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Residency Personal Statement Examples from Matched Residents

Use these residency personal statement examples as a reference as you are working on  preparing you residency applications . The following are printed with permission from our own past successful students who worked with us as part of our  application review  programs. If you are having trouble getting started, you are not alone. Many students find that the personal statement can be one of the most challenging components of the  ERAS  or  CaRMS  residency applications. However, your personal statement can make or break your application. Get started on the right track by following the guidelines outlined for you below reviewing the emergency medicine residency personal statement example , pediatrics personal statement example , cardiology personal statement example, and more..  

This blog will outline what types of things to include in your residency personal statement. It will also give you 10 examples of personal statements from 10 different specialties written by actual students who matched into those fields. Reviewing personal statement examples is also good essay writing practice if you decide to write a residency letter of intent . Many of the same principles you apply to the personal statement can be applied to other application materials as well, so consider this review comprehensive. Believe it or not, personal statements also entail a great deal of self-reflection, which means they also function as a great review for residency interview questions , like the “tell me about yourself” residency interview question .

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Article Contents 39 min read

Residency personal statement example #1: family medicine.

During the pre-clerkship years of study in medical school, I enjoyed learning about the many specialties within medicine and actively considered pursuing several of them. I was drawn to the complex pharmacology of the drugs used by anesthesiologists, the acuity of care faced by emergency medicine physicians and the complicated medical issues of patients cared for by internal medicine specialists. I also found myself interested in psychiatrists’ thorough history-taking and the technical skills in performing procedures exhibited by surgeons. It started becoming clear to me that I was interested in many different areas of medicine. I began realizing that I wanted a career that combined the many things I enjoyed in different specialties. A family physician has the flexibility to practice all of these facets of medicine. As clerkship drew nearer, I knew I wanted to gain more clinical experience in family medicine to see if it would be a good fit for me.

My clinical experiences in family medicine were fantastic. I worked with family physicians and family medicine residents not only during my core family medicine rotation and family medicine electives, but also during my psychiatry, surgery, anesthesiology, and pediatrics rotations. These clinical experiences confirmed my belief that family medicine is a diverse and exciting specialty; family physicians, while maintaining a broad base of medical knowledge, can tailor their practices to the needs of their communities and to their own interests and areas of expertise. During my family medicine rotation and electives, I also found myself greatly enjoying my encounters with patients. I enjoy hearing patients’ stories and sorting through their many medical and psychosocial issues. I am also naturally a fastidious person. Being a thorough history-taker and a meticulous recorder of details helps me in formulating a complete story about a patient. My joy in interacting with patients and my attention to detail allow me to appreciate patients as people, not just as disorders or diseases. I am both interested in learning about and have a certain affinity for, family medicine clinical experiences; pursuing a career in this specialty is an obvious choice for me.

The versatility and diversity of family practice initially drew my interest but the wonderful encounters I had with family physicians solidified my desire to pursue a career in this specialty. These family physicians have not only been skilled and knowledgeable clinicians but also, variously, dedicated teachers, researchers, and administrators. They were committed to improving their clinical skills by attending continuing education lectures and courses. They practiced patient-centered care and were knowledgeable about community resources that may help their patients. They worked cooperatively with other health-care professionals to improve patient care. Importantly, these physicians have also been friendly and approachable towards both learners and patients. The family physicians I have worked with also strive toward a healthy work-life balance; all of them seemed to have many interests and hobbies outside of their professions. These clinicians demonstrated to me what being a family physician involves: practicing both the science and art of medicine, advocating for patients, guiding patients through the health-care system, being committed to improving clinical knowledge and, importantly, maintaining one’s own health and happiness.

Being sure of the specialty I want to pursue is the first step in my career. There are many learning opportunities ahead. [Name of the program]’s family medicine residency program is attractive in so many ways: the protected academic days, the opportunity to participate in research and, most importantly, the clinical curriculum, all appeal to me. I believe the solid foundation of family medicine experience, as well as the exposure to other specialties, alongside the opportunities to build the skills necessary for life-long learning through the academic experiences and research, make this an ideal program for me. On a personal note, I grew up in [hometown] and did my undergraduate studies at [name of university]; I would be thrilled to return to my hometown and a university already familiar to me. My career goals after finishing my residency include having a community-based, urban family practice and being actively involved in teaching residents and medical students. I am also open to being involved in research and administration. Career goals, however, may change as I progress through my training. I am excited to begin the next stage of medical training and begin my residency in family medicine!

1. Emphasis on why the applicant wants to enter that specific specialty

This family medicine personal statement example does a great job of explaining why the applicant wants to enter that specific specialty. Their interest is clearly stated and the decision to enter the field is well explained. The author does an excellent job of talking up the specialty and stating what they like about the field based on their clinical experience. For your residency personal statement, you want to highlight any influential moment you had during these experiences. If you had a certain “aha” moment, you might mention this. If demonstrating this commitment is difficult for you, you can always find a reputable ERAS application review service .

2. Intentions are clear

Clearly stating your intentions and using the program's name makes your statement personal and stand out. It shows that you pay attention to details and that your goals and passion align with what the program offers. Use strong, precise language when you are writing. You only have about 800 words, so state your intentions and keep your story clear.

3. Personal connection is established

This particular applicant has a personal connection to the city in which the residency would take place. This won’t be true for every applicant, but if it is, be sure to make room to mention it as long as it fits with your personal narrative. In this example, the applicant also ties this in with one of their goals: having a community-based, urban family practice. In your personal statement, you should merge these elements together for a more cohesive essay.

What to Include in Your Personal Statement

Most residency programs, whether through  ERAS  (US-based) or  CaRMS  (Canada-based) require applicants to submit a personal statement or letter. Some programs will include specific instructions for what they wish you to talk about, while others will not give you a topic. When you’re doing your research for residency programs you want to apply for, you should also take a look at the selection criteria. Each school will have its own rubric that they use to evaluate candidates, so it’s a good idea to review these before you start working on your personal statement. Here is an example of some information stated by McMaster University regarding their residency selection criteria:

“Programs may consider a range of criteria in making their selection decisions for interviews including but not limited to: Medical School Performance Report (MSPR), scores on standardized tests, interest in and aptitude for the discipline, reference letter, experience in research or other scholarly activities, extracurricular activities, and personal qualities.”

ERAS, as well as most CaRMS programs, ask that your statement be within a one-page limit, about 750-850 words. Please check the specific program requirements through the ERAS or CaRMS websites.

The experiences in your  residency CV  can be used to help you indicate why you are applying to a particular program and how you came to that decision.

1. Introduction

Typically, your residency personal statement will have three to five paragraphs, which you will use to divide the introduction, body, and conclusion. The personal statement is a formal essay, so you must adhere to the proper structure. The introduction is for you to capture the attention of the reader; for this, you will need a strong hook or opening statement. Feel free to get creative with this. The remainder of your introduction should focus on what drew you to the specialty and how your background experiences informed your decision to apply to the school and program. Your introduction should also contain a thesis statement that allows you to connect your personal background with your suitability for the program, school, and a career in medicine (in this exact specialty).

2. Body (or middle)

The body of the essay is for you to expand on a few critical experiences that made you the excellent, qualified candidate you are today. A good strategy for the body paragraph(s) is to talk about relevant clinical rotation experiences; so for example, if you’re applying to a psychiatry residency, you can talk about a specific patient experience that solidified your decision to pursue this specialty, or an experience that sticks out in your memory. This will be similar to your answer to the interesting case residency interview question . Your goal should be to use these experiences to address your specific interests, goals, and what makes you a good fit for the program. Do some research into the program format, the patient population you will be working with, and the clinical environment. This will help you connect your experiences with what the school/program offers.

3. Conclusion

You might be thinking that once you’ve written a strong introduction and body, the conclusion will be simple. However, this isn’t necessarily the case. You need to use the space in your conclusion to tie everything together and show enthusiasm for the program and for your future career. You can revisit a few key points here to highlight them once again and to relate them to what you’re hoping to gain from the forthcoming training experience. Show passion, determination, and consistency throughout your letter and tie up any loose ends in the conclusion. Some applicants will use this part of the letter to mention a specific goal they want to achieve in residency, such as working with specific faculty members or research plans. You may also mention aspirations to complete a fellowship or what you want your future practice to look like.

Here's why "show, don't tell" is the most important tip for any personal statement:

Questions to Ask Yourself to Help You Brainstorm Ideas

• What makes you right for this specialty?
• What experiences drew you to this specialty?
• What appeals to you about this specific program?
• Do you have any experiences working in the city of the program you’re applying to?
• How will your residency training help you achieve your goals?
• What are some of your personal strengths that will allow you to contribute to the program?
• What evidence do you have that you possess those strengths?
• Do you have any research/publications that align with the research the school is doing?
• Do you have any gaps in your medical education or evaluations that you would like to address?
• What’s something you think the program director should know that isn’t obvious from your application materials?

  Growing up the first-born daughter of a hard-working Saskatchewan cattle farmer and hairdresser, medicine was never a consideration. In a small town, I could easily see how too much free time got many of my peers in trouble. From grade 8-12 I devoted myself to sports, playing high school, club and provincial beach volleyball, weeknights and weekends year round. Despite my small stature and lack of innate abilities, with determination and persistence, I overcame these obstacles. At the end of my grade 11 year, I received an athletic scholarship and chose to pursue business administration and athletics.

After the first six months, it became apparent that I was not going to attain my full potential in education at [university name}. Despite my parent’s reservations, I left and enrolled at a [university name] for the next semester. This university was much more challenging as I was now balancing my educational and financial responsibilities by working evenings and weekends managing a number of part-time jobs. With little direction as to what degree I wanted to pursue, I happened to enroll in anatomy and physiology. This was the first time I became really excited about my future prospects and began actively considering a career in medicine.

The first time I applied to medicine, I was rejected. Despite my initial devastation, in hindsight, it was a great opportunity for myself to reflect on my own motivations for medicine and work as a laboratory technician at a potash mine in my hometown. I gained additional life experience, spent time with my family and was able to help financially support my husband’s pursuit of education after he had so selflessly supported me for many years.

My first exposure to anesthesia was in my first year of medical school with [Dr. name here] as my mentor in clinical reasoning. I was again, intrigued by the anatomy and physiology with the interlacing of pharmacology. I remained open to all specialties, however, after summer early exposures, research, and clerkship it became clear to me that anesthesia is where I felt the most fulfilled and motivated.

In a way, anesthesia was reminiscent of the competitive volleyball I had played years prior. I was again a part of a team in the operating room with a common goal. Similarly, our countless years of education and practice had brought us together to achieve it. In volleyball, my role was the setter, which to many is considered a lackluster position as we rarely attack the ball and score points with power. However, as a setter, my role is to set the pace, strategize and dictate the game from my team’s perspective. There is a long sequence of crucial events before a “kill” in volleyball and I strategized my teammate's individual strengths in both offense and defense to win. Anesthesia gives me the same opportunities to strategize anesthetics, balance individual patient’s comorbidities and anatomy all while maintaining a calm demeanor and level head through unexpected circumstances. In volleyball, I never shied away from tense games or difficult situations, instead I trusted in my own abilities and training despite uncharted territory. Lastly, I didn't need to actually score the point in order to understand my role and contributions to my team.

As an athlete, I understand the importance of practice and repetition which allow us to fail, but most importantly, to learn. I believe that the curriculum at this program will provide me with a well-respected education, which strongly reflects my learning style. I also admire the mandatory communication block in the curriculum because I believe an emphasis on clear and concise communication, is essential as an anesthetist.

Throughout the course of the next 5-10 years, I anticipate that both my husband and I will complete the next chapter in our educational pursuits. We both agree that [program name here] has the potential to nurture the next chapter in both our private and professional lives if given the opportunity.

What Makes This Sample Effective?

1. the theme is personal and consistent.

In this anesthesiology residency personal statement example , the author of this passage carries the theme of athletics throughout the statement. Having a theme can unify your personal statement and give it direction. This is a good example of a way to use a theme to tie together different ideas. Having a good theme is also something you should keep in mind when you’re answering anesthesiology residency interview questions , as program directors want to see that this particular specialty choice wasn’t simply drawn out of a hat; rather, your emphasis on a theme can demonstrate that your choice was intentional and the right fit.

2. The tone is positive throughout

Also, take note of how the author explained the transition to different schools without speaking negatively of the institutions. In your own personal statement, feel free to use the names of the universities you attended. They have been redacted here for anonymity. This statement has parts where you could customize it. Use the name of the program when possible or the name of the town. Taking time to add this into your statement shows the program that you pay attention to detail while personalizing it to each program.

3. Lessons learned apply to medicine

The writer of this personal statement relies on analogy to connect their experience to their interest in anesthesiology: “I understand the importance of practice and repetition which allow us to fail, but most importantly, to learn.” This analogy works so well because it shows why the applicant is suited to the program and specialty, it reveals an important aspect of their personality with evidence, and it sets expectations for how they want to contribute to the field. In your essay, you can use a similar strategy by tying together a major life theme or event with what you learned and how that applies to your medical training.

I was six years old when my father read to me the first chapter of “How Things Work.” The first chapter covered doors and specifically, the mechanics in a doorknob. What lay hidden and confined in the door panel was this complex system that produced a simple action. I credit this experience as the onset of my scientific curiosity and eventually my passion for complex systems found in medicine. Intensivists vigilantly maintain homeostasis within the human body, a complex system in and of itself, a concept I recognize as personally fascinating and enticing. I find myself especially drawn to the field of critical care and intensive care medicine. My dreams to become an intensivist would be highly complimented by a residency in surgery.

In critical care, each patient in the ICU is usually in a general state of shock. From the initial state of shock, the patient can be further complicated with comorbidities and chronic diseases that may require further intensive medical intervention so that they may recover from a recent surgery or traumatic event. This dynamic nature of the ICU is not available in every unit of the hospital and the high level of acuity does not suit everyone. I, however, enjoy the high energy of the enthralling, engaging and exciting environment offered by the ICU. I am personally energized and awakened by managing patients with surgically-altered physiology coupled with comorbidities. There is an overwhelming satisfaction when a patient following a bilateral lung transplant gets up from his bed and walks through the unit after days of being bedridden, or the moment we can discontinue the lines we had the patient on and finally talk to them after two weeks of intubation and sedation. Being in the ICU also encompasses the emotional seesaw of going from a successful patient case to a room in which a family has just decided that comfort care is the best way to proceed, which gives me chills just to type and verbalize.

The work of an intensivist is not only limited to the patient, but also the emotional well-being of the patient’s family as well. My involvement in the ICU has taught me that sometimes it is necessary to talk to a patient’s family, to explain to them simply that the postoperative expectations that they had had, may not be met. Communication is key in this field, both with the patients and the physicians of the OR. Communication prevents perioperative complications, establishes a willingness to follow directions and relays professionalism. It is important for an intensivist to have an excellent understanding of surgical procedures, so that they may explain to the patient what to expect as well as ease the nerves of the patient preoperatively. A surgical residency would facilitate this understanding and undoubtedly prove to be useful in my future training.

Studying medicine in Europe has taught me volumes about myself, how driven, motivated and open-minded I can be. To move so far away from home and yet be so familiar with the language, I feel blessed to be able to say that I’ve had a high level of exposure to diversity in my life. The mentality in [insert country name here] is if you don’t see the doctor, you are not sick. This common thought has to lead to an outstanding environment to study medicine and to see end-stage, textbook presentations of various pathologies and their management. Studying medicine in two languages has in itself taught me that medicine is a language and that the way a patient presents, conveys themselves, and the findings of the physical examination, all represent the syntax of the diagnosis. This awareness has reminded me that patient care, relief of patient suffering and illness, transcends the grammatical rules of the patient’s native tongue. My clinical experience in [insert country here] will aid me in providing thoughtful care to my future patients.

All things considered, I am ready to leave my home of the last four years and come back to the United States, to enter the next stage of my life and career. I am ready to work harder than ever, to prove myself to my future residency program and most importantly, learn so that I may be a suitable candidate for a future fellowship program in critical care. My experiences abroad have constantly pushed me to new horizons and encouraged responsibilities that I don’t believe I would otherwise have. I’ve developed a new level of human connection through my work in the ICU, the OR and my travels throughout Europe. These experiences will aid me in working with a diverse patient population and a diverse team of physicians. I hope [the program name here] can give me the variety and the background in surgery that I will need to succeed.

1. Atypical experiences are justified

This surgery personal statement example has to do double duty for the admissions committee. It has to explain why surgery, what this student can offer, and why this student is passionate about the field while simultaneously explaining why the applicant chose medical school abroad. If you are applying to a country where you did not attend medical school there, you have to explain why you studied abroad. This often poses a challenge for students. Be honest and positive about your experience. This student did an excellent job of explaining why it was such a good fit for their personality while highlighting the advantages of this experience.

Focus on the characteristics you gained from your experience abroad. Explain how your experience will translate into success in your residency. There are many things to be gained from having spent time outside of your home country. Talk about the skills you developed from living abroad. Unique details like those will set you apart when you are writing your statement.

2. Makes unique experiences an advantage

This applicant studied abroad in Europe. The way they talk about it is key: they explain how the experience was a challenge that they learned from. Most programs and schools are looking for medical school graduates who can contribute to their vision of diversity. If you have experience travelling abroad, this is a good chance for you to explain how this enriched your perspective and professional capabilities. Some of the skills that this applicant discusses are assets for a career in medicine: speaking two languages, exposure to diverse people and methods, and the ability to work with a large patient and physician population from different backgrounds. If you endeavor to explain some of your diverse experiences, be sure to make it clear what you gained and how you can apply it to your residency training.

3. The writer’s voice and style are unique

To get matched to the program and school of your choice, you will need to stand out from the crowd. To do this effectively in your personal statement, give your writing a unique style and allow your personality to shine through. In this example, the writer achieves this in the first paragraph in the “hook” in which they describe when their father used to read “How Things Work”; this life event left a lasting impression, and the writer links this to why a residency in surgery would benefit their goal of becoming an intensivist. With a first draft, it’s okay to experiment with word choice and content. Make sure you include all the necessary elements and formatting requirements, but try your best to put the “personal” in personal statement. Note that this is a general surgery example; if you were applying for plastic surgery or neurosurgery, you should read plastic surgery residency personal statement examples or neurosurgery personal statement examples for a slightly varied essay strategy.

Writing a residency personal statement? Here are the top books for residency applicants:

Residency Personal Statement Examples #4: Emergency Medicine

One of the most surprising things that I learned through my emergency medicine (EM) electives is that working in an emergency department is like leading a horse. I grew up on a farm in the [name of city], and working with animals was very much a part of my childhood. When walking a horse, one must be prepared for anything should the animal become spooked. It can startle at any moment and one must react quickly and calmly to redirect the thousand-pound creature. Similarly, in EM, one never knows when the department is going to become “spooked” by what comes through the door. EM is exciting, with a variety of patient presentations and medical procedures done on a daily basis. I enjoy dealing with the unexpected challenges that arise in caring for patients with backgrounds vastly different from my own. It would be a privilege to gain the skills as an emergency physician to provide acute life-saving care, to connect patients with resources and other healthcare professionals, and to provide comfort to patients and families in the settings of acute loss or difficult diagnoses. I feel that the [name of program] is the ideal path to reach that goal.

First, the [name of program] offers additional support and training to continue to perform research and other scholarly activities. Through my experience in quality improvement, I have learned of the value of research and how it can be applied to practical problems. For instance, while volunteering in a pool rehabilitation program for individuals with neurological disabilities, a patient who I had worked with for a year tragically suffered a fall and broke his hip leaving him significantly disabled. This led me to research inpatient falls during medical school and I initiated a quality improvement project and presented at several conferences, quality improvement rounds, and meetings with hospital stakeholders. After several years of work, I am very proud that this led to the implementation of a province-wide quality improvement initiative funded by [name of organization]. This initiative is physician-led and is aimed at reducing inpatient falls across [name of city]. This project demonstrated how rewarding research is when it can be translated into tangible initiatives and is why I am particularly interested in quality improvement research. I look forward to more dedicated time in the [name of program] to develop my research skills and to apply quality improvement to EM.

In addition to increased training in research, the [name of program] offers the opportunity to subspecialize within EM. While in medical school, I helped my single mother raise my much younger siblings and this has inspired my interest in pediatric EM. I maximized my studying through the effective use of weekly group study sessions and podcasts to allow for free weekends to return home to spend with my brother and sister. Through my experiences teaching and playing with my siblings, I have learned to deal with children in a calm and friendly manner. I used these skills to maintain positive therapeutic relationships with children during my pediatric EM rotation at [name of hospital]. For instance, I was able to cast the forearm of a frightened child by first demonstrating the procedure on her toy rabbit, and then calmly fitting a cast on her arm. I enjoy the emphasis on patient and family education as well as the focus on making the patient feel safe and cared for. I would love to explore this field further as my niche within the [name of program] in emergency medicine.

Alongside research and pediatric EM, I am also interested in teaching. Some of my fondest memories involve the evening teaching sessions during primary and secondary school spent with my grandpa, a retired teacher. My grandpa modeled effective teaching techniques, first assessing my knowledge and then expanding on it by asking questions and providing guidance when needed. Similarly, some of my best memories in medical school include the five-minute bedside teaching sessions after interesting cases that were taught in that way. Inspired by many residents and staff I have worked with, I look forward to expanding my teaching role in residency. Like my grandpa and my clinical mentors, I hope to help future students maximize their learning potential through the delivery of lectures and bedside teaching. Training within the [name of program] would allow additional time to develop the skills necessary for this, through increased exposure to mentorship, teaching role models, and opportunities to be involved in curricular development.

I would feel privileged to join the resident team in the [name of program]. I was fortunate that most of my core clerkship training including EM, as well as my fourth year EM elective, was at the [name of hospital]. What stands out the most to me most about working in the [name of hospital] is the tight-knit community feel in the setting of a high volume, high acuity ED. I value that the small program leads to a cohesive resident group and staff who are invested in their learners. Furthermore, from my rotations there, I know the ample procedural and hands-on exposure residents get from the beginning of their training. With my interest in pediatric EM, I value the longitudinal exposure to pediatrics at [name of program], with opportunities to do dedicated pediatric rotations both at [name of hospital], as well as [name of hospital]l. Finally, the [name of city] is my home; my family and friends are here, and I love the hiking, fishing, kayaking, and snowboarding that are all less than an hour away. I would be incredibly honored to have the privilege of pursuing EM in the [name of program], and look forward to serving my community.

Read some more Emergency Medicine Personal Statement Examples !

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The thought of caring for severely ill children seemed disheartening and overwhelming when I first began shadowing [name of doctor] at [name of hospital] five years ago. I was very nervous. While some of the cases were indeed difficult, my experience was starkly different. In one of our first cases, I quickly jumped in to comfort a scared child suffering from kidney disease. The mother of our patient confided in me about her son's struggles with bullying due to the disfiguring edema. I felt how much she appreciated being able to share her son’s challenges with me. Throughout my clinical experiences, I saw that caring for a pediatric patient often involves delicately navigating complex social situations and family dynamics. From that point on, I knew I had both the passion and compassion to succeed as a future pediatrician.

I am particularly keen to complete my residency at the [name of school], because I had such an immersive learning experience completing 5 years of research with [name of doctor] at [name of hospital] and at [name of hospital], not to mention [name of school]'s stellar international reputation. The incredibly high standard of excellence at [name of school], as well as [name of city] being my hometown, make the [name of school] my top choice to complete my residency. To further demonstrate the excellent education, I remember a time while shadowing at [name of hospital] in the genetics clinics where we discussed the pathophysiology of Bartter’s syndrome. The residents were having a hard time understanding this disease, but [name of doctor] explained the exact pathophysiology and downstream effects of it. The incredible intellect, mentorship and leadership [name of doctor] demonstrated has inspired me to pursue a nephrology fellowship upon completion of my residency.

During my elective rotations in [name of cities], I saw indigenous pediatric patients with a variety of ailments from hypoglycemia to cystic fibrosis. I spoke with them about the struggles of travelling long distances to obtain care. As an Inuit member of the [name of group], I have spent time reflecting on the medical needs of this much-overlooked population and hope to explore ways of reaching out to underserved populations in my future career.

I am prepared to be a leader and engaged learner in my residency program because of my participation in impactful leadership roles. I am currently the president of the [name of society], where one of my main duties is coordinating the [name of initiative], an initiative that teaches children about hospitals and healthy living. I was able to spend one-on-one time with disabled children teaching them about the heart through dance and instruments and activities to decrease fears associated with hospitals. This demonstrated the importance of promoting health care initiatives for kids and educate families and their children on how to be advocates of their own health.

As a competitive Irish dancer for sixteen years, I developed perseverance, determination, and time management that have been critical throughout my medical school training. Competing in front of judges and thousands of spectators all over the world, performing to my best ability under intense pressure was a necessity. I persevered with the challenge of competing at an international level and still maintained a very high level of academic performance while achieving my career high of second at the World Championships.

As an IMG applicant born and raised in [name of city] and educated in [name of country], I believe that my international education provides many advantages. I was exposed to diverse cultures and innovative ways of thinking from teachers from all over the globe at the [name of college] that I hope to bring back to Canada with me. Through the last 6 years, I have also had many research experiences and clinical electives in Canada that have given me insights into the intricacies of the Canadian Health Care system.

I am confident that pediatrics is the field I wish to pursue and I cannot wait to begin my residency so that I can start becoming an excellent clinician who advocates for children, as well as a scholar involved in research projects that will help advance the field. After successfully completing my pediatric residency program, I plan to pursue a pediatric fellowship. I am excited at the prospect of working and learning at the [name of school] while being an active and professional member of your residency program. I am also looking forward to developing my teaching skills and contributing to the community while also enjoying bike rides down the paths in the [name of path] and to be reunited with my [name of city] based family.

Want to see more Pediatrics Personal Statement Examples ?

“Code blue, electrophysiology laboratory” a voice announces overhead during my cardiology rotation. As the code team, we rush to the patient, an elderly man in shock. Seamlessly, we each assume our preassigned roles. I quickly review his chart and note to the team-leader that this patient had a previous EF of 10 percent and just got cardioverted. Vasopressors administered, intubation, central line secured, and the patient is stabilized and sent to our floor. During my rotations in internal medicine, I was constantly elated by my team’s ability to come together at such key moments. This gave me a sense of joy I did not find in other rotations. Moreover, I had inspiring attending physicians and residents who served as my mentors. They taught me that an internist is a medical expert committed to evidence-based medicine and perpetual learning, a compassionate physician, and an engaged community member. These lessons and the satisfaction of managing highly complex cases with a dedicated team consolidated my interest in internal medicine.

Compassion and a holistic approach to medicine remain quintessential for patient care. During my rotations, I took advantage of opportunities to learn from my patients both at the bedside and through independent reading. As a senior student, I prepared learning capsules that I presented to my team. This taught me to synthesize and communicate information efficiently. Beyond that, I took courses outside of the formal curriculum such as a point-of-care ultrasound course to improve my ultrasound procedural skills. When we no longer had any curative interventions to offer patients, I learned that acknowledging the patients’ suffering and being present for them in their most vulnerable time can ease their pain. As a resident at [name of school], I will continue my dedication to academic excellence and compassionate, patient-centered care in my efforts to care for my patients.

I have built strong ties to my community serving as president of the [name of school] Biology Student Union. Together, we enacted a complex study space and locker initiative through my role as a mentor at [name of organization]. These experiences instilled in me the values of proactivity and advocacy which I aim to bring with me to [name of school]. There, I hope to continue my community engagement as a mentor with the Big Brothers Big Sisters of [name of city]. Moreover, as I learn more about [name of town]'s healthcare system, I hope to combine that knowledge with my medical education to add my perspective to health policy decision-making in the province.

In addition to its excellent academic reputation, [name of school]’s commitment to academic excellence and continuing education, as exemplified by the abundant academic teaching, drew me to the program. Moreover, given my belief that we develop to be an amalgam of characteristics and values our mentors espouse, I was delighted to learn about the mentorship opportunities available. This was a unique characteristic that motivated me to apply to [name of school]. Finally, having lived in [name of city] for the last ten years, I am looking forward to spending the next chapter of my life in a smaller, more tightly knit community of [name of city].

As I learned and modeled the different roles of an internist, I also learned a lot about myself. I learned of my thirst for knowledge, of my desire to treat as well as to heal the patient, and of my urge to be a leader in my community. These characteristics will play a defining role in my residency. I also learned of my passion for acute medicine. After my residency, I hope to further subspecialize in cardiology. As a future cardiologist, I aim to provide patient-centered care, conduct research, continue my community engagement, and act as a role model to future generation.

Get inspired with these Cardiology Personal Statement Examples !

Watch this to learn what red flags to avoid in your residency personal statement!

Residency Personal Statement Examples #7: Psychiatry

I grew up in a tight knit military family in a community struck with the stigma of mental illness. Throughout my childhood we lost friends to the complications of untreated mental illness including overdose and suicide. I knew at that point that I wanted to pursue mental illness and completed a psychology degree and then a nursing degree. In University, I volunteered in a distress service for 6 years, providing individual sessions to students on issues including suicidality, interpersonal violence and addiction. As a registered nurse, I honed my skills in mental status examinations and cared for their comorbid psychiatric illness with medical disease utilizing communication and building rapport. I saw the impact of life altering conditions and procedures on their mental health. As a medical student, I continued to explore psychiatry through City X summer studentship and appreciated the breadth of psychiatric practice. As a clerk, I completed a range of psychiatric electives, caring for patients in multiple care settings and across various socioeconomic and age ranges. I enrolled in the integrated community clerkship, in X town, a community 900 km North of X city. The socioeconomic disparities and lack of access to mental health services had a negative impact on community, with suicidality and addictions. I followed my patients across practice domains assessing their functioning, medication regimen and continued to build a collaborative relationship. This proved crucial to uncover their health status across domains and helped me identify areas to support their challenges. 

I value the ability to understand my patients from a biopsychosocial framework and addressing negative thought processes in support of their wellness. I view our duty in psychiatry is to support their strengths on a trajectory to wellness and provide guidance and resources utilizing pharmacological and non-pharmacological therapies. Psychiatry is a newer field of medicine, allowing for ongoing innovations in treatment and practice. This is exciting to explore novel approaches to treatments as we continue to uncover the physiological, neurological and pharmacological dimensions of mental health. It is also important to recognize the challenges of psychiatry. The history of mental illness creates access to care barriers from both a structural viewpoint with longer wait times and on a personal level due to their concern about the social and occupational implications of stigma. As our population ages, this threatens to overwhelm the current psychiatric infrastructure and will require more complex approaches due to medical comorbidities and medication contraindications. We will require ongoing research focused on medical comorbidities of neuropsychiatric illness and treatment modalities to improve quality of care. 

I am drawn to the University of X psychiatry program due to its resident focused approach. I appreciate the ongoing mentorship and supervision and the preparatory endeavors including the mock examinations. From a clinical perspective, the program has a strong psychotherapy curriculum and offers unique elective opportunities including electroconvulsive therapy. The ability to continue serving rural communities solidifies my interests in this well-known program. 

Check out these Psychiatry Personal Statement Examples !

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Residency Personal Statement Examples #8: Internal Medicine

“People are drawn to medicine in one of two ways: the humanity or the science.” My mentor, [name of doctor], staff medical oncologist at the [name of hospital], once told me this. As a volunteer during my premedical studies, I assisted him with his impromptu lunchtime clinics while others were on break and was able to catch a glimpse of his patients’ unshakable trust in him. Those moments sparked my interest in Internal Medicine. Internists are entrusted with the most complex patients in any hospital. Therefore, Internists take on the responsibility of a patient’s trust in their lowest, most disoriented moments. Accordingly, when I finally started clinical rotations, I saw it as my responsibility to fully understand each patient’s motivations and fears to advocate for their goals. One patient I had gotten to know still stands out in my mind. She was 95, witty, and self-assured but was found to have bone metastasis causing excruciating pain during her hospital stay. She knew she did not want aggressive life-prolonging treatment and declined further workup, but how could we help her? I suggested palliative radiotherapy to my team because I remember her telling me “I had a good life. I am not scared of death, but if I have to be around for a while, can’t I be more comfortable?” Therefore, my team entrusted me to talk to her and her family about a referral to Radiation Oncology. She responded to me with “I don’t think there’s anyone who knows what I’d want better than you. You’ve listened to me so much. I trust you.” I spent the next half hour explaining the rationale behind the referral to both her and her family. She received urgent Radiotherapy two weeks later. Her narcotic requirement decreased by more than half. After that moment, I envisioned that one day, I could also look into the eyes of someone at their most vulnerable moment and give them confidence to trust me and my team with their care.

Although my interest in Internal Medicine is rooted in the human connection, my attention to detail, work ethic, and natural curiosity, also makes me especially well-suited for the challenges of Internal Medicine. Indeed, beyond the human connection, Internal Medicine’s challenges of complex problem solving, and large ever-growing breadth of knowledge is also what makes each day so satisfying. When I was on the Nephrology Consult service, I was following a patient with a kidney transplant who was admitted for Line Sepsis. I noticed a mild Non-Anion Gap Metabolic Acidosis and a persistent mild Hyperkalemia. I presented my findings to my staff as a possible Type 4 RTA. He complimented me on my attention to detail and warned that a Type 4 RTA in a kidney transplant patient could be a sign of rejection. We restarted his anti-rejection medication that had been held due to his infection, his electrolyte abnormalities corrected in less than two days. My attention to detail is a particular asset for Internal Medicine because more than any other specialty, the tiniest details like a mildly abnormal lab work, when pieced together in the correct way, could solve the most difficult clinical problem. That is also what makes problem-solving in Internal Medicine so satisfying. My mentors have always complimented me on my work ethic. However, I enjoy staying late for admissions and additional learning or reading hours around my patients at home because learning Internal Medicine is so interesting.

On the other hand, Internists are also tasked with the very large, working with multiple professionals and navigate system issues to keep patients healthy and out of hospital such as when [name of doctor] entrusted me with planning the discharge of a homeless patient during my Medicine CTU elective at [name of hospital]. The patient had Schizophrenia and Grave’s Disease and had been admitted to hospital multiple times that year with thyrotoxicosis due to medication non-adherence. During his admission, I had elicited the help of two homeless outreach coordinators to ensure proper follow-up. Therefore, by the time of discharge, he had a new family doctor, timely appointments with the family doctor and endocrinologist, maps with directions to each appointment, his prescription medications ready to go, as well as a new apartment application.

Ultimately, I am fortunate to be drawn to Internal Medicine for both its humanity and science. I believe that I have the qualities that will help me excel in its smallest details and its largest responsibilities. In residency, I aim to explore and learn as much Internal Medicine as possible before becoming an expert in one area so I can make an informed choice and be a well-rounded physician. Therefore, the fact that [name of city] has so many leading experts especially suits my learning goals. Indeed, during my electives in [name of city], I’ve already learned knowledge that I’ve not encountered elsewhere like the Bernese method of Buprenorphine induction. The availability of resources such as the DKA management simulation and the use of presentations of cutting-edge knowledge as part of evaluation also suits my self-directed learning style. Furthermore, my research has focused on the PMCC Gastro-Esophageal Cancer Database where we were able to discover various new details in the clinical behavior of Gastro-Esophageal cancer due to the large volume of patients are PMCC and its world-class expertise. This line of research would not work as well anywhere else in [name of country]. Indeed, our database is currently the second-largest in the world. Therefore, the second reason [name of city] is my ideal place for training is for its unique research opportunities, so I can continue to contribute to further medical knowledge. Lastly, [name of city] is the most diverse city in [name of country]. Growing up as an immigrant, I had experienced how cultural backgrounds can become a barrier to receiving good medical care. Therefore, the diverse patient population and strong allied health support in [name of city] could also allow me to hone the skills required to assist me in providing good quality care to all patients, regardless of background.

Here are more Internal Medicine Personal Statement Examples !

My first exposure to Family Medicine occurred during my time as a Medical Officer working in a small clinic in Nigeria in fulfilment of the [name of service]. There, I recognized that a career in this specialty would offer me the opportunity to not only experience the aspects I cherished most about other specialties, but fulfill my personal interests in advancing community health.

My many encounters with patients during my days in the clinic reaffirmed my view of Primary care physicians as being on the frontline of diagnosis and preventive medicine. There was the middle-aged diabetic patient who had first presented to the emergency with diabetic ketoacidosis, the hypertensive man whose initial complaint of a persistent headache prompted the discovery of his soaring blood pressure, and the adolescent with a family history of allergies who was diagnosed with asthma. These encounters highlighted that as the first point of contact, the general practitioner is not only responsible for diagnosis, but often in ensuring patients are set on the path of healthy habits to prevent disease complications. This unique opportunity to significantly advance the well-being of a patient, and by extension, the community renewed my interest in the field.

An especially appealing feature of Family Medicine is that it provides an opportunity for patient care without limitations of age, sex, disease or organ system. From treating colds and routine checkups to referral for a suspected malignancy, I enjoyed that every day in the clinic was a learning experience and no day was routine. In addition, having a diverse population of patients and cases requires an abundance of clinical knowledge and I cherish the chance to learn and expand my skills every day.

I also value that an essential part of Primary care is in the enduring relationships the practitioners develop with patients. I recall several moments during my clinical experiences when I recognized that some of the bonds formed during ongoing patient interactions had evolved into lasting friendships. Being a practice of continual care, I appreciate that this specialty provides many opportunities to follow patients through different stages of their lives ensuring a deepening of relationship and compliance with care. I was inspired during my clinical rotation here in the United States when I saw how my preceptorís long-term relationships with patients enabled their compliance and often extended to different generations within one family.

Ultimately, I am confident that my experiences have prepared me for a career in this specialty. An agreeable, attentive and compassionate nature has aided me in gaining trust as well as building meaningful interpersonal relationships which are crucial components of this field. Furthermore, my interaction with an extensive array of patients during my clinical and volunteer experiences has equipped me with the ability to communicate and relate to patients across different age groups and backgrounds. In addition, I enjoy working to coordinate patient care with colleagues and other specialties and value that the wellness of the patient is a result of hard work, dedication, and teamwork.

Thus, I hope to find a residency program dedicated to providing in-depth clinical training with a diverse patient population and an emphasis on health promotion and disease prevention through patient education and community service. Moreover, I look forward to being part of a program that will encourage my pursuit of intellectual development and advancement to enable my transition into a well-rounded, competent and skilled physician committed to serving people with needs in all areas of medicine. With a career in this specialty, I know that every day will bring a new opportunity to influence health behaviors, and while there will be challenges, fulfilling them will always be satisfying.

Here I am, yet again. Last year, I also applied for a position as a dermatology resident. Though I was not selected, I return with the same diligence and perseverance, as well as additional skills and knowledge. My continued dedication to pursue a career in dermatology reminds me that no good thing comes easily and pushes me to stay motivated and work hard toward my goals. 

I am drawn to dermatology for a host of reasons, one of which is the opportunity to work with my hands. In my current residency program, I have had the opportunity to assist in various surgical procedures. I recall the subdued exhilaration I felt when removing my first lipoma and the satisfaction of observing the surgeon completed the procedure with precision and care. My excitement for surgery continued to be reinforced in the many subsequent procedures I assisted with and I look forward to honing my surgical skills further as I complete my training in dermatology. 

However, to me, “hands-on” is defined as more than just its literal meaning. The opportunity to build relationships with patients steers me more towards a career in outpatient medicine. During my dermatology outpatient rotation, I was involved in the care of a patient who presented initially complaining of a heliotrope rash and gottron’s papules. When she expressed a deep sense of shame about this rash, I became acutely aware of how patient’s external disease can influence their internal emotions. I thus responded empathetically, simultaneously validating her concerns and providing her with much-needed assurance. When she was later diagnosed with dermatomyositis secondary to underlying breast cancer, this patient requested to speak to me specifically, recalling the positive interaction we had shared before. Again, I was able to explain the diagnosis and treatment plan with patience and regard for her every concern. Developing a trusted physician-patient relationship is crucial in the field of dermatology because most patients exhibit strong internal emotions from their visually external disease. Also important is the ability to deliver difficult news and be considerate of patients’ feelings in these delicate moments. I plan to continue to use these skills during my career as a dermatologist.  

To me, dermatology is also a field that is thought-provoking and stimulating due to its constant evolution and advancements. Thus, during my internship, I committed to educating myself in the field of dermatology through multiple research projects. My research thus far has been focused on whether UV light lamps used in gel manicures increases the risk of skin cancers as well as the outcomes of using intralesional 5-fluorouracil for squamous cell carcinoma and keratoacanthomas. While my research was focused in the field of dermatology, I did not hesitate to take on additional projects, pursuing assignments in both breast cancer and hemophagocytic lymphohistiocytosis. I strongly believe the best doctors have a thorough understanding of the practice of medicine in totality as our ability to incorporate this knowledge in our diagnosis and treatment of our patients directly impacts their wellbeing. For these reasons, I strive to continually educate myself in not only dermatology, but other fields that might have implications on my practice. 

My ideal dermatology program would allow me to manage a variety of complex medical dermatological conditions and engage in research, both of which will continue to challenge me intellectually and push me to exercise creativity to develop innovative solutions to dermatological treatments. As someone who enjoys working with my hands and the instant gratification of the surgical approach as a treatment option, I would also value the opportunity to perform surgeries and improve my surgical skills. Furthermore, I have found that beyond medicine, the people in each program make or break an experience. Positive attitudes, expressed dedication, and mentorship are vital characteristics in any program of my interest.

I am confident my aspirations will be fulfilled in the field of dermatology, but more importantly, I know I will be a good contribution to this field and your program – my work ethic, motivation, and commitment unwavering. I am determined, impassioned, and excited to embark on this next phase of my journey. 

Check out even more Dermatology Personal Statement Examples !

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How To Address Areas of Concern

There are some things that are out of our control. Sometimes we have to take time off to deal with personal issues, or sometimes we have to retake tests. If you have something you feel like you need to explain in your application, the personal statement is the area to address it. If you had a leave of absence or failed an exam, you should offer a clear, unemotional explanation of the situation. Use positive language. Whatever the area of concern, try and phrase it in the most favorable light. Take accountable for what has happened, but do not place blame or make an excuse. Here are some phrases you can try and use in your personal statement.

Sometimes we have to interact with people who we don't see eye to eye with. When I worked with (you can choose to say the person's name or just use their title) I learned how to (insert a lesson here). Even though it was a challenge, I have gained skills that will better my future practice. ","label":"Unfavorable Evaluation by an Attending","title":"Unfavorable Evaluation by an Attending"}]" code="tab1" template="BlogArticle">

Keep in mind that these are suggestions. If you are concerned about an area of your application that might be a red flag, it may be in your best interest to address it head-on. The choice to write about them is your own individual opinion. Your personal statement should highlight the best side of you. If you think that an area of weakness might hurt your chances, it may be beneficial to take ownership of the problem and write it in a way that will show what you learned and how it made you better.

For the most part, your residency personal statement should be within a one-page limit or approximately 750-850 words. Be sure to check your specific program requirements to verify before you begin writing.

It's entirely up to you if you want to address unfavorable grades or gaps in your studies. However, if you feel something in your application will be seen as a red flag, it's best to address issues head-on instead of having admissions committees dwell on possible areas of concern.

If you're going to address a gap, just ensure that you have a clear narrative for why you took these breaks, what you did on break and what this break means for your ability to function at a very high academic level for many years to come.

If you're addressing a poor evaluation, ensure that you take responsibility for your grade, discuss what you learned and how your performance will be improved in the future - then move on. It's important that you don't play the victim and you must always reflect on what lessons you've learned moving forward.

Absolutely. While it's not necessary to discuss your personal connection to a program location, showing program directors that you have ties to their program's location can give you a competitive edge over other applicants. The reason being is that it's a way to show program directors that you are invested in practicing medicine locally.

That's not to say that you have to apply to programs that are within your home state or province, but if one of the reasons you love a particular program is because of its location in your hometown, don't be afraid to mention this. Whether you enjoy the outdoor activities in the program's location, have family and friends in the area, or even grew up in the area at some point, these can all be great aspects to mention.

Firstly, it's important to check the program's specific requirements for your statement because some programs have a specific prompt or multiple prompts that you'll need to address. If you are not given a prompt, in general, your statement needs to answer “why this specialty?” and “why this program?”. Your responses must be supported with your personal experiences and your statement should incorporate your future career goals.

No, instead you'll be preparing one personal statement for each specialty. For example, if you're applying to emergency medicine and family medicine, you'll need to prepare one statement for emergency medicine and one statement for family medicine.

As long as it's during the application season, you can edit and review your personal statement. However, keep in mind that if you edit your personal statement, there is no guarantee that programs will review the most up to date version. For this reason, it's best to only assign your personal statement to programs once you've 100% happy with the final version.

No, there is no limit on how many personal statements you can create. 

Your personal statement should have three major structural elements: the introduction, the body, and the conclusion. Your thesis statement will appear in your introduction in the first paragraph. The body is for you to discuss major experiences relevant to your chosen specialty, and the conclusion is generally the place to summarize and highlight some of the item you mentioned in the body or introduction.

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The Residency Personal Statement (2024/2025): The Insider’s Guide (with Examples)

A physician and  former residency program director  explains how to write your residency personal statement to match in to your top-choice residency program in 2025.

Read example residency personal statements and suggested outlines., introduction.

We have been working with residency applicants who successfully match into the programs and specialities of choice for more than 15 years and a key part of that success, is writing a compelling residency personal statement.

Having worked with so many applicants, we know you will get differing advice depending on who you ask. The key to our applicants’ success is that we understand how to write a residency personal statement that has broad appeal and will impress all types of readers.

The residency personal statement allows residency program directors and associate directors the chance to get a sense of who you are and your commitment to your chosen specialty. 

As a former program director who understands how residency personal statements are reviewed, what “stands out,” and, most importantly, what will earn you interview invitations, the information below will help you write a residency personal statement to match!

It is imperative to make sure you get the most accurate guidance possible with regards to your residency personal statement content and optimal residency personal statement length (up to one page).

Want more personalized suggestions?  Sign up for a FREE residency personal statement consultation .

Table of Contents

Goals for Writing Your 2025 Residency Personal Statement

Above all else, your residency personal statement offers the opportunity to show your interest in your  chosen specialty  when applying to  residency  to illustrate you are a good fit.

The more details you offer about why you are interested in the specialty and how your med school rotations,  accomplishments  and experiences have reinforced this interest, the stronger your personal statement will be, the more it will appeal to selection committees and the better you will do in the match process.

I encourage applicants to offer as much “evidence” as possible to “show” rather than “tell” what  qualities, characteristics and interests  they have. “Telling” a reader, for example, that you are compassionate and hard working means nothing. Instead, you must “show” that you embody these qualities based on your experiences in health care and the patients for whom you have cared.

The residency personal statement also offers the opportunity to write about who you are as a person to convey some details about your background, influences, and interests outside of your given specialty.

The Importance of a Balanced Residency Personal Statement

The key when writing your residency personal statement is to ensure that it is well-balanced so it appeals to a large group of people who might read your ERAS residency application.

However, it is important to understand that every program director and  faculty member  has his or her own idea of what he would like to read in a personal statement. As an applicant, you must go into this process understanding that you cannot please everyone, or a specific program, and your personal statement should therefore have the broadest appeal possible.

For example, some  program directors  would rather hear about your personal interests and curiosities and get to know who you are rather than have you focus on the specialty in which you are interested.

At MedEdits, we suggest taking a “middle of the road” approach; include some details about who you are but also focus on the specialty itself. In this way, you will make more traditional reviewers who want to hear about your interest in the specialty happy while also satisfying those who would rather learn about you as a person.

Above all, be authentic and true to yourself when writing your statement. This always leads to the best results! Read on to learn more about how to write a winning personal statement.

About MedEdits

Getting into a residency has never been more competitive. Founded by a former associate program director, the experts at MedEdits will make your residency personal statement shine. We’ve worked with more than 5,000 students and 94% have been matched to one of their top-choice programs.

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Residency Personal Statement Outline & Structure

Residency applicants often do well when given outlines or templates to follow, so, we will offer that, but, it is important to realize that many applicants deviate from these rigid rules. One very typical outline that serves applicants quite well in the  residency admissions process  is:

• Compose a catchy introduction. Your intro can be related to your  interest in the specialty  to which you are applying, about a hobby or personal experience, or about your background. Regardless of the topic you choose, you want to tell a story and start with something that will interest your reader and engage him.
• The next two to four paragraphs comprise the body of your personal statement. We encourage applicants to write about any significant experiences they have had related to their desired specialty and/or future goals. This would include information about rotations, electives, and sub internships related to the specialty, volunteer and research experiences and even significant outside interests.
• Finally, you want to conclude your essay. In your conclusion, write about what you seek in a residency program, what you will bring to a residency program, and, if you have any idea of your future career goals, write about those as well. Your conclusion is also where you can tailor a personal statement to a specific geographic area of interest or type of program (rural, urban, community).

Residency Personal Statement Length & Residency Personal Statement Word Limit

The allowed ERAS residency personal statement length is 28,000 characters which equates to about five pages!

We have been hearing from more and more applicants that the personal statement should not exceed  one page  when typed in to the  ERAS application . Because of this overwhelming trend, we are supporting this guidance unless you have  extenuating circumstances  that require your personal statement be longer.

Our recommendation is that your residency  personal statement be a maximum of 5300 characters with spaces.

ERAS Residency Personal Statement Checklist

• Ensure your personal statement flows well

The best personal statements are easy to read, don’t make the reader think too much, and make your path and interests seem logical. Rarely does a personal statement have a theme. Also try to have each paragraph transition to the next seamlessly. 

2. Your personal statement should be about you!

Your personal statement should be about you and no one else. Focus on your interests, your accomplishments and your path. This is your opportunity to be forthcoming about your  achievements  – by writing in detail about what you have done.

3. Be sure your personal statement clearly outlines your interest in the specialty.

Since the reader wants to be convinced of your understanding of, experience in, and curiosity about the specialty to which you are applying, be sure you highlight what you have done to explore your interest as well as your insights and observations about the specialty to show your understanding of it.

4. Make it human.

Again, your personal statement should be about you! The reader wants to know who you are, where you are from, what your interests are and who you are outside of medicine. Therefore, try to include those details about your background that are intriguing or important to you.

5. Express your interest in the specialty.

The reader fundamentally wants to know why you are pursuing the specialty. The more details you offer the more convincing you are about your commitment and your understanding of the specialty. Be sure to include details that might seem obvious. For example, in  emergency medicine  you must like acute care, but try to include more nuanced details about your interest, too. What do you enjoy about the diagnoses and pathologies involved? What do you value about the actual work you will do? What do you enjoy about the patients for whom you will care? How about the setting in which you will practice?

6. The start and evolution of your interest.

Readers want to know how and when you became interested in your specialty. Was this before medical school? During medical school? What have you done to pursue and nurture your interest in the specialty?

7. What you have done to learn more about the specialty.

You should explain what you have done to pursue your interest. What rotations have you done or have planned? What research, scholarly work or community service activities have you pursued to further your interest?

8. Where you see yourself in the future – if you know!

Without going into too much detail, write about the type of setting in which you see yourself in the future. Do you hope to also participate in research, teaching, public health work or community outreach as a part of your career? What are your future goals? Since many programs typically train a certain type of physician, it is important that your goals are aligned with the programs to which you are applying.

9. What do you bring to the specialty?

You should try to identify what you can bring to the program and the specialty to which you are applying as a whole. For example, are you applying to family medicine and have a distinct interest in public health? Are you applying for  internal medicine  and do you have demonstrated expertise in information technology and hope to improve electronic medical records? Do you have extensive research or teaching experience, and do you hope to continue to pursue these interests in the future? Have you developed a commitment to global health, and do you hope to continue making contributions abroad? Programs have a societal obligation to select residents who will make valuable contributions in the future, so the more ambitions you have the more desirable a candidate you will be.

10. What type of program you hope to join?

Do you hope to be part of a community or university-based program? What are you seeking in a residency program? Programs are looking for residents who will be the right “fit” so offering an idea of what you are seeking in a program will help them determine if your values and goals mesh with those of the program.

11. Who you are outside of the hospital?

Try to bring in some personal elements about who you are. You can do this in a few ways. If you have any outside interests or accomplishments that complement your interest in your specialty, such as extracurricular work, global work, teaching or volunteer efforts, write about them in detail, and, in doing so, show the reader a different dimension of your personality. Or, consider opening your statement by writing about an experience related to your hobbies or outside interests. Write about this in the form of an introductory vignette. I suggest taking this nontraditional approach only if you are a talented writer and can somehow relate your outside interest to the specialty you are pursuing, however. An interest in the arts can lend itself to dermatology, plastic surgery or ophthalmology, for example. Or, an interest in technology could relate to  radiology .

12. Any personal challenges?

Also explain any obstacles you have overcome: Were you the first in your family to graduate from college? Were you an immigrant? Did you have limited financial resources and work through college? Many applicants tend to shy away from the very things that make them impressive because they are afraid of appearing to be looking for sympathy. As long as you explain how you have overcome adversity in a positive or creative way, your experience will be viewed as the tremendous accomplishment that it is. The personal statement should explain any unusual or distinctive aspects of your background.

Common ERAS Residency Personal Statement Mistakes

Do not tell your entire life story or write a statement focused on your childhood or undergraduate career. 

Do not write about why you wanted to be a doctor. This is old news. From the reviewers perspective, you already are a doctor!

Do not write a personal statement focused on one hobby or begin with your birth. Some background information might be useful if it offers context to your choices and path, but your residency personal statement should be focused on the present and what you have done to pursue your interest in the specialty to which you are applying.

Do not preach. The reader understands what it means to practice his specialty and does not need you to tell him. Don’t write, for example: Internal medicine requires that a physician be knowledgeable, kind and compassionate. The reader wants to know about you!

Do not put down other specialties. You don’t need to convince anyone of your interest by writing something negative about other specialties. Doing so just makes you look bad. If you switched residencies or interests, you can explain what else you were seeking and what you found in the specialty of your choice that interests you.

Do not embellish. Program directors are pretty good at sniffing out inconsistencies and dishonesty. Always tell the truth and be honest and authentic. 

Do not plagiarize. While this seems obvious to most people, every year people copy personal statements they find online or hire companies that use stock phrases and statement to compose statements for applicants. Don’t do it!

Do not write about sensitive topics. Even if you were in a relationship that ended and resulted in a  poor USMLE score , this is not a topic for a personal statement. In general, it is best to avoid discussing relationships, politics, ethical issues and religion.

Do not boast. Any hint of arrogance or self-righteousness may result in getting rejected. There is a fine line between confidence and self promotion. Some people make the mistake of over-selling themselves or writing about all of their fantastic qualities and characteristics. Rarely do readers view such personal statements favorably.

Do not write an overly creative piece. A residency personal statement should be professional. This work is equivalent to a job application. Don’t get too creative; stay focused.

Writing ERAS Residency Personal Statements For Multiple Specialties

An increasing number of applicants are applying to more than one specialty in medicine especially if the first choice specialty is very competitive. If you are applying to more than one specialty, even if there is disciplinary overlap between the two (for example family medicine and pediatrics), we advise you write a distinct specialty for each. Remember that a physician who practices the specialty you hope to join will most likely be reviewing your statement. He or she will definitely be able to determine if the personal statement illustrates a true understanding of the specialty. If you try to recycle an entire personal statement or parts of a personal statement for two specialties, there is a high likelihood the personal statement will communicate that you aren’t sincerely interested in that specialty or that you don’t really understand what the specialty is about.

Writing About Red Flags in your ERAS Personal Statement

The personal statement is also the place to explain any red flags in your application, such as gaps in time or a leave of absence. When addressing any red flags, explain what happened succinctly. Be honest, don’t make excuses, and don’t dwell on the topic. Whenever possible, write about how you have matured or grown from the adversity or what you may have learned and how this benefits you.

If you have left a program or had a break in your medical education, you will also have the chance to explain this in your  ERAS application . You should also write about this topic in your personal statement only if you have more to explain, however. 

If you have failed a Step exam or one course in medical school, this likely isn’t something to address in the personal statement. However, you should be prepared to discuss any failure during an interview. By the same token, it is best not to address one low grade or poor attending evaluation in your statement. 

Have you taken a circuitous path to medicine? If so you might address why you made these choices and what you found so interesting about medicine that was lacking in your former career.

Residency Personal Statement Example

Below are two great examples of residency personal statements that earned the applicants who wrote them numerous interviews and first choice matches. As you will see, these two applicants took very different approaches when writing the personal statement yet wrote equally persuasive and “successful” personal statements.

Residency Personal Statement Example, Analysis, and Outline: The Traditional Approach

The most common approach to the personal statement is what I will call the traditional approach, in which the applicant conveys her interest in the specialty, when that interest began and what she has done to pursue the particular specialty.

Suggested outline:

• Introduction: Catchy Story
• Paragraph 2: Background Information and how Interest Started
• Paragraph 3: Write about what you did to explore your interest
• Paragraph 4: Second paragraph about your experiences related to your specialty
• Conclusion: Wrap it up. Write something about your future goals.

Below is an example of the traditional approach:

I looked into her eyes and saw terror. She knew the life of her unborn baby was in jeopardy. As tears streamed down her face, she looked to the attending physician. In desperation, she pleaded, “Please save our baby.” She and her husband had been trying to conceive for more than two years, and they knew this could be their only chance to have a healthy child. She went into labor at home and because of a horrible snowstorm was not able to reach the hospital for several hours. When she arrived in labor and delivery, she was crowning. But, the baby was having late decelerations. Because of the sweat on my attending’s forehead I knew the situation was serious. Yet we all tried to remain calm and to keep the patient and her husband calm as well. 

I entered medical school with an open mind as everyone suggested. Even as a first year medical student, however, I was fascinated with embryology. I entered my third year still unsure of what I would pursue. I knew I wanted a career that would be challenging and interesting. Because of my background in drawing and painting, I always loved working with my hands. Yet I also enjoyed working with people. Thankfully, my obstetrics and gynecology (ob/gyn) rotation was the first of my third year and I was immediately hooked.

I quickly sought out opportunities for research and became involved in a clinical study investigating the impact of a vegan diet on birth outcomes. I have always had an interest in wellness and nutrition, and this seemed like a perfect fit for me. My research is still in process, but through this experience I have learned how to analyze data, stay objective and critically evaluate the literature. So far, our findings suggest better than normal outcomes for babies born to vegan mothers. This reinforces my goal to educate my patients about the important of diet and nutrition, which I hope to make a part of my future practice. 

Early in my fourth year, I completed an elective rotation at Inner City Medical Center. There I cared for a diverse group of patients in both inpatient and outpatient settings. I realized how much I enjoy labor and delivery, but I also value the operative aspects of ob/gyn. I appreciate the importance of understanding the female anatomy so I can operate with precision.  I also value the diversity of practice in ob/gyn. Whether caring for a woman about to give birth, helping a woman newly diagnosed with breast cancer navigate her treatment options, or caring for a perimenopausal woman who is coping with symptoms of hormone fluctuations, I enjoy caring for patients with knowledge and compassion. The outpatient aspect of ob/gyn brings satisfaction as well. I look forward to building relationships with my patients, helping them to lead the healthiest lives possible. I have also realized how much I want to care for those who lack access to care. The work I have done at Medical School Free Clinic has helped me realize the gaps that exist in access to care and education. As a future practicing ob/gyn, I hope to work in such a setting at least on a part time basis.

On that snowy night, when we realized the baby was having difficulty being born because of shoulder dystocia, a simple maneuver eased the situation. The baby’s first cry brought such joy and relief to everyone in the room and, at that moment, I knew I had to be part of this specialty. I hope to join a program where I will have the clinical exposure that will give me the skills and experience to care for a wide range of patients. I do not yet know if I will subspecialize, and I will seek out mentors and experiences as a resident to make an informed decision. I would be honored to interview at your program and thank you for your consideration.

Why It’s Great

This is a great personal statement because it clearly conveys the applicant’s interest in, and understanding of, obstetrics and gynecology (OB/GYN) and what the applicant has done to pursue that interest. Not only does this applicant have a long-standing interest in OB/GYN, but, she conveys that she has experienced the specialty in different settings and understands the diverse nature of the specialty. She also includes information about her hobbies and interests and writes about her exploration of OB/GYN outside of the clinical arena. An added bonus is that the applicant writes well and uses descriptive language making her statement interesting and fun to read.

Residency Personal Statement Example, Analysis, and Outline: The Outside Interests Approach

Many mentors advise applicants to tell the reader something about them that is unrelated to medicine or the specialty they are pursuing. This is a fine idea, but be sure your personal statement also includes some details about your interest in your specialty if you decide to move in this direction.

Suggested Outline:

• Introduction: Write a Catchy Introduction. Be creative! Think outside the box.
• Paragraph 2:Elaborate on your introduction offering more details
• Paragraph 3: Write about your specialty choice and what appeals to you.
• Paragraph 4: Write more about your explorations in medical school.
• Concluding paragraph(s): Write about your future goals, the type of program you hope to join and consider looping back to your introduction.

The landscape before me was lush and magical. We had been hiking for hours and had found a great spot to set up camp. As I was unloading my backpack and helping to pitch the tent, I saw a scene I knew I had to capture. I quickly grabbed my carefully packed Leica before the magnificent sunset disappeared. Trying to get the perfect exposure, I somehow managed to capture this image so accurately that it reflected the beauty of what was before us high in the mountains of Utah, so far away from the hustle and bustle of New York City where we attended medical school.

Throughout my life, I have pursued my interests and curiosities with focus and creativity. One of those interests is photography. Even as a small child, I wanted my own camera, and I started snapping interesting scenes and images at the age of 6. As I grew older, this hobby took on more significance. I took a college level course in photography as a high school student, worked as a photographer’s assistant and even considered a career in photography. Paralleling my interest, however, was a desire to travel and experience new places, foods, and cultures.

I have been fortunate to travel all over the world. Rather than stopping in a city or place for a couple of days and seeing the sights, I prefer to immerse myself in my surroundings, eating the food, meeting the people, and staying for as long as I can. My fluency in Spanish and Italian has made it easier to “fit in” naturally. My most recent trip to Costa Rica allowed me to visit sugar cane fields and rain forests. I also volunteered in a clinic that helps the most desperate citizens. Of course, because I never travel without my camera, I also captured the beauty of this country; those pictures can be found on my blog.

Surgery seemed like a natural choice for me. It is a very tactile and visual field that requires patience, attention to detail and creativity—just like photography. The operating room setting is invigorating. I love to be a member of a team, and in surgery team work is an essential part of practice. The ability to deal with anatomical variations also satisfies my creative side; I have always been fond of puzzles, and the field of surgery represents a real-world puzzle to me. I also appreciate the intensity of surgery and believe I have the personality and demeanor for the field. I have always enjoyed solving problems quickly, something the field of surgery requires. My rotations in surgery – in addition to my core surgery rotation I have done trauma and cardiothoracic surgery – have helped me to understand the tremendous opportunities and diversity of the field. I have heard some residents lament that the only reason they went into surgery is to operate. However, I really enjoy seeing patients postoperatively. It is only at that time that a surgeon can really appreciate the impact of his or her work.

Finally, my trip to Honduras with a surgical team from my hospital and medical school made me realize that I can make a great contribution globally in the field of surgery. There we saw patients who had no resources or access to care. The facilities in which we worked were bare-bones. Yet the impact we made was tremendous, given that this was a group of people who otherwise would have no surgical care. In this way, I hope to combine my interests in travel and surgery as a resident, if I have time, and certainly as a practicing physician. My ultimate goal is to use my training to help populations globally and domestically.

To gain the most clinical exposure possible, I hope to train in a busy urban hospital. I believe that such a setting will give me the operative experience I need to be able to navigate many situations in the future. Such a setting will also give me the outpatient experience to understand how to manage patients once the surgery is completed.

I look forward to the day when I can be snapping my camera intraoperatively, documenting what I am doing and seeking to help other surgeons. For some, such pictures may not represent the art of those pictures I take in the wilderness, but for me they reflect the beauty of surgery and the great opportunity to make a lasting impression on another human being’s life.

This is a really intriguing personal statement because the author writes about his outside interests in a compelling way that makes him instinctively likable. He then goes on to explain what he enjoys about surgery and what he has done to pursue that interest. As you can see, this applicant writes less about his specialty (surgery) than the applicant in statement #1 did, but, he still convinces the reader of his understanding of, and commitment to, surgery. In this statement, the reader gains a much broader understanding of who the applicant is as a person and what he likes to do in his free time.

Final Thoughts

Writing your residency personal statement should be about telling your story in your own voice and style. You want to highlight your interest in the specialty for which you are applying while also conveying some ideas about who you are as a person to keep your reader engaged in learning about you as a person.

Residency Personal Statement Consulting Services

MedEdits Medical Admissions offers comprehensive guidance and document review services for residency applicants to every specialty in medicine. With more than twenty years of experience in residency admissions and founded by a former residency admissions officer and physician, MedEdits understands what program directors want to read and can help you decide what aspects of your background to focus on in your residency personal statement to earn the most interviews possible.

Residency Related Articles and Guidance

• Residency Match Statistics
• Residency Personal Statement
• Residency Match: How It Works & How To Get Matched
• How to write a residency interview thank you letter.
• What Outfit To Wear To Your Residency Interview
• Medical Residency Timeline & Length
• Medical Residency Salary By Specialty
• How To Master MyERAS, The Medical Residency Interview, and Common Residency Interview Questions
• Master the ERAS (Electronic Residency Application Service) & ERAS Timeline
• Residency Letters Of Recommendation (with ERAS Samples)
• Residency Letter of Intent
• How to Write a Residency Letter of Intent
• Residency Love Letters
• Residency Match Success: Lessons Learned

Residency Specialty Articles

• Family Medicine Residency Match: Beat more than 4400 Applications
• Pediatrics Residency Match: Beat more than 3000 Applicaitons
• Internal Medicine Residency Match: Beat more than 10,000 Applications
• General Surgery Residency Match: BEAT more than 1900 Applications
• Emergency Medicine Residency Match: BEAT more than 2600 Applications
• Anesthesiology Residency Match: BEAT more than 2,000 Applicants

JESSICA FREEDMAN, M.D. , a former medical school and residency admissions officer at the  Icahn School of Medicine at Mount Sinai , is the founder and chair of MedEdits Medical Admissions and author of three top-selling books about the medical admissions process that you can find on  Amazon .

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Ten Steps for Writing an Exceptional Personal Statement

Danielle jones.

All authors are with Emory University School of Medicine

Danielle Jones, MD, is Associate Professor of Medicine, Associate Section Chief of the Division of General Internal Medicine Grady Section, and Associate Program Director, Internal Medicine Residency

J. Richard Pittman, Jr

J. Richard Pittman Jr, MD, is Associate Professor of Medicine, and Program Director, Fourth Year Internal Medicine Sub-Internship

Kimberly D. Manning

Kimberly D. Manning, MD, FACP, FAAP, is Professor of Medicine, and Associate Vice Chair, Diversity, Equity, and Inclusion, Department of Medicine

The personal statement is an important requirement for residency and fellowship applications that many applicants find daunting. Beyond the cognitive challenge of writing an essay, time limitations for busy senior residents on clinical rotations present added pressure. Objective measures such as scores and evaluations paint only a partial picture of clinical and academic performance, leaving gaps in a candidate's full portrait. 1 , 2 Applicants, seemingly similar on paper, may have striking differences in experiences and distances traveled that would not be captured without a personal narrative. 2 , 3 We recommend, therefore, reframing personal statements as the way to best highlight applicants' greatest strengths and accomplishments. A well-written personal statement may be the tipping point for a residency or fellowship interview invitation, 4 , 5 which is particularly important given the heightened competition for slots due to increased participation on virtual platforms. Data show that 74% to 78% of residency programs use personal statements in their interview selection process, and 48% to 54% use them in the final rank. 6 , 7 With our combined 50 years of experience as clerkship and residency program directors (PDs) we value the personal statement and strongly encourage our trainees to seize the opportunity to feature themselves in their words.

Our residency and medical school leadership roles position us to edit and review numerous resident and student personal statements annually. This collective experience has helped us identify patterns of struggle for trainees: trouble starting, difficulty organizing a cogent narrative, losing the “personal” in the statement, and failing to display unique or notable attributes. While a bland personal statement may not hurt an applicant, it is a missed opportunity. 4 , 8 We also have distinguished helpful personal statement elements that allow PDs to establish candidates' “fit” with their desired residency or fellowship. A recent study supports that PDs find unique applicant information from personal statements helpful to determine fit. 4 Personal statement information also helps programs curate individualized interview days (eg, pair interviewers, guide conversations, highlight desirable curricula). Through our work with learners, we developed the structured approach presented here ( Figure 1 ). Applicants can use our approach to minimize typical struggles and efficiently craft personal statements that help them stand out. Busy residents, particularly, have minimal time to complete fellowship applications. We acknowledge there is no gold standard or objective measures for effective personal statement preparation. 9 Our approach, however, combined with a practical tool ( Figure 2 ), has streamlined the process for many of our mentees. Moreover, faculty advisors and program leaders, already challenged by time constraints, can use this tool to enhance their coaching and save time, effort, and cognitive energy.

Structured Approach to Writing a Personal Statement

Ten Steps for Writing an Exceptional Personal Statement: Digital Tool

Note: Use the QR code to download the digital tool and follow the 10 steps highlighted in Figure 1.

Given word count and space limitations, deciding what to include in a personal statement can be challenging. An initial brainstorm helps applicants recall personal attributes and experiences that best underscore key strengths (Step 1). 10 Writing explicit self-affirmations is challenging, so we recommend pairing with a near peer who may offer insight. Useful prompts include:

• ▪ What 3 words best encapsulate me?
• ▪ What accomplishments make me proud?
• ▪ What should every program know about me?

Reflecting on these questions (Step 2) helps elucidate the foundations of the narrative, 10 including strengths, accomplishments, and unique elements to be included. Additionally, the preparation steps help uncover the “thread” that connects the story sequentially. While not all agree that personal or patient stories are necessary, they are commonly included. 5 One genre analysis showed that 97% of applicants to residency programs in internal medicine, family medicine, and surgery used an opening that included either a personal narrative (66%) and/or a decision to enter medicine (54%) or the specialty of choice (72%). 9 Radiology PDs ranked personal attributes as the second most important component in personal statements behind choice of specialty. 9 Further, a descriptive study of anesthesia applicants' personal statements ranked those that included elements such as discussion of a family's or friend's illness or a patient case as more original. 3 We feel that personal and patient stories often provide an interesting hook to engage readers, as well as a mechanism to highlight (1) personal characteristics, (2) journey to and/or enthusiasm for desired discipline, and (3) professional growth, all without giving the impression of being boastful. Sketching these Step 2 fundamentals prepares applicants to begin writing with intention.

Writing and Structuring

Once key elements are identified, the next steps assist with the actual writing. Utilizing information gleaned from the “Preparing” steps, start with a freewriting exercise (Step 3), an unrestricted association of ideas aimed at answering, “What experiences have cultivated my strong interest in pursuing [______]?” At this stage, ignore spelling and grammar. Just write, even if the product is the roughest, rough draft imaginable. 10 Setting a timer for 10 to 15 minutes establishes a less intimidating window to start. Freewriting generates the essential initial content that typically will require multiple revisions. 10

Next, we recommend structuring the freewriting content into suggested paragraphs (Step 4), using the following framework to configure the first draft:

• ▪ Introductory paragraph: A compelling story, experience, or something that introduces the applicant and makes the reader want to know more (the hook). If related to a patient or other person, it should underscore the writer's qualities.
• ▪ Paragraph 2: Essential details that a program must know about the applicant and their proudest accomplishments.
• ▪ Paragraph(s) 3-4: Specific strengths related to the specialty of choice and leadership experiences.
• ▪ Closing paragraph: What the applicant values in a training program and what they believe they can contribute.

Evaluate what has been written and ensure that, after the engaging hook, the body incorporates the best pieces identified during the preparation steps (Step 5). A final paragraph affords ample space for a solid conclusion to the thread. Occasionally the narrative flows better with separate strengths and leadership paragraphs for a total of 5, but we strongly recommend the final statement not exceed 1 single-spaced page to reduce cognitive load on the reader.

This part of the process involves revising the piece into a final polished personal statement. Before an early draft is shared with others, it should be evaluated for several important factors by returning to the initial questions and then asking (Step 6):

“Does this personal statement…”

• Amplify my strengths, highlight my proudest accomplishments, and emphasize what a program must know about me?
• Have a logical flow?
• Accurately attribute content and avoid plagiarism?
• Use proper grammar and avoid slang or profanity?

While not as challenging as the other steps, optimization takes time. 10 At this stage, “resting” the draft for 1 week minimum (Step 7) puts a helpful distance between the writer and their work before returning, reading, and editing. 10 Writers can edit their own work to a point, but they often benefit by enlisting a trusted peer or advisor for critiques. Hearing their draft read aloud by a peer or advisor allows the applicant to evaluate the work from another perspective while noting how well it meets the criteria from the tool (provided as online supplementary data).

A virtual or in-person meeting between applicant and mentor ultimately saves time and advances the writer to a final product more quickly than an email exchange. Sending the personal statement in advance helps facilitate the meeting. Invite the advisor to candidly comment on the tool's criteria to yield the most useful feedback (Step 8). When done effectively, edits can be made in real time with the mentor's input.

We bring closure to the process by focusing on spelling and grammar checks (Step 9). Clarity, conciseness, and the use of proper English were rated as extremely important by PDs. 3 , 9 Grammatical errors distract readers, highlight inattention to detail, and detract from the personal statement. 3 , 9 Once more, we recommend resting the draft before calling it final (Step 10). If the piece required starting over or significant rewriting based on feedback received, we also suggest seeking additional feedback on this draft, ideally from someone in the desired residency or fellowship discipline. If only minor edits (eg, flow, language) were incorporated, the personal statement can be considered complete at this time.

Writing a personal statement represents a unique opportunity for residency and fellowship applicants to amplify their ERAS application beyond the confines of its objective components. 3 Using this stepwise approach encourages each personal statement to be truly personal and streamlines the process for applicants and reviewers alike. All stakeholders benefit: applicants, regardless of their scores and academic metrics, can arm themselves with powerful means for self-advocacy; PDs gain a clearer idea of individual applicants, allowing them to augment the selection process and curate the individual interview day; and faculty mentors can offer concrete direction to every mentee seeking their help.

Residency Sample Personal Statements

These are real personal statements from successful residency applicants (some are from students who have used our services or from  our advisors ). These sample personal statements are for reference purposes only and should absolutely not be used to copy or plagiarize in any capacity. Plagiarism detection software is used when evaluating personal statements. Plagiarism is grounds for disqualification of an applicant.

Disclaimer: While these essays ultimately proved effective and led to successful residency matches, there are multiple components that comprise an effective residency applicant. These essays are not perfect, and the strengths and weaknesses have been listed where relevant.

Sample Personal Statements

Encouraged by the idea of becoming well rounded, I collected many hobbies and passions as I grew up from snowboarding and cooking to playing board games and practicing meditation. Despite the increasing demands on my time, however, I never learned how to get more than 24 hours out of a day. Since I entered medical school, I have been searching for ways to continue pursuing my one my most influential hobbies, playing the violin. While my violin may be gathering more dust than I would like to admit, I discovered that the same motivations that gave me an affinity for my favorite pastime are still fulfilled in the practice of anesthesia.

Learning to play the violin was challenging; for the first few years, everything that came out of my violin sounded as if it had been scratched out on a chalkboard. Through daily practice and enormous amount of patience from my parents whose ears were being tortured, playing violin slowly came to be effortless. My violin teacher went beyond teaching me how to play but also challenged me to envision my future and write down my aspirations. While achieving my milestones gave me a jolt of confidence, I learned that setting goals are part of a broader journey of constant improvement. Developed from years of practicing violin, my discipline to work tirelessly towards my goals provides the framework that will help me to master anesthesiology.

I found violin to be most rewarding when I had the opportunity to share my music with others. Through the simple act of pulling my bow across a string, I was able to convey my emotions to my audience. The desire to directly and physically affect change is a large part of my motivation to pursue anesthesiology where problems are identified and immediately met with a potential solution. Drawn to science because of my desire to understand the world around me, I enjoy creating a hypothesis and executing a plan in order to test it. While I was at [UNIVERSITY], I identified areas in which the school could improve the student experience and then implement projects that could address these areas. As the Academics and Research Committee chair, I planned as a summer math course for incoming freshmen to prepare them proof writing, which was a topic that many were to which they were not previously exposed. I derive satisfaction from the ability to take an idea and carrying it through to completion. As a life long learner, I take pleasure in finding ways to grow and expand my mind. My love of learning started from a young age where my favorite use of my computer was to browse my CD-ROM “the way things worked.” My golf team nicknamed me ‘Encyclopedia’ because of my tendency to share interesting facts with them as we drove to tournaments around [STATE]. To this day, it is difficult for me to have dinner with my friends without bringing up an interesting fact I learned from a podcast.

When playing violin became second nature, practicing became a sort of therapy where the world around me disappeared and my mind became quiet and focused. Throughout my life, I have been drawn to tasks that require intense concentration to transform thoughts into physical action from rehearsing a swing to hit a perfect drive to carefully executing a protocol for an experiment. The direct and focused care that takes place in the OR actually turned out to be tranquil and relaxing for me. Monitoring the patient, forming differentials, testing my hypothesis, and planning ahead, I found my mind completely immersed while I was assisting in cases. Able to use my own hands to care for a patient, I left the OR feel satisfied that my efforts were wholeheartedly directed towards providing the best possible care for my patient.

I first discovered chamber music at violin camp and immediately fell in love with beautiful harmonies and intricate counter melodies. One of the most shocking things about chamber music was how foreign the music sounded when I practiced at home because the individual parts frequently do not capture the beauty of piece. It isn’t until rehearsal as a group that the true form of the song emerges. Chamber music, similar to the operating room, involves a small group of people working together toward a single goal. Everyone from the surgeon to the nurses has his or her own role, which is needs to be executed appropriately in order to provide the best care for the patient. The teamwork required in the OR reminds me of seemingly impossible feats humans are able to accomplish through coordinated efforts. This collaboration is an essential characteristic of the type of environment in which I would like to work. In addition, I hope that the anesthesia residency I attend values the spirit of self-reflection and constant improvement. I am excited to pursue a career in anesthesiology where I will continue to build on my interests and strengths that were honed through years of practicing the violin.

The author did a masterful job of integrating one of his/her main outside passions (violin) into an interesting and engaging narrative as to why the applicant was fit for anesthesia.

Compared to the common “writing your CV” mistake that many applicants make, this personal statement is a breath of fresh air. The theme of violin is not irrelevant, as the author relates seemingly unrelated aspects of its practice or performance to key elements of anesthesia, medicine, or being part of a team in the operating room. 

The author allows his/her personality and voice to come through. Reading this, it is easy to imagine a quirky and intellectual applicant who is genuinely curious and excited to pursue the career of anesthesia, along with some interesting hobbies. It is no surprise, then, that this applicant interviewed at top programs across the nation and multiple residency admissions committee members cited the applicant’s personal statement during the interview.

As I stand on stage in front of 500 audience members, they are all eagerly awaiting my next line. In order to start the scene, I need a suggestion from the audience. “What am I holding?” I raise my empty hand in the air. One brave soul replies “Bacon!” My fellow improvisers and I proceed to perform a scene set around a bacon dinner party. We deliver our lines punctuated by laughter until the scene comes to a close. I recall this scene during my first night in the emergency department (ED). I am struck by how much improvisation has taught me. Emergency Medicine (EM) and improv have very similar motifs. Every scene in improvisation is different, as is every ED patient. Scenes are fast paced and force you to draw from life experiences while working in a team setting, similar to the controlled chaos often encountered during an ED shift. Ultimately, ingenuity, communication and resourcefulness are the main draws I have to EM which are traits that have been instilled into my character by my experience with improvisation.

During my third year of medical school, an elderly woman presented to the ED with acute vision loss. Reassessing the patient was difficult because I had no way of documenting the improvement of her vision. Improvisation had prepared me to use creativity and whatever tools available to find a solution for any given situation. I created a system where she could mark an ‘X’ wherever she could see on a grid drawn on paper. Each hour she would add more X’s to the grid as she received corticosteroid treatment. Helping patients with improvised solutions gives me the feeling of being an artist which can complement the logic and criteria needed in EM.

New and imaginative ideas in improvisation are born from constant communication between improvisers. Emergency physicians are constantly communicated information which changes their management of a patient. A growing discipline in EM is the idea of shared decision-making (SDM). My research aims to improve the communication between the emergency doctor and the patient using SDM which is when the patient relies on their life experiences, values, and preferences while the EM physician contributes his/her medical knowledge to improve decision-making. I have been involved in several projects to help identify barriers to SDM in the emergency department, and I am currently leading a research project on the implementation of SDM in oral anticoagulation therapy for patients with new onset atrial fibrillation. Through this novel concept, I learned how to effectively communicate with patients about their illnesses and the benefit of giving them an active role in choosing their care plan.

Entering medical school, I developed an original research project incorporating my life experiences. Five years ago, my grandmother passed away from Alzheimer’s disease. In medical school, I learned of the benefits of various alternative treatments of neurodegenerative diseases. Combining my experience with Alzheimer’s and improvisation, I developed a study where elderly patients with mild cognitive impairment were enrolled in an eight-week improvisation class. My efforts to improve the participants’ verbal fluency, level of depression and cognition using a treatment that had not yet been explored gave me the ability to administer care with the tools given to me by past experiences. Approaching the undifferentiated ED patient similarly requires resourcefulness and problem-solving which can stem from past life experiences. I believe I will be able to pull from these experiences salient information applicable to the situation because improvisation has helped me nurture this characteristic.

In my future career, I see myself working with underserved populations and performing research. There I can lift those who are in need as well as continue to research improvements in patient engagement through SDM. I know if I am given the chance to practice medicine in an environment that fosters ingenuity, communication and resourcefulness I can continue to be strong advocate for my patients and become a great EM physician.

Building from a unique background, the author of this residency personal statement brings a unique element to the table – improvisation. Similar to the personal statement above, the author uses their passion and interests outside of medicine to illustrate how the skills they have developed in that area will translate to their being an effective physician. 

Notably, the author also describes his novel research project incorporating improvisation into research and the backstory of how this idea was derived from Alzheimer’s dementia effecting his own family members. This simple anecdote reinforces the applicant’s passion for improvisation, their interest in furthering the scientific literature through research, and the personal connection to a condition. 

The applicant comes across as interesting. However, to further improve the impact of the essay, the author may consider tightening up the conclusion with a reference back to improvisation or other parting words that are more unique.

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Residency Personal Statement [Ultimate Guide]

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There’s no doubt that a strong application for a residency program will open new doors and bring in a lot of opportunities for you. Aside from your shiny USMLE or COMLEX scores and your GPA in medical school, residency program directors look for a specific reason to accept you – and a residency personal statement is what they need.

In this post, we’re going to shed some light on your residency personal statement – enabling you to learn how to write a phenomenal personal statement that will land you an interview so you can match into the specialty you desire!

Table Of Contents

What Is A Residency Personal Statement?

A residency personal statement is one of the requirements when applying to residency programs. This is a formal letter that you get to write and personalize yourself to further showcase your strengths as an individual and as a potential resident of the specialty you desire to match into.

It is a medium that enables you to improve your residency application by going beyond what’s written in your CV and letting the program directors see why you’re perfect for their residency.

How Important Is The Personal Statement For Residency?

The National Residency Matching Program’s (NRMP) Director Survey shows a chart on the percentage of programs citing each factor and mean importance rating for each factor in selecting applicants to interview.

Here are the top 10 cited factors that residency program directors consider when choosing which applicants will pass to the succeeding stages of the application process.

Figure 1. Top 10 Factors Residency Program Directors Consider When Selecting Qualified Applicants

As we can derive from the figure above, residency program directors prioritize USMLE Step 1 /COMLEX Level 1 scores, letters of recommendation , Medical Student Performance Evaluation, USMLE Step 2 CK /COMLEX Level 2 scores, and residency personal statements come in at fifth place with a 78% citing factor and an average rating of 3.7.

Residency program directors will always put those numbers in your residency application on top of their list of priorities. If there’s anything I learned about mathematics is that numbers are universal. Your scores are what it is and there’s no other way of trying to understand it.

No matter what kind of student you were in medical school, how you treat your colleagues, or your attitude towards work and rotations – the first thing people will ask you is how much you have scored on your Step 1.

However, residency program directors are not just interested in these numbers alone. Otherwise, letters of recommendation and residency personal statements wouldn’t even be in the top 5 factors in selecting applicants for residency programs.

See, chances are, the applicants you’ll be competing with would have the similar USMLE or COMLEX scores as you. Everyone is competent enough to be accepted – so how is this going to pan out?

The residency personal statement serves as the tiebreaker for such situations. Your scores as yours to keep but your residency personal statement sets you apart from the rest – helping them remember your residency application as something to consider.

This is the opportunity offered to you to voice out your goals and motivations why you’re diving into the specialty that you are applying for. Doing so will help the directors determine for themselves if you’re applying to become the future physician that they’re exactly looking for and not just because you need something to pay the bills for.

What Do You Write In A Residency Personal Statement?

Your residency personal statement should embody who you are as an individual and as an applicant.

While letters of recommendation provide qualitative information about an applicant from the eyes of the people around him, residency personal statements solely come from the words of the applicant.

Thus, it is a language understood only by the applicants and the program directors where they could know more about your personality and strengths and decide whether you would fit the environment and standards of their residency program.

Of course, for your residency personal statement to achieve its full capabilities – you must be able to write a coherent letter which includes some aspects that program directors expect to see.

You could ask for residents you know if you could have a glimpse of their residency personal statements for you to have an idea where you should start. There are also a ton of examples all over the Internet which I’ll be providing you later on.

Here are some of the common things to be written in a residency personal statement. Make sure that your residency personal statement answers the questions below. These are also a great place to start if you feel lost and have no idea what to write.

Motivations Behind Career and Specialty Choice

• What has drawn you to pursue this specialty among others?
• What are the instances in your life and in all your years of medical school that piqued your interest in this specialty?
• How and what led you to decide that medicine is what you want to pursue as a career?
• What medical cause do you feel should be addressed by you?

Qualities or Skills To Help You As A Resident

• What are your strengths that other applicants don’t have?
• How are your skills and qualities going to help you succeed as a medical practitioner?
• Could the residency directors expect more from you?
• Are you capable of learning and improving?
• How do you think these will enable you to excel in this specialty?

Plans For The Long Term

• What do you expect from this specialty in the long run?
• What do you hope to accomplish besides paying the bills and making the world a better place to live in for patients?
• Are you planning to become a partner or stay as employed?
• How do you see your career in this specialty progressing, 20 years in time?

Personal Attributes Relevant To Your Specialty

• If you’re applying for a pediatrics residency program, are you easily approachable by kids and their parents?
• Are you empathetic towards women and have respect for their decisions?
• Do you have the leadership skills that a surgeon needs?
• What are the instances wherein you have strongly demonstrated your personal attributes to a clinical setting?

Accomplishments You’re Proud Of

• Are there any extracurricular activities that are meaningful to you?
• What are the accomplishments you feel most proud of? If these are already mentioned in your CV but you feel like this one certain accomplishment is kind of ambiguous and worth expanding on, then go ahead.

How Long Should A Residency Personal Statement Be?

As tempting it may be to tell your whole story on how you have decided to become a physician, don’t be that kind of applicant. Keep your residency personal statement at about just 3500 characters or 500 words. Make sure that you don’t go over 1 page.

You just want to promote your strengths, qualities, and skills at a personal level since your USMLE or COMLEX scores don’t really provide an insight as to what kind of person you are and how you approach your work. That’s all there is to it.

What Makes A Great Residency Personal Statement?

A Unique Take Behind Your Medical Journey

Every aspiring medical practitioner has a story to tell. Think of a unique story coming from a very particular point in your life that had led you to realize that you want to pursue a career in the field of medicine.

The introduction should tell the story of the exact moment of your transition to be an aspiring physician . If you are one of the applicants who was dead set on a particular specialty before experiencing rotations and had a change of heart as you were going through with it – explain why and how you felt in this transition.

It’s important for you to write everything in detail . Writing the introduction with detail delivers the story vividly and clearly to the reader of your residency personal statement. Make them feel like they were with you on that day.

You want this story to be powerful but not too emotional, substantial but brief, specific but not too revealing, and something that only you can write . Make it memorable and something to remember. Give the program directors a chance to ask more about you on the day of the interview.

Personalizing Personal Statements

Everyone’s journey in the field of medicine is personal . A residency personal statement is not a place for enumerating every single achievement in your life and selling yourself like hot pancakes.

Your CV, USMLE or COMLEX scores, and letters of recommendation , are already enough quantitative and qualitative information to determine your competency.

A residency personal statement is one of the requirements for residency programs because they want to be able to connect with you on a personal level. They want to understand you as a person and as a potential resident.

Also, because they need something to talk about in your interview.

You must be able to describe how medicine is integral to you as an individual . How has it become something that can describe you as who you are, without wearing that white coat and a stethoscope wrapped around your neck?

Describe how your personality, interests, and the course of your life relate to the specialty you want to match into. Connect the dots from personal to professional.

An Unexpected Turn of Events

As a fan of movies, I fancy characters who display change and growth throughout the story. There’s nothing more boring than a one-trick pony kind of character. A movie with a character like that is not worth watching. Never watching it again for the rest of my life.

You could think of these residency program directors as an audience of the story of your medical journey. Provide them with a timeline that exemplary showcases why and how your points of view, opinions, and perspectives of yourself have changed throughout your journey before and during medical school.

Did you also have failures that had dramatically impacted the course of your life? Don’t be insecure about these failures and use them to your advantage. Sometimes your failures could even be seen as strengths.

Failures are a part of the things that make you who you are now. Program directors would most likely be interested in how you have overcome these failures and how you have used it as a pedestal to become wiser and stronger as a person and as a medical practitioner.

The Kind of Doctor You Want to Become

Do you picture yourself as a doctor who only cares about the politics inside the hospital? Do you see yourself as the kind of doctor who prioritizes the health and safety of your patients and staff above everything else? Are you going to be a doctor for yourself or the patients?

Promoting the current version of yourself in your residency personal statement gives the program directors an image of how you’re going to approach your work as a resident. However, you must also give them a visualization of the kind of doctor you want to be in the long run . This gives them something to look forward to.

What Should You Not Write In A Residency Personal Statement

Avoid Being Dramatic

You need to keep the tone of your statement to be as formal as possible even if you’re talking about yourself. You may be a bit carried away which could push you into writing a statement that’s kind of dramatic in a sense.

In other words – don’t make your residency personal statement a screenplay for a medical drama . You want to hook your reader by providing them interesting substances, not by adding too much flare. Keep your choice of words formal but personal, as well.

No Need For Rehashing

Don’t try to reiterate what’s already on your CV. Doing so is only a waste of paper, ink, and you’re only throwing this opportunity into the trash. You’re not helping anyone else . This is only acceptable if certain things seem ambiguous but deserves to be discussed more.

Don’t Be Too Declarative

Many applicants feel the need to advocate themselves in a sense that they deserve to be accepted to the residency program they are applying for. While I appreciate the confidence and credit the applicant gives himself – this is not unique. Anyone can write something like that.

Remember, your residency personal statement should be something that could only be written by you, no one else.

You Don’t Have To Promote The Specialty

What’s a promotion of the specialty doing in your personal statement? Program directors know what they’re doing and for what cause. Don’t waste your time and some paper on promoting the specialty you are applying for.

While I understand that applicants do this because they feel like they should come off as knowledgeable in the field, program directors are confident that you know plentiful enough about the specialty. Otherwise, why are you even writing that residency personal statement in the first place?

Don’t promote the specialty. Instead, promote yourself.

Residency Personal Statement Examples

Below are some exemplary samples of residency personal statements that bring out the personality, strengths, and qualities of the applicant that sufficiently and efficiently provides an image as to why he is a perfect fit for the program.

For An Anesthesiology Residency Program Applicant

“Growing up the first-born daughter of a hard-working Saskatchewan cattle farmer and hairdresser, medicine was never a consideration. In a small town, I could easily see how too much free time got many of my peers in trouble. From grade 8-12 I devoted myself to sports, playing high school, club and provincial beach volleyball, weeknights, and weekends year-round. Despite my small stature and lack of innate abilities, with determination and persistence, I overcame these obstacles. At the end of my grade 11 year, I received an athletic scholarship and chose to pursue business administration and athletics.

After the first six months, it became apparent that I was not going to attain my full potential in education at [university name}. Despite my parent’s reservations, I left and enrolled at a [university name] for the next semester. This university was much more challenging as I was now balancing my educational and financial responsibilities by working evenings and weekends managing several part-time jobs. With little direction as to what degree I wanted to pursue, I happened to enroll in anatomy and physiology. This was the first time I became excited about my prospects and began actively considering a career in medicine.

The first time I applied to medicine, I was rejected. Despite my initial devastation, in hindsight, it was a great opportunity for me to reflect on my motivations for medicine and work as a laboratory technician at a potash mine in my hometown. I gained additional life experience, spent time with my family, and was able to help financially support my husband’s pursuit of education after he had so selflessly supported me for many years.

My first exposure to anesthesia was in my first year of medical school with [Dr. name here] as my mentor in clinical reasoning. I was again, intrigued by the anatomy and physiology with the interlacing of pharmacology. I remained open to all specialties, however, after summer early exposures, research, and clerkship it became clear to me that anesthesia is where I felt the most fulfilled and motivated.

In a way, anesthesia was reminiscent of the competitive volleyball I had played years prior. I was again a part of a team in the operating room with a common goal. Similarly, our countless years of education and practice had brought us together to achieve it. In volleyball, my role was the setter, which to many is considered a lackluster position as we rarely attack the ball and score points with power. However, as a setter, my role is to set the pace, strategize, and dictate the game from my team’s perspective. There is a long sequence of crucial events before a “kill” in volleyball and I strategized my teammate’s individual strengths in both offense and defense to win. Anesthesia gives me the same opportunities to strategize anesthetics, balance individual patient’s comorbidities and anatomy all while maintaining a calm demeanor and level head through unexpected circumstances. In volleyball, I never shied away from tense games or difficult situations, instead I trusted in my own abilities and training despite uncharted territory. Lastly, I didn’t need to actually score the point in order to understand my role and contributions to my team.

As an athlete, I understand the importance of practice and repetition which allows us to fail, but most importantly, to learn. I believe that the curriculum at this program will provide me with a well-respected education, which strongly reflects my learning style. I also admire the mandatory communication block in the curriculum because I believe an emphasis on clear and concise communication, is essential as an anesthetist.

Throughout the course of the next 5-10 years, I anticipate that both my husband and I will complete the next chapter in our educational pursuits. We both agree that [program name here] has the potential to nurture the next chapter in both our private and professional lives if given the opportunity.”

For A Dermatology Residency Program Applicant

“So many disconnected pieces, yet no clear starting point.” I think as I stare at the 1,000 puzzle pieces in front of me. I instantly rewire my brain to consider all of them but also how they fit in the big picture. Working for hours on puzzles with my terminally ill grandfather taught me there is something mesmerizing about simultaneously losing and centering yourself in a disarray of colors and shapes. Dermatology is a jigsaw puzzle in which the pieces sit in front of our eyes, waiting to be assembled into a diagnosis. Solving this intricate puzzle, which encompasses a wide variety of intriguing diseases, fascinated me early in my medical career.

During my first contact with patients as a research assistant at [name of center], I developed a genuine interest in this specialty. Witnessing the effects of severe and refractory dermatological diseases on their quality of life sparked my empathy and a desire to strengthen my knowledge in order to help them. This empathy grew over the course of my rotations, as I observed the distress brought on by a melanoma diagnosis, the debilitating pruritus associated with atopic dermatitis, and the emotional scars left by acne.

Driven by this experience, I founded the [name of race] with my devoted and inspiring team. Together, we raised close to $18,000, which was donated to the [name of society] for the advancement of malignant melanoma research and prevention strategies. This project allowed me to serve as a leader and a strong team player. I was also granted the hands-on opportunity to take concrete steps towards promoting prevention and advocating for patient health – competencies that will serve me as a devoted dermatologist.

As a result of my scientific rigors and dedication, I have had the opportunity to publish my work on inflammatory bowel diseases (IBD) and speak at international conferences. I recently submitted a case study to the [name of journal] and an abstract to next year’s [ name of conference]. I hope to further my contribution to the advancement of dermatology both scientifically and academically. Besides my interest in skin malignancy, I am also very passionate about immunodermatology, skin manifestations of IBD, and vascular anomalies, to name a few. Committed to a lifelong learning experience, I strive to expand my knowledge through academic research. My constant desire to improve, in addition to an insatiable curiosity, was valued during my rotations regardless of the specialty.

During my residency, I look forward to being challenged and surrounded by new ideas and perspectives. I wish to pursue my training in [name of city]’s multicultural epicenter, where I will be exposed to a wide range of unique cases. [Name of school]’s prestige for research and mentorship is second to none. During my elective at the [name of hospital], your commitment to patient care, your dedication to knowledge, and your pedagogical approach instilled a sense of belonging in me. It is with you that I hope to set the final puzzle pieces of my medical training into place.”

For A Family Medicine Residency Program Applicant

“My first exposure to Family Medicine occurred during my time as a Medical Officer working in a small clinic in Nigeria in fulfillment of the [name of service]. There, I recognized that a career in this specialty would offer me the opportunity to not only experience the aspects I cherished most about other specialties, but fulfill my personal interests in advancing community health.

My many encounters with patients during my days in the clinic reaffirmed my view of Primary care physicians as being on the frontline of diagnosis and preventive medicine. There was the middle-aged diabetic patient who had first presented to the emergency with diabetic ketoacidosis, the hypertensive man whose initial complaint of a persistent headache prompted the discovery of his soaring blood pressure, and the adolescent with a family history of allergies who was diagnosed with asthma. These encounters highlighted that as the first point of contact, the general practitioner is not only responsible for diagnosis, but often in ensuring patients are set on the path of healthy habits to prevent disease complications. This unique opportunity to significantly advance the well-being of a patient, and by extension, the community renewed my interest in the field.

An especially appealing feature of Family Medicine is that it provides an opportunity for patient care without limitations of age, sex, disease, or organ system. From treating colds and routine checkups to referral for suspected malignancy, I enjoyed that every day in the clinic was a learning experience and no day was routine. In addition, having a diverse population of patients and cases requires an abundance of clinical knowledge and I cherish the chance to learn and expand my skills every day.

I also value that an essential part of Primary care is in the enduring relationships the practitioners develop with patients. I recall several moments during my clinical experiences when I recognized that some of the bonds formed during ongoing patient interactions had evolved into lasting friendships. Being a practice of continual care, I appreciate that this specialty provides many opportunities to follow patients through different stages of their lives ensuring a deepening of relationship and compliance with care. I was inspired during my clinical rotation here in the United States when I saw how my preceptorís long-term relationships with patients enabled their compliance and often extended to different generations within one family.

Ultimately, I am confident that my experiences have prepared me for a career in this specialty. An agreeable, attentive, and compassionate nature has aided me in gaining trust as well as building meaningful interpersonal relationships which are crucial components of this field. Furthermore, my interaction with an extensive array of patients during my clinical and volunteer experiences has equipped me with the ability to communicate and relate to patients across different age groups and backgrounds. In addition, I enjoy working to coordinate patient care with colleagues and other specialties and value that the wellness of the patient is a result of hard work, dedication, and teamwork.

Thus, I hope to find a residency program dedicated to providing in-depth clinical training with a diverse patient population and an emphasis on health promotion and disease prevention through patient education and community service. Moreover, I look forward to being part of a program that will encourage my pursuit of intellectual development and advancement to enable my transition into a well-rounded, competent, and skilled physician committed to serving people with needs in all areas of medicine. With a career in this specialty, I know that every day will bring a new opportunity to influence health behaviors, and while there will be challenges, fulfilling them will always be satisfying.”

For A Surgery Residency Program Applicant

“I was six years old when my father read to me the first chapter of “How Things Work.” The first chapter covered doors and specifically, the mechanics in a doorknob. What lay hidden and confined in the door panel was this complex system that produced a simple action. I credit this experience as the onset of my scientific curiosity and eventually my passion for complex systems found in medicine. Intensivists vigilantly maintain homeostasis within the human body, a complex system in and of itself, a concept I recognize as personally fascinating and enticing. I find myself especially drawn to the field of critical care and intensive care medicine. My dreams to become an intensivist would be highly complimented by a residency in surgery.

In critical care, each patient in the ICU is usually in a general state of shock. From the initial state of shock, the patient can be further complicated with comorbidities and chronic diseases that may require further intensive medical intervention so that they may recover from a recent surgery or traumatic event. This dynamic nature of the ICU is not available in every unit of the hospital and the high level of acuity does not suit everyone. I, however, enjoy the high energy of the enthralling, engaging, and exciting environment offered by the ICU. I am personally energized and awakened by managing patients with surgically-altered physiology coupled with comorbidities. There is an overwhelming satisfaction when a patient following a bilateral lung transplant gets up from his bed and walks through the unit after days of being bedridden, or the moment we can discontinue the lines we had the patient on and finally talk to them after two weeks of intubation and sedation. Being in the ICU also encompasses the emotional seesaw of going from a successful patient case to a room in which a family has just decided that comfort care is the best way to proceed, which gives me chills just to type and verbalize.

The work of an intensivist is not only limited to the patient, but also the emotional well-being of the patient’s family as well. My involvement in the ICU has taught me that sometimes it is necessary to talk to a patient’s family, to explain to them simply that the postoperative expectations that they had had, may not be met. Communication is key in this field, both with the patients and the physicians of the OR. Communication prevents perioperative complications, establishes a willingness to follow directions, and relays professionalism. It is important for an intensivist to have an excellent understanding of surgical procedures, so that they may explain to the patient what to expect as well as ease the nerves of the patient preoperatively. A surgical residency would facilitate this understanding and undoubtedly prove to be useful in my future training.

Studying medicine in Europe has taught me volumes about myself, how driven, motivated, and open-minded I can be. To move so far away from home and yet be so familiar with the language, I feel blessed to be able to say that I’ve had a high level of exposure to diversity in my life. The mentality in [insert country name here] is if you don’t see the doctor, you are not sick. This common thought has to lead to an outstanding environment to study medicine and to see end-stage, textbook presentations of various pathologies and their management. Studying medicine in two languages has in itself taught me that medicine is a language and that the way a patient presents, conveys themselves, and the findings of the physical examination, all represent the syntax of the diagnosis. This awareness has reminded me that patient care, relief of patient suffering and illness, transcends the grammatical rules of the patient’s native tongue. My clinical experience in [insert country here] will aid me in providing thoughtful care to my future patients.

All things considered, I am ready to leave my home for the last four years and come back to the United States, to enter the next stage of my life and career. I am ready to work harder than ever, to prove myself to my future residency program and most importantly, learn so that I may be a suitable candidate for a future fellowship program in critical care. My experiences abroad have constantly pushed me to new horizons and encouraged responsibilities that I don’t believe I would otherwise have. I’ve developed a new level of human connection through my work in the ICU, the OR, and my travels throughout Europe. These experiences will aid me in working with a diverse patient population and a diverse team of physicians. I hope [the program name here] can give me the variety and the background in surgery that I will need to succeed.”

_______________________________________________________

All residency personal statement examples shown in this article are provided by Bemo Academic Consulting. Check it out for more samples for different specialties.

We also give credit to Shemmassian Academic Consulting , Thalamus , and Peterson’s as they have served as sources in writing this article on residency personal statements.

P.S. Did you know that you can seek assistance from AI in crafting your personal statement? Check out this article: 5 Crazy Ways AI Can Improve Your Life As A Med Student

I hope this article has provided you useful insights on how to write your residency personal statement that would leave an impression on the residency program directors. Go ahead – jot down your thoughts, pour every ounce of your writing skills, and land that interview spot!

Whenever you’re ready, there are 4 ways I can help you:

1.   The Med School Handbook :   Join thousands of other students who have taken advantage of the hundreds of FREE tips & strategies I wish I were given on the first day of medical school to crush it with less stress. 

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4. Learn the one study strategy that saved my  grades in medical school here (viewed by more than a million students like you). 

If you have enjoyed this post, check out some of our other blog posts!

• Medical School Personal Statement Examples And Tips
• Medical School Zanki: Should You Use It?
• 25 Questions For Medical School Interviewers You Should Ask
• PA vs MD: Which Should You Pursue?
• How Much Do Residents Make?
• Best Pre-Med Majors For Med School [Full Guide]
• What Is A Transitional Year Residency?
• How To Prepare Yourself For Residency [Step-By-Step]
• How To Write A Thank You Note After A Residency Interview
• ERAS Photo Requirements And Tips

Until the next time, my friend…

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Choosing a Residency

The residency selection process.

This section provides information about selecting, interviewing, and writing personal statements for residency positions.

Choosing a residency program, writing personal statements for residency program applications, and interviewing for residency positions will take up much of the third and fourth years of medical school. This section provides information about selecting, interviewing, and writing personal statements for residency positions, and gives links to information about the application and match processes.

How to select a residency program by Tom Gadacz, MD, FACS

How to interview for a residency position by L.D. Britt, MD, FACS

Preparing Your Personal Statement

In addition, preparing an effective personal statement is a vital part of the process of getting into the residency program that is best for you. Following are tips that you should keep in mind when considering the direction of your personal statement.

Medical students worry, sweat, and fret over their personal statements. What should I say? Where should I start? You should first consider your audience. The first challenge of the personal statement is that the audience who is reading your personal statement is varied. Some program directors and others who review candidate files read the personal statement word for word. Others totally ignore it. Some essential points to remember:

• Spelling errors are a big glaring error. Especially these days in light of electronic spell-check options. Most spelling errors are immediately visible to even the most superficial reviewer. A spelling error indicates a lack of compulsivity on your part, and most readers consider these oversights to be inexcusable.
• Grammatical errors are almost as big a problem as spelling errors, although they are not usually detectable by a superficial look. Please, ask someone else with a strong editorial eye to read your statement before you submit it.
• Tomes are not acceptable. Remember your audience: busy surgeons. We do not have the time nor the patience to read two to three pages of your life story. Keep it short.
• Humor is good. We don't want a stand-up comedy act, but a subtle use of humor (once) can provide a welcome relief to the tedium.
• Be original. A "your dog had surgery when you were four" is an old story and one tale that many directors probably are not interested in reading about again.

Your advisor can be a big help in contributing suggestions for your personal statement, as can best friends. Mothers, in general, although a great resource for many things, are not the best contributors when seeking suggestions for your personal statement.

Finding and Applying to Residency Programs

Using these links, you can access Web sites providing information about the match program, finding residency positions, and applying for those positions.

• National Resident Matching Program (NRMP/ AAMC)
• Fellowship and Residency Electronic Interactive Database Access FREIDA (AMA)
• Accreditation Council for Graduate Medical Education
• Electronic Residency Application

Writing the Perfect Residency Personal Statement

If you’re in your third year of medical school, it’s time to sharpen your personal statement writing skills again for the ERAS application .

The good news is you already wrote a great one that got you accepted into medical school ! Now, you’ll need to dig deep and channel the same creative spirit that was there about 3 years ago. 

Many applicants are looking for a special formula for writing a personal statement . But here’s the truth: There’s no secret formula. A fantastic residency personal statement includes well-written storytelling detailing your experiences as a medical student and why you’re an excellent fit for the residencies you’re applying to.

In this article, we’ll talk about inspiration, length, structure, and dynamic writing. Let’s dive in.

What is the ERAS personal statement, and why do you need to write one?

Your residency personal statement is similar to your medical school personal statement in that it’s your chance to directly make a case for yourself . Residency program directors use these essays to get to know you beyond your CV. They can only learn so much about you from your medical education history.

Most of the information program directors use to determine if you’re a good fit is quantitative —  GPAs, USMLE scores, etc. Odds are, these numbers will be fairly similar across the board. 

What sets you apart from other applicants will be qualitative — your personal experiences and career goals, whether you’re hard-working or a team player.

What should you include in your residency personal statement ?

In your residency personal statement , include your experiences and interests that have driven your ambition to mature as a medical professional.

Take time to think about what qualities you’d expect in an exemplary physician. Then, create a list of topics reflecting these qualities from your background.  

Create a list of ideas of what to write from these prompts:

• Memorable or “a-ha” moments during medical school (including specific rotations ) that changed the way you think about medicine.
• Volunteering or non-profit work.
• Your greatest skills and qualities and how you use them when practicing medicine.
• Specific instances of when you used strong teamwork skills.
• A personal anecdote that isn’t included on a resume, like an elective that led to an unexpected encounter with a patient that you won’t forget.
• Professors, mentors , family, friends, or anyone else that has inspired your path.
• Your goals in your future career.
• Reasons you are drawn to your specialty.
• Meaningful experiences in medical school or extracurriculars .
• Your most commendable achievements.

Why did you choose your specialty?

When you explain why you chose a specialty, discuss the reasons why you enjoy that specialty and how your strengths will apply to your future career. 

Make your answer heartfelt and honest. If your only reasons are money and the lifestyle, your chances of an interview with the program directors will plummet.

Answer these questions while brainstorming :

• What appeals to you about this specialty?
• Did past experiences or clinicals influence your decision for this program?
• What do you believe are the most important qualities for a physician in this specialty? How have you begun to cultivate these qualities in yourself?
• Are there future goals you want to achieve in this specialty?
• Have you done any research related to this field or the advancement of this specialty?

How long should a personal statement be for residency?

The personal statement essay section on ERAS allows for 28,000 characters (about 5 pages). 

Our advice? Don’t max out your character count.

Program directors must read the demographics, transcripts, MSPE, experiences section, personal statement , and letters of recommendation before making a decision. That’s a lot of reading.

Your goal is to make your point concisely — writing about a page plus a paragraph is the sweet spot.

Personal Statement Structure

Many applicants don’t know where to start, so we suggest breaking the essay into bite-sized pieces. Use a standard 4-5 paragraph structure. This way, you’ve got small, manageable goals.

Write your residency personal statement using:

• An introduction paragraph.
• 2-3 paragraphs to expand on your theme.
• A conclusion paragraph to tie it all together.

Introduction

Draw the reader in with a story or anecdote, and introduce a theme. A narrative voice works well here to engage the reader and get them interested. 

Don’t tell an extensive story; provide just enough to provide context and introduce a theme.

Body Paragraphs (2-3)

Explore and expand on the central theme of your personal statement . You can talk about the traits or life experiences that will make you good at family medicine , dermatology , or whatever specialty you’re pursuing. 

Ensure you’re being specific to the specialty — you don’t need to prove you’ll be a good doctor so much as a good doctor in the field you’re applying to .

Wrap everything up and end with a “bang.” The conclusion should serve to bring all your points together in one place. When I say end with a “bang,” I mean to finish strong . 

Stating: “For the reasons above, I believe I will make an excellent internist, ” doesn’t leave the reader with much.

Try something a bit more passionate, idealistic, and enthusiastic. Here’s an example:

“ Internal medicine is centered around improving lives, orchestrating, and managing complex patient care . To me, the true challenge is in the art of internal medicine — to tailor to patients’ needs to maximize their health and improve their overall quality of life.”

With this approach to the structure of your personal statement , the essay becomes more manageable. You can set yourself mini-assignments by just developing one component at a time. Complete one portion each week, and you’ll be done by the end of the month!

Should a residency personal statement have a title? 

There is no hard and fast rule about whether a residency personal statement should have a title. Ultimately, the decision about whether or not to include a title in your personal statement is up to you.

Consider these factors when deciding whether or not to include a title:

• A good title can serve as a headline for the reader, making your essay stand out before they even start reading. 
• A good title can make your statement stand out and help it to be more memorable.
• On the other hand, a poorly chosen or overly generic title could actually detract from your personal statement.

Most residency programs do not require, or even want, a title for personal statements. Be sure to check the program’s guidelines before including one.

If you do choose to include a title, make sure it is relevant, concise, and impactful. Avoid overly generic or cliche titles, and focus on conveying the main message or theme of your personal statement. 

It is less common to have a title, so if you do it right, you may stand out from the crowd.

How To Make Your Personal Statement Stand Out

Take time to brush up on your writing skills to make your personal statement stand out . 

These skills may not have been your focus in the last few years, but concisely expressing your dedication to the specialty will retain a program director ’s attention. 

Oh, and always remember to proofread and check your grammar! If you specifically prompt ChatGPT to “review your personal statement for grammar and punctuation only,” it does a pretty good job. 

Just be sure not to have AI write your personal statement, as it doesn’t know your stories, and can’t convey your sentiment, tone, or emotion.

Language and Vocabulary

The simpler, the better. Hand your essay to a friend or family member to proofread. If they have to stop and look up any word, it’s probably the wrong word choice. Maybe it’s the perfect word for the sentence, but anything that distracts the reader from the content is a problem.

Avoid the following:

• Contractions. Contractions are informal language. They aren’t appropriate for applications or professional writing.
• “Really” as in “I really learned a lot.” Try the word “truly” instead. It sounds more sincere.
• “Really” or “very” as in “it was a really/very great experience.” Here, “really” is a qualifier that holds the place of a better word choice; e.g., Really great = fantastic, wonderful, exquisite; Very important = paramount, momentous, critical.

Simple sentence structure is usually the best. Follow these rules:

• Avoid quotations if you can. This is your essay, and it should focus on what you have to say, not someone else. There may be exceptions to this rule (like a statement a professor made that changed the course of your medical career), but these are rare.
• Punctuate correctly. Misplaced commas or a missing period can distract a reader from your content. If grammar isn’t your strong suit, have a friend (or a spellchecker like Grammarly) check your essay for errors.

Avoid Clichés

Saying you want to go into pediatrics because you love kids might be true, but it’s also a given. Everyone going into healthcare is interested in helping people. 

This is your opportunity to make it more personal. Talk about the life experiences that have uniquely informed your career path and what makes you different from every other med student trying to get a residency interview . 

Don’t Make It Too Complicated

Be simple, straight to the point, and authentic. 

Aim for clear wording that communicates your central theme. If you talk about your professional future and goals, they should be realistic and carefully considered. Your goal is to leave program directors with a strong impression of your character and maturity. 

Try Dynamic Writing

Dynamic writing is all about feel and rhythm. Even good content written poorly can come out flat. Here are some cues to evaluate and improve your writing:

• Read your writing out loud. Do you have to catch your breath in the middle of a sentence? If so, the sentence is too long and needs some additional punctuation, editing, or to be split up.
• Vary your sentence structure and/or the length of the sentences. When you’re reading, do you feel like there is a repetitive rhythm? This usually results from too many short sentences stacked on top of each other.

Be Prepared To Revise Your Statement

You’ve done this part before. Once the bulk of your statement is done, have someone else read it, then start revising. The great thing about the revision process is that you don’t have to write the first draft perfectly. 

If you can afford it, consider working with a professional team for help with the residency application process , including personal statement editing.

Our friends at MedSchoolCoach can help you with personal statement editing. 

Should you write multiple ERAS personal statements ?

Write a residency personal statement relevant to each specialty you apply to, each with a clearly stated goal.

While it’s a good idea to write a personal statement for every specialty you apply to, you don’t have to write one for each specific program . Maybe you have research experience in a few different specialties and aren’t sure where you’ll get residency training .

A blanket personal statement to cover all specialties is bland at best and, at worst, a red flag . Your interest in becoming an OB/GYN should be informed by different experiences than your interest in anesthesiology or plastic surgery .

Anyone who reads your personal statement should have all the relevant information for integrating you into their program. Don’t overshare experiences or learnings from irrelevant rotations , classes, or experiences.

Let’s say you send your personal statement to a program director for a radiology residency program . If he reads that you’re torn between radiology and emergency medicine , is he more likely to accept you, or an applicant who seems all-in for his program’s specialty?

Ready to write? Get your residency personal statement prepared!

It’s time to knock out that first paragraph ! We have given you the structure and tools to write a personal statement that reflects your strengths. Remember, there’s no formula for the perfect personal statement , but there are tried and true methods for strong writing.

Schedule a free consultation with MedSchoolCoach to see how we can help you increase your chances of matching into the residency of your choice. 

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Residency personal statement: the ultimate guide.

Reviewed by:

Jonathan Preminger

Former Admissions Committee Member, Hofstra-Northwell School of Medicine

Reviewed: 4/25/24

Are you planning on writing your personal statement for residency? We’ll cover everything you need to know about the process.

The residency application personal statement is an essential part of applying to programs, but it can be intimidating. We get it. It can be challenging to write about yourself and your life experiences within 3,500 characters. We’ll cover everything you need to know about writing a powerful statement!

Get The Ultimate Guide on Writing an Unforgettable Personal Statement

Importance of Your Personal Statement in a Residency Application

The importance of your personal statement in your application cannot be overstated. Yes, you have secured solid letters of recommendation from physicians and crushed your USMLE (United States Medical Licensing Examination) .

However, your personal statement is the one component of your application where you can make a case for yourself and leave a lasting impression on program directors. 

Think about it this way: program directors receive thousands of applications From aspiring medical residents and review thousands of standardized, quantitative factors like grades and test scores across the board. They also read thousands of essays and want to see something that will pique their interest. 

Your personal statement is an opportunity to show program directors specific qualities that make you stand out and shine . Program directors want to know the person behind the stellar numerical achievements. 

They want to know that you will thrive, reach your greatest potential in their program, and continue to have an exceptional career as a leader in healthcare.

Because of how competitive programs can be, your writing may very well be the tiebreaker that leads to your acceptance into a top program over another applicant. 

While a strong personal statement might not compensate for low exam scores, a weak one will definitely hurt an otherwise strong application.

Residency Personal Statement Outline

Knowing what you should include in your personal statement will help you get started. Your statement should include and reflect on a combination of the following:

• What draws you to medicine/your specialty?
• The desirable qualities, attributes, and skill sets make you well-suited to a  program and will help you succeed.
• Your long-term plans as a practicing physician after you complete your program. This can include what you hope to accomplish in your residency and your preferred setting.
• What attracts you to a particular program, and how would it make you a good fit?

Ultimately, program directors are looking for residents who are the best candidates and colleagues to work with and train. Combining the above suggestions will give program directors a good sense of what having you on their team would be like.

3 Tips to Help You Start Writing

Here are three tips to help you get started! 

1. Consider Why You’re Pursuing a Particular Residency

Before you start your application personal statement, you should be clear on why the specialty you’ve chosen is the right one for you . Program directors want to know that you have a realistic idea of what the specialty entails. 

If your writing fails to convey solid, meaningful reasons for pursuing the chosen specialty, you will likely not be invited for an interview. Don’t hurt your chances by sounding disinterested in the field or focusing on superficial aspects of the specialty, like high salaries and benefits.

UCLA’s David Geffen School of Medicine urges you to “remember that this is your chance to focus on your medical career objectives, i.e., what specialty you'd like to go into and what your ultimate goals might be.” 

2. Brainstorm 

To begin drafting your personal statement, brainstorm. Brainstorming allows you the freedom to be creative and informal. When brainstorming, you do not have to worry about grammar, spelling, or editing. You want to write down your ideas and get your creative juices flowing. 

After you have a body of ideas, you can work on weaving one or several elements into a strong, concise narrative. 

3. Ask Yourself Questions 

The following questions will help you get started brainstorming ideas for your personal statement:

• What first drew you to the specialty? 
• What are your greatest qualities, and how have you demonstrated these qualities? Focus on a few desirable qualities for a medical professional during specialization.
• What is your greatest accomplishment?
• Name an experience, clinical or otherwise, that significantly impacted you. Why was the experience meaningful, and how did it change you?
• What obstacle, challenge, or failure did you overcome, and what did it teach you about adversity?
• When did you know you wanted to pursue your chosen specialty?
• What is your most meaningful extracurricular activity?
• Who are your role models? What qualities do they possess that inspire you to be like them? How does this translate in your chosen field?
• What medical cause do you care about the most, and what led you to care about it?

Remember, brainstorming aims to put down everything you can remember with as much detail as possible without worrying about grammar, sentence structure, spelling, or revisions. 

The more details you explore while brainstorming, the easier it will be to extract and expand upon the stories you want to tell.

How to Write An Amazing Residency Application Personal Statement

Now that you have completed your preliminary brainstorming, let’s review how to write a personal statement. Later in this guide, we will review samples of other applicants’ personal statements and analyze what makes them successful.

Start With A Catchy Introduction 

A captivating introduction pulls the reader in and makes them want to read to the end. Your introduction should lead with detail. Don’t rely on platitudes, clichés, and vague language . 

One way to accomplish this is to have an anecdote or two in mind that will be the central focus of your narrative. Then, introduce that anecdote while being aware of both brevity and detail. 

Focus on Things That Aren’t on Your CV

The personal statement should never regurgitate what’s already on your CV . Instead, focus on important aspects about you, your experiences, and your qualities that do not appear on your CV.

For example, if you have a hobby that demonstrates personal growth over time, tell a story about it and tie it together with your goals.

The Texas College of Osteopathic Medicine suggests that if you want to repeat accomplishments, ensure they’re “relevant to your personal/professional growth. You want the emphasis to encourage the reader to bring this up in the interview.” 

Talk About You and Your Desirable Qualities 

Program directors want to get to know you as an individual and what you would bring to their program. While this might seem like a no-brainer, it is important that your personal statement remains about you. 

Program directors often read narratives that include information about the program they already know and not enough information about the candidate. Shift your tone to reflect on what makes you desirable to the residency. 

When talking about your attributes, remember that quality is more important than quantity . Narrow your focus to one or two qualities, and work on incorporating them as part of your storytelling.

Make Use of Storytelling

Avoid generic and superficial declarative statements when you write about yourself and your desirable qualities. For example, don’t simply say, “I am empathetic and compassionate.” This is forgettable, and you will not stand out from all the other applicants. 

Instead, it is better and more memorable to show how you exhibited empathy and compassion by telling a story about a real event. Show, don’t tell. People will remember your name if you tell a great story.

Include What You Expect From a Residency Program 

Program directors want to know why you are pursuing their program and what you want to gain from the experience. Tie this in with nuanced details about what you have done to pursue your particular interests and how your interests will align with what the program offers. 

How will your interests and goals support their mission? What specific strengths will you add or hope to cultivate? Again, the focus should be on you and your expectations, not on over-explaining a program to its directors. 

Cite Strong Reasons to Choose a Particular Specialty

Clearly outline your interest in a particular specialty. Program directors want to know your understanding of and interest in a specialty. Highlight what you have done in your career to explore a specialty and detail some of your insights and observations. 

Perhaps you’ve researched the length of the residency and were swayed by it. Or you were intrigued by the nature of another one. The more details you can provide, the more persuasive you will be. 

For example, you might like acute care in emergency medicine but try to be more specific than that. What do you enjoy about the diagnoses and pathologies involved in emergency medicine? What do you enjoy about the patients in your care? What do you enjoy about the setting in which you will practice?

Include Your Personal and Professional Achievements 

Your achievements should demonstrate personal and professional growth over time. Your unique personal or professional achievement may not be listed on your CV. The personal statement is where you can delve into those exceptional and distinctive details about yourself that will set you apart from the crowd. 

Always uphold your credibility by being honest and authentic. People will pick up on subtle cues of inauthenticity. Remember, you don’t have to use your personal statement to convince someone of how perfect you are because perfection doesn’t exist. 

For example, if you achieve something with a group of colleagues, give credit where it’s due and don’t take the credit all for yourself. Remain true to who you are and the experiences you’ve had thus far. You don’t need to embellish or dramatize them to impress program directors. 

They’re looking for someone reliable, credible, and genuine.

Address Areas of Improvement on Your Application 

If anomalies are anywhere in your application, such as gap years or leaves of absence, address them with a brief explanation. You don’t need to dwell on areas that need improvement, and you shouldn’t provide long explanations or be defensive. 

It’s more important for your readers to see that you faced hardship but took steps to overcome it.

Deliver a Strong Closure

Lastly, end your statement with a punch. Don’t lose steam. Succinctly and naturally wrap up your story. You don’t want to end with a weak declarative statement like, “And that’s why I would be a great resident.” 

Instead, try to deliver a callback to your introduction and include the imagery and insights that bring everything together.

5 Things to Avoid in Your Personal Statement

There are certain things that you should avoid in your personal statement. As a rule of thumb, avoid topics and language that risk alienating your readers. Be aware of the following:

1. Acronyms and Jargon 

Avoid abbreviations, acronyms, and jargon. Don’t assume that your reader knows everything. Be courteous and spell everything out. According to The American Academy of Family Physicians (AAFP), “If there’s a shorter, simpler, less pretentious way of putting it, use it.” 

2. Poor Writing Mechanics

Avoid informal, casual writing and poor sentence structure. Be professional and ensure your writing is free of grammatical and spelling errors. You don’t want programs to be distracted by errors while they read your story! 

3. Controversial Topics 

Avoid controversial topics like ethical issues, religion, and politics. You don’t want to make polarizing or offensive statements, so don’t cross the line. Even if the statements you make aren’t offensive, there’s no guarantee the person reviewing your application will agree with you. 

4. Rehashing Why You Want to Be a Doctor 

Avoid going into the origin story of why you wanted to become a doctor. You are not applying to medical school, so your personal statement should reflect deeper insights that support your professional and personal experiences. UCSF’s Office of Career & Professional Development offers this advice : 

“Presumably, new things have happened in the past four years that inform your decision to choose your specialty or career path, or that illustrate your dedication, leadership, and teaching skills, ability for empathy, etc.” Use these new experiences in your statement! 

5. Using Vague/Generic Language

Avoid vague and generic language. The most seasoned writers draw readers in with rich detail and nuance. Using descriptive language makes your statement easier to read and is much more likely to keep the reader’s attention. 

With these tips, you should be able to write your personal statement with ease.

Get Professional Help Writing Your Residency Personal Statement

Contrary to popular belief, writers don’t need to hole up in a dark room, slouch over a messy desk, hit a wall with writer’s block, and suffer in solitude. Ask for help! Even the world’s bestselling authors need editors. 

Your storytelling ability and writing skills will only improve when you receive editorial feedback from trusted professionals. Getting professional help on writing your narrative will get you closer to being accepted at your first-choice program.

Inspira Advantage is here for you. We are an admissions consulting firm with extensive experience helping candidates get accepted to their dream programs. An expert residency application consultant can ensure you get the support you need at every step while you write and edit your personal statement.

Residency Personal Statement Examples

​​Reading examples of residency personal essays that program directors consider effective is advantageous. Not only will you gain insight into how to structure your writing, but you will also learn why program directors and career advisors find certain personal statements more successful than others. 

We’ll review two good personal statement examples below. Please note that both have been anonymized to protect the authors’ privacy. 

Residency Personal Statement Example 1

Here is an ERAS sample personal statement: 

One of my most formative memories of medical school was a patient high-fiving me. A seemingly minute detail, that moment came as a culmination of spending hours with a neurologically devastated patient. At the young age of 40, he was unable to speak or even interact with any of the dozens of healthcare workers at his bedside every day. I felt helpless, yet compelled to spend my time talking and reading to him, and urging him to do simple things like turning his head. He suddenly dramatically improved, and it peaked when he gave me a high-five during rounds, after I had playfully asked for one every day for three weeks. In that moment, I felt elation that he was able to lift his arms and regain some ability and autonomy. Pride, in the healthcare system that I had chosen to be a part of. And surprise, that he had been hearing and processing my words all this time when he had given no indication of doing so. On that last day before transfer to a rehabilitation facility, he hung onto my arm and sobbed “thank you” while refusing to let go. I was so impacted by this patient because for such a long time, he was unable to communicate his wants and needs to the outside world. 

I believe medicine is the most fundamental form of equity and equality – ensuring someone’s health is the most elemental way to ensure justice for their being. As physicians, we are inherent agents of change, on both an individual and community level. I want to bring this to people all around the world – those desperately fighting just to survive and whose voices are not being heard. Global health is my calling – a consummation between my interest in humanity and my desire to heal historical traumas. This came as a lifelong dream after growing up on both the East Coast and Midwest, having been surrounded by large immigrant and refugee populations. My vested interest in global health has been reaffirmed through my experiences rotating at a children’s hospital in [city], Ghana, and taking trainings and courses aimed at decolonizing global health. Both in and out of my passion for global health came a natural attraction to med-peds. Both medicine and pediatrics have always drawn me in as they both afford me the opportunity to provide holistic care – fitting the puzzle pieces between physical, mental, and social health. Med-peds will also help me become the best trained and most adaptable physician for anyone, womb-to-tomb, in local and global medicine due to the vast fund of knowledge I will develop. 

One reason I best fit with med-peds is my adaptability and persistence. I have faced setbacks in my academic career, the biggest of which was after I failed a course during my second year and had to retake the semester. During a hiatus, I pursued independent sociology courses to expand my knowledge base. In the new semester, I developed new study techniques to truly learn medicine instead of just memorizing it. This experience helped me form a cycle of analyzing, changing, and re-examining the way I learn in different scenarios; I built on that methodology repeatedly as modes of learning changed, as evidenced by my step exam scores. I learned the value of reaching out, and I strived to become that person to lean on for my peers going through similar hardships. I am also proud that despite flaws in my test-taking acumen that I have worked on during my later years of medical school, I have always been able to readily apply my medical knowledge in the wards and clinics in a way that is reflected by my patient care. 

Furthermore, I see multiple sentiments of the med-peds community reflected in myself. Med-peds folk are mobilizers of change, always creating life-changing and systemic reforms – ideals to which I fiercely relate. I have done my best to embody the amplification of voices that I have seen so vigorously amongst my med-peds mentors both on an individual and community level. To that end, I have always prided myself on being a strong advocate for patients and acting as a loudspeaker for their voices. On a broad level, I started an organization early in my medical training called [organization name] which aims to alleviate food insecurity in [city], which has a complex racial history causing countless food deserts. I have been excited and proud to help [organization] partner up with local organizations and the student-run free clinic to expand access to nutritious foods. I learned to engage with religious and community leaders in [city] to build strong community relationships to sustain change. To address upstream causes, I am starting a voter registration drive for patients in my institution’s safety net med-peds clinic. These experiences taught me the strategy and logistics of organizing systemic changes and enlightened me to people’s powerful stories. 

I picture myself practicing a mix of both hospitalist medicine and primary care to adapt to any low-resource community. I want to establish continuity of care amongst those who need it most while also managing higher acuity situations. After rotating in Ghana, I hope to pursue a fellowship in global health after completing my residency. My first-hand experience exposed me to the unique conditions of disenfranchised nations that are not readily discussed in the US. I hope to utilize fellowship training to gain the critical knowledge and translational skills required to establish the greatest benefit. All in all, I am excited to use my experiences and skills to provide care to every type of patient, especially in low-resource settings. I am committed to amplifying the voices of the disenfranchised and helping navigate the difficult road towards better, more equitable healthcare. If, in the process, those voices come in the form of more high-fives, I would not complain.

Residency Personal Statement Example 2

Here is another example: 

It was not even the end of the first week of medical school, and I was fighting for my life — and the life of others. On September 19th 2017, Hurricane Maria hit and battered the Island of Dominica. I woke up the next day from a concussion after being thrown 20 feet in the air during the storm. This once lush island was reduced to brown sticks, live wires, and broken glass. I survived the storm, but the destructive aftermath was our new reality. 

During the evacuations and rescue missions, I solidified my purpose to become an Emergency Medicine physician. I joined the [EMS name], which was the only organized medical personnel available. One of my most inspiring experiences was the emergency medical evacuation of a six-month-old girl. This patient was an infant with untreated pneumonia. She came in with respiratory distress to our pop-up clinic at 1am. The child was assessed by the only physician on the island and her prognosis was poor, she was unlikely to survive the night. As a student, I realized that in these critical moments I want to be the first responder to aid and to make the best decisions for the patient. She needed to be on a ventilator, and we did not have the facilities or equipment to help the child, only the capacity to provide supplemental oxygen. With limited resources, we had to secure the airway if needed, and I was given the role to disinfect plastic tubing left on the ground. As we provided supportive care, we also organized the logistics of the medical evacuation – from security to cleaning a landing zone for the helicopter. As the helicopter finally arrived at 3am, the sign of relief was clouded by the debris inadvertently thrown towards us during the landing. Despite the difficulties, all team members were safe, and we were finally able to get the patient to a definitive center of care.  

To work in medicine, one must be able to function in a team. This event gave me first-hand experience of coordination of care. I was a part of this team for the little girl and learned the importance of delegating tasks, cooperation among members, and having defined goals. Moreover, I was tested to perform under pressure and think clearly. I have been able to translate these skills as I have moved forward with my education, always considering my responsibilities within a team in order to provide the best care. We found out that the little girl survived, and I could not help but feel relieved that our efforts were successful. At times, there is not always the end result that is hoped for however, it is important to persevere and act for the benefit of the patient. These challenges faced during the hurricane also reaffirmed my desire to address the needs of the population during emergency situations. I was exposed to making quick, yet thoughtful decisions in order to produce the best plan of action. These attributes are integral for patient care in the emergency room and I hope to continue to develop these skills as an emergency medicine physician.  

As my medical school journey continued, I experienced another challenge – completing my studies on a boat. We had no internet and there was limited space. I learned to cohabitate with four students in a 20 square foot living arrangement. We were docked at [country] during the night, but the school was at sea for four months during the days and we as a school were then displaced to various locations to complete our preclinical studies including [multiple cities]. The difficulties unfortunately continued, with the pandemic occurring at the start of my clinical rotations. The adversities of my limited learning environment did affect my academic performance and impeded me from participating in research opportunities. I struggled with trying to reset my foundational knowledge and had to repeat my third semester. Unfortunately, I shared similar setbacks in my USMLE step 1. I knew that my results did not reflect my abilities to become a clinician. I adapted and made appropriate changes in order to better my scores. I worked on expanding my medical knowledge by attending workshops, study groups, and taking extra time after class to talk to my professors in order to better understand the more complicated concepts. As a result, my clinical acumen improved. I strengthened my time management skills allowing me to study more efficiently, which proved successful as I bettered my Step 2 scores. I have learned how to study well despite distractions and this will be of benefit to me as a future physician.  

I did not have the conventional education as others, however the experiences that I encountered molded me into the individual I am today. My desire to help others brought me to the Ukrainian refugee camps as they faced a desperate humanitarian crisis during the war. I was drawn to volunteer this summer in [city] and joined the [organization name] to provide medical services to displaced civilians I wanted to improve people’s well-being through community healthcare services, medical care, and mental support. Having had my own experiences with disaster and crisis, I provided much needed empathy for those people who sensed that they have lost control of their livelihood. Being able to provide support and healthcare to this disenfranchised group of people was extremely gratifying. I continue to expand on my medical knowledge through my involvement in relief efforts and through my clinical education. I have learned to manage the external stressors of my environment, along with my academic deficiencies, by refocusing my efforts into robust translational skills. It is an important facet in my practice to take care of the welfare of the individual. Emergency Medicine would enable me to do so, providing a solid foundation to continue involvement in public health affairs and ability to impactfully respond to relief efforts. 

Medicine is a universal language that transcends borders, cultures, and languages. To know that someone is there to help you in your time of need, you do not have to understand the language they are speaking to feel that impact. Emergency medicine truly has no borders. The “ER” is a centralized area of care. However, as an emergency medicine physician, I will be able to apply my knowledge outside the walls of the hospital to the rest of the world. I want to be that healing hand, to help as many lives as I can – whether it be in global health or in my surrounding community. With Emergency Medicine, I can achieve that and protect those who need help the most. I hope to continue to pursue opportunities for community aid and patient advocacy as an effective first line of care. I want to not only be able to identify life-threatening conditions, but have the capacity to treat patients and provide access to the appropriate avenues for their continued care. I will always strive to be someone who runs towards people in need, never away. 

More Sample Residency Statements

Looking for more personal statement samples that worked? These medical schools also have examples: 

• University of California – San Francisco 
• University of Alabama School of Medicine 
• University of Nevada School of Medicine 

You can view these statements to better understand the tone and format programs look for.

If you still have questions about writing your personal statement, check out these frequently asked questions. 

1. Is It Better to Cover All My Relevant Experiences, or Should I Discuss a Few in Particular?

When in doubt, quality over quantity. You should always aim to focus on one or two themes and include a few experiences in particular. Never sacrifice depth and detail just to accommodate quantity. If you write about all your relevant experiences, their significance will get lost in trying to compete for attention in a limited space. 

It looks better to hone in on key experiences and provide depth, self-reflection, and nuance. Your CV should list all your relevant experiences, not your essay.

2. Do I Have to Write a Personal Statement for Every Residency Program I Apply to?

No, you should not write a different personal statement for every program you apply to, but you should write one for every specialty. For example, prepare one for family medicine and one for emergency medicine. 

You do not have to completely rewrite personal statements for each specialty—you can use elements that will work across the board, like introductory or concluding sentences. Use your best judgment of what will work as a template, then tailor your personal statement for every specialty. 

3. I’m Applying to Multiple Specialties. Is There a Limit on the Number of Personal Statements I Can Upload?

No, there is no limit to the number of personal statements you can upload. Your writing should be tailored for the specific specialty.

4. How Long Should a Residency Personal Statement Be?

The length of your personal statement can vary depending on the specific requirements of the program or institution to which you are applying. However, as a general guideline, most programs recommend that essays be approximately one page long.

Typically, a one-page personal statement consists of around 750 to 850 words. Your writing should be concise, focused, and well-structured to effectively communicate your experiences, motivations, and qualifications.

Final Thoughts

Writing a residency application personal statement is stressful, but our step-by-step guide will make the process much easier as you navigate your application timeline . Now go forth and match into the residency program of your dreams. We believe in you.

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How to Write a Great Residency Personal Statement – 4 Easy Steps

• July 2, 2020

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Applying for residency  can be challenging. Besides scoring an impressive GPA and performing well in your clinical rotations, you need to write a great personal statement for your residency application. Whether you are a third-year medical student or about to finish your medical school journey, many students find personal statement one of the most challenging components of their residency application.

If done right, your residency personal statement can increase your chances of getting a perfect residency match. Your residency personal statement provides you with an opportunity to show the residency director why you have chosen this medical specialty. You can make the most of your personal statement by showing your skills, qualities, and experience which will make you the best candidate for the job.

Here are some important things that you should keep in mind while preparing your personal statement that will surely help you match your dream residency program.

Reason for Choosing the Specialty

It is no surprise that the personal statement is your big opportunity to articulate who you are and why you want to pursue a career in this specific  medical specialty . You can set yourself apart from hundreds of other residency applicants by highlighting your accomplishments, interesting life experiences, and motivations for pursuing this medical specialty. It will help decide program directors whether you are a good fit for their hospital and do you have an in-depth understanding of the specialty of your interest.

Whether you want to become a surgeon, radiologist, pathologist, hematologist, or want to devote your life to any other branch of medicine. Clearly explain you have chosen the specific field based on something you find very interesting  during your medical school journey . Mention the relevant experience you had during clinical rotations and how you became interested in this specialty. Make sure your personal statement helps the residency program director understand what has led you to this medical specialty.

Highlight Your Personal Qualities

When it comes to writing your residency personal statement, it is important to focus on your personal qualities and skills. Show the selectors that you have the skills and qualities to succeed in this residency program you are aiming to enroll in. Explain to them what qualities you have and which skills you honed during clinical rotations, which make this specialty a perfect fit for your personality and career goals.

You may choose to relate your skills, such as problem-solving, critical thinking, communication skills that are relevant to your candidacy for the position. For instance, a meticulous candidate can become a perfect fit for a pathology residency program. Students with outstanding manual ability can be the right fit for the general surgery residency program. A student with excellent problem-solving skills can ensure success as a pathologist. By relating your talents and expertise to your chosen specialty, you can prove to the selection committee that you can succeed in this residency.

Your Goals and Future Plans

You will most likely send this personal statement to a large number of facilities. So, it is important to write about your future goals and career plans. Give the program director an idea of what you are planning to do after completing your residency. Show the committee how you will use the medical knowledge and clinical skills that you will gain during the residency for the benefit of patients. Whether you are planning to contribute your efforts in research, thinking of joining a medical school or working as a faculty member, or working as a volunteer in underserved regions. Tell your future plans in your residency personal statement and explain your vision for your career as a doctor.

Highlight any Gaps in Your Medical Education

Many applicants believe that highlighting their weaknesses, educational gaps, or evaluations that were less than satisfactory can break their chances of getting the desired residency program. However, it is not exactly the case. You should address your weaknesses in your personal statement. For example, if you failed an exam, tell the director what has happened and why didn’t you get satisfactory marks in the particular course. What you have learned by repeating the course, and now you know the best learning strategies and can better prepare for exams. Explain to them which skills you polished and what you have learned from your mistakes.

Final Thoughts

The residency program director is interested in the candidate behind the grades. You can communicate your motivations, career goals, ambitions, and personality through your residency personal statement. Invest your time, effort, and energy in crafting a stellar personal statement for your residency application. It can give you a leg up in the pool of applicants a residency program receives. So, keep these important steps in mind while preparing your residency personal statement and show the committee that you have the real potential to become a competent resident and an excellent physician.

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Writing a Personal Statement for Residency Application

Personal statements are an essential, required part of applying to residency. Residency programs screen thousands of applications every cycle and read many hundreds of these statements in the process. You should aim to write an interesting statement that showcases your personality as well as your achievements. Perhaps most importantly, you will need to skillfully articulate the reasons for your interest in family medicine and the particular program you're applying to.

How to Write a Great Personal Statement

A great personal statement sets itself apart from a good personal statement in several ways.

• First, it includes a level of specificity that shows your motivations and interests are authentic. For example, when conveying why you want to match into family medicine, show awareness of the exciting developments in the specialty, or describe your experience with or knowledge of topics like population health management, care coordination, and the social determinants of health.
• Feel free to highlight items in your CV if they help remind your reader of the experiences you’ve had that prepared you for the position. This is your opportunity to expand upon activities that are just listed in the CV but deserve to be described so your reader can appreciate the breadth and depth of your involvement in them. It should not be another comprehensive list of your activities, but rather should refer to activities that are listed in detail on the CV.
• The personal statement is also an appropriate place to address anything that may be ambiguous on your CV. In particular, you should address any nontraditional path you’ve taken through medical school, such as time off or an altered curricular journey. It is better to address these than to leave a program wondering. If you write about academic or personal challenges that you faced during medical school, make a positive impression by focusing on what you've learned from those experiences and how they brought you to where you are now. 

You may choose to relate significant personal experiences, but do so only if they are relevant to your candidacy for the position.

Sharpen Your Writing Skills 

The importance of good writing in a personal statement cannot be overemphasized. Unfortunately, not only are good writing skills allowed to deteriorate during medical school, but in some sense, they also are deliberately undermined in the interest of learning to write concise histories and physicals. For the moment, forget everything you know about writing histories and physicals. While preparing your personal statement:

• Avoid abbreviations.
• Avoid repetitive sentence structure.
• Avoid using jargon. If there is a shorter, simpler, less pretentious way of putting it, use it.
• Don't assume your reader knows the acronyms you use. As a courtesy, spell everything out.
• Use a dictionary and spell check. 
• Use a thesaurus. Variety in the written language can add interest, but don't get carried away.
• Write in complete sentences.

If you need a crash course in good writing, read  The Elements of Style ,  Fourth Edition  by Strunk and White. If you have friends or relatives with writing or editing skills, enlist their help. Student organizations at your school may host personal statement clinics, or your school may offer review services. Many student, medical, and specialty societies, local and national, may offer personal statement reviews or workshops.

Even if you're a great writer and feel confident about your application, you should ask trusted advisors, mentors, and friends to critique your personal statement (and your CV! ). They can help you make your statement as flawless as possible by giving you feedback about areas that might have been unclear or things that should be added.

Don't cross the line

Your personal statement should remain an original composition, even as you seek input and advice. Retain your voice as you refine your writing and don't ever plagiarize. Be aware of other ethical lines you shouldn't cross as well, for example, don't use vague references that would allow for the reader to misinterpret the nature of your experience, and don't take full credit for a project if others worked on it with you.

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Personal Statements in General Surgery: An Unrecognized Role in the Ranking Process

Affiliations.

• 1 Department of General Surgery, Cleveland Clinic, Cleveland, Ohio; Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio. Electronic address: [email protected].
• 2 Department of General Surgery, Cleveland Clinic, Cleveland, Ohio; Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.
• 3 Department of General Surgery, Cleveland Clinic, Cleveland, Ohio.
• 4 Department of Quantitative Health Sciences, Cleveland Clinic Learner Research Institute, Cleveland Clinic, Cleveland, Ohio.
• 5 Notre Dame of Maryland University School of Pharmacy, Baltimore, Maryland.
• PMID: 32305336
• DOI: 10.1016/j.jsurg.2020.03.021

Objective: Personal statements are a requirement of general surgery residency applications. Yet, their role in an applicant's final rank within a program remains unclear. This study explores the language used in personal statements to differentiate applicants in the general surgery residency ranking process.

Design: A textual analysis of general surgery residency applicant personal statements was performed. Using inductive coding and grounded theory, 3 main themes from personal statements were identified: my story, my future, my goals. These themes were utilized to build a dictionary consisting of over 400 descriptive terms in multiple categories. Data was extracted using the Linguistics Inquiry and Word Count program, which can linguistically determine basic characteristics from text. The data was stratified according to final rank and gender for analysis, using correlation and descriptive statistics.

Setting: Large, urban, academic general surgery residency program.

Participants: One hundred nineteen personal statements during the 2018 to 2019 application cycle were analyzed. All applicants were interviewed and considered for inclusion on our final rank list.

Results: There were 68 (57%) females on the final rank list with no difference in the distribution of gender between those in the top and bottom halves (p = 0.11). Overall, personal statements for the top applicants scored higher in grit than those in the bottom half (median 0.42% vs 0.35%, p = 0.03). Males ranked in the top half had less use of agentic (p = 0.04) and efficient/organized (p = 0.03) words when compared with males ranked in the bottom half. In contrast, females ranked in the top half used more grit words compared to those in the bottom half (median 0.45% vs 0.35%, p = 0.004).

Conclusions: Linguistic differences existed in the personal statements of top- and bottom-ranked applicants to a general surgery residency program. These findings provide an adjunctive tool for differentiating applicants based on this underutilized component of the ranking process.

Keywords: General surgery; Linguistic analysis; Personal statement; Ranking process; Residency application; Residency selection.

Copyright © 2020 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

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• Predicting General Surgery Match Outcomes Using Standardized Ranking Metrics. Mao RD, Williams TP, Price A, Colvill KM, Cummins CB, Radhakrishnan RS. Mao RD, et al. J Surg Res. 2023 Mar;283:817-823. doi: 10.1016/j.jss.2022.11.038. Epub 2022 Dec 5. J Surg Res. 2023. PMID: 36915008 Review.
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• Residency characteristics that matter most to plastic surgery applicants: a multi-institutional analysis and review of the literature. Sinno S, Mehta K, Squitieri L, Ranganathan K, Koeckert MS, Patel A, Saadeh PB, Thanik V. Sinno S, et al. Ann Plast Surg. 2015 Jun;74(6):713-7. doi: 10.1097/SAP.0000000000000511. Ann Plast Surg. 2015. PMID: 25969975 Review.
• Characteristics of highly ranked applicants to general surgery residency programs. Stain SC, Hiatt JR, Ata A, Ashley SW, Roggin KK, Potts JR, Moore RA, Galante JM, Britt LD, Deveney KE, Ellison EC. Stain SC, et al. JAMA Surg. 2013 May;148(5):413-7. doi: 10.1001/jamasurg.2013.180. JAMA Surg. 2013. PMID: 23677403
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[Residency] For those preparing to apply to residency, my SO shared her personal statement which helped to land her 17 interviews, 5 of which were Top 10 Gen Surg Programs. "Why I Chose Surgery: A General Surgery Personal Statement"

https://medium.com/@nzuekoh/why-i-chose-surgery-a-general-surgery-personal-statement-678d0f1e8582

Dominate the Match - Episode 7: Applying to Residency as an International Medical Graduate - Part 2 of 2 Behind The Knife: The Surgery Podcast

It’s that time of year (again!)- when medical students- both US and International- are preparing their residency applications. This year, we have been focusing on the special challenges International Medical Graduates face when applying to US surgical residency positions. In our previous episode, we discussed how residents can make their applications stand out to program directors. Today, we will explore the unique challenges, experiences, and the future of IMGs with special guest Dr. Hasan Alam.  Guests: Hasan Alam, MD- Chair of the Department of Surgery and Professor of Surgery (Trauma and Critical Care) and Cell and Developmental Biology- Northwestern University  Previous DOMINATE the Match Episodes:  Episode 2- “Choose Me” (Personal Statements and Letters of Recommendations) https://behindtheknife.org/podcast/dominate-the-match-episode-2-choose-me/ Episode 3- “The Interview” https://behindtheknife.org/podcast/dominate-the-match-episode-3-the-interview/ Episode 4- “Rank and Match” https://behindtheknife.org/podcast/dominate-the-match-episode-4-rank-and-match/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

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Residency Survival Guide, Advice for New Docs

Roni Robbins

June 19, 2024

Your day begins before sunrise when you arrive at your designated floor and are greeted with a flurry of activity — from nurses bustling around to patients needing assistance. Monitors beep urgently as you dive into rounds, discuss patient cases, review lab results, and create treatment plans — in a never-ending stream of tasks. You push past exhaustion and carry on late into the night, tending to emergencies, connecting with patients, completing paperwork, and preparing to do it all again tomorrow. Such is the life of a resident.

No amount of training can prepare you for the residency learning curve, according to Ashley McKenzie, MD, a rising PGY-2 specializing in internal medicine at Saint Joseph Hospital in Denver. While you may not know what to expect in residency, which begins on July 1 for most programs, residents should take steps to organize the rest of their lives before diving into a higher level of training, McKenzie said.

McKenzie and other residents across the country in various stages of training shared their tips for surviving and succeeding in the phase between med school and full autonomy as a physician.

Navigate the Transition Period

McKenzie wishes she had learned to meal prep before residency for the times when she had harder rotations. Having a fridge or freezer full of meals can carry you through long days and late nights when the time and energy to prepare a meal are scarce.

Tyler Ramsey, DO, a rising PGY-3, is preparing to enter his final training year. Ramsey shares that newly matched grads should brush up on the basics before entering residency. "You probably didn't have as many rotations, or they weren't very intensive in the 4th year of med school. You may have forgotten how to collect patient information and present it," said Ramsey, who is specializing in internal medicine at Mountain Area Health Education Center in Asheville, North Carolina. "Be proactive before the first day; practice presentation to a senior resident or attending."

Prioritize Your Health and Personal Life

Ramsey said that busy residents often overlook their wellness when learning to care for others. "Intern year is very labor-intensive. Take time for yourself, even if you just carve out 20-30 minutes of going to the gym." You have a lot of responsibilities as an intern, and it's easy to neglect yourself, which can contribute to burnout, in Ramsey's opinion.

"Get the loose ends of your life tied up. Go to the dentist. If you have a pet, go to the vet because you are going to be very busy. Better to get it [personal wellness] out of the way while you have time," he told Medscape Medical News .

A social life, while last on the priority list during residency, is essential. "Whether it's a vacation or a wedding or taking off for a weekend, it requires a lot of planning ahead 'cause you don't have a lot of time off," Ramsey said. Incorporate social events occasionally because you can be isolated if you don't.

Because many residents move away from their families and friends for residency, McKenzie believes having a support system outside medical training is important for "sanity, mental health, and wellness."

"With the hours we put into residency, you can wrap up your whole identity in being in medicine, being a resident," she said. "You are more than just a resident. You are more than just a doctor."

Leah Colucci, MD, PGY-4, chief emergency medicine resident at Yale New Haven Hospital in New Haven, Connecticut, believes residents need an outlet beyond their training.

"One of the biggest things I tell juniors is to find things you are passionate about, and you can always fall back upon that." Colucci cites her advocacy work with the American Academy of Emergency Medicine (AAEM) and her review of residency programs for the Accreditation Council for Graduate Medical Education. She is the immediate past president of AAEM's Resident and Student Association.

"My passion projects make me feel like I'm contributing to the specialty and giving back."

Hone Your Learning Style

After nearly two decades of education, including 4 years of graduate-level training, residents should stick to the learning style that worked best for them in med school and not experiment with new techniques, Colucci said. "Whatever study style you've been using, trust you know what you are doing…By the time you've become a resident, you have taken a lot of tests and passed them, and [have taken] multiple board exams," she said.

Colucci believes she learns best with practice questions. "For me, answering 10 questions is more productive than sitting down and reading a textbook. If reading textbooks works, get textbooks."

She encourages residents, especially those in their senior year, to volunteer for extra shifts teaching juniors. "Once you are an attending, you are on your own license, and you won't have the learning opportunities."

Ramsey said that residents in their final year should try to master the fine details of their specialty.

"It would be better for me to work on the oncology floor of a hospital or in an oncology clinic instead of doing general medicine because that [oncology] is what I'm going to apply to and hopefully do."

Senior residents should also make sure they are prepared to enter the job market, Ramsey said. They should ask their attending if they can take the reins during the last few months of residency.

Don't Be Too Hard on Yourself

"Imposter syndrome" — when someone doubts their skills — is common among senior residents, Colucci said. Residents shouldn't sell themselves short because they wouldn't have made it this far in residency if they didn't have the skills to become a doctor.

McKenzie said interns shouldn't be afraid to ask questions of their senior residents. "Senior residents were in your shoes."

Ramsey admits it was difficult at the start of residency to not be hard on himself. "There is so much perfectionist drama. It's really hard for us to say: 'I don't know'…and say, 'I'm going to find the answer'," he said.

He also encourages residents to ask for help when they need it. "When you are feeling overwhelmed, communicate with the senior resident, chief resident, or program director that you need a break. It's important for your success as a resident. There's a lot of pressure on residents. We don't want to show weakness, but that's how you grow."

Prepare for Life After Residency

Senior residents are also great resources when applying for a job. "Ask them what they like or don't like about their job. Talk to physicians, attendings, and team leaders about what their work style looks like," said McKenzie.

Colucci said residents should lean on their network and talk to current residency chairs and department leaders to understand contract negotiations, which are different whether doctors work for a hospital, a staffing company, or a contract management group.

Ask those in your network to be references. "Do not be afraid to be fully transparent." Residents applying for a job should also weigh the benefits. "We focus so much on salary, but there are other things to consider," said Colucci.

She also added that her priorities are different when applying for a job vs a residency. "The advice I'm giving myself is to consider family and long-term plans. While for medical school, the goal was to land the best education, and for residency, the goal was just to match."

Job applications tend to be more geographically focused, and you may want social support with your first job, Colucci noted. She also advises residents to look at their quality of life. How much time will you have for friends and family? How respected is the hospital system? Will you have access to mentorship? Is there career development, or are you just a cog in the wheel?

Residents must also decide if they want to focus on academics, teaching, administration, or serving patients in a community. When finally going into practice or a fellowship, there are many choices and decisions to consider. Take the time to envision everything that's important to you as you make choices.

Roni Robbins is a freelance journalist and former editor for Medscape Business of Medicine. She's also a freelance health reporter for The Atlanta Journal-Constitution. Her writing has appeared in WebMD, HuffPost,  Forbes , New York Daily News , BioPharma Dive, MNN,  Adweek , Healthline, and others. She's also the author of the multi-award–winning  Hands of Gold: One Man's Quest to Find the Silver Lining in Misfortune .

Send comments and news tips to [email protected] .

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	GENERAL SURGERY RESIDENCY PERSONAL STATEMENT
The Medfools Personal Statement Library is now open! These sample personal statements are here for your viewing pleasure (fully anonymous). We're hoping to add more in the future, including Pre-Med personal statements. If you've got one to add to the free library, don't forget to .
SURGERY RESIDENCY PERSONAL STATEMENT A desire to positively impact the lives of others while being intellectually engaged and constantly challenged led me into medicine. Those same goals, combined with insights gained through hands-on experiences of my medical school training, lead me to pursue a career in general surgery. [ Perfect. You jump right in and state your career choice. Most people take too long to do this.]The patients I encountered have given me insights into the problems I will treat, and the physicians with whom I have worked have shown me the kind of doctor I will strive to be. On the first day of my surgery clerkship, I was introduced to Mrs. R, who had undergone colon resection. My role on the team was to undress her abdominal wounds each morning so that we could monitor their healing. New to surgery, I had little experience with open wounds, and the idea that I should stuff damp gauze into a deep hole in this woman’s abdomen seemed foreign. I soon grew accustomed to this ritual and understand its usefulness and the daily dressing changes were my first experience of using my hands in the interest of healing. They provided me with an opportunity to practice using both speed and gentleness to minimize discomfort to the patient. In addition to numerous lessons that Mrs. R taught me about caring for patients on a personal level, by participating in her care I was also able to appreciate the complex decision-making that will be part of my daily life as a surgeon. With a bowel perforation threatening her tenuous health status we were convinced that she required intervention in spite of the risks that operation would pose. Decisions like these will require me to balance risks inherent with any operation with benefits that may be realized, and may always remind me of Mrs. R. On the surgical oncology service, the operating room initially drew me to the field of surgery. The ability of the attending surgeon to remove and often cure the manifestations of a disease which could have ended the patient’s life was inspiring. The beauty and complexity of human anatomy drove me to learn all that I could about the structure and function of the human body. What’s more, the interaction of the teaching surgeon with the residents encouraged me that I too could master the techniques necessary to cure or ameliorate disease as a surgeon. While my experiences in the operating room were what originally captured my imagination, I have since found that diagnosing disease, determining the proper course of treatment in each scenario, and caring for complicated surgical patients are rewarding and challenging in their own right. General surgery will allow me to utilize strengths I have developed thus far, including an ease of repoire with patients, an ability to educate patients regarding their health and disease, and an intense curiosity. An ideal training program is one with a strong commitment to resident education, in both clinical and didactic formats. Further training and practice will allow me to enhance my skills in diagnosis and treatment. In addition, the incorporation of clinical or laboratory research will be an important part of my education. Research will both foster my intellectual growth and allow me to contribute to the field of surgery in a broader sense, hopefully providing evidence that will improve care for many patients. I seek a program that offers residents exposure to a wide variety of cases and allows for research experience as well. To the field of surgery and to a residency program, I will bring my own signature enthusiasm and optimism. I will soon be the first doctor in a working-class family. From my parents and grandparents, I learned to work hard and take pride in a job well done. During my medical education, I have come to appreciate working as part of a team dedicated to patient care, with each member contributing their special expertise. I look forward to assuming the roles of teacher and clinician during residency training. However, the role most important to my future as a physician is that of lifelong learner in the constantly evolving field of general surgery. I am eagerly awaiting the start of this exciting endeavor. [Fantastic!A clear PS that really gets to the core ideals of why surgery appeals to the writer. It is clear and very much to the point. The conclusion is also right on the money.]

• Introduction
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• Article Information

PHQ-9 indicates 9-item Patient Health Questionnaire.

Generalized estimating equations were used, adjusted for demographic characteristics, cohort year, baseline neuroticism, and history of depression (N = 858), with weighting.

A linear mixed model was used, adjusted for demographic characteristics, baseline neuroticism, and history of depression (N = 858), with weighting. The vertical dotted line denotes the beginning of the internship year, and the shaded area indicates the quarterly survey data collected before and during the internship year.

eTable 1. Annual Survey Completion by Cohort Year

eTable 2. Percentage Screening Positive for Depression

eTable 3. Mean 9-Item Patient Health Questionnaire (PHQ-9) Trajectory

eMethods. SAS Code for Longitudinal Analysis of the 9-Item Patient Health Questionnaire (PHQ-9)

Data Sharing Statement

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Kim E , Sinco BR , Zhao J, et al. Duration of New-Onset Depressive Symptoms During Medical Residency. JAMA Netw Open. 2024;7(6):e2418082. doi:10.1001/jamanetworkopen.2024.18082

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Duration of New-Onset Depressive Symptoms During Medical Residency

• 1 University of Michigan Medical School, Ann Arbor
• 2 Department of Surgery, University of Michigan, Ann Arbor
• 3 Center for Healthcare Outcomes and Policy, Michigan Medicine, Ann Arbor
• 4 Michigan Neuroscience Institute, University of Michigan, Ann Arbor
• 5 Department of Surgery, Massachusetts General Hospital, Boston
• 6 Institute for Technology Assessment, Massachusetts General Hospital, Boston
• 7 Department of Psychiatry, University of Michigan Medical School, Ann Arbor
• 8 Center for Clinical Management and Research, Ann Arbor Veterans Affairs Hospital, Ann Arbor, Michigan
• 9 Department of Anesthesiology, University of Michigan, Ann Arbor

Question   Do depressive symptoms with new onset during residency training persist, and are they associated with the long-term mental health of physicians?

Findings   In this cohort study of 858 resident physicians, new-onset depressive symptoms identified via positive screening among first-year interns persisted after completion of training at a level more than 3-fold higher than that of their counterparts without depression.

Meaning   The persistence of new-onset depressive symptoms observed among interns in this study underscores the need to support mental health among physicians as they progress through training and beyond.

Importance   The implications of new-onset depressive symptoms during residency, particularly for first-year physicians (ie, interns), on the long-term mental health of physicians are unknown.

Objective   To examine the association between and persistence of new-onset and long-term depressive symptoms among interns.

Design, Setting, and Participants   The ongoing Intern Health Study (IHS) is a prospective annual cohort study that assesses the mental health of incoming US-based resident physicians. The IHS began in 2007, and a total of 105 residency programs have been represented in this national study. Interns enrolled sequentially in annual cohorts and completed follow-up surveys to screen for depression using the 9-item Patient Health Questionnaire-9 (PHQ-9) throughout and after medical training. The data were analyzed from May 2023 to March 2024.

Exposure   A positive screening result for depression, defined as an elevated PHQ-9 score of 10 or greater (indicating moderate to severe depression) at 1 or more time points during the first postgraduate year of medical training (ie, the intern year).

Main Outcomes and Measures   The main outcomes assessed were mean PHQ-9 scores (continuous) and proportions of physicians with an elevated PHQ-9 score (≥10; categorical or binary) at the time of the annual follow-up survey. To account for repeated measures over time, a linear mixed model was used to analyze mean PHQ-9 scores and a generalized estimating equation (GEE) was used to analyze the binary indicator for a PHQ-9 score of 10 or greater.

Results   This study included 858 physicians with a PHQ-9 score of less than 10 before the start of their internship. Their mean (SD) age was 27.4 (9.0) years, and more than half (53.0% [95% CI, 48.5%-57.5%]) were women. Over the follow-up period, mean PHQ-9 scores did not return to the baseline level assessed before the start of the internship in either group (those with a positive depression screen as interns and those without). Among interns who screened positive for depression (PHQ-9 score ≥10) during their internship, mean PHQ-9 scores were significantly higher at both 5 years (4.7 [95% CI, 4.4-5.0] vs 2.8 [95% CI, 2.5-3.0]; P  < .001) and 10 years (5.1 [95% CI, 4.5-5.7] vs 3.5 [95% CI, 3.0-4.0]; P  < .001) of follow-up. Furthermore, interns with an elevated PHQ-9 score (≥10) demonstrated a higher likelihood of meeting this threshold during each year of follow-up.

Conclusions and Relevance   In this cohort study of IHS participants, a positive depression screening result during the intern year had long-term implications for physicians, including having persistently higher mean PHQ-9 scores and a higher likelihood of meeting this threshold again. These findings underscore the pressing need to address the mental health of physicians who experience depressive symptoms during their training and to emphasize the importance of interventions to sustain the health of physicians throughout their careers.

Poor mental health among physicians is a growing professional concern and a public health crisis. 1 Each year, 400 US physicians die by suicide, translating to 1 or more physician deaths by suicide every day. 2 Research has demonstrated that residency training, which lasts 3 to 10 years depending on the specialty pursued, is a particularly challenging time for physician mental health. 3 , 4 Residency has several characteristics implicated in the development of depression, including long work hours and inflexible schedules limiting rest and recovery. 5 - 7 It is well-established in the general population that 1 episode of depression is associated with an increased risk of future episodes (ie, the kindling hypothesis). However, this association has not been established in the setting of residency training, which may be a transient driver of depressive symptoms secondary to a challenging work environment.

Longitudinal data evaluating mental health outcomes beyond the residency training period are lacking. Specifically, whether depressive symptoms resolve in the posttraining period is unknown, as is the potential vulnerability of a segment of the physician workforce to face future episodes of depression. 3 , 8 - 10 Identification of the long-term implications of new-onset depressive symptoms during the intern year (ie, the first year of residency) is critical (1) to understand the association between the training environment and the mental health of both the training and practicing physician workforces and (2) to identify opportunities for intervention before symptoms become severe.

In this study, we examined scores on the 9-item Patient Health Questionnaire (PHQ-9) longitudinally for up to 10 years among a national sample of US physicians enrolled before the start of their internship. We aimed to quantify the persistence and severity of depressive symptoms for physicians who did and did not screen positive for depression during their first year of residency training. We hypothesized that the development of new-onset depressive symptoms as an intern was not transient but that a higher burden of depressive symptoms would persist among physicians well beyond the early years of training.

The Intern Health Study (IHS) is an ongoing annual cohort study that began in 2007 to assess the mental health of incoming first-year resident physicians (interns) who are based in the US. 11 A total of 105 residency programs have been represented in this national study. The overarching aim of the IHS is to assess the psychological, genetic, and program factors involved in the onset of depression among physicians in training. A subset of physicians recruited as interns were invited to participate in follow-up surveys of their mental health on an annual basis throughout residency training and beyond (as outlined in the Participant Recruitment section). The University of Michigan Institutional Review Board approved this cohort study. Participants provided informed consent. The study followed the Strengthening the Reporting of Observational Studies in Epidemiology ( STROBE ) reporting guideline.

Beginning in 2007, cohorts of incoming interns (ie, graduating medical students) enrolled in the IHS before the start of residency training and were followed up quarterly during their first year of training. Interns were invited electronically to participate following match day, the day each year when graduating medical students learn their specialty and training location. Participants received between $50 and $125 in compensation, depending on the year they joined the study. The study questionnaires for single-year participants included a wide range of questions on mental health, training program features, and personal demographic measurements administered at baseline (3 months before the start of residency) and at the end of months 3, 6, 9, and 12 of their internship. Self-reported race and ethnicity were included in the current analysis due to prior research by our group, which has found that race and ethnicity may affect depressive symptoms among resident physicians. These categories were defined by the study investigators but self-reported by participants on the baseline survey as Asian, Black or African American, Hispanic or Latinx, White, other race or ethnicity (including American Indian or Alaska Native, Arab or Middle Eastern, Pacific Islander, other race or ethnicity, or multiple races or ethnicities), or unknown race or ethnicity. A subset of participants were then followed up for 1 assessment completed annually. Figure 1 describes the recruitment and retention of the annual follow-up survey participants.

After the initiation of the IHS in 2007, an adaptive participant recruitment strategy began in 2009 to recruit from previously enrolled interns. This recruitment strategy was designed to develop a continuous stream of annual data for each participant. At the beginning of the IHS (in 2007), the invitation was extended to all participants to participate in follow-up surveys on an annual basis. Beginning in 2014, participants from a University of Michigan biomarker substudy were invited each year, including participants from 3 previous cohorts (2010, 2011, and 2012). 12 In 2020, recruitment was expanded to include the entire University of Michigan intern cohorts, starting with those enrolled in 2017 onward. In 2022, all surgeons from the 2009 to 2013 cohorts not already included in the annual survey were invited. All enrolled participants in the yearly follow-up study were subsequently invited to complete a survey each year until the conclusion of the study period (eTable 1 in Supplement 1 ). Annual surveys were not conducted during 2017 and 2021 due to funding limitations. Participants were offered $25 for each annual survey completed.

Upon initial enrollment in the IHS, participants completed surveys self-reporting their demographic characteristics, such as age, race and ethnicity, partnership status, program type, and specialty. The preinternship assessment included depression (measured with the PHQ-9), neuroticism (measured with the NEO Personality Inventory), history of depression among immediate family members, and personal history of medication or psychotherapy for depression. 13 , 14 The PHQ-9 was used to measure depressive symptoms at baseline, at quarterly intervals across participant intern year, and annually (scores indicate the following: 0-4, none to minimal depression; 5-9, mild depression; 10-14, moderate depression; 15-19, moderately severe depression; and 20-27, severe depression). 14 The PHQ-9 was selected due to its high sensitivity and specificity for detecting clinically meaningful depression and its comparability to clinician-administered assessments. Participants were given 1 month to complete each survey.

An elevated PHQ-9 score (≥10) correlates with a moderate to severe burden of depressive symptoms and is both sensitive and specific as a screening measure for moderate to severe depression (however, it is not a substitute for a clinical diagnosis of depression). 15 Residents with an elevated PHQ-9 score (≥10) at the baseline survey, assessed 3 months before the internship, were excluded. Among the included participants with a baseline PHQ-9 score indicating none to mild depression (<10), an instance of an elevated PHQ-9 score (≥10) on at least 1 quarterly assessment during the intern year was considered a positive screening result for depression. Follow-up PHQ-9 scores on annual surveys were compared between the cohorts who did and did not meet this definition for new-onset depressive symptoms. We compared mean PHQ-9 scores and proportions of physicians who met the criteria of an elevated PHQ-9 score (≥10) between the 2 groups.

Longitudinal analysis was performed to evaluate the trajectory of mean PHQ-9 scores throughout follow-up using a linear mixed model. The difference between mean PHQ-9 scores was evaluated across 10 years of follow-up after internship completion and compared with the preinternship baseline. The percentage of residents with depression over time was analyzed using a generalized estimating equation model. The percentage of physicians with moderate to severe depressive symptoms was compared beginning 1 year after internship completion up to 10 years. Both the linear mixed model for mean PHQ-9 scores and the generalized estimating equation model for depression were adjusted for demographic characteristics, cohort year, baseline neuroticism scores, and a personal history of depression.

All longitudinal analyses were compared between the original dataset and a modified dataset with imputations across 20 variables to evaluate the effect of missing data on our results. Missing data were imputed with the fully conditional specification method. Imputation yielded more than 95% relative efficiency and did not affect our results. Therefore, original data without imputation were used for the final analysis.

Weights were computed in 2 stages, consistent with previous weighting strategies applied in this dataset. 5 First, selection weights were calculated from propensity scores for participating in the IHS based on the distribution of race, ethnicity, and sex among potential participants at the preinternship recruitment stage. In the propensity score analysis, the outcome was designated as participation in the IHS, and the selected covariates were binary sex, race, and ethnicity (categorized as Asian, White, or other underrepresented racial or ethnic minority). Due to small samples, underrepresented minority groups were combined into a single category. The propensity score weight was calculated as 1/(propensity score).

Poststratification weights were calculated from the annual distributions of race, ethnicity, and sex from the Association of American Medical Colleges database. The overall weight was the product of the selection and poststratification weights. The final weight was the overall weight, truncated at the 95th percentile.

All analyses were performed using SAS, version 9.4 (SAS Institute Inc). The analytic code is provided in the eMethods in Supplement 1 . The data were analyzed from May 2023 to March 2024.

Of the 1868 individuals invited to participate in the annual follow-up surveys, 1049 (56.2%) agreed ( Figure 1 ). We excluded individuals who were missing PHQ-9 data on any of the annual or quarterly surveys (155 [8.3%]) or had an elevated PHQ-9 score (≥10) at baseline (36 [1.8%]), resulting in 2867 follow-up assessments of 858 individual physicians. The mean (SD) age of participants was 27.4 (9.0) years; 53.0% (95% CI, 48.5%-57.5%) were women and 47.0% (95% CI, 42.5%-51.5%) were men ( Table ). Participants identified as Asian (36.6% [95% CI, 32.1%-41.1%]), Black (4.4% [95% CI, 2.0%-6.7%]), Hispanic (6.1% [95% CI, 3.5%-8.7%]), White (35.3% [95% CI, 31.7%-38.9%]), or other or unknown race or ethnicity (17.6% [95% CI, 13.4%-21.8%]). The mean (SD) follow-up from the completion of the intern year was 5 (3) years. Of the 858 physicians in the final analytic sample, 302 (35.2%) reported having depressive symptoms (PHQ-9 score ≥10) during the intern year on at least 1 quarterly survey.

Physicians who experienced new-onset depressive symptoms during their intern year were more likely to be female, to report higher baseline PHQ-9 and NEO scores, and to have a personal or family history of depression ( Table ). No association was observed between depressive symptomatology during the intern year and a prior history of receiving medication or psychotherapy for depression.

We compared the proportion of physicians with an elevated PHQ-9 score (≥10) indicating moderate to severe depressive symptoms at each year of annual follow-up between those who did and did not have an elevated PHQ-9 score during their intern year. The proportion of physicians who exceeded this threshold was higher at every year of follow-up among those who screened positive for depression at least once during their intern year compared with those who did not. A total of 21.9% of participants (95% CI, 15.6%-29.8%) who screened positive for depression during the internship also screened positive 1 year after completing their intern year. In contrast, only 6.6% (95% CI, 4.2%-10.3%) of the cohort with a PHQ-9 score of less than 10 during their intern year screened positive for depression in the first year of follow-up ( Figure 2 and eTable 2 in Supplement 1 ). At 5 years after their internship, 8.8% of participants (95% CI, 5.8%-13.1%) who screened positive for depression during their intern year continued to exceed this PHQ-9 threshold, compared with just 2.4% (95% CI, 1.4%-4.3%) in the cohort without elevated PHQ-9 scores during their intern year ( P  < .001). Eight years after internship completion, reflecting the early years of independent practice for most participants, 8.9% of interns (95% CI, 5.7%-13.5%) with an elevated PHQ-9 score (≥10) during their intern year still exceeded this threshold, compared with just 3.7% (95% CI, 2.2%-6.2%) among those without an elevated score during their intern year ( P  = .015; Figure 2 and eTable 2 in Supplement 1 ).

Among physicians with new-onset depressive symptoms as interns, mean PHQ-9 scores remained higher throughout follow-up compared with those without an elevated PHQ-9 score (<10) throughout their internship. Although it did not exceed the standard PHQ-9 threshold of 10 suggestive of moderate to severe depression, the mean PHQ-9 score at 1 year after internship completion was nearly 2-fold higher in the group who had experienced more depressive symptoms as interns (6.5 [95% CI, 6.1-6.9] vs 3.9 [3.6-4.2]; P  < .001). This difference remained statistically significant across all 10 years of follow-up ( Figure 3 and eTable 3 in Supplement 1 ). For example, among interns who screened positive for depression (PHQ-9 score ≥10) during their internship, mean PHQ-9 scores were significantly higher at both 5 years (4.7 [95% CI, 4.4-5.0] vs 2.8 [95% CI, 2.5-3.0]; P  < .001) and 10 years (5.1 [95% CI, 4.5-5.7] vs 3.5 [95% CI, 3.0-4.0]; P  < .001) of follow-up. The mean PHQ-9 scores for both groups never returned to baseline ( Figure 3 ). At 10 years after internship completion, physicians who screened positive for depression during their internship still had higher rates of positive depression screening (12.6% [95% CI, 5.9%-24.7%] vs 7.7% in the general population).

To our knowledge, this study is the first to explore the potential persistence of depressive symptoms after a physician’s first year in training in the US. Although previous studies have described an increase in the level of depressive symptoms during the first year of training, prior studies have not tracked these symptoms as physicians progress through training and into practice. 3 Using a prospective cohort design and a nationally representative sample of physicians, we observed that the development of moderate to severe depressive symptoms as an intern was associated with worse long-term mental health outcomes. These findings highlight that the early years of medical training not only result in higher transient levels of depression, but they also may have lasting implications for the long-term health of the physician workforce.

Notably, screening positive for depression during the intern year was associated with a higher likelihood of screening positive for depression after completing the first years of medical training. The most significant difference between groups was noted 1 year after completion of the internship, with 21.9% (95% CI, 15.6%-29.8%) of physicians with an elevated PHQ-9 score (≥10) as interns still exceeding this threshold for depression, a level more than 3-fold higher than that for physicians who did not screen positive for depression during their internship (6.6% [95% CI, 4.2%-10.3%]; P  < .001). Although rates of positive depression screening decreased steadily over time, physicians who screened positive for depression during their internship still had higher rates of positive depression screening 10 years after internship completion. In addition to rates higher than their physician peers, these physicians also exceeded the prevalence of depression among similarly aged adults in the general population (12.6% [95% CI, 5.9%-24.7%] in this study vs 7.7% in the general population). 16

The second key finding relates to mean PHQ-9 scores between groups and for the entire study population. For both groups of interns, PHQ-9 scores remained higher than their baseline (before residency). However, mean scores of both groups returned to well below the elevated PHQ-9 threshold (≥10) by the completion of training. Interns with more depressive symptoms continued to have a higher burden of depressive symptoms long after completion of training. After the initial spike in depressive symptoms during the internship ( Figure 3 , vertical line), there was a steady decrease in PHQ-9 scores for both groups. Yet the difference in means between groups remained statistically significant throughout the follow-up period. Taken collectively, these findings suggest that depressive symptoms early in training may often persist throughout a physician’s early career trajectory.

Our findings have many important implications. These results suggest that accepting depressive symptoms among training doctors as commonplace may translate to increased depressive symptoms for nearly a decade among practicing physicians. Physician mental health was exacerbated during the recent COVID-19 pandemic, but our findings suggest that medical trainees have higher rates of depressive symptoms that have long preceded the pandemic. Finally, our findings suggest (to our knowledge, for the first time) that addressing resident mental health may improve the long-term mental health of our professional workforce.

Sleep duration and hours worked are both associated with an increased risk of depression among medical trainees. Early work from the IHS demonstrated that for each additional hour of work, the risk of depression increased by 5%; for each hour of less sleep, the risk of depression increased by 59%, even when accounting for an individual’s sleep quality measured before internship training. 17 Although duty hours have improved in US residency programs (albeit not equally across all specialties), substantial work remains in this domain. 18 Recent work from our group and others suggests that reducing duty hours has a protective effect on the development of depressive symptoms during training. 6 , 19 - 21 Although this solution is not simple and all-encompassing, future research should examine whether depression during the intern year is prevented by reduced duty hours and increased hours slept and whether this, in turn, improves the long-term mental health of physicians.

Our research also highlights the need to better support mental health among physicians as they progress through training and to destigmatize mental health care within our professional culture. Universal well-being needs assessments for counseling services, opt-out counseling programs, and autoenrollment of interns in mental health resources to decrease barriers to access and overcome stigma should be further considered as potential solutions. 22 , 23 Beyond efforts targeted at individuals, ongoing work to address workplace culture for training physicians should be widely implemented. 19 , 20 , 24 Systems-based interventions may include further evaluation of the feedback and assessment methods and recognition of the importance of allowing time to practice basic preventative health care. Understanding these interconnected elements is imperative to understanding the relationship between residency and the mental health of residents and the workforce.

Many future areas of research are critical for reducing depression among US physicians. Further testing of the kindling hypothesis, or the concept that an initial episode of depression may serve as an independent risk factor for future depressive episodes, should be pursued using methods to support causal inferences (eg, target trial emulation, instrumental variables). Future research may also examine how mental illness affects workforce sustainability, including potential physician shortages in critical areas such as general surgery and primary care. Further research is needed to better understand the association between depression and attrition and to explore potential consequences on physician shortages. Routine screening for depression may also be considered to help identify and target interventions for those most at risk of developing depression. Finally, focused attention is necessary for subgroups underrepresented in the literature, specifically gender-diverse and nonheterosexual groups. Emerging evidence indicates that sexual minority (ie, bisexual or homosexual) individuals in medical training experience higher levels of depression than their heterosexual counterparts. 25 Previous studies involving IHS participants reported that sexual minority individuals enter residency with higher PHQ-9 scores than their heterosexual peers and experience a more pronounced increase in depressive symptoms throughout their internship. 26 As inclusivity in our profession increases, there is an ongoing need to support this diverse workforce appropriately.

This study has some limitations. The observational design limits the establishment of causal relationships. We cannot determine whether depression arising during the intern year increases a physician’s risk of later depression or whether depression that surfaces during the internship is a marker for underlying risk. Although the PHQ-9 used on both quarterly and annual surveys has high sensitivity and specificity in assessing diagnoses of major depressive disorder according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition , criteria, we recognize that our interpretations are limited to the PHQ-9 outcome measure as opposed to a clinical diagnosis of depression. 15 Selection bias may also be implicated, given that study initiation and continued participation were based on voluntary enrollment. Statistically, we aimed to minimize this bias by including weights in our analysis.

The findings of this cohort study underscore that the increase in depressive symptoms observed during medical internships, although most notable in the first year of training, may persist for many trainees and physicians. This research suggests that there may be lasting consequences of depressive symptoms well beyond the years spent in medical training, emphasizing the need to support training doctors to safeguard the long-term health of those entrusted to ensure the health of others.

Accepted for Publication: April 20, 2024.

Published: June 21, 2024. doi:10.1001/jamanetworkopen.2024.18082

Open Access: This is an open access article distributed under the terms of the CC-BY License . © 2024 Kim E et al. JAMA Network Open .

Corresponding Author: Tasha M. Hughes, MD, MPH, Department of Surgery, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, MI 48109 ( [email protected] ).

Author Contributions: Drs Bohnert and Hughes had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Kim, Cunningham, Bohnert, Hughes.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Kim, Sinco, Hughes.

Critical review of the manuscript for important intellectual content: All authors.

Statistical analysis: Kim, Sinco, Zhao, Fang.

Obtained funding: Sen.

Administrative, technical, or material support: Kim, Sinco, Zhao, Fang, Cunningham.

Supervision: Cunningham, Sen, Hughes.

Conflict of Interest Disclosures: None reported.

Funding/Support: This study was supported by grant R01-MH101459 from the National Institutes of Health for the development and maintenance of the Intern Health Study (Dr Sen) and by a Research Advisory Committee grant from the University of Michigan Department of Surgery (Dr Hughes).

Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Data Sharing Statement: See Supplement 2 .

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