Advice needed. How can I as an incoming M1 at a rural Midwest school match EM at Mass General?

[Nontrad4life]

Esp now that STEP 1 is pass fail, I refuse to believe the battle is already lost based on pedigree. I want high level academic programs for 2 reasons
1. the fellowship I am interested in is only offered by the top hospitals in the country.
2. the upcoming state of EM means being a normal ER doc is out of the question.

So how can I go from unranked to a top 3 hospital?

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[justwantin]

1. Honor your rotations/ Honor-level marks on your away rotations too
2. Top percentile Step 2 score
3. Publish or contribute to EM as much as you can as a medical student--ultrasound, social EM, EMS, toxicology, critical care, global health
4. Do not be annoying

 

[treatem-and-streetem]

1. Crush SLOEs
2. Crush Step 2
3. Good extracurriculars (volunteer, research, leadership)
4. Dont be a dillhead

 

[MCATISEZ]

As an M1 being confident in your speciality is a bit of a leap of faith but okay!

Gunning for the exact program you want to be is actually insane.

Be a good medical student, work hard, keep an open mind, and good things will come. Best of luck.

 

[IR3A4]

1) Out of curiosity, what sorta fellowship are you refering to?

2) Being a normal EM is not out of the question, though where and how you'll practice will be different but this was always the case. Academic EM and those running a county ED have always been different, and will remain different, and the work therein can be tremendously different as well