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Tuesday Mar 22, 2016

Lessons Learned From the Match

Since my previous blog post about my experiences along the residency interview trail, I’ve been touched by the number of friends (many who I hadn’t spoken to in years) who reached out with either words of encouragement or requests for advice regarding my journey to pursue family medicine.

My vision of providing quality health care for all was shaped by a family physician who founded a mobile clinic for his community’s underserved -- primarily homeless -- population. It's a vision of care that isn't limited to the confines of a four-walled clinic. It's primary care that improves the physical and mental health of the community I serve.

My medical school doesn't have a family medicine department, but I was one of three Johns Hopkins students who matched into family medicine. Here I am (second from left, Swedish Family Medicine Residency) celebrating with Adi Rattner (far left, Boston University Medical Center), and Rhianon Liu (right, Sutter Medical Center of Santa Rosa) after opening our letters. Family physician and faculty adviser Nancy Barr, M.D., also is pictured.

I continued to clarify this vision throughout medical school and searched for family medicine residency programs that could further structure my growth. On March 18, I learned which program I matched into, along with more than 3,100 other new family medicine residents. This was the seventh year in a row that the number of students matching into family medicine has increased.

Match Day is not only a pivotal life event that celebrates the latest class of future physicians leaping forward, but also a day of inspiration for all medical students. I recall peering down onto the second floor atrium of our medical school building, watching the prior graduating students open their envelopes simultaneously. It has been exhilarating to watch people’s expressions change as they learn their destiny. This year, it was my turn to be the one jumping up and down, face plastered with a giant smile, hugging friends nonstop as we all learned of our futures.   

Medical students are energized by fourth years who match into a specialty of their personal interests, and they’re optimistic that they, too, can achieve their aspirations.

But despite all the excitement exuded by the graduating seniors, this special day may also elicit stress. Questions immediately arise.

"How can I be a strong applicant like him/her?"

"What activities should I get involved with?"

"Who should I be working with, and who should I be asking to write letters of recommendation for me?" 

Without a family medicine department, medical students at my institution relied heavily on upperclassmen, outside mentorship, and the AAFP website for answers. Here is some of the most high-yield advice I received:

  • Schedule a family medicine rotation in your third year. Family medicine isn't a required clerkship at every medical school. I was fortunate enough to rotate at a nearby hospital as a third-year medical student, which allowed me to gain exposure to family medicine early on. Primary care is delivered in so many ways, so consider experiencing it in a setting you're interested in -- rural, urban, underserved, community hospital, and many more. Each setting may also have specific clinical interests such as sports medicine, maternal care, geriatrics and others.
  • Attend the National Conference of Family Medicine Residents and Medical Students. Due to family medicine's broad scope of practice, this conference benefits students of all specialty interests. First and second years gain a better understating of what family medicine is and the bright future it holds. Third and fourth years explore hundreds of residency programs and identify potential programs they want to apply to.
  • Strolling Through the Match provides a great overview of the residency application process, and it’s free! Ask your Family Medicine Interest Group or local state academy for hard copies.
  • Get involved with the AAFP. The Academy offers incredible opportunities to work closely with inspiring family physicians and future leaders of health care. Positions range from the student level -- such as FMIGs -- all the way up to sitting on the Board of Directors at the national level. I started out as a member of my state academy, served on an AAFP commission and later ran for the Board. I've learned so much and loved every minute!  

When people ask me if family medicine is the right fit for them, I first ask what inspired them to pursue medicine. Was it a specific mentor, patient or experience? Furthermore, how did they initially envision practicing medicine, and how has that vision changed throughout medical school? I also refer people to a great article that answers frequently asked questions about the importance of family medicine.

Throughout medical school, I often reflected on the family physician who shaped my perspective on medicine. As a third year, I realized I truly liked every rotation, but I often saw patients admitted for conditions that could have been prevented if they had a primary care physician. The holistic, full-scope care delivered on my family medicine rotation demonstrated to me a strong future for primary care, and I wanted to be a part of it.

On March 18, I nervously scrambled to FaceTime my parents while counting down until the clock struck noon, and then I opened my sealed envelope. I'm honored to announce that I will be joining my No. 1 program, Swedish Family Medicine Residency at Cherry Hill in Seattle!

Many thanks to my family, friends, mentors, and everyone I have met in family medicine for their unwavering support. I have been so fortunate to be blessed with these great opportunities to grow as an individual as well as a future physician. I hope my personal story will inspire students to achieve their dreams, too, and show them it isn't a one-person journey.

Tiffany Ho, M.P.H., is the student member of the AAFP Board of Directors.

Posted at 03:51PM Mar 22, 2016 by Tiffany Ho, M.P.H.

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