医学院的录取标准里有两项很硬的指标，就是大学里的GPA和MCAT成绩.根据美国医学学会统计，医学院新生的平均GPA十几年里一直在3.6左右，比前些年略高一点。十年前大概是3.58－3.59。而且同时要提供Science GPA 和General GPA。这两个成绩要很接近。也就是说即使你多选容易的课程来抬高总成绩，而科学课程的成绩很低，也没用。有些家长可能觉得，这有什么难的，我家孩子从小到大从来都是 Straight A 学生。得个 3.6 还不容易。其实在中学里得个Straight A 真不是什么难事。美国高中的成绩已经是大大的inflated。另外公立学校是就近入学，学生的水平参差不齐。只要稍稍用点功的做个全A的学生并不太难。而大学里则非常不同。特别是好学校，经过录取时的筛选，学生水平已经非常整齐。另外所有上premed课程的学生都是奔医学院去的，也都是非常用功的。但是很多大学理工科课程都是要 grading on a curve，教授出题之难，即使是一班很整齐的学生也绝对会考出差别来。也就是说只有百分之十左右的学生能得A或A-,百分之七，八十的学生是B或C，另外百分之十左右是D或F。你只有每门课都保持在A-或略低一点才能保持住3.6。如果哪门课得了个B(3.0)或B+(3.3)，一定要在其它门课得个A（4.0）才能补过来。如果得了个C（2.0）或C+,对premed学生来说就是个灾难了，必须要好几门课都是A才有可能补回来。而且即使GPA补回来了，成绩单上有个C对申请也是非常不利的。可以想像，本来一群水平不相上下的好学生，又都在同一课程里为了一个共同的“革命目标”走到一起来，可是只有百分之十左右的人才能得到理想的成绩，竞争之残酷激烈可想而知。
第二年是课程最重也是最关键的一年,很多人都是在这一年后决定去留的。这一年要上Organic Chemistry 和 Biology, 都是一年的课。每门Lecture和Lab就是6个学分，两门课就占了12个学分。如果本科生每学期要修15个学分，这两门课就快占满了。另外三个学分最好修一门比较容易的课，否则会忙不过来的。据说Organic Chemistry是非常难上的一门课。我听到不少医学院学生和医生说起在大学上这门课时都说成绩不太理想，不是B就是B+。这一年也是淘汰率最高的一年。对很多premed学生来说，这一年下来如果成绩仍然保持在B+和A-之间，一般还会坚持在premed这条路走下去。但是，因为 grading on a curve，多数学生在这一年里都是B左右的成绩，而且这些学生都是有志学医的好学生。很多成绩不理想的人在第二年末会选择放弃，因为他们知道以后会很难追上。另外，大学三年级时要选专业，前两年的努力和结果会使学生更看清楚自己的能力和兴趣，这时正好也是个时机来重新考虑自己的志向。有些学生会转向完全不同的专业。也有不少学生觉得已经修了这么多生物化学的课程，即使不再走医学院这条路，但也索性就顺势以生物或化学作为本科专业，再多修一些学分就可以拿到本科学位了。所以被录取的医学院学生多数是学生物，化学，或其它生命科学的。象我儿子就是选neuroscience作为本科专业的。如果有些人说自己的本科专业是生物或化学，而现在学的是完全不同的专业或干的是完全不同的工作，那一般人都心知肚明，他们很可能曾经是premed学生。
除了GPA和MCAT，还有一些其它的要求，像shadowing a doctor和义工。儿子在医学院的附属医院里做了四年义工，而且经过培训成为EMT (Emergency Medical Technician)，又考下了开急救车的执照和人工呼吸的证书（CPR certification),可以直接接送需要急救的病人。儿子在一次面试时，面试他的教授还根据他这段经历提出了一个很刁钻的问题：如果你运送的病人在上车时还活着，但是在途中突然死亡，你如何跟病人家属解释。
上面所说的其实只是个理想的路线图。一个人必须有足够的定力才能按照这条路线走过来。每年被医学院录取的学生有一半不是应届毕业生，有些更是人到中年后才挤进来。也就是说每年至少有一半的新生当时在大学里没有跟上这个理想的路线图。大学生活是丰富多彩的。十七，八岁的孩子突然获得了空前的自由，在没有父母管束的情况下开始探索各种各样的生活方式，结识各种各样的朋友，参加各种各样的活动，经历各种各样的恋爱和感情波折。这可能是人生中的一段最精彩最难得的经历。很多人的这段经历会影响一辈子，很多莫逆之交甚至人生伴侣都是在这段时间里结识的。如果只闷头读书，不去经历这段精彩的生活，对他们来说时可惜的，也是不公平的。但是如何在丰富多彩的校园生活里按照既定目标走下去也是对每个大学生的挑战。儿子在大学一年级里参加了一个校园剧团，排演百老滙的音乐剧，每周要有三个晚上排练，还有周末的演出，占去大量时间，儿子却喜欢的不得了，全身心地投入。但是代价就是成绩的下滑。为了这个医学院，儿子只好在二年级时忍痛退出，但我能看出他实在是割舍不得。好在他在剧团里结识里一群好朋友，直到如今仍然保持着很深的友谊。我对儿子不止一次说过，能到这个学校来的学生谁也不谁差，最后谁能成功不取决于谁更聪明，而是取决于谁更能保持专注(stay focused)。就象有位心理学家说的: “genius is nothing but a power of sustained attention.”
Away Rotation :4 yMS can do Away Rotation If you want to match with a good program at different city, it is a good idea to do an away rotation. Away rotations will increase the chance that you will match and lets applicants know the program well. Research Advice: Students should choose a research project they are interested in, not just one to pad their resume. According to data from the NRMP, US seniors who match in plastic surgery have an average of 3.6research experiences and 6 abstracts, presentations and publications.
some example for 3 ys M studentCareer Advising Calendar April - June 2009 First Meeting With Career Advisor • Discuss career choice • Discuss plans for 4th year • Individual 30 - 60 minute meeting with career advisor June – September MSPE Meeting & Advisor Meetings • Meet with Associate Dean for Residency Advising • Meet with specialty advisor • Individual meeting with career advisor • Personal statement
July 16, 2009 5:00 pm MS 4 Career Advising Class Meeting #1 ERAS Overview • ERAS application process • Senior class updates • Timeline for the application process August 27, 2009 5:00 pm MS 4 Career Advising Class Meeting # 2 ERAS Application Updates • Senior class updates • Application updates • General application information October-November TBD Third Meeting With Career Advisor • Review program list for depth and breadth • Interview strategies • Individual 30 minute meeting with career advisor October 8, 2009 5:00 pm MS 4 Career Advising Class Meeting #3 Interviewing for Residency • Alumni host program • Senior class updates • MSPE update • Preparing for interviews January 21, 2010 5:00 pm Fourth Year Career Advising Class Meeting #4 Preparing Your Rank List • Entering your rank list • Post-interview follow up • Class updates January –Early February TBD Fourth Meeting With Career Advisor • Evaluating and ranking programs • Individual 30 minute meeting with career advisor Late January TBD Rank List Due for Regular Match March 18, 2010 10:00 am Match Day Early Match: Ophthalmology, Pediatric Neurology, Urology, and all residency programs run by the military are early match programs. Applicants in Ophthalmology and Pediatric Neurology apply and match through the San Francisco Matching Service (http://www.sfmatch.org/), while applicants in Urology apply via ERAS and match via the American Urological Association (http://www.auanet.org). For the early match, applications are generally due in August/ September, rank lists are submitted in December/ January, and match results posted in January/ February.
ERAS (Electronic Residency Application Service): ERAS is a service that transmits applications, letters of recommendation, Medical Student Performance Evaluations (MSPEs), medical school transcripts, USMLE transcripts, and other supporting documents from you and your designated dean's office to residency program directors using the Internet. ERAS begins transmitting applications on September 1st. Match Day: Match Day is held on Thursday of the third week in March. All US seniors open their match envelopes from the NRMP at 12:00 eastern standard time to find out at which residency program they have matched. MSPE (Medical Student Performance Evaluation): A letter of evaluation (not recommendation) which describes a student’s performance in medical school. The MSPE includes an assessment of both the student’s academic performance and professional attributes. The MSPE is released to residency programs on November 1st. NRMP (National Resident Matching Program): The NRMP (http://www.nrmp.org/) conducts a residency match that is designed to optimize the rank ordered choices of students and program directors. On Thursday of the third week of March, the results of the match are announced. With the exception of early match programs, all residency programs use the NRMP. The applicant registration deadline is the end of November and the Rank Order List deadline is the end of February.
Preliminary Residency Positions: A “preliminary” position offers only 1-2 years of training prior to entry into advanced specialty programs. Many internal medicine and surgery training programs offer preliminary positions in addition to categorical positions. Transitional year programs are also considered preliminary programs. ROL (Rank Order Lists): Rank order lists are the lists of programs in order of preference submitted by applicants to the NRMP before the deadline (last week of February). The NRMP collects data on the relationship between the average length of the rank order lists of matched applicants vs. unmatched applicants. Matched applicants consistently have longer ROLs than unmatched applicants. In 2007, the average number of ranks for matched applicants was 9.96.
match在这次全国性的活动，医学生会发现他们将在那里进行住院医师训练。 match =学生申请其培训计划的选择,宣布希望能“匹配”与他们喜欢的医院和专业，他们知道他们的匹配与否，周四，他们将知道他们将去那里 During this national event, senior medical students will find out where they will conduct their residency training. Students apply for residency training in their programs of choice, hoping to “match” with their preferred hospital and specialty when the results are announced,today they know they are matched or not,Thursday, they will know where they will go last year 几个月的等待drive family crazy
这是真话，我们做家长的又何尝不是在这几个月漫长黑夜中，望眼欲穿地等待着黎明的到来呢? 和那种如梗在喉的感觉的折磨呢? my son 说他一定要 match plastic Surgery residency .我很欣慰他有这样的抱负.他8岁来美国，不会说英语.开始很艰苦, 从大医学院他懂了自己要努力，要有自信心.
万维did not修好 my的博客 if you have good STEP1 score, several papers , you need become AΩAstudent members which is the national medical honor society
each school may elect to AΩA membership up to one-sixth of the projected number of students that will graduate. There is wide variability in the process among school. Some elect no junior students, and several elect all student members in the spring of their senior year just prior to graduation. Those students chosen from the top quartile for election are picked not only for their high academic standing, but as well for leadership among their peers, professionalism and a firm sense of ethics, promise of future success in medicine, and a commitment to service in the school and community. By adherence to these criteria it has happened that one or more of the highest ranked students by grade point average have not been elected to the society.
Once you kids get into Medical school,they have to follow the school schedule . they would not listen to you any more ,they will talk the seniors or different groups at school.If they know what they like to do their specialty in future , they should talk the research mentor at that department,to get any research project if they have extra time or energy.Step1 is very important test for their future match,if they want go to tough residency program like Plastic surgery, Dermatology,Orthopaedic Surgery or Ophthalmology, here are some example, Step 1 Scores need for Orthopaedic Surgery Min. Step 1 230 Plastic surgery 242 or higher First Aids is good book for Step 1,Kaplan Qbook and Qbank are very useful. if the step 1 score high enough, they don't need take step 2 they matched
谢谢百草园的《如何迈进美国医学园的大门》系列some reason my博客不允许 me write,don't know why, I have to borrow 百草园 to share some 一些零七八碎的经历和想法，与有兴趣的网友分享一下.你在系列里谈到的就不再重复( I can't type Chinese , have to write in English ,no Chinese soft wire )你写的这个医学院系列又使我想起了同儿子一起走过的那几年，感慨良多.医学院并不需要什么天才，但需要极大的努力和定力；聪明才智不是最重要的，最重要的是sustained attention, 是能够在众多纷扰中stay focused，保持专注.( above Chinese 盗用 from 天择的留言). My son isfirst year plastic resident at UC systmes-医院, Frankly speaking, that is not my choice( Chinese parent always want to control something for their kids)I know :1, that is top match ,very competitive because he chose combined program which is 3 year general surgery and 3-4 plastic surgery together.
also there are 8 years program premed+ medical school, very hard to get in, but once get in ,much easy life also lot medical schools like students have research skill that is big +.if you can publish some papers, even better. once you get in to the school, step1and research are very important for your match.