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The Residency MSPE from A to Z

MSPE

The MSPE (Medical School Performance Evaluation) is an important component of your ERAS Application. While traditionally written by medical school deans or faculty members, some institutions ask students to write or contribute to their own MSPE. Let’s take a look at how to do this—and do it well.

MSPE Best Practices

  1. Review credible resources: AAMC website & AAMC Task Force Recommendations
  2.  Review examples from US medical schools: Example 1, Example 2
  3. Follow any guidelines shared by your school. 

Understand the Purpose and Structure of the MSPE

The MSPE is designed to provide residency program directors with a comprehensive overview of your performance as a medical student. It generally includes the following sections:

  • Identifying Information: Name, school, graduation date.
  • Noteworthy Characteristics: Highlights your unique attributes.
  • Academic History: Details your preclinical and clinical performance, including any significant achievements and challenges.
  • Summary: A concise summary of your overall performance and potential as a future physician.
  • Medical School Information: This section includes details about your medical school, including its grading system, academic policies, and any unique characteristics or opportunities offered by your institution. Providing this information helps residency program directors understand your academic achievements within the context of your medical school’s curriculum and environment.

Write with Clarity and Honesty

As you begin drafting your MSPE, keep the following tips in mind:

  • Use clear, precise language. This document should be straightforward and easy to read.
  • Present an authentic portrayal of your performance, including areas for improvement.
  • Emphasize the qualities and experiences that make you stand out.

Writing Your Noteworthy Characteristics

The AAMC recommends including 3 Noteworthy Characteristics (NCs) in your MSPE. Each one should be 2 sentences in length. There are no published word or character limitations, but 50-60 words per NC is about right.

For each NC:
Focus on ONE characteristic OR two RELATED characteristics.
Include a strong, concrete example(s) of how you demonstrated that characteristic.

Example:
Passionate teacher: For 10+ years, Frank has sought out ways to educate his community. Whether giving horseback riding lessons to able-bodied and disabled children and adults, remotely tutoring high school, university, and medical students, or teaching in underserved middle school classrooms, his desire to help others excel has shaped Frank into a capable educator.

 

Suggested Approach

Write down a list of “impressive” things you’ve done. Think in terms of verifiable, hands-on experience:

  • Unique volunteer work
  • Early/extensive involvement in research
  • Mentoring/teaching others
  • Advocating for specific groups (i.e., elderly, children, animals)
  • Obstacles you’ve overcome
  • Relevant hobbies
  • Disaster relief efforts
  • Military service
  • Working with the underserved
  • Special honors/awards

Once you’ve brainstormed a reasonable list of experiences, think about each one individually, writing down a list of every positive characteristic associated with it (i.e., resourceful, adaptable, resilient).

Next, look for experiences that have the same or similar characteristics. The more “evidence” of the characteristic you can provide, the better! The more unique the characteristic and the evidence are, the better. Additionally, avoid choosing examples that are clearly presented in your ERAS CV and/or personal statement.

Incorporating Preceptors’ Written Evaluations of Core Clinical Rotations

Ideally, your school will provide this information. If they are unable to do so, communicate with your preceptors to request their feedback. Alternatively, you can compose drafts of your evaluations for your school/preceptors to review and approve. These drafts should accurately reflect your performance during rotations, including both strengths and areas for improvement.

Seek and Incorporate Feedback

Ask a trusted advisor, faculty member, or mentor to review your MSPE and provide constructive feedback. Be sure to carefully consider their suggestions and incorporate them into your MSPE as appropriate.

Provide the MSPE to your school for review, and make any required changes based on their feedback. Once your school has signed the document, it can be uploaded to ERAS:

  • If your medical school participates in EMSWP ERAS, they must upload the MSPE on your behalf.
  • If your medical school does not participate in the EMSWP ERAS, you can upload the signed document via the ECFMGs OASIS.

Final Thoughts

Remember, when creating your MSPE, the goal is to craft an accurate, comprehensive portrait of your performance as a medical student. By writing with clarity and honesty, you can create a compelling MSPE that resonates with residency program directors.

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