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How to Be a Great Clinical Clerk

How to Be a Great Clinical Clerk

I have written a lot about medical school, but mostly about getting in and some of my experience as a “preclerk” – the primarily classroom based learning I did in my first two years of medical school.

Now that I am in my 4th and final year, I have over a year of clinical experience under my belt. Besides two weeks off for winter break, I have spent the last 12 months straight working in hospitals and clinics, rotating through every single service imaginable. One week I would be suturing lacerations in the emergency room, and the next I could be delivering a baby. I am a firm believer that a medical student’s first clinical year presents the steepest learning curve in all of medical training.

However, I didn’t write much about clerkship for a few reasons.

The first is that it was my busiest year ever, and that meant I always found an excuse not to write: too tired, too busy, too stressed, etc. Fortunately, 4th year is full of elective rotations, and my schedule is much improved. I don’t have any excuse for not writing unless I get lazy. Hopefully that doesn’t happen (look, this is the first time I would have blogged two days in a row in forever – when was the last time that happened?).

The second is that I was always worried about what I would be allowed to write from clerkship. Given that I am seeing patients and coworkers day in and day out, I was scared to write something that would identify another person. It doesn’t help that I write openly as myself – anyone who has come into contact with me on service might think I am writing about them. Now that I have completed my core rotations, I have a bit more freedom to write, but of course I will be safe and cognizant of privacy.

The third is that I just wasn’t experienced enough to write about clerkship. It has taken me the full year to really realize the value of clerkship and what it takes to be a great clerk. Chances are, what you think might make a good clerk probably is far from the truth – I know that was true for myself and my peers (hint: if you think the clerk who studies the most impresses the most, think again). It takes experiencing something as intense as clerkship to really realize what is expected of you and what you should really expect of yourself.

Now that I have this experience, I feel ready to freely share my thoughts on what it means to be a great clinical clerk. For those of you who have recently started or will soon be starting clerkship, I hope there are some gems in this article for you. For those of you still not yet in medical school but hope to one day, I hope this gives you a bit of insight into what being a medical student is like and what attitudes and skill would be useful to adopt in your life going forward.

Disclaimer: Before going forward, I just wanted to say that the following are a collection of ideas of what I think make a great clinical clerk. I’m not saying that I personally do all of these things or do any of them well or that I am even a great clinical clerk myself – I know I have much to learn, and that if I followed my own advice more closely, I would be a much better clerk than I am today.
Create value

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How to Become Great at Writing Essays

I was recently consulted through EssaySensei to help a high school student with her application for a prestigious undergraduate program. Her mother saw the progress we had made since her first draft and was really impressed:

Hi Josh, I love this essay. It turned out so good. I couldn't be happier. Thank you thank you! Do you have any tricks my younger daughter could learn?

Residency applications

As I write this blog post, I am in the midst of completing my own applications for residency programs. Residency is the next step after medical school and involves additional training to become a specific type of doctor. For example, a family physician requires two extra years of residency training and a general surgeon requires six.

Similar to the process of applying to medical school, we need to write personal statements, C.V.s, and obtain reference letters from physicians and supervisors who have worked with us. And like medical school, we again have to apply to residency programs at various universities. This means that we need to tailor parts of our application to the different schools we are applying to. Suffice to say, it is a lot of work and brings back memories of applying to medical school. (Subtext: you will be jumping through hoops for the rest of your life.)

Over the last week, I have been working hard to write my personal statement. I need to write a convincing letter about why I want to pursue Family Medicine, how my experiences prepare me for residency, and why I am a good fit for each of these universities.

Fortunately, I developed my theme and structure relatively quickly, and I did not have too much trouble writing my first draft. I don't want to make essay writing sound easy, because it's not. But at the same time, it's not a mountain for me. Clearly, there must be skills or knowledge I could impart to help others with the essay writing process.

So what tips could I provide to this mother's daughter?

There is no substitute for experience

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McMaster CASPer 2012 – 4 Sample Videos and My Thoughts


Want to practice before doing the real McMaster CASPer?

Dr. Joshua Liu and other Canadian doctors have created MockCasper:

  • 6 different full length practice simulations
  • A comprehensive CASPer guide loaded with tips for success

Start practicing now


This year, McMaster medical school has done something interesting with CASPer. They have provided this year’s applicants with 4 sample CASPer videos with 3 questions each. They also state that 2 of the 4 videos will be used in the actual CASPer – however, they make no mention of whether the questions will also be re-used.

Why are they doing this? I’m not really sure, and given their propensity for testing new models and concepts, I would imagine this is also for testing purposes – I see no other reason to provide applicants with advanced knowledge unless they were trying to see whether advanced preparation affects applicant scores or something like that. Who knows?

In any case, I thought these cases were interesting. While I’m not going to write out my own answers (for obvious reasons – you should be trying yourself!), I do want to share some random thoughts that hopefully will help some of you think about the scenario in different ways. Hopefully, seeing some different perspectives on the same scenario will help you when approaching new situations in the actual CASPer.

Video 1: Affirmative Action

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10 Lessons for Undergrads: #4 – Surround Yourself with People with the Same Goals

“You are the average of the five people you spend the most time with.” – Jim Rohn

When I was in undergrad, I had 5 good friends who also wanted to go into medical school. All 6 of us eventually got into medical school. I didn’t know any of them before I started undergrad. They were all people that I randomly met somewhere in undergrad, most of them were in my classes. Still, what are the chances?

Of course, that’s not the whole story. All 6 of us were well aware of our shared goal of getting into medical school. But we didn’t act as rivals. We didn’t see each other as competition. Instead, we kept each other up to date on medical school news and deadlines. We discussed our trials and tribulations with the MCAT. We helped each other with essays and interviews. We worked together towards our own individual but identical goals.

The fact that we all go into medical school is honestly a statistical anomaly. It was by chance that I met these 5 people. But what wasn’t chance was that we chose to motivate, encourage and support each other towards our shared goal. It wasn’t chance that we chose to remain in close contact. And I am sure all of us would agree that these relationships, in some way or another, helped us towards our goal of getting into medical school.

You are the product of the people you surround yourself with

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The 5 Biggest Mistakes Applicants Make on Medical School Essays

Over the last few weeks, I have reviewed quite a few medical school admissions essays through my online consulting service EssaySensei. Without a doubt, it confirmed something I have believed all along: that there is no clear correlation between essay writing skills and quality of applicant.

I have seen both good and bad essays, and the quality of the essay did not necessarily reflect the resumes of the applicants. Some applicants have done absolutely amazing things, but have great difficulty marketing themselves on paper. My goal when it comes to reviewing essays is always to help applicants better understand what medical schools are looking for, and present the best and most relevant aspects of themselves.

All that being said, I continue to notice several key mistakes that applicants seem to make over and over when writing their essays. While it is just 3 days before OMSAS medical school applications are due, for those of you have not submitted yet (to be fair, I had not submitted by this time either!), hopefully you can learn from these mistakes and improve your essays.

1. Lacking an introduction

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Presenting MockCasper – online practice simulations for McMaster CASPer

For those of you unaware, since 2010, McMaster Medical School started using an online assessment tool known as CASPer as part of its applicant screening process. It is now an integral part of the admissions process, making up 32% of the pre-interview score. Two years ago, I wrote an article about how CASPer was developed and how an applicant should go about preparing for it.


Over the last two years, I have been working with Canadian medical students to develop a preparation tool for CASPer.

The result of our hard work is MockCasper: a website with full length, practice simulations for CASPer.

As I have mentioned recently, I have developed a strong interest in project development and entrepreneurship, and it was a lot of fun taking a problem (preparing for CASPer), creating a solution (practice exams) and scaling that solution to a wide level (making it available online for applicants everywhere). We have developed some very cool features:

Online practice simulations

Our practice exams are the core of MockCasper. Each version is a full-length exam with 8 scenario-based sections and 4 self-descriptive sections just like the real CASPer. The only difference is that we currently use text-based scenarios instead of video-based scenarios. However, developing video-based scenarios is something we are looking at for the future.

Try a free MockCasper sample
McMaster CASPer Guide

Together, we have also written a comprehensive guide with a lot of tips for how to do well on CASPer. It includes advice on both preparing for CASPer and actually completing it.

Read the CASPer Guide
Applicant profile

We have also developed a neat tool to help applicants organize their application. It is a personal applicant profile where you can store your GPA, MCAT scores (including multiple attempts), ECs/experiences for various categories (leadership, teamwork, scholar, etc.), and who your reference letters will come from. The idea is to start your profile early on (even as early as the beginning of undergrad), and by completing your profile, you will start to see where holes or gaps in your application might be. It also makes it easier when you do apply to medical school because all relevant information will now be in one place. You will need to create an account to have access to your personal profile. It is completely private and for your own viewing/use only.

This is an exciting project for us and we are stoked to share it with everyone. Whether or not you end up using our practice CASPer simulations, I hope you take advantage of the CASPer Guide and the applicant profile. In any case, I wish you all the best of luck applying to medical school this year!

7 Tips for Completing Your Medical School Application

As I write this, I am about to start my 4th and final year of medical school. The past year as a clinical clerk, working full time in the hospital and clinics, was the first time I ever came close to experiencing what it means to be a doctor. The amount I have learned about medicine in the past year – not just in terms of knowledge, but applying it like a physician – is sometimes hard to believe. Your first year of clerkship will be your hardest year in all of medical school, but it will also be the most eye opening.

Even though it’s been almost 4 years since I submitted my medical school applications, I still remember much of it. I know it’s that time of year again for many of you. Summer is coming to an end for many medhopefuls – a summer often full of stress and anxiety from writing the MCAT, doing research, volunteering or travelling. While that stress is soon to be followed by the normal stressors of the new school year, for many of you, this fall brings an additional pressure – completing your medical school applications.

For some of you, this may be your first time, and you are completely lost on what to do. For others, you have been through this before, and you’re hoping this is the last time you ever have to fill out these applications. Whatever the case may be, everyone has to go through this first step. It’s tough, it’s time consuming, and sometimes, extremely frustrating.

To try and help with that, today I present to you 7 tips to help you complete your medical school application.

7. Set yourself a due date of one week in advance

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MedHopeful writes a book: Master UofT medical school’s new admissions essays today

It’s always been a dream of mine to write and sell a book. I love to write and I love to teach. What a better way than to combine both skills?

When I wrote the original guide to Mastering the University of Toronto medical school essay in 2009, I honestly did not think UofT would change their essay questions for many years.

But this year, they did. Now, UofT med applicants have to write 4 Brief Personal Essays and 3 Autobiographical Sketch statements. No one has ever had to write these before – so what the heck should applicants do?

I saw a great opportunity to write a real book and provide some significant help to applicants at the same time.

After a month of long thoughts and hard work, I have finally published my first book for sale to help those of you applying to the University of Toronto’s medical school this year.

The book is called: Mastering the Admissions Essay: University of Toronto Medical School.

In this book, you will learn:

  • Why each of the 4 essay questions is asked
  • How to select the best examples from your resume for answering the questions
  • A step-by-step template for writing each of the 4 essay questions and the 3 autobiographical sketch statements
  • Tips and tricks for turning those essays into masterpieces

You can find full details about the book here.




Please let me know what you think, and for those of you who end up purchasing the book, I hope you find it helpful!

EssaySensei.ca – My New Essay Consulting Project

You might have noticed a big change on the MedHopeful homepage today. If you’ve missed it, go back and you’ll see what I mean – you can’t miss it!

Over the past 4 years, I’ve spent many hours writing about applying to scholarships, awards, programs and medical school. I’ve been happy to answer any questions that I could from future applicants.

I have also reviewed essays for many applicants and done my best to try and help them succeed. Many of the applicants I have helped, both with essays and at interviews, have done very well.

A knack for consulting

I really enjoy the consulting process for essays. I believe I have an innate knack for it.

Getting into the heads of admissions committees is something that has just always made sense to me. I would always think deeply about what admissions and awards committees were thinking. Why are they asking me this question? How should that affect the way I answer? This understanding has evolved over the years through my own personal experiences as well as my experiences helping others.

This blog was a natural extension of all those reflections. I think the fact that I have been able to write so much about admissions and applications is a testament to my genuine interest in these processes, and the insight I am able to offer.

Compelled to create “stuff”

I have also come to realize that at my heart and soul I am an entrepreneur. I have always loved starting and growing projects.

When I was a kid, that meant school science projects. In high school, that turned into school clubs and social advocacy groups. Eventually that led to things like Shad Valley and SMARTS. In university, that started to include projects like MedHopeful.

The more I thought about it, the more it became clear to me that nothing drives me more than developing and growing projects. I love identifying a problem, conceptualizing an idea to solve it, and then making that idea a reality. I also love helping other people to succeed with their own projects.

Introducing EssaySensei: 1-on-1 essay help

The result of all of these thoughts is the creation of EssaySenseimy new service to provide 1-on-1 help with essays for medical school, scholarships, awards and programs.

I see it as the perfect platform to combine my interests in essay consulting with my entrepreneurial interests. It is also a perfect extension of the work I am doing here at MedHopeful.

I have been very fortunate that writing effective essays is something that came fairly natural to me. I realize, however, that this is not the case for many applicants, who often are excellent candidates otherwise. If this is you, I want to help you put your best foot forward. I don’t think you, your future patients, and the rest of the health care system should miss out on your talents simply because writing isn’t your forte.

Through EssaySensei, I will be deeply analyzing your essay drafts, and finding opportunities for improvement. I will help you improve the ideas, structure and flow of your essay. I will help you convince the admissions committees that they need to meet you in person for an interview.

Whether or not I end up working 1-on-1 with you, I wish you the best of luck for whatever you are applying to in the next year.

Interested in getting essay advice from me? Visit EssaySensei to learn more.