How To Find Research in Medical School and Residency

One of the most frustrating aspects of medical school and residency is the hidden curriculum. The stuff you kind of just figure out along the way and wish you knew from the beginning. One part of the hidden curriculum of medical school and residency is research. Here are my tips on how to successfully get published.

 

First off, why bother doing research?

If you are a medical student it will make you stand out when applying to residency and if you are a resident applying for certain fellowships it might as well be mandatory. So the first reason is for your resumé. The second reason is that research forces you to learn a topic more extensively than you normally would otherwise. That’s my favorite reason to get involved in research. You end up learning so much more compared to just reading topics and doing practice questions. Additionally, you also learn to

 

 

Find a topic or field that interests you

The only thing worse than doing research is doing research on a topic or in a field that bores you. That’s why all of my research is in cardiology. So find a research project in a medical specialty or disease process that you find interesting.

 

 

Find a mentor

Okay, so I’ve sold you on the idea of doing research. Next, you found a field that interests you. But how do you just start a research project? The best way to approach finding a research project is approaching someone who is already doing research in that field or specialty. As a medical student, I asked the cardiologist I was working with if he knew of any interesting research going on in the cardiology department. He put me in touch with the right people who pointed me in the right direction. Ultimately, I got two publications out of the experience and learned a lot about cardiac magnetic resonance imaging.

Fast forward to residency and some of the best advise I’ve received has been from my senior residents and fellows. These are people who have already done what you want to accomplish. They are probably the most valuable resources you’ve got so use them! Better yet, get involved in their research projects to get your feet wet.

Additionally, don’t forget your co-residents or medical students. Some of my close friends and colleagues are doing amazing research and their tenacity to publish their work inspires me to get on my grind. They are another valuable resource. Some of my colleagues who already have a few research projects under their belt know the system and how to maneuver it. So don’t be shy or too proud and ask your successful colleagues how they did it.

 

 

Be curious

If you don’t understand something then ask! Be curious about medicine and uncover the reasoning behind clinical decision making. As much as we know about the human body there is still so much that we don’t understand and your questions on rounds one day might be the beginning of your research project.

 


 

What did I miss? What tips do you have to help medical students and residents get published? Comment below and don’t forget to subscribe so you don’t miss my next blog post!

 

When You Should Take USMLE Step 3

I’m about to finish my first year of residency. Although I might not be ready to be a resident I sure as hell am ready to not be an intern anymore. Intern year of residency is exhausting. There’s no way around it. And studying for yet another seemingly pointless USMLE is the last thing anyone wants to do after a long day in the hospital.  Here are some tips to help you figure out when you should take USMLE step 3:

 

Does step 3 even matter?

Yes and no. It truly depends on what you plan on doing with your medical degree. If you don’t plan on specializing it is hard for me to see how your step 3 score will impact your ability to get a job. Especially when you have to pass a board certification exam in your respective field in order to practice.

But if you are looking to pursue a fellowship then you might not want to ‘just pass’. The 2016 NRMP program director (PD) survey asked fellowship PD’s the importance of various factors when looking at applicants. They rated importance of each factor from 1-5 with 5 being very important. Let’s take a look at a graph from the 2016 NRMP PD survey that shows which factors PD’s across every specialty found to be the most important when selecting applicants to interview:

interview 1

And now which factors were most  important in ranking applicants:

ranking 1

Ultimately, step 3 isn’t the most important factor. But it is still a factor. Additionally, each specialty is different. A vascular surgery fellowship program is clearly looking for something different than what a sleep medicine fellowship program is looking for (take a look at the data yourself if you know what fellowship you’re interested in: Results of the 2016 NRMP Program Director Survey). But in general, there are more important things than step 3 when it comes to fellowships. I would err on the side of caution however and make sure it isn’t important. Meaning, don’t score so poorly that they end up looking at your score and make it a big deal. Let it be just another check mark on your application. Something to keep you on par with other applicants.

 

 

What is your specialty?

Generally speaking, USMLE step 3 is skewed in favor of primary care fields like internal medicine and family medicine. The majority of the test is composed of medicine topics. So medicine residents see a lot of what is on the test in everyday practice. This means that medicine residents can probably wait until the end of intern year and study intensely for 2 months or so and take it and pass. Essentially, waiting till the end of intern year won’t hurt you much. However, for anyone going into specialties like pediatrics, psychiatry, OB/GYN, or surgery I suggest you take it as soon as humanly possible. Some of my colleagues from medical school even took it the first month of residency. Their program even gave them a month of ‘research’ to study for it. So for anyone not going into a primary field like internal or family medicine you should, for the most part, take it as soon as possible.

 

 

Should you take step 3 before before residency starts?

Depends on a few factors. First off, can you afford it? Step 3 costs $875. Second, you need to graduate prior to even applying to take USMLE step 3². So unless you graduate early and have a considerable amount of time prior to starting residency I wouldn’t even put the thought in your head. Trust me, during residency the last thing you are going to be thinking is ‘I wish I studied more before residency started’. But what you do prior to starting residency is up to you. So unless you are required to take step 3 prior to starting residency I would hold off on taking it until during residency.

 

 

What does your intern year schedule look like?

For the most part you only need 2 months or so to study for this exam. So find a period in your schedule when you are on a lighter service. For me that was in December right before Christmas when I had a week of clinic followed by a week of vacation and three weeks of elective followed by another week of clinic and a notoriously light general medicine service. So I had ample time to study. Find a time in your schedule that will allow you about two months of time to study.

 

 

How should you study for USMLE step 3?

That’s an entire blog post in and of itself. Keep on the look out and subscribe so you don’t miss it!

 

 

What other questions or concerns do you have about taking USMLE step 3? Comment below!

 

 

 

1-  (2017). Nrmp.org. Retrieved 23 May 2017, from http://www.nrmp.org/wp-content/uploads/2017/02/2016-PD-Survey-Report-SMS.pdf

2- Federation of State Medical Boards. (2017). Fsmb.org. Retrieved 24 May 2017, from http://www.fsmb.org/licensure/usmle-step-3/faq#g1