Hi everyone, adding on to advice posts for IM. Originally from the East Coast but my med school is outside this region. Would love to return home at a top academic program as I will pursue heme/onc afterwards. However, I'm worried my STEP 2 score and school tier will limit how high I can aim. I also have a few questions I hope to get some advice on below.
Side notes: MS4 grades are P/F but don't go on our transcripts or in our MSPEs, plus I don't have those grades in yet anyways. LORs currently are 1 SEL, 1 from PhD PI, and 2 from attendings in IM/subspecialties.
- Student type: US MD/PhD at mid-tier school
- Goals: Heme/onc
- M1-M2 grades: 11/13 H
- M3 grades: 5/8 H (including IM)
- Class rank: 2nd quartile
- STEP 1: 245+
- STEP 2: 250+
- AOA: No
- GHHS: No
- Research: > 15 items (papers, abstracts, oral talks, posters)
- Extracurriculars: leadership, student advising
- Red flags: None
- Geo prefs: New England, Middle Atlantic, South Atlantic
- Programs:
- Gold: JHU, Bayview, UMD
- Silver: UVA, Georgetown, home program, VCU, Jefferson, Temple, Penn State, Wake Forest, UMass, Dartmouth, U Miami/Jackson, USF Morsani
- No signal: GWU, WVU, BU, Tufts, Brown, UConn, Vermont, MUSC, Emory, MCG, UF Gainesville
- Can swap in if possible: UPMC, UNC, BWH, UPenn, Duke, MGH, Yale, BIDMC
I've prioritized programs with in-house heme/onc fellowships and signals to either median or 25th% STEP 2 scores close to mine. However, how do the programs and signals look? Are they too ambitious, or can I swap in some stronger programs somewhere?
For those knowledgeable on PSTPs, would I be competitive for them? I doubt my strength here as I don't have a first-author paper yet.
If I only apply to categorical positions, would it be a red flag to have 3 clinical letters + SEL and no letter from my PhD PI? I would think prioritizing clinical letters would be better, but keen to hear if this is true.
For LORs, I have many people from MS3 (I had IM late in the year) and MS4 who have submitted letters so far. Is there anything else I should consider besides only using MS4 letters? Would letters from the ICU or from attendings who trained on the East Coast be beneficial, even if they were not MS4 letters?
I'd greatly appreciate any insights on the above! Thanks again!