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.