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Planning Your
Fourth-Year Schedule
or third-year medical
students planning to
specialize in emergency
medicine, preparing a
fourth-year schedule can be
a daunting task especially
if you dont know where to
turn for advice. We hope that
by sharing our experiences,
you will be well on your way
to securing your top-choice
residency spot.
10 EMRA | www.emra.org
OTHER SCHEDULING
CONSIDERATIONS
When should I take Step 2?
The importance of your Step 2 CK score
may vary from program to program, but
unless you feel that you underperformed
on Step 1 and need to prove yourself
with Step 2 CK, your EM rotations
your fourth-year schedule. If you
underperformed on Step 1, its essential
that you study hard for Step 2, show a
marked improvement in your scores, and
have these scores posted to ERAS by
the time residency programs can begin
logging in to view applicants. Unless you
feel that you under-performed on Step
1 and need to prove yourself with Step 2
priority when planning your fourth-year
schedule.
Osteopathic students interested in applying to ACGME residency programs must
carefully consider when to complete USMLE Step 2. If you took USMLE Step 1 and
COMLEX Level 1 and did well on both, you may be able to wait; however, the key is
to remove as many potential concerns about your application to increase your chances
of getting an interview. Give the ACGME program directors what they want a USMLE
Step 2 score.
As for Step 2 CS, many students complete this during spring break of their third year
and pass without any problems. The sooner you can get this hurdle out of the way,
the sooner you can focus on everything else that goes into making an outstanding EM
applicant.
What months should I plan for interviews? Each medical school has its own policies
on how time off for interviews is handled. Some programs will begin interviewing in late
October, and a fair number continue through January, but November and December
seem to be the peak times for interview dates.
during this time period, such as a reading month, computer-based asynchronous
courses, self-directed research or other projects, or other opportunities to earn credit
without having to be in clinic. Dont be shy (but do be polite) about asking course
coordinators what the typical duty hours are for a rotation and the possibility of
options for making up missed time. It is best to do this well in advance.
Resident
EM
Official Publication of the Emergency Medicine Residents Association
February/March 2014
VOL 41 / ISSUE 1
Intubation,
hyponatremia,
billing, fellowships
and more