A Reflection on The Match: Appreciating and Addressing the Financial Burden on Students

By Justin D. Triemstra

Match day.

Those two words can bring back a fountain of emotions for physicians.  For some, excitement and thrill. For others, anxiety or sorrow. But for most, a significant financial burden during a time of limited income. A recent discussion with a fourth year medical student reminded me of this important, yet under-recognized dilemma. One that can affect the geographical diversity of residency classes and increase disparities for students coming from low resource settings.

Since 1952, The Match has placed medical students into residency training programs. In 2017, 43,157 registrants entered The Match with 31,757 filled positions. To obtain a filled position, many students attend a significant number of interviews with the mean number of interviews attended at 12 for matched applications in 2017.1 Each interview adds to the financial burden for students with recent studies in Emergency Medicine reporting an estimated cost per trip to be about $350.2,3 With an average number of interviews attended at 12, we estimate an average medical student will spend $4200 during interview season; a significant burden for a non-salaried trainee and a number that is likely much higher for a significant number of applicants.

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My Classroom Is Empty: Is That a Problem?

By Kamran M. Mirza

I am no stranger to disseminating information to a group of individuals junior to me.  As a resident and fellow, I have taught many medical students in a classroom setting.  As I think back to these sessions now, I find that they were all in a setting where the student’s presence was mandatory; a review session, a laboratory etc. Nevertheless, my love for teaching grew in those sessions.  My passion for novel pedagogical approaches to pathology education led me to seek a faculty position.  I felt that there was so much I could try and achieve.  I was very excited to become pathology faculty.  What a great honor.  I couldn’t wait to meet my students.

Last fall, as I walked in to my first lecture, I found a half-empty classroom. Rows upon rows of…. no one.  Who will be the beneficiaries of my innovative theoretical pedagogy?  This was even more unusual since the lecture in question is one of the first three lectures of the M2 curriculum, typically scheduled for the first day! In the few years I have been teaching this course, I always found the entire class showing up for Day 1.Read More »