5 Steps to a Successful Residency Interview

How to Nail Your Residency Interviews

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Posted in: Residency

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To many, November means mouthwatering memories of turkey and pie, but for students applying for medical residency, it marks the middle of interview season. Interviewing for a residency program is a critical moment in your medical education, and how you answer even basic questions can significantly shift your career path.

In the 2024 NRMP Program Directors Survey, 87% of all program directors (PDs) surveyed across all specialties cited the “interactions with faculty during the interview and visit” as an important factor when ranking an applicant. It was the second most important factor in who PDs selected, second only to interpersonal skills (which you also exemplify on interview day).

If the idea of residency interviews fills you with anxiety, you’re not alone. But you don’t have to feel anxious once you get to the end of this comprehensive guide. Combat your anxiety and make a good first impression by reading our handy tips on interview preparation.

Gearing up for residency applications? Download our FREE how-to application guide and increase your odds of matching!

Residency Interviews: A Brief Review

Medical residency programs attract hundreds of applicants to fill a few spots. It takes hard work to stand out. Your application has to be strong, but there are others with similar qualifications and test scores.

To begin setting you up for the best chance of success, let’s briefly review what a residency interview entails. Then, we’ll get into the steps of how to nail your residency interview prep.

How programs decide who to interview: USMLE scores, grades, letters of recommendation from mentors and professors, MSPEs, and a student’s personal statement. Note that a very large majority of programs use program signals to determine who to invite to an interview — though it’s not the only factor.

Which format to expect: Pandemic-related changes meant residency interviews shifted to virtual formats in 2020, rather than the then-common in-person format. Every program’s format is different, but the overwhelming majority of residency programs have permanently moved interviews to virtual. This helps level the playing field for IMGs and students from disadvantaged backgrounds, plus, it’s gentler on the environment to reduce cross-country travel.

Program types that still strongly favor in-person interviews are generally those with more program years and/or smaller cohorts, such as surgery (especially neurosurgery, with a 7-year residency length) and ENT. There is also a trend for programs in more rural areas to return to in-person interview formats.

Regardless of which interview format a program uses, you’ll generally enjoy a program overview with the program director and associate directors and either a panel or MMI interview. Some programs try to mimic the traditional “Interview Day” format, including meet and greets with current residents and possibly a virtual facility tour. 

Select programs offer “Second Look” days after virtual interviews for students most interested in the program, which can give you a chance to physically visit the facility and meet more staff. 

In general, expect interviews with each residency program to vary widely.

Expect obvious questions, like “Why apply here?” (which you can think through similarly to how you did in your medical school interview) but also expect behavioral questions. I found my sub-internships in medicine to be great sources of answers for behavioral questions, as these rotations were where I was most integrated into team dynamics.

Above all, be honest, forthright, and friendly. If you stumble at first, take a deep breath, recover your composure, then dazzle them with knowledge and charm. You’ve spent years working up to this moment and it’s your time to shine.

Fortunately, many residents report the interview for these programs to be much lower-stress than the comparable medical school interview. After all, it’s more like interviewing for a job than interviewing for the chance to pursue your dream career.

Step 1: Prepare Before the Interview

To nail your residency interview, you need to be prepared. We’ll go into preparation details in the following steps, but step one is all about being generally prepared before your interview.

Here are the basics on how to be prepared:

  • Research the program website ahead of time. Search for news articles about this residency. Use LinkedIn to study recent residents’ career paths or the program director who is interviewing you. You should know the ins and outs, the mission statement, the demographic makeup of previous years of residents, etc. Be prepared to ask the interviewer questions, and be prepared to make small talk where you can reference details about the program.
  • Do mock interviews. Med school faculty, other students, knowledgeable family or friends, or online resources can help you practice interviewing.
  • Prepare for the chosen format. For example, if your interview is online, make sure you have the Zoom link handy ahead of time. (Also make sure your video conferencing software is up-to-date before the interview starts. You don’t want to be late to your interview because Zoom is updating!)If it’s in person, make a what-to-pack list and ensure you have plenty of time between arriving and the actual interview to look your best.
  • Know your CV cold. Your interviewer might ask about the research, extracurricular, and rotation experiences listed in your CV. Make sure to review your resume so you can speak intelligently about your achievements. You don’t want to draw a blank, especially when answering questions about your own journey.

Once you understand the program, you have to work your knowledge and passion into the interview without being annoying, overeager, pushy, or awkward. Gently steer the conversation without dominating the interview.

The key is to establish rapport, then take a generic question, like “Why do you want to attend this program?” and give a detailed, compelling answer that utilizes your thorough knowledge of the residency program. 

Prepare for residency interviews with 1-on-1 mock interviews and coaching from a former admissions committee member.

Step 2: Make an Unforgettable First Impression

Residency program directors and interviewers will speak to dozens, if not hundreds, of candidates during interview season. You need to stand out, and we’re here to help you make an unforgettable first impression.

Below are the best tips for distinguishing yourself from the crowd with a stellar first impression:

  • Put care into how you dress and look. Dress like a professional, preferably in a suit/pansuit. Brush your hair. Make sure your breath smells good. For virtual formats, ensure you have a quiet, clean space where you won’t be interrupted (no one wants to see your dirty laundry during an interview).
  • Be punctual, as in early. “If you’re on time, you’re late”, as they say.
  • Be courteous to everyone you interact with on interview day, no matter how small the interaction. Try not to be a wallflower. Use positive body language, with interviewers, employees, and residents.
  • Treat every aspect of the interview day like it’s part of the interview. All informal meet-and-greets with anyone, for instance, are part of the evaluation process. Conduct yourself well on tours and in Zoom waiting rooms.
  • Offer a confident greeting (and a firm handshake if you’re in person).
  • Sit up straight. Slouching looks lazy, and leaning forward can be perceived as aggressive. Sit comfortably with your back and shoulders straight.
  • Don’t fidget. Fidgeting makes you seem nervous and high-strung.

Studies have shown that the first few seconds are critical to a successful interview. By exuding an aura of calm self-confidence through body language, eye contact, and facial expressions, you’ll create a lasting impression of competence and professionalism.

Step 3: Answer Questions with Confidence

Part of preparing for the residency interview process is practicing how to answer questions with the right mix of confidence, competence, and candor. Here are some tips on preparing to answer questions with confidence:

  • Show, don’t tell — when possible. Showing (in other words, using narratives, anecdotes, and examples) is the most memorable way to answer questions. Telling, in which you just answer a question with dry facts, can be forgettable and, at worst, a bit annoying.
  • Without being arrogant, be confident. This is no time to be modest and self-deprecating.
  • Pause to collect your thoughts, if necessary. A good answer after a pause is generally better than an immediate, meandering answer filled with um’s. Don’t be afraid to say, “Let me think about that for a second,” before answering.
  • Have examples ready from your time in medical school, relevant clinical practice, impactful patient care anecdotes, or extracurricular experiences where you were a leader or had to practice teamwork. Knowing about the program where you’re interviewing and these examples will prepare you to answer all of the common questions to expect on interview day.
  • Prepare questions to ask the interviewer in advance. Try to tie in something you know about the program, such as research you’re interested in, with your own experience.
  • Study STAR, which stands for “Situation,” “Task,” “Action,” and “Result.” STAR is a structured way to answer behavioral questions. Describe the situation you were in, the task you were given, the action you took, and the result you got.
  • Demonstrate your professional, concise candor in the way you answer. This confident way of answering may showcase your fit for the program.
  • Write down your strengths and weaknesses before the interview. Decide how your strengths can be discussed to convince decision-makers that you’re better than anyone else they will interview.
  • Use storytelling to help give color, context, and memorability to your answer. You may be able to call on life experiences. Incorporating multiple languages, negotiation tactics learned growing up in a large family, and any accomplishments you’ve earned in and out of school into your storytelling might give you an edge.
  • Don’t stop at a short answer when talking about your strengths. Most applicants will nervously volunteer a lame response. “I have excellent communications skills,” is a common, forgettable answer. If your interview starts with a broad question like, “Tell me about yourself,” you should be able to answer comprehensively in a way that paints a clear, unforgettable picture.
  • Be honest and open about your own challenges — where you may have made missteps or where you’re in the process of pursuing personal growth.

The American College of Physicians (ACP) has compiled a list of questions most commonly asked in medical residency interviews. AAMC also has a list of residency interview questions.

Step 4: Document Your Impressions

Immediately once you complete your interviews, document all your impressions — what you liked, didn’t like, and what stuck out.

This documentation will help you prepare for future interviews and also know how to drill down your rank order list before Match Week. In a few months, you may not remember the good or the bad things you noticed while interviewing or while touring the program.

Also, it’s good to review your own performance so that you can improve with each interview.

Read Next: Average Resident Salary

Step 5: Send Thank-You Letters

Thank-you notes are not just a formality; they show your professionalism, remind interviewers of your strengths, and may boost your odds of getting an acceptance offer.

Who to send these to: Send thank-yous to the interviewer(s) you spoke with.

What they should include: Reiterate your interest in the program and mention highlights about your discussion. 

How soon you should send them: As soon as your interviews are finished, send thank-you letters.

Learn More: Send a Letter of Intent to Your First Choice Residency

FAQs

Yes, you may immediately contact them with follow-up questions post-interview. It is not appropriate to try to influence their decision, but it is perfectly acceptable to ask clarifying questions — especially if the interviewer gave you their contact info.

Basically, handle follow-up communication professionally, and don’t be annoying.

The AAMC reports the median cost of in-person residency interviews is $3,000 to cover travel, meals, lodging, and other fees (ranging anywhere from $400 to $7,000). However, virtual residency interviews are much less expensive and possibly add no costs. All you need is a good-looking suit and an HD webcam, which you may already have before the interview.

The average student interviews with 10-15 residency programs before the Match after applying to 21-58 residencies.

One major factor is how competitive you are as a residency candidate. Another major factor in how many residencies you’ll interview with is the competitiveness of the specialty you want to go into.

95% of Our Students Match Into a Top-Five Program 

Adequate preparation and a strong sense of self-confidence can alleviate any stress around upcoming residency interviews. Part of your prep should be working with MedSchoolCoach experts. 95% of our clients match into one of their top five choices for residency.

You should become much more relaxed as the season plays out after you have a couple of interviews under your belt. It’s a fun and exciting time — remember to enjoy it. Good luck!

Practice makes perfect! Schedule mock interviews with a former admissions committee member to maximize your odds of matching.
Picture of Amar Mandalia, MD

Amar Mandalia, MD

Dr. Mandalia is an accomplished medical writer with multiple manuscripts in peer-reviewed journals and a practicing GI physician in the Orlando area. He is the Admissions Advisor for MedSchoolCoach and has extensive experience helping students get into medical school and residency.

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