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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
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April 11-13, 2019
Internal Medicine Meeting 2019
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If an applicant were to fail a subject in a P/F grading
medical school curriculum, what is the most likely impact on
competitiveness in the residency application process?
Program Director 1 Response
If everything else is OK, be prepared to discuss dispassionately
and take responsibility. Blaming means you're not low maintenance.
Excuses mean you're not low maintenance. If they don't bring it up,
you should. It may mean they missed it initially and it will come
out during ranking when you have no ability to respond. A student
who says, "I screwed up and didn't know how to prepare for that
course/rotation, and now I know. Look at my rotation where I
applied where I learned from my experience" will never get tanked
because of it. Sometimes interviewers will go to the mat for
someone who failed and came back better for it.
Program Director 2 Response
Failing grades anywhere is not good and can impact your
competitiveness greatly. But if you are selected to interview, you
should have a good, well thought-out explanation for the failure
and what you have learned and what you are doing differently as a
result of it.
Program Director 3 Response
Failure of a clinical clerkship rotation is a big red flag to me. I
can be more forgiving of a basic science course, especially if
USMLE scores and clerkship grades are strong. Failures should be
addressed in the personal statement if there is a contributing
explanation, and should also highlight your subsequent successes. A
story of overcoming adversity can be inspiring provided it's not
Program Director 4 Response
Any failure should be explained by both the MSPE (Medical Student
Performance Evaluation - the Dean's Letter) as well as by the
applicant (in the personal statement). If there were extenuating
circumstances, say so. If there weren't, say what your response was
to the failure....good or bad. Show some honesty and insight into
the imperfect life of humans.
Program Director 5 Response
A failing grade in any class or rotation will certainly stand out
in an application and is not looked upon favorably. However, if
this is a one-time occurrence and the rest of the credentials are
strong, it is usually not a reason to screen out the application or
exclude the applicant from interviews. Program directors understand
that there frequently are extenuating circumstances that can
explain an anomaly on an application.
Program Director 6 Response
An 'F' on the transcript will compel the program director to
closely scrutinize the Dean's letter to see if there is an
explanation. Hopefully, the Dean will provide some insights and be
aware of extenuating circumstances. The student should therefore
meet with the Dean to ascertain what will be stated regarding that
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Ask the Program Director is a new feature that focuses on
providing medical students practical advice to help them navigate
the process of obtaining a residency position in internal medicine.
Issues covered include: CV development, writing a personal
statement, the Match process, residency program interviews, and
November 2011 Issue of IMpact
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