Otolaryngology!

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I never thought I’d say this… but guys, I matched into my top specialty and at my top institution. Starting in July 2016, I will be studying to become an otolaryngologist – head and neck surgeon (do we have the longest specialty name?)!

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I was literally in tears on Monday of Match Week when I got my email. My best friend CT and I wanted to open our emails together… but my phone wasn’t ping-ing emails to me, so I tried to refresh… and lo and behold, the first words I saw were “Congratulations!” before I started bawling uncontrollably. Now that I’ve matched I feel a little more cavalier about discussing my application process, but basically, if otomatch means anything, I was severely below average for just about everything (my Step scores, my grades/AOA status, my research, my # of interviews). Going into Monday, I had already met with my faculty advisors several times to discuss what to do next year if I didn’t match, and I had mentally prepared myself to participate in the SOAP (scramble). Thankfully, I didn’t need to! And honestly, that news on Monday was enough for me. :)

The days leading up to Friday, I was in a state of anxious calm. Mostly calm but occasionally irrationally thinking that maybe the email was a fluke. My school randomly calls up students, and when I finally held the envelope in my hands, I felt like I really knew that Everything was going to be okay. Match Day was emotional overall; I ended up getting not only my top choice but also the same institution that CT will be going to, as well as a couple of my other classmates. I can’t believe my luck.

Since Match, I have been on a surgery “bootcamp” class that my school offers to help prepare us for intern year. I’ve learned so much from how to respond to a page, how to do pre-op and post-op orders, “palming” a needle driver, and more. The last week of the class, we were gifted the opportunity to be primary surgeon on a simple operation for three days related to our specialty. I got to perform a rhomboid flap reconstruction for a cheek defect with the plastic surgery team, a tracheostomy with the OHNS team, and a neck dissection with a thyroid surgeon. I honestly cannot wait for intern year to begin. I know it will be busy, but I feel so blessed to be where I am, getting to do a specialty I love and finally having the power to take care of others and hopefully make their lives better.

Professor relationships and LORs

^Not those kinds of professor relationships!

It’s almost been a year since my application cycle started, and as expected a bunch of my premed friends are gearing up for the new application cycle. I’m hoping to address the different aspects of the application as they happen, but I already know I’ll fail at that. I think the easiest was dealing with letters of recommendations (LORs), so here I go! Again, I’m not some kind of amazing authority on medical school applications, but I hope this will help someone. Also, I did not go to a school with a premed committee or a committee letter (thanks, public university), so I can’t help anyone with that! Sorry. :(

What do I Need?
Generally, it’s recommended to get two letters from science professors and one from a non-science professor. Usually this means a professor who has taught you in a class. Different schools require different letters (for example, Albert Einstein wanted a letter from each science department), so even if you say, “oh, but THIS school doesn’t require that!”, it’s probably safer to prep for the worst case scenario. Sometimes you can get out of the requirements if you explain your circumstances (like I had to for Einstein) such as being out of school for a few years. On top of the “safe” letters to get, you should get a few extras to speak about you as someone more than a studying machine. Good ones are from research PIs, volunteer coordinators, your boss. Not so good ones are from friends, family members, and TAs/graduate students. NB on the graduate student letter — sometimes grad students will be stuck writing the letters, but you should still (1) ask the professor, and (2) make sure the professor co-signs the letter. I’m torn on letters from physicians/medical professionals. If you really think they can write you a good one, then go for it, but I tend to believe most are too busy to write an amazing letter. If you can combine any of these extra letters with your professor letters, that’s even better (a professor I TAed with also taught me in a class). More letters don’t really hurt you but bear in mind that AMCAS can only hold ten letters max, and many schools cap the number of LORs they can receive at ~5.

Another reason it’s important to have extras is sometimes professors flake. Therefore, in addition to the two science, one non-science, I’d have some back-ups.

Who do I ask?
Ask professors who know you well. There are many posts on SDN about getting letters from famous researchers/doctors, and the consensus is always only if s/he knows you well. A professor should be able to see you, recognize you, and write more about you than “this student got an A in my class” (even if it’s a hard class). If you are in a situation where you know a graduate student better than a professor (e.g. if you work under a grad student or a postdoc in a lab and barely see your PI), you should STILL ask the PI but also ask the person you work under if s/he’d be willing to co-write a letter with the PI (generally this means s/he will be the one writing the letter).

How do I get to Know my Prof?: Classes
Ah, one of the common #premedproblems: I’m in a class of 500 students, how do I stand out?

1) Plan ahead! – If you started college knowing you were premed, you hopefully have had a few years to establish some good relationships… if in that time you haven’t gotten close to ANY of your professors, you’re probably not only doing something wrong, you’re also not really getting the full college experience. Professors are awesome people to talk to and learn from. If you plan ahead, you should plan your classes based on what letters you seek. Many science majors leave their humanities general education requirements till the end to take, but how do you guarantee you’ll get your non-science letter then? I always arranged my schedule so that I would not only get great professors but also have multiple classes/quarters/experiences with them.

2) Go to office hours – This is so self-explanatory but I’m always surprised more students don’t do this. I made going to OH so regular that I scheduled it into my calendar as if it were a class. If you fall into the unfortunate circumstance in which a professor has OH when you have class or some other binding commitment, check tip #3. Common problems/complaints: I don’t have any questions to ask. That’s okay, just sit there and if other people are asking questions, you can follow their example (help answer, add follow-up questions). There’s so many students; how do I stand out? I guarantee that if you go the first week and/or go consistently (as opposed to just the weeks before exams), there will be days when there are less students, and that is when you can shine. Furthermore, it says something of you if you are going all the time, even if you aren’t really standing out (at least you’re putting your face out there). I’m the only student there, and it’s so awkward! Here’s something important to remember: professors are people too! (what?!) Start with small-talk if you must — ask about how their day’s/week’s been, what they like to do for fun, their kids, etc. Feel free to share about yourself too. One of the professors I’m closest to our conversations first began with “OMG I’m about to take the MCAT, and I know nothing about bones… help! Teach me/recommend books/OMGPANIC” (in an osteoporosis class so somewhat relevant), and now we’re so close that I’ve had dinners over at his house. As someone who’s TAed before, office hours can be really boring so even if a student comes in to talk about the most inane topic in the world, which to me would be anything sportsy, it’s better than sitting around doing nothing. So don’t be scared of office hours!

3) Make appointments – Say you have a class when your prof of target (hah) has office hours. Or you want to talk about something more personal/private (maybe you’re failing a class and you don’t want others to know), or you really feel like you just can’t stand out in a crowd, or you’re just shy. Make an appointment to meet with him/her in private. Just shoot an email over with your availabilities and a general idea of what you want to talk to about. If you are just using this session to try to get closer to them, I recommend picking a topic as vague as “career advice” and then discussing whatever premed problems you might have at the meeting. This’ll not only plant a seed in your prof’s mind that you are premed, it’s also a very easy topic to discuss (throw some premeds together and surely the conversation will steer this way).

4) Before/after class – This is way harder but you can try talking to your profs before/after class. Oftentimes, students attack professors after class so you need to be just as aggressive if you want to reach them first, but most profs do set aside time after class to chat a bit with their students.

5) Maintain the relationship after the class – Chances are you will take the class with your prof before you end up asking them for an LOR. You can either ask them for a letter right after you’ve finished the class, or you can wait closer to application time to ask. I recommend the latter because this gives you more time to build your relationship; HOWEVER, bear in mind it’s harder to do this if you’re not actually regularly seeing your prof, so if you decide to go this route, you need to be ready to be aggressive again. Try to take multiple classes with your prof. Try to find other opportunities to work with your prof (in a lab, as a TA/grader). If you can’t do any of these, make use of #3 (or stalk your professor’s office hours the next quarter/semester). Even if you’re busy, you can surely find an hour or two to spare every few weeks to chat and catch up with your professor (esp. since you are investing this time into your future). I actually think it’s easier to do this because there’ll be more time between your meetings, so you can have more to catch up on/discuss.

How do I get to Know my Prof?: Lab
1) Meet up – I have to put this first because it’s the easiest but most overlooked one. It’s a fact that most PIs don’t lurk in the lab, so undergrads tend to feel isolated from their PIs and then get confused how to ask a stranger for a letter. So why not just meet up with your prof? Sure, they are busy writing grants, but you can always stop by to chat. If you need something to discuss, ask about research (duh). As an undergrad, you’re not expected to be super knowledgable about what the lab is studying, so you can even ask what you think are “dumb” questions. You can ask about other projects in the lab since you usually probably are only on one project. You can ask for more papers to read. You can discuss your “future” with them as in #3 above. You can give them progress reports on how you’ve been doing.

2) Be more than a lab slave – This is tough since it’s not really in your control but try to stand out in the lab too. If you are doing good work, you will be rewarded. I slowly climbed the “lab ladder” from a basic undergrad making solutions to going to weekly group meetings with my PI (these weren’t fun since I was often just yelled at but still!). If you can, go to journal clubs. Go to lab meetings!!! Basically, make time outside of just working in the lab to go to the same things that your PI would be going to. It’s another way of just showing your face to your PI, maybe sounding a little intelligent or striking some kind of conversation, and also showing that you care about your research (which ideally you should if you’re in that job).

3) Ask your grad student/postdoc for help – If you’ve been working in a lab long enough and if you’ve been a good little undergrad, you probably have demonstrated your worth to the grad student/postdoc you work under. You might even be friends with him/her. It’s very easy to just slip in conversation one day that you are looking to ask your PI for a letter of rec soon and that you need “help” (usually just the “Oh, noez, I need a letter…” comment will trigger the next reaction). Most grad students/postdocs will leap to helping you, be it by offering to write the letter or putting in a good word to your PI or giving you tips on how to talk to your PI.

How do I get to Know my Prof?: Misc
The general rule of the medical school game is be aggressive. Whatever that means to you, make it work.

How do I ask?
Hopefully you’ve established a good enough relationship that you already know your prof will gladly write you a letter. But the first rule is ASK EARLY!!! I asked 1-2 months in advance. Gear up with a site like Interfolio so you can store your letters (not affiliated with them but I used their service when I was applying so I know it best). Professors are busy people, and some will write numerous LORs for premeds, so you want to be at the top of that list. By the way, another advantage to getting close to your prof is that if you DO ask late, your prof will most likely move you up the queue if s/he knows you better. I had to ask one of my profs for a letter because I was worried another one wasn’t coming, and he told me that even though he had a few from students who had asked before me, he would move me up because he actually knew who I was.

Send an email to request a private meeting. You shouldn’t ask them for a LOR in the email so if they ask you what the meeting is for, give them a vague answer again (“my future~”). I know you’ve been meeting with your prof regularly, so this won’t be a problem! Next, you need to prep your LOR PACKET. What is an LOR packet? It’s all the information you can give your prof about you to assist in the letter-writing process. In my packet (which was essentially a folder) I included: a copy of my personal statement (it can be the roughest draft in the world as long as it’s not overtaken by grammar/spelling errors and says something about why you want to be a doctor), my resume, an unofficial transcript (basically I printed my grades/classes), instructions for the letter (Interfolio will give you a sheet to print out), a stamped envelope (in case your prof decides to mail in the letter but most will just upload it electronically), a post-it saying “thank you!” (or something like that) in my handwriting to give a personal touch, and a letter to the prof. The letter to the prof included things like when I wanted the letter by (this is super important — so important that I bolded it), what my relationship was like with the prof (in what context we knew each other like what classes we took together), and a bit about my college experiences. If you have anything else to include (old papers, etc.), throw them into the packet.

Do NOT forget your packet at the meeting. When you go into the meeting, you can have a typical meet-up (catch up, whatever your ritual is with your prof), and then you should shift/direct the conversation to your letter. Ask your prof if s/he would be willing to write a STRONG LOR for you to go to medical school. Keywords: willing, strong, medical school. Since your prof loves you and knows you so well, s/he will exclaim “of course!” and then probably ask you for some more information. If s/he doesn’t, this is still when you whip out your packet to hand over. Stress when you want the letter by — I would pick a date in early June so that you can be complete at most schools early, and IN CASE your prof is late, your app isn’t *severely* impacted. Thank her/him profusely.

Now what?
Wait patiently for your letter (work on other parts of your app?). If you haven’t heard in ~1 month, you should consider bugging your prof gently. If it is a few weeks prior to when you want your letter and you still haven’t heard, definitely bug your prof. You can either do that in person or via email. I’ve read a few suggestions on how to do this… some just point-blank ask where the letter is, others send an updated personal statement or updated grades, and a few on SDN have pre-emptively sent “thank you” letters.

If you are in a situation in which you really need a letter and your prof is unresponsive, you need to work with your back-ups… FAST. My friend ES and I both had to do this, and thankfully we *had* back-ups, but this is another reason why you need to plan in advance. If you don’t have a back-up, TRY your hardest to build up a relationship as best as you can with someone now (and keep bugging your prof).

And for future follow-ups: always have a personal thank-you letter + a small gift (what I suggest). You should also update your profs as to your progress (especially when you get into your first med school!), where you end up deciding on attending, etc. By now, since you’ve built such a close relationship with your prof, this should come naturally to you. :)

Why I Volunteered: Community Service Debunked

As I alluded to in my previous post on shadowing, I didn’t go the “conventional” route with volunteer. Granted, as most adcom members have said, with so many applicants these days, nothing is unconventional. However, I think my service opportunities did stand out a bit from the typical premed application (not to berate them in any way), and I’m hoping that I can maybe inspire others to take an outlook like I did.

First, why did I volunteer? The easy answer on everyone’s mind is because community service is an “unspoken requirement” on applications. I’m sure on some level this was something I was aware of, but as I hope you will see, I really ended up doing these activities because I sincerely enjoyed them. As in even if I weren’t getting some kind of “credit”, I still would’ve devoted my time. In high school I did a lot of random service opportunities just because I wanted to, such as helping out at our yearly event to expose girls to science. I never got anything signed or recorded it on my college apps because I just never thought of it in that sense — it was just something I wanted to do. In the end I have to go with the cliche answer “I wanted to help people”. At that time, I really did (and do) want more girls to explore the sciences because I am a strong believer in girl power, and I think we need to show these guys that we are just as capable doing hard sciences (right now my roommate LN is working on her senior chemical engineering design project; rock on). Everything I do, I do it because I want to. I think that’s something that anyone and everyone should take away. We have limited time; why devote it to something you don’t enjoy?

Some might argue that the point of community service or volunteering is to sacrifice yourself for others. I think this is a very strict and maybe extreme definition. You can still help others even to your own enjoyment (if anything, I believe that if you actually enjoy what you are doing, you will probably be more successful at your efforts). It might seem like I only did these activities because I got something out of it, but that’s far from the truth. It’s more of something like I did these activities because I knew I would enjoy doing them, and I would be excited and happy and passionate about helping others. If you disagree with me, you can probably stop reading now.

So what did I do? Was it enough to get me into medical school? (Spoiler: yes) Am I guaranteeing you will get in too? Unfortunately, there are no guarantees in the medical school applications process (well, maybe if you were a Nobel Prize winner…) but I think most people agree that if you do what you are passionate in, that speaks for itself.

“Assorted” activities – Without too much detail I basically did many random service activities as part of a college organization. I devoted one of the AMCAS work/activities to this “assorted” category with a more eloquent title. Why did I do these? Honestly, because it was required of me. However, I did like them. We mentored a few children in the community, and I hoped that in some way I was helping them get on the right foot for their futures. We also signed up blood donors, and as a HUGE proponent of body donation, this was something I was in full-support of.

Words Alive – I mention this a lot in my book posts. Reading is one of my biggest hobbies; it’s something I’ve done to relax and escape since I was a child. I was the nerdy girl who checked out 5+ books from the library weekly, preferred to spend her free time in the bookstore instead of in front of a TV, and lived in another world. That’s why when I found WA, I knew there was no better match for me (“reading books, changing lives” is the motto). Reading, I think, is one of the greatest gifts you can give anyone. I participated through two programs. The first was helping out at the Authors’ Luncheon, held annually as a fundraiser. This was something that I completely did on my own (not required of the volunteers) just because I thought it could be fun, and it was. My main involvement has been through the Adolescent Book Groups (ABG), in which we are paired with schools (mostly through the SD juvenile court system) with at-risk teenagers and read and discuss books with them. I cannot even describe how much I love this activity. I’ve been exposed to books in such a different way, and I’ve learned so much from the students I work with. Lindsay girls, if you are reading this, I love you! Stay strong and believe!

Monarch School – I also tutor and help out at a school for children impacted by homelessness. I’ve worked with kinders-1st graders (it’s a combined classroom). This experience has also been eye-opening for me. First, I’m impressed with how much work goes into teaching, especially of the younger group of children (I give major props to teachers). Second, the kids are just so cute. I really value this activity because especially with this population, I think the public so easily neglects or forgets about them (often even demeaning them), and it’s easy to fail with that kind of societal pressure. I hope that by helping them in their education, maybe some of them will find a way out of this cycle and pursue higher goals.

Perhaps it’s obvious by now that a common theme I’m obsessed with is changing peoples’ lives for the better. I’m not sure why this matters so much to me. Maybe it’s because I was lucky enough to have so many important people who’ve helped me get to where I am today, and I know the value of having someone around like that. So in the end, I’d say I volunteered because my life has been “saved” for the better, and I hope that I can be that influence for some of these people too someday. (also a big reason why I went into medicine)

On a completely unrelated note, here is a cute owl video! I love cute things, I love owls… and that’s about the best I can connect it to why it might be relevant.