 1 MD
Waitlist: 1 MD
Accepted: 1 MD (after initial waitlist)

Summary: This was the first year I could apply with actual research experience/accomplishments in hand, since I had only started my job around the time applications were due in the previous cycle (2012-2013). After 1-1.5 years of solid research slavery (see Enslaved by brains: a ragecomic representation), I had a reasonably decent CV for MD/PhD programs- and was lucky enough to get interviews.

The interview at the school I was accepted to was the last interview I did, whilst knowing I was rejected from all the MD/PhD programs and also highly likely rejected from the MD programs as well since the interviews occurred on the same days/weekends (and interview performance likely correlated among each other). I went into the interview saying to myself that this is the last med school interview I will ever do, and ended up as the most "real" interview I ever did- I was not nervous at all, and able to be "myself" during the entire interview. I left feeling confident, and continuously so until a week before May 13th.

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After 36 (that's a nice number) pre- and post-interview rejections, and 7 interviews over 4 application cycles, I finally have an acceptance in my hand. Even as I'm filling out paperwork, applying for my LOC, and doing all the med-like things I've always wanted to do (paperwork ftw), and as cliché as this sounds, I still can't believe I'm in. Imposter syndrome, even before starting med school...

...and I find myself wondering what I'm going to write about now in this blog of mine. Perhaps something about research? How to epic-fail at US med applications? Not really sure.

Matt

No longer a premed

Surprise.

It's finally official- I will no longer be a "premed". This is what happened in the last year:

Interviewed: U of T, Queen's, Western

Waitlisted: one of the above
Rejected: one of the above
Accepted: one of the above (after initial waitlist)

I will post something more coherent when I've settled down a bit.

Matt

Big List of "Back-Up" Plans for Premeds- Part 4: Nursing

This is Part 4 of my Big List of "Back-Up" Plans for Premeds series, intended to give a brief introduction to some alternate careers in health care that premeds might consider pursuing.

I would like to introduce nursing as a career, and accelerated nursing programs that you can enter after having completed some university work. 

What does a nurse actually do?

• Nurses perform a wide range of duties, from:
• Technical- i.e. monitoring the patient's vital signs, I.V.s & medical devices, collecting samples.
• Administrative/Educative- maintaining records, triage, educating public & families.
• Clinical- assess the patient, evaluate care diagnostic testing, dispensing medication, small procedures.
• Counseling support for patients and families as well as personal hygiene.
• ...and many more. There are thousands of things that nurses do and I can't compress that into a neat list.
• Nurses work in a variety of settings- direct care, research, education, public health, etc. Find out more at the Canadian Nurses Association.

I think one of the greatest benefits for nursing is that there are a lot of things you can do with a nursing degree after graduation- there are a lot of choices that you can take advantage of. Furthermore, the role and scope of nursing is always expanding in Canada.

Possibility of further training

• With further training, nurses are able to extend the scope of their practice. There are advanced training opportunities available for Registered Nurses, such as:
• Anesthesia assistant, advanced life support (cardiac, pediatric, etc) certificates
• Procedure-based training such as ultrasound, sonography
• Research training- clinical research associate
• Clinical nurse specialist
• Administration
• Nurse practitioner- NPs act as primary health care providers, functioning autonomously at a similar level of scope and authority as family physicians/physician assistants/etc. You can become an NP by going through advanced programs (usually Master of Nursing, Nurse Practitioner programs) after becoming a RN.

With that said, since this is a "Back-Up" series I will only write regarding Accelerated Nursing programs which have shorter time frames (~2 years) than regular nursing programs (~4 years).

Important points regarding Accelerated Nursing Programs in Canada:

• Generally 2-year long programs entering at Level III (third year) of regular nursing programs, includes both theory and clinical components.
• Often require X number of university credits (usually 10 full course credits= 2 full years), and ~B averages (~75%, 3.0).
• Prerequisite courses generally include physiology, anatomy, psychology, statistics. Check school websites for details.
• There are plenty of accelerated nursing programs, ranging from 1.8 to 3.5 years in length.

For the purpose of this post, here are some Accelerated Nursing Programs at major universities (all 2 years or under):

Less than 2 years:
UBC- Bachelor of Science in Nursing program, with advanced standing
Western- Compressed BScN Program
McMaster- BScN Basic- Accelerated Stream (20 Months)

2-year programs:
Alberta- BScN-After Degree Program
Memorial- Bachelor of Nursing Fast-Track Options
Dalhousie- BScN Degree Accelerated Options (2-3 years)
York- 2nd Entry Bachelor of Science in Nursing
U of T- Bachelor of Science in Nursing
Queen's- Advanced standing track program

Potential salary & Job security/market

As you may already know, nurses usually have no problem finding a job. In 2010, 93.4% of RNs were employed in nursing, 1.8% outside of nursing, while only 2.7% were unemployed. For Nurse Practitioners, 97.3% were employed in nursing, 0.6% outside of nursing, and only 0.9% unemployed. Considering there were 287,344 RNs and 2554 NPs in 2010, I would say the job security for nurses look great.

Salaries are based on:

• Seniority/experience
• For example, hospital nurses in Ontario are paid according to a "grid" where salary increases with each year of experience for RNs.
• Starting salary is $30.17/hr ($58,831.50 annual), while after 5 years it's $36.12/hr ($70,434.00).
• Amount of additional training
• RNs with advanced training are paid slightly more, along with increased flexibility and scope of their practice in terms of locations, hours, etc. For example, salary for NPs range from $80,000 to +$100,000, which is significantly higher than average RN salaries.
• Location
• Similar to other healthcare professions, pay differs from province to province.

Nurses have a huge variety of options in employment and practice along with great job security- which makes nursing all the more attractive as an alternative profession in healthcare. Consider nursing before thinking about leaving Canada for international medical schools that are associated with increasing restrictions & difficulties (along with a huge price tag) of coming back to Canada.

Matt

10,000 views & Update on ongoing projects

So the blog recently hit 10,000 views (now past 11,000) while I was away for a bit last week. I made some memes to celebrate the occasion:

Figure 1. I guess I am... only slightly.

Figure 2. How I feel about the recent rise in pageviews.

Figure 3. What I'm constantly reminded of any time I mention the blog to family.

Figure 4. I'm actually kind of worried that this might happen/already happened.

An update on ongoing projects- Here's what I've been working on these days:

1. Big List of "Back-Up" Plans for Premeds

As you may or may not have noticed, this is going quite well (at least, imo). I plan to write up to Part 15 before the end of the year, ideally before deadlines for such programs pass.

2. Just for fun- Guide to a 45T on the MCAT.

Just a hypothetical, "for fun" guide if I ever wanted to try for a higher MCAT score... with lots of money + resources.

3. How to Get Rejected Like a Boss- a rage comic story.

Self-explanatory.

4. Guide to Canadian med school admissions + School-specific Admissions Guides

This is pretty much ready for a quick write + posting, but I can't help but feel I'm screwing myself over for sharing "secrets" (not really, but you get the idea)... will have to think for a while.

5. The Bible of Medical School Interviews- Advice, Testimonials, and Sample Questions

At the risk of sounding like a douche, this is also something that might be indirectly harming myself but more importantly, it has the possibility of giving an unfair advantage to those that read it because it will contain:

• The biggest collection of traditional interview questions (without duplicates/similar questions), categorized into 8 distinct areas for specific practice- pretty much complete.
• The biggest collection of MMI questions, with detailed answers & guides to answering for some of the more difficult questions- nearing completion.
• Select documents, scoring sheets, statistics, advice/tips/testimonials from experienced interviewers/interviewees, and other fun stuff- in progress.

I always had a thing for collecting information that might be valuable- as a result, I built up quite a large collection of materials regarding interviews, school-specific admissions, MCAT, etc... hence the possibility of something like the above. The problem: I don't know what to do with this even if I complete it, without raising serious issues with fairness/interview standards. Unfortunately, this may never see the light of day.

Finally, I would like to say that it would be nice to get more feedback considering I've been getting an average of 120+ pageviews per day. Comments, compliments, criticism, threats, or even a comment from a disapproving admissions committee member would be very appreciated. 

Matt

How to destroy the MCAT with minimal study time (Part 4- Putting it All Together)

Update (7/18/2014): Commenting has been disabled- it's been more than 4 years since I wrote the MCAT & I don't think I should continue giving out random advice & the new MCAT will render a good chunk of my MCAT-related writing obsolete. Good luck to everyone, regardless.

In my past posts I focused on strategies for each section of the MCAT as well as the best study materials/tactics. I noticed that a lot of Google search words that lead people to this blog are something along the line of:

• average mcat study time, how to study for mcat in a month
• studying for MCAT in a month
• did well on the MCAT with minimal study
• ...and a lot more. These are actual search words I get from Traffic Sources statistics.

So I thought I would elaborate a bit more on how to really destroy the MCAT with minimal study time (<1-2 month) based on my (and other's) experience, and why it works:

• Acquire a very large amount of practice tests, both full-length and sectional (as in my previous posts, I prefer Kaplan for science sections due to its difficulty and EK 101 for its awesomeness).
• As you solve through the questions, your mind begins to form a sort of database of patterns, questions & answer types/stems that's typical for each section of the MCAT.
• There are only a finite number of types of questions and answers that can be used in an exam like the MCAT- over time, your subconscious and/or conscious mind begins to recognize similar patterns, questions/answer types and solving them becomes easier.
• After a certain point of solving & registering a large number of said patterns & types, you begin to realize that all the other questions types will basically be derivations of previously seen patterns and types. 
• If done over a short period of time, there is greater retention of the "data"- you remember more of the patterns and types.
• At the end, you will be able to intuitively solve & pick out answers.

This is how I improved my score- by solving through a very large number of practice questions, I improved my "MCAT intuition".  I solved through the following:

• 5 online full-length tests
• 10 paper full-length tests
• 8 sectional tests on paper for each BS, PS, VR + 12 EK 101 Verbal tests
• ~13 topical tests for subjects I was weak on (electrochemistry, thermodynamics, etc)
• 2 AAMC tests
• Paper tests totalled ~1800 pages.

...in 10 days. I solved all my questions using the methods I wrote in previous posts, and always under timed conditions. For some of them I even solved 2, 3 times as I went through and reviewed wrong answers/particularly bad tests. Solving through so many questions in a short period of time really helped me see "through" the MCAT.

I always say (IRL and on premed101) that "studying" and memorizing the material helps very little for exams like the MCAT- but rather solving through as many questions as you can (or as many as you can get your hands on) is the best way to go, not just for short-term but for long-term studying as well. This holds true for undergraduate exams as well- I think most will agree that solving past exams and sample questions works best for midterms & finals in university.

A method like this may not work for everyone, but probably will for most with a good grasp of English (VR would not work out well using my method for someone who struggles with English). 

Figure 1. How I feel after answering inquiries regarding MCAT studying.

A final caveat: if you think you will be unable to commit yourself entirely, don't go for short-term studying. If you're writing after < 1 month of studying, you seriously have to go all out crazy or you'll have a bad time.

Matt

Coming Soon

So it's been a while since I did anything with the blog... thought I should let people know about some awesome posts that will be coming soon-ish.

People's (Premed101's) Guide to the U of T Essay

• Comprehensive guide based on compiled/analysed accounts of those (on Premed101)  that were successful in receiving interview invitations for U of T med. Will aim to post by August at the latest.

EDIT: U of T no longer requires the essay, starting this year I guess. They now have 4 questions, similar to the ones that McMaster had a couple of years ago.

Big List of "Back-Up" Plans for Premeds

• An all-inclusive, easy-to-read list of alternate plans for applicants that were rejected from medical schools and considering (a) gap year(s), or another career in health care.
• Will include factors such as minimum, average, "competitive" GPA, tests required, deadline to apply, program locations, prereqs, potential salary, job market, etc.
• Multi-part series (~15?), including a short guide to US medical school admissions.
• This one will take quite a while, will post intermittently throughout the year. 

Guide to Canadian med school admissions

• An up-to-date admissions guide with recent statistics and honest advice. No BS.

...and possibly more. Probably the most useful stuff I'll ever write.

Incidentally, daily view count of this blog has almost doubled due to MCAT writers this summer (I can see google search keywords that led people to this blog)... good luck to you all. 

Matt

Premed Memes

Here are a collection of random premed-themed memes I made for premed101- thought it would be nice to see them all in one place. Most were made during times of frustration, boredom, or simply procrastination. 

Rage comic and meme made while waiting for rejection email from U of T med.

First world problems- premed 

My "Premed Bad Luck Brian" series

Just for fun, while I'm still working on the more "useful" posts.

Matt