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Disintegration

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  1. Questions from private messages that I'm just getting around to now. Apologies for the delay. "...what extracirriculars would you suggest I get invloved with while in dental school consisidering how busy things can get?" I touched on this earileir in the thread but I'll re-itterate it here. I did not have very many ECs and, to be honest, nether did the majority of the people in my class that applied to OMFS. ECs tend to be, based on what I hear, more critical for ortho, endo, peds etc. With OMFS, to get that first step in the door (interview) it really is a numbers game. ECs definitly can come in handy during the interview, but they wont really be a game changer. I just had the typical dental school stuff. I'd suggest at the very minimum to get invloved with your instituion's OMFS interst club as that will also help come application time. Dont get too caught up in the ECs just because all the people around you are scrambling to pat their CV. CBSE/GPA/Rank are supreme. "I took [the CBSE] for the first time and scored a 62. Should I retake?...I really dont want to since I hear people match with high 50s/low60s all the time" Take it again. Probably sucks to hear that but while a 62 is actually decent for a first attempt, its not where you want to be for appications. You have nothing to loose by taking it again (other than free time). When looking at your appication ask yourself how you can imporve it. Things like GPA and Rank are likely set in stone at this stage but your CBSE is where you control things. At the very minimum, I'd aim for a 70. Good luck. "Scored a 70. Would you suggest I retake it?" Difficult one to answer to be honest. If you have the time and energy to, I'm inclinced to say yes, but a 70 is a very respectable score. It really comes down to how satisfied you are with that number and how that number looks as a part of your whole application. I know poeple that decided to retake after scorring a 70 and others that didnt. Your call. "How much input to current residents have during interviews?" This is something that is very program dependant. Based on what i know at some porgrams the descions on who to invite is made by attendings and then rising cheifs can create their own rank list that will be taken into consideration when the overal rank list can be make. Somtimes rising cheifs can blackball applicants for whatever reason. They may even ask first year residents for opinions on externs that they are considering on inviting for an interiew and/or ranking. Again, it goes without saying that one should always play is safe and interact with all residents (regardless of year), as if they have a say.
  2. "...what's a good number of interviews that puts me in a good position to match?" As you can imagine, there isn't a very straightforward answer to this. So many variables are at play. But generally, I would say that 8-10+ puts you in a good position, statistically. But keep in mind that if you are bombing each of your 8-10+ interviews without knowing it, those statistics don't really matter. Don't get caught up on the number of interviews too much as a safety net. Reflect and do your best to learn from your first couple of interviews about things that worked/things that didn't, and implement changes as you move forward. This isn't meant to make you nervous, but I know people that matched with just 2 interview invitations and people that didn't match with 17+ invitations. It's not just a numbers game.
  3. Interesting question. During interviews, I ran into maybe 1-2 people that had a DMD/DDS as well as a MD (or DO) degree. Based on talking to them it seems that they were primarily, if not only, applying to 4-year programs. Not sure what the policy on this is at my program or at other 6-year programs, to be honest. I perceive having the MD as a benefit, especially for 4y programs. With 6y programs it may get tricky depending on what their policy is. I would contact programs directly about this to get a more accurate answer. Good luck.
  4. I interviewed at these programs and that is the only perspective that I can speak from: UNC (6 year): Good scope of practice. Heavy on orthognathics (Dr. Turvey and Dr. Blakey are big names in this field). No Cancer here. They just added a former resident that completed a cosmetics fellowship and recently added a faculty that completed a craniofacial fellowship. So their scope seems to be expanding. Overall the faculty seemed great and there are a lot of them. Residents also seemed great and easy to get along with. Only end up doing about 1.5 years of medical school. I think residents end up being on service for about 36-38 months, which is great. Affiliated with the UNC Dental School, which is beautiful. Chapel Hill is a great area to live and personally I would prefer it to many of the bigger cities. Matter of taste though. Here is a great breakdown a resident did of the program recently: https://forums.studentdoctor.net/threads/unc-omfs.1185052/ UPenn (6 year): Also good scope of practice. TMJ surgeries are big here. They have recently added a Micovascular/Oncology fellowship trained faculty, so they seem to be expanding their scope. PD is great and very approachable. Good group of residents as well. It’s also affiliated with the UPenn dental school. Philly is a good place to live and especially if you like to eat. BI/Jacobi (6 year): this program does not get talked about as much as it probably should, but it is a very solid program. True full scope training with dedicated faculty. There is a fair bit of commuting when going to Jacobi, but it’s not a deal breaker in any sense. Great group of residents. Probably one of the best post-interview dinners you will have. They have a history of taking a fair number of Canadians. The PD is actually Canadian himself from what I remember. St. Joseph’s (4 year + MD option): Good program in NJ. Traditional broad scope. Cant remember if they do any cancer but I don't think they did. They get to do a fair bit with one faculty who is plastics trained. Great group of residents and the PD is very friendly and approachable. He gives the interviewees the tour of the hospital himself. There is an MD option available at New York Medical College from what I remember. Patterson is not the best area, and not a good place to live, but most of the residents said there are a bunch of places in surrounding towns that have ample housing available. MHG (6 year): A broad scope program affiliated with Harvard’s School of Medicine. Harvard’s prestige is made clear right from the start of the interview day when you meet up in the Ether Dome. Faculty seemed approachable for the most part. Residents also seemed cool, but we didn't interact with too many of the lower year residents. Boston is a great city in all respects.
  5. This pretty much sums it up. Read some of the previous posts on some more details, but this idea was already addressed. There is a link in a previous post with the stats of the recent match. In my interview season, I ran into about 4-5 Canadians a bunch of times. After you take care of all your numbers (GPA, CBSE, Rank), as a Canadian, the idea is to apply broadly and land as many interviews as possible. A small caveat...the whole the idea of being well-rounded and volunteering a bunch only goes so far with OMFS applications, from my experience. Most of the time no one cares. That's not to say not to do those things, but don't be under the impression that it's going to be a game changer. Focus on CBSE, Grades and Rank (if applicable) and some externships. Read some of the previous posts on details on each of those. Not sure since I never applied to Canadian OMFS programs. Good luck.
  6. "...if you can recommend how many months of studying would be necessary for a non-medical school based dental school student to get 205-220 (72-80 CBSE) on Step 1, that would be great." There isn't a straight answer for this. I know people that studied for 1 month and scored 94 and some people that studied 12 months and scored 62. The main question is not necessarily "how many months", but how efficiently you use those resources I mentioned in a previous post. The notion that "more time = better score" is not true. You may come to realize this in dental school, because I know I did. To be quite honest, I don't think I learned how to actually study until dental school. Personally, I probably studied for a total of about 4-5 months.
  7. Let's say you get mid 70 on CBSE, how helpful is that for a 4 year program (since it doesn't have the MD component)? It's very helpful. The CBSE, like mentioned before, is a critical component of applications (some may argue the most important) regardless if its a 4year or 6year program. In my graduating year, of the people that matched, the large majority had 70+, and of that, many had 75+. We had a mix of people some applying to 4, 6 or both. On the interview trail, scores below 70 were relatively uncommon in the grand scheme, regardless of 6y or 4y. With that being said, it really depends on when you are applying. Average applicant scores tend to be going up year by year.
  8. Not sure on that. I'd think the difficulty would be compounded if you were to also try to get hospital privileges. It can get messy. That's huge for you. Basically, you won't have any restrictions on applying to programs since you're treated the same as a citizen. Good luck bud.
  9. There are a fair number that will still accept 2nd years, but it's better to just do them after at least finishing 2nd year of dental school. This cycle, 7 matched from non-US dental school of which 4 were from Canadian dental schools. Remember, that this number does not include all the Canadians that are at US dental schools as they fall into the 212 that matched from US dental schools. Here's a link to the stats for those interested. I wouldn't say that American applicants are held to a "much lower standard". People not matching with a 70CBSE and 3.8GPA doesn't seem like a low standard and that happens more often than you would think. But like I've mentioned in a post above, Canadians need to do their best to stand out. That includes not only Canadians in Canada but also ones in US dental schools. Is the CBSE a tough exam? Yes. But is it possible to do well (70+) by studying smartly and efficiently? Yes, without a doubt. It's all a matter of focussing on HY material and learning the information in a certain way; a way that using UWorld helps emphasize.
  10. Medstar: A fantastic 4year program. Traditional scope training in a nice part fo DC. Fantastic group of residents. A great faculty as well. Lots of trauma and the on-call schedule is pretty demanding but not a single resident complained about it. Maybe 8-10 call days a month. Very approachable faculty as well. Both the chair and PD seemed like great people to work with. I would consider this one of the top (if not the top) 4y programs in the country. Jefferson: Solid program with both 4-year and 6-year spots. A very faculty-driven program. Philly is a great city. Residents seemed like a good group of people. The new med school curriculum now requires residents in the 6y track to do about 6months more of medical school. This is a trend not exclusive to Jeff. A fair number of med schools are undergoing curriculum changes and the impact on the 6y tracks can be significant at times. Loyola: Great 4y program. Faculty and residents all were very approachable. This program tends to go under the radar at times, but its a very good program. A traditional scope training and probably has one of the best VA affiliations I have come across. Residents are placing implants there at an insane rate. Maryland: UMMC is a beast. Extremely busy program with two 6y spots and one 4y spot. OR cases throughout the week and weekends. Associated with UMMC’s R. Adams Cowley Shock Trauma for which OMFS covers face trauma every Thursday and alternates with ENT and Plastics for over the weekends. OMFS has a very strong presence at this hospital. Externs should take trauma call. An oncology heavy program. Lots of benign and malignant path cases. Multiple neck dissections per week. Glossectomies, maxillectomies, mandibulectomies are common. They also do about 2-3 free flaps per week, with 2 of the 6 faculty dedicated to microvascular reconstruction. Residents and faculty are very eager to get externs involved. Case conferences every Wednesday 8am-12pm. Residents were all very friendly and accommodating. Rising chiefs seem like a great group of people. Take 3 non-categorical interns per year. I wouldn't think would be that hard for Canadians to extern at American programs. I came across many Canadians that had externs at American programs. Look up on the websites and contact the programs to get a better idea of how to apply. The best and most practical time to extern would be in the summer after your 3rd year of dental school. But you'd have to gauge how your dental school curriculum is, when you plan on taking the CBSE, NBDE, etc. Try to do 5 weeks at 2-3 different places. If you can do a week here and there earlier that would a good idea too just to get your feet wet with how OMFS residency and externships works.
  11. Sure. What exactly did you want to know? That list is a good place to start. I'd recommend first reading what you can about the programs based on their websites and the "OMFS Programs Overviews" thread on SDN. Also, like I mentioned earlier, check to see if they are indeed Canadian-friendly during your application cycle. Things change from year to year. If you have specific questions regarding any of the bolded programs, ask away.
  12. What dental school GPA is competitive for OMFS? This really varies. Obviously, the higher the better. Generally speaking though I would really recommend trying your best to stay above the 3.7 mark. But even then, I know people that matched with 3.6 but had good CBSE scores (70+). A good CBSE can make up for mediocre GPA, but only so much. But with that all being said, I would say that at least 50% of the people that applied to OMFS from my year had GPA 3.9+ and CBSE scores of 75+. Things get competitive for OMFS applications. Is undergraduate GPA an aspect that could be brought up in OMFS interviews? To a certain degree, yes. It may not come up during interviews as a question per se, but the PASS application will require you to upload a copy of your UG transcript and some schools may even ask for official copies to be sent to them directly (this can get annoyingly expensive). The 6-year programs are the ones by far that care most about UG grades since it plays a role in the 'Medical School Admissions Committee' side of things. Does going to a more "well-known" school help with matching? There is really no answer to this question. Certain dental schools tend to pump out a lot of people that go into specialties. The age old question is: Do these schools just attract people interested in specializing from the outset? Personally, just based on the way programs directors and faculty speak about certain schools, I do believe there is a certain edge (minimal), but its all heavily debated. I feel that school name helps an applicant that already has a solid application; it just adds that "extra punch", if you know what I mean. You'll see in the interviews, schools like Harvard, Columbia, UCLA, UPenn, etc. will dominate the applicant pool. It's really hard to dismiss the sheer number of students those schools put in OMFS interviews and subsequently, residencies . That being said, there are always applicants from all over the country, but the aforementioned pattern is hard to miss. I know that really does not answer your question, but that's the best I can do.
  13. How does the match work? Basically, after your interviews you rank the programs based on where you'd like to go. Use no other tactic to rank places otherwise it can burn you. Programs create their own rank lists based on who they interviewed. An algorithm is applied to the lists and you match (or don't match). Refer to these to get a better understanding: - https://www.natmatch...utoverview.html - https://www.natmatch...s/aboutalg.html Is it important that I rank certain schools higher? Again, always rank based on where you would like to go, not where you felt your interview went better or worse, or where the PD told you they will rank you high. The match will always defer to the applicant, so it will always take into consideration your preference over a program's. Should I apply for a VISA this year or is that only done by the schools? ​No. If you match, programs will help you with that process. Don't worry about it now.
  14. How difficult is it to get into a 1-year non-categorical internship for OMFS? And what is the likelihood interns match into OMFS the following year? There a fair number of positions. I'm not sure on the application to acceptance ratio. Applying usually requires you sending the program a CV, personal statement and CBSE score (if you have taken it). Many interns match every year. They can match to the program they interned some times (even though there are some programs like UT-Southwestern that has a policy of not taking their interns). Are there any differences between the 4 and 6 year programs besides the latter being able to pursue fellowships? The MD track is essentially a necessity for the large majority of fellowships in microvascular/onc, craniofacial, cosmetics. Some will say that having the MD also makes going into academics much smoother. That is true, but there are many 4y people that go into academics as well. The MD just tends to open some doors at times. My Opinion: If private practice is your goal and you have no actual interest in medical school education then a 4y program is your best bet and you'll get great training. But 2 years in the grand scheme of things is not that long and if you have drive to learn + have a bit of an ego , then a 6y program will never hurt you. The way I see it, you'll never regret getting more education. How will the ADAT be used for matching? As of now and for the foreseeable future the ADAT will not be a major part of OMFS applications. Even though some programs have said they require it, i don't believe it was ever enforced. Here is the AAOMS position on the ADAT as of March 2016: " The AAOMS strongly encourages programs to include the National Board of Medical Examiner’s Comprehensive Basic Science Examination (NBME CBSE), as administered through the AAOMS, as a validated and reliable measure of medical basic science knowledge and its clinical application. This measure is particularly useful in assessing applicants whose predoctoral record does not include GPA or class rank information. Although the American Dental Association is developing a new examination intended to perform a similar assessment (the Advanced Dental Admission Test, ADAT), this examination has not yet been fully developed, piloted, or psychometrically validated. It is therefore not recommended for use in selecting oral and maxillofacial surgery residents." Source: http://www.aaoms.org/docs/education_research/edu_training/statement_on_resident_selection.pdf Does the number of CBSE re-writes affect chances of matching? No. Not at all. Take it as many times as you want. Only the score you submit with your application will be seen. Most people take it 2 times. You'll also have some that only take it once and others that take it 3+ times. When is a reasonable time to take the CBSE? I'd suggest to take it the first time the summer after 2nd year of dental school. That would still leave you with 2 more shots at it before your application cycle starts. That being said, as of recent, I've seen students take in as early as the summer of 1st year. Not a terrible idea really. Just keep in mind that most dental school curriculums haven't covered the majority of the basic science that is applicable to the CBSE at that point. But if you are in a non-med school curriculum dental school, you end up teaching yourself virtually all the material anyway. Just don't let your dental school grades suffer in the process of preparing.
  15. (more PM questions) So which are the Canadian friendly universities? May be semantics, but many OMFS are not university affiliated. Some are, but the universal thing is that they are all hospital affiliated (usually at least 2-3 affiliations). Of the 60+ programs in the USA, there are some that are considered Canadians friendly as they have had a history of matching a Canadian here and there. Here is the list based on when I applied, but keep in mind that things change from year to year, so the best thing to do is to contact programs yourself during your application cycle to get a confirmation. (The ones bolded are ones that I can provided some specific information on) Cornell UNC UConn Columbia UPenn Beth Israel/Jacobi Jefferson BU Tufts St. Joseph's Montefiore Medstar Rochester MGH Loyola Carle Indiana Minnesota Phoenix VCU Maryland As a fourth year dental student going into a GPR, who developed interest in OMFS and did not have a competitive GPA/class rank, what do you recommend doing to do help my case? Try to get as much exposure to OMFS during that GPR. Focus on things you can do to make your application better for OMFS. Your GPA and rank are set in stone. But a solid CBSE score can do wonders with regards to getting interview invitations. Look into doing a 1 year non-categorial internship at a program. You would function virtually identical to a PGY-1 (minus off service rotations) and get invaluable experiences in an actual OMFS residency. Many programs will have non-categorial internships. Look around on program websites. Doing an internship shows program directors your genuine interest in OMFS. Good luck to you.
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