Starting medical school is one of the most exciting moments in a physicians career… but it can be a little daunting! This talk is one I gave recently to the college students in the Baylor College of Medicine Summer Surgery Program. In addition to talking about how medical school is different from college, I also included my top 10 tips for successfully making this important transition.
Recently, I was talking to a superstar surgeon who had travelled to Africa for two weeks to operate and teach. Lives were saved, a gift was given, but when he returned he was told that the two weeks he had spent in Africa resulted in not meeting his RVU target for the month…which he now had to “make up.”
Are you kidding? I can’t think of any physician that would think this is ok….
I have held leadership roles and I am not naïve. “No margin, no mission” is a universal truth. Financial accountability and stability are necessary for us to heal patients, teach and change the future through research. But, if we only measure and report productivity it will be the only metric that is perceived to matter…. and that’s not ok.
Financial and productivity metrics are critically important in any business. Healthcare is a very complicated business. But for physicians, medicine is a profession, not a business. This distinction explains why the standard business metrics of productivity don’t sit well with most physicians.
I’m becoming more and more convinced that we need to rethink how we define “success” for the physicians (professionals) who work in a business (healthcare). If we don’t, I’m afraid we will lose our way…. and potentially a generation of physicians. So, as a starting point…. what if we thought about the following as potential new metrics of institutional “success”?
RVUs of the group, not the individual
It is human nature that what is counted is assumed to “count” the most. In addition to my friend who was almost despondent over having to “pay back” a mission trip that was part of his original contract, I have watched bright and hard-working physicians choose to stay to do one more little case or see two more consults instead of going home to their children because of this RVU pressure. By the way, these events were when a partner was on call and in the hospital, available and willing to take on this work.
Physicians are a competitive lot. If you give them a target to meet, they will do everything necessary to meet it. But the RVUs for an individual physician vary over time and with circumstances. Because medicine is a profession and not a “job”, there are very few physicians who are “slackers”. Reporting the RVUs for individual physicians has the risk of hurting the morale of the physicians that are working hard, and rarely motivates people that don’t want to work hard. Besides, do we really want to send a report that monthly RVUs didn’t meet target to a physician who took time off to care for their own hospitalized child? (Yes, it happens.)
Let’s commit to a new institutional paradigm. Set RVU goals for the group. Trust the chiefs and chairs to be responsible for monitoring productivity. Let them take into account the normal ebbs and flows of work as a physican. Trust them to call in the few physicians who are consistently below expectations.
Turnover of physicians in the group
In an academic practice, it’s a good sign if strong, mid-level faculty members are recruited away to other institutions. In all groups there will be physicians who leave for family reasons or because a spouse has been recruited. But keeping track of physicians who leave for other reasons may be a metric that can reveal a bigger problem. Given the extraordinary cost of replacing physicians, isn’t this a metric that should be followed?
Burnout is reported in 50% of physicians and costs institutions money. I strongly believe that every physician should have an assessment for burnout as part of their annual evaluation. Physicians that score high on the burnout scale need help – for their sake and the sake of the institution. The cost to the institution in decreased patient satisfaction and increased liability should be enough, but burnout is a life limiting or even life threatening condition. Let’s protect our most precious resource in medicine by paying attention to this epidemic. Why not reward divisions and/or groups that consistently demonstrate low levels of burnout? Why not use what they have learned to coach other groups who need help?
Support staff to physician ratio
I am quite certain that most people have no idea the amount of clerical work that physicians do today. For institutions, it’s a waste of extraordinarily profitable physician time and a major contributor to physician distress. No one knows what the ideal ratio of support staff to physicians should be, which support staff are more important, or what the differences should be between specialties. So lets measure it, report this metric and compare between groups in our own hospitals and between institutions. Let’s also make sure we understand how the ratio of support staff to physicians impacts burnout and physician turnover.
Teaching, research and innovation
Professionals work to make a difference but sometimes are not recognized for their successes. Even grown ups love a gold star. Let’s make a big deal about teaching local physicians, publishing new research, receiving “Doc of the month” awards and building new programs. Celebrate successes – of all kinds – publically and sincerely.
Gifts of time
Likewise, let’s call out and celebrate the physicians who serve on boards of charitable organizations, who travel to treat patients and teach in underdeveloped areas, who sponsor student groups or who otherwise donate their time and expertise to make the world a better place.
I understand that salaries are “complex” in medicine, but it’s time to realize that they can be extremely unfair. When new physicians are hired at a higher salary than extremely successful physicians who have been there for 20 years, something is very wrong. When women and minorities consistently make less, something is very wrong.
There is no way that budgets can suddenly be changed to make pay equity a reality, but its time for all of us to make a commitment that pay equity will happen. Decide how long it will take … 5 years? 10 years? Once you have decided, let your physicians know you will commit to this change. To be transparent, report an annual metric of the percentage of physicians that meet the goal of pay equity. Make these changes. It’s the right thing to do.
A few years after I started as an attending in pediatric surgery, I was called to see a little girl who had been with her father at a construction site. For whatever reason, a wall under construction had fallen and she was caught under it. Her injuries were severe, with massive blood loss from a crushed liver. We opened her chest, packed the liver, transfused her massively but to no avail…
I vividly remember what happened next. Instead of the usual quiet moment of reflection, the team started talking about our week, carrying on a conversation as though this was just one more event in a busy day. It hit me how unusual this was as I was driving home. It was the middle of the night and, as I drove into my neighborhood, I noticed that I wasn’t feeling anything, that the sadness and other emotions I usually felt when I lost a patient weren’t there.
A cat darted in front of my car. I got out of the car, looked at the cat and burst into sobs… which continued for a good 30-40 minutes.
The loss of a patient, the loss of a pet, or even the loss of a dream related to your career leads to grief. Granted, the depth of grief may be, and should be, less than the loss of a family member, but it is grief nonetheless. Because these losses are often viewed as “less serious”, people may feel that it’s somehow “not normal” to feel true grief when they occur. This is particularly true for physicians, who often have to suppress these feelings to be able to treat the next patient.
Here’s the single most important message…It’s ok to feel the loss.
The ability to cry over a tragic injury or loss of a patient is the sign of a compassionate physician or provider, not a sign of weakness. For all of us who experience these losses, It is important to allow ourselves to grieve, if that is what we are feeling. Although this will mean different things for different people, here are a few ways that might help…
Share your thoughts with someone you trust. Talk to your friends and, in particular, senior colleagues. It is important for your future patients that you are allowed the space to grieve. It is also normal to worry about returning to work if you’ve experienced a particularly traumatic loss. If you have a colleague who has lost a patient, let them know in direct or indirect ways that you are there for them if they need to talk.
If you are the team leader, talk to your team. It’s important to debrief with your team (and anyone else who was there) immediately afterwards and a few days later. Make sure you acknowledge how hard this is and ask if people are ok. Remember for many of your learners, this may be their first time to experience the loss of a patient… how you respond will be remembered as their example for the future.
“Good models teach us to handle the experiences that change us.” Thomas J. Krizek.
Communicate with the family. Immediately afterwards, just be with them. It is human nature to avoid “bothering them” in their time of grief but try to go. Bearing witness to their grief by sitting silently with them is a powerful way to help. Write a condolence letter. Call, email or write a note 3-6 months later to let them know you are thinking of them and to ask if they have any lingering questions. Offer to meet with them if they would like.
Go to the visitation and/or the funeral. Even after a hard journey together, even if you question if you could have done something different, go to the funeral if it feels like you should. Not just for the family, who will be very appreciative – but for you. There is closure in ceremony for everyone.
Take care of yourself. Focus on self-care by being with family and friends, eating good food, exercising, sleeping and doing the things you love. It is both the burden and privilege of our profession that we experience these moments of intense and tender transitions…. but sometimes it hurts.
The following was sent to me after I reached out to a dear friend who had suffered rib fractures (and more) in a fall. I was so touched by his perspective and the potential power of these words to heal that I asked permission to post it here.
I’ll say the week started last Thursday, when I sucked it up and scheduled a host of delayed medical procedures, got blood drawn for an array of things, and planned a weekend of work plus my first attempt at cycling since surgery over two years ago – on the place the bike seat hits. I dislike medical tests because I hate to not make great scores on tests, and unlike other tests, it is hard to study for a cancer marker test or blood pressure test. But it was past time.
By Saturday, the weather was Springlike, and all I had to do before climbing on a bike was some roof leak patching. See earlier missives on Facebook about how THAT went. By Sunday I was pushing a morphine pump (almost without effect) wondering just how crushing my skeleton into pieces was going to be the big breakthrough I knew was spiritually on the way to this week. But not doubting the breakthrough at all.
I was too messed up to use even a cellphone, but the outpouring of love, compassion, caring, helpfulness, prayer, gratitude, and ICU humor was so huge I could feel it even through the opioid mist and, I am told, Olympic class pain. It continues even today.
Did you know that gratitude is one of most biologically and spiritually powerful “drugs” ever tested? It measurably switches genes on and off, by the thousands, but always in a good way. Well my gratitude graph is off the chart this week, starting with so many close friends and family. I have reconnected with several long loved dear souls, and connected with several new dear souls. If I had gotten on the bike, death or paralysis were likely outcomes, due to medication issues. If I hadn’t been in ICU, several hidden medical issues would not have been detected.
My beloved wife has almost slipped up a couple of times this week and let her secret wings show. I believe the modern definition of marriage encompasses humans marrying Angels, so I can still call her “wife”.
Then we get to medical tests. Cancer markers – none, again. Extensive CT scans necessitated by my air cargo disaster – no sign of cancer etc. Vertebrae, spinal or brain damage, or chances of dying of testicular cancer? Approaching insignificant. Crickey, my body acted like a crumple zone protected Volvo. Major systems were cushioned by minor (numerous and very painful) fractures.
Medical issues? Of course. But the extensive testing and freak accident have revealed reversible issues, including ones caused by my medications, which would not have been detected in the ordinary course of things. Issues that might have been lethal if I hadn’t gone to ICU and smart people put the puzzle together.
Closer than ever to my wife. Reconnecting with dear friends of all ages. Making new friends. Confirming that my former cancer is truly leaving the building. Re-prioritizing work, play, health, etc. And remembering that the only shortages of Love in this Universe are from people kinking the hoses. We could never use the actual, Infinite, supply. As I write this, I prepare to go hang with beautiful souls tomorrow and share some healing. Pain is just the contrast needed to highlight the transcendent, joyous, beautiful, loving ride we call Life. Since I really should be dead or paralyzed right now, every breathtaking twinge is a reminder to be grateful. Easy peasy.
I had to postpone an appointment with an old, wise, preacher I have known since childhood. I was talking to him on the phone about the combination of joy, gratitude, pleasure, humor and serious pain, and he said he would quote one of his old buddies who is used to suffering. He says”Hallelujah anyway”. I hurt myself laughing at that one, so, just “Hallelujah ya’ll!” Sums it up for me.
Peace, Love, Joy.
They are choices.
I’m a huge fan of using technology to organize my “to-do” list. I’ve used (and loved) Remember the Milk and Evernote as the backbone of my system. But I recently discovered a simple, non-tech method which is proving to be the most effective tool I’ve used.
The Bullet List was designed by Ryder Carroll, who is a digital product designer. The system is elegant, simple and requires only a blank notebook to get started. (Although I adapted the system to use in Evernote to make it at least somewhat digital … and to avoid the inevitable crisis for an absent-minded person of losing the notebook!).
The Bullet Journal is based on these five “sections” of the journal:
- The Index – to know where things are in your notebook
- Future log – to list big events for future months (ex: Plans for interviews for residency/job, rotation schedules, reading plan
- Monthly log – a combination of tasks and events for the month (ex: reading plan to prepare for residency inservice exams)
- Daily log – tasks, events, and notes for the day
- Collections – list of things, for example books to read, track a goal (like exercise or sleep), technical points as you learn a procedure, or a gratitude log
Here’s the overview video from the site bulletjournal.com, which in 4 minutes explains the how to use a Bullet Journal.
In addition to making sure you don’t miss important deadlines and events, the Bullet Journal also serves as an actual journal to help you remember important events. For example, one of my entries last year was… “Took residents to watch patient take first sip after Heller myotomy. Everyone cried.” Don’t underestimate the healing power of journaling during medical school, residency or after your training. Recording these small moments will help, but using them as prompts for writing the story of your day can be even more powerful.
p.s. If you are in anyway an artist a) I’m jealous and b) have fun!
It’s the holiday season in a very short time, so I thought I’d put together a list of last minute presents! These are presents that would work for anyone, but are particularly suited for medical students, residents and busy physicians.
A really good water bottle
None of us drink enough water at work …. having a water bottle does help! There are many out there but make sure the one you choose doesn’t have BPA in it. Glass and steel bottles are probably the safest, but BPA free plastic bottles are fine, too. As an added bonus, you can put something in the bottle before you wrap it… chocolates or another favorite candy, gift cards to Starbucks, etc.
Listening to music you like without commercials is a great gift for listening while studying, in the clinic or in team rooms. Pandora can be played on any computer but also has apps for mobile devices. There are other sites, too, but this one is my personal favorite.
I am a total fan of my new iPad Pro, which has taken over as my computer on a lot of days. Because of it’s amazing power, there are medical apps, like this anatomy app that won’t run on other iPads. But the iPad mini may be a better choice for students and residents …. mostly because it fits in the pocket of a white coat. Make sure you get a cellular network plan with the wireless option, if this is the gift you choose.
Anatomy Coloring Book
This is a great combination of the proven stress relief of adult coloring books and learning anatomy. (or reviewing it, even for docs in practice) Don’t forget to order the pencils, too!
Electric Pressure Cooker
Pressure cookers in general are an amazing kitchen tool… but the modern electric pressure cooker is also a rice cooker, slow cooker, steamer which makes it the single best kitchen appliance for students and residents.
Prepped meals (ready to cook)
If they like to cook, but don’t have the time to find the healthy recipes and prep the meal, this is a great idea. Check out Green Chef, Blue Apron, and Hello Fresh as examples. You might want to search locally to see if there others close to you.
A gift card to get them started with Stitch Fix
Stitch Fix is perfect for both men and women that either a) hate to shop for clothes or b) love to shop for clothes but don’t have time. It’s a service many of my friends use and love, so I can personally recommend it. After you sign up, they send 5 items a month (or at whatever cadence you want). You send back the ones you don’t want and get billed for the ones you keep.
A membership to a local museum
If there are museums in the area that correspond to an interest this could be a great gift. Museums like the Houston Museum of Natural Sciences, the Museum of Modern Art in New York, etc. are a great way to enjoy time off. Include a note that says you are giving this to them as a break from their studying or work!
Best wishes for a joyous holiday season, peace in your lives and on earth and a New Year filled with health, happiness and joy!
This is a truly wonderful piece from Emily Gibson, re-posted here with her permission from her beautiful blog, Barnstorming. Enjoy!
As we drown in the overwhelm of modern day health care duties, most physicians I know, including myself, fail to follow their own advice. Far too many of us have become overly tired, irritable and resentful about our workload. It is difficult to look forward to the dawn of the next work day.
Medical journals and blogs label this as “physician burnout” but the reality is very few of us are so fried we want to abandon practicing medicine. Instead, we are weary of being distracted by irrelevant busy work from what we spent long years training to do: helping people get well, stay well and be well, and when the time comes, die well.
Instead, we are busy documenting-documenting-documenting for the benefit of insurance companies and to satisfy state and federal government regulations. Very little of this has anything to do with the well-being of the patient and only serves to lengthen our work days — interminably.
Today I decided to take a rare mid-week day off at home to consider the advice we physicians all know but don’t always allow ourselves to follow:
Sleep. Plenty. Weekend and days-off naps are not only permitted but required. It’s one thing you can’t delegate someone else to do for you. It’s restorative, and it’s necessary.
Don’t skip meals because you are too busy to chew. Ever. Especially if there is family involved.
Drink water throughout the work day.
Go to the bathroom when it is time to go and not four or even eight hours later.
Nurture the people (and other breathing beings) who love and care for you because you will need them when things get rough.
Exercise whenever possible. Take the stairs. Park on the far side of the lot. Dance on the way to the next exam room.
Believe in something more infinite than you are as you are absolutely finite and need to remember your limits.
Weep if you need to, even in front of others. Holding it in hurts more.
Time off is sacred. When not on call, don’t take calls except from family and friends. No exceptions.
Learn how to say no gracefully and gratefully — try “not now but maybe sometime in the future and thanks for thinking of me.”
Celebrate being unscheduled and unplanned when not scheduled and planned.
Get away. Far away. Whenever possible. The backyard counts.
Connect regularly with people and activities that have absolutely nothing to do with medicine and health care.
Cherish co-workers, mentors, coaches and teachers that can help you grow and refine your profession and your person.
Start your work day on time. End your work day a little before you think you ought to.
Smile at people who are not expecting it, especially your co-workers. Smile at people who you don’t think warrant it. If you can’t get your lips to smile, smile with your eyes.
Take a day off from caring for others to care for yourself. Even a hug from yourself counts as a hug.
Practice gratitude daily. Doctoring is the best work there is anywhere and be blessed by it even on the days you prefer to forget.
This morning I was lecturing to the first year medical, PA and DNP students. At the end of my embryology lecture I included some advice on how to eat well as a busy student. I talked to them about how to set a good example for their future patients, how to increase vegetables in their diet by making Mirepoix every weekend, shopping at the farmer’s market, and how to plan for the week. I also talked about why it’s important to eat breakfast. I told them about one of my favorite fast breakfasts, but forgot the second one!
MLB BREAKFAST TACOS
Here are the ingredients:
This is SO easy and really delicious. Put ~1/3 cup rolled oats in a bowl and add twice as much (~2/3 cup) liquid. (You may need more of both depending on your caloric needs)
My favorite liquid is kefir (liquid yogurt), but it can be milk, almond milk, soy milk, etc. Leave it in the refrigerator overnight. Eat it in the morning. That’s it!
You can add any variety of fruit, nut or nut butter the evening before or in the morning. My current favorite is blueberries and slivered almonds added in the morning.
Congratulations to all the first year medical students who are starting or getting ready to start medical school. As you will soon seen, from day one there will be an overwhelming amount of information to process and learn … much more than any you have seen during college. It’s going to take a new strategy!
Unlike college, the information you learn during your preclinical studies will be important when you take the first part of your licensure examination (Step 1) and when you start your clinical rotations in 2 years or so, and when you start your residency.
It’s not just about learning this information for your exams, it’s also about creating a system to organize this information for the future.
What should an ideal system let you do?
- Hand write or type your notes
- Highlight and annotate notes to make them more easy to remember
- Import images, pdfs, powerpoint presentations or other digital information
- Review the notes on your phone or iPad as well as your computer
- Revise or reclassify notes as you learn more
- Make sure your notes can’t ever be lost or destroyed
What “notes” should you use to study?
- Use the notes provided by your professors, usually in the form of a powerpoint presentation or pdf of the presentation. Many students download the presentations into OneNote and annotate the slides during the lecture. If you use this system, it will be very important to make a one page summary of the key points. Going back to review each slide is very time consuming and not a good “juice to squeeze ratio”. (the effort you put into it is not worth what you get out of it).
- Take notes in class or to review like you did in college (highlighters and all!). If you choose to do this, use the SQR3 method or the Cornell note taking method to prepare i.e. don’t come in cold to class. Write down the big topics to be covered, and come up with questions you expect to be answered in class. The key is active listening!
- Try mindmaps. Your brain doesn’t organize things into bullet points. If you use colors, images and this more “organic” organization, it’s amazing how much you can remember. Like mnemonics, the more outlandish the images and colors, the easier it is to remember. You’ll find an example of a mindmap to learn about pilonidal disease below. Note, for example, that the image for obesity is a stick of butter surrounded by fat globules. It’s creating your own images that makes this so powerful. Even though you can share mindmaps, or use software to create them, it’s more effective to draw your own.
- Handwritten may lead to better learning…. Worth thinking about!
How should you organize your notes?
Here’s where it gets fun. Organizing notes with Evernote is the best way I’ve found (ever) to do this. Evernote is an app for your computer and phone/iPad that allows you to store “notes”. But, the notes can be a lot of different formats:
- New notes, typed directly into the software
- Imported notes from OneNote or a powerpoint presentation
- Scanned notes. Evernote has an amazing free app called Scannable that converts any document into a pdf using your phone. So. if you draw a mindmap, doodle about the anatomy of the rotator cuff or have a typed handout from someone, you can scan it into EverNote.
- Photos of whiteboards, paper notes, images.
- Videos, like your professor showing you how to examine the knee for instability.
- There is an Evernote “web clipper” that can be used on your computer to download any webpage.
- Audio notes. You can record a review for yourself and save it as a note.
Other advantages to using Evernote
- You can share notes with others
- You can find information by searching. Both typed and handwritten words will be recognized.
- When you store a link to a video it’s active, so you can click and go directly to the site.
What should I do before I set up this system?
- Start the notes now – even though you don’t have the system in place. Listen actively and take notes actively. Make sure you create one page summaries of every lecture. Keep these to scan in when you start your account.
- Download Evernote for your Life | A Practical Guide for the Use of Evernote in Your Everyday Life by Brandon Collins and read it before you create your system. This ebook is concise, easy to read and will explain why you can’t think about EverNote as a “filing” system in the usual sense.
A few other words of advice
- Create your Evernote account with an email address that will follow you through your training. (By the way, if your personal email now is email@example.com, it’s time to get a new and more professional address!)
- I’d create one huge notebook called “Everything I need to know to be a doctor” (just kidding.. but don’t fall into the trap of creating a lot of different notebooks, either.)
- When you start, be very deliberate about your tags. You don’t want to end up with “Penicillin”, “penicillin” and “penicillinV” as three tags for penicillin… Decide how to standardize your tags before you start i.e. when to capitalize, generic names of drugs only, etc.
- Evernote is not HIPPA compliant. Don’t EVER put any patient information (including photos) that could be identified.
- Go ahead and spend the money for Evernote premium. You’ll be using all the storage and the bells and whistles.
Other than the personal statement, there is nothing more distressing to medical students applying for a residency than putting together a Curriculum Vitae (CV).
So, what exactly is a CV?
“The original Latin meaning of curriculum was a course, but of the kind that one runs around (it came from currere, to run). Even more recent — dating from 1902 — is curriculum vitae, literally “the course of one’s life” (from World Wide Words)
Your curriculum vitae is a document that serves as a summary of what you have accomplished as a professional.
What’s the difference between my CV and what I put on my ERAS application?
Your CV and what you put in ERAS differ in two important ways – the content and the format. ERAS will generate a CV from the information you enter, but it’s not in a format that is usually used for a professional CV. In addition, the ERAS generated CV will not have the same information you will want on your CV. For example, ERAS “experiences” don’t translate well into a professional CV.
Why do I need a CV in addition to what I put into ERAS?
- You will need to give your CV to any faculty writing a letter of recommendation.
- You may be asked to send a CV when applying for away electives.
- It’s a good idea to take your CV with you on interviews to provide a copy to the program, especially if you have updated it since your application was submitted.
- If and when you send emails to programs after you interview, it’s a good idea to attach your CV if it has changed at all. Bcc yourself when you do – if there is a problem with the email or the attachment, you’ll know it quickly.
What do I need to include in my CV and what should it look like?
There is no absolute “standard” format for a CV, both in content and in style, but there are some guidelines. In general, in addition to the “heading” with your name and contact information, the following sections (if they apply to you) should be included in the order they are listed.
- Education (degrees, institutions)
- +/- Place of Birth
- +/- Citizenship
- +/- Languages
- Military service
- Work experience (this is not summer jobs unless the pertain to your application i.e. don’t list being a waiter, etc!)
- Volunteer experience (make sure it’s significant. There is no advantage to listing 20 things that all lasted a week or two …. again, unless it’s specifically related to your application… see “don’t pad your CV” below)
- Other training (eg BLS, ACLS, special courses to learn a skill)
- Professional memberships (including leadership positions, committees)
- Honors and awards
- +/- Personal interests (drop after you match if you include it)
It’s a good idea to show your CV to mentors in your specialty to get their feedback since there can be subtle differences in CVs between specialties.
What should I do to avoid common mistakes in creating my CV?
- Pick one font and stick with it. (11 or 12 font and something really standard).
- List items in each section in reverse chronology (most recent first)
- Number your publications and presentations.
- Leave plenty of “white space”
- Don’t “pad” your CV with trivial events or accomplishments – it’s more important it’s accurate and appropriate than long.
- Go ahead and list “hobbies and interests” as your last topic for the residency application, but remove it as soon as you match.
- Double (no, triple) check spelling and formatting. Your CV is often the first impression a program will have.
- NEVER put any designs, photos or logos on your CV.
- If you put your personal email address, make sure it’s a professional email address. If it’s not, it’s time to get a new one.
- Don’t EVER lie or exaggerate.
Where can I find examples or templates for my CV?
Many medical schools have examples on line and all schools have help in the Office of Student Affairs or through other faculty mentoring programs. You can also sign into Careers in Medicine to see examples of CVs, which are also here.
What should I do with my CV after I match?
Remember, your curriculum vitae is a record your professional life… so it’s a “living” document that will need to be updated as new things happen. There is no one else who will every know exactly what you do and what’s really important more than you will. Keep a list somewhere of everything new that should go on your CV and sit down at least every month or so to review and update your CV. After residency when you “graduate” to having an assistant of your own, it’s still probably better to update your CV yourself. The AAMC provides a good example of a typical Faculty CV here which gives you an idea of what your future CV will look like!