Medical student education in anesthesiology is often treated as peripheral to residency leadership. Less often is it examined as a strategic lever for recruitment, advising quality, and the long-term health of the specialty. In this episode of PDs@SEA, Dr. Marianne Chen is joined by Dr. Mike Hofkamp and Dr. Christine Vo to examine how early exposure to anesthesiology shapes student interest, preparedness, and competitiveness. Drawing from their experiences as long-standing medical student clerkship directors, they reflect on how externships, early electives, interest groups, and even research participation can meaningfully influence career trajectories. The conversation explores how medical school curriculum redesign, shortened preclinical phases, and elective flexibility have created new opportunities for anesthesia engagement. The group compares mandatory versus elective anesthesia rotations, highlighting the tradeoffs between intentional participation and broad exposure, and how each model influences student motivation and perception of the specialty. Attention then turns to the realities of advising in an increasingly competitive match environment. The episode offers candid guidance on away rotations, virtual interviews, and the evolving role of audition rotations as month-long assessments of both programs and applicants. The discussion moves deeply into signaling strategy, unpacking gold versus silver signals, common misconceptions, and how poor advising can inadvertently disadvantage otherwise strong candidates. These themes are grounded in the lived experience of clerkship leadership: variable institutional support, lack of protected time, and the absence of national standardization for medical student directors. The guests reflect on the inaugural medical student education session at the SAAAPM meeting, identifying an advising gap and the growing need for a national community of practice. The episode closes with a forward-looking discussion on advocacy, mentorship, and why investing in medical student education is not optional but foundational to sustaining anesthesiology as a specialty. Key Takeaways From This Episode Early exposure to anesthesiology strongly influences student interest, preparedness, and application competitiveness.Externships, early electives, and interest groups are powerful recruitment tools, often with unintended positive downstream effects.Elective versus mandatory anesthesia rotations each carry benefits and tradeoffs in engagement and discovery.Audition rotations now serve as critical bidirectional assessments in a virtual interview era.Gold signals drive match outcomes far more than silver signals, and poor signaling strategy can undermine strong applications.Advising gaps persist nationally, particularly around signaling, away rotations, and program competitiveness.Medical student clerkship directors operate with highly variable support, limiting standardization and sustainability.Building a national advising and education community is essential to the future of the specialty.Especially Useful For Medical student clerkship directors, residency advisors, program directors, associate program directors, vice chairs for education, and anesthesiologists involved in recruitment, mentoring, or undergraduate medical education. Related Episodes Everything You Wanted to Know About Being a Program Director A candid discussion of PD responsibilities, hidden labor, and the structural pressures shaping residency leadership. Recruitment in the Virtual Era: Signals, Interviews, and Applicant Experience Examines how virtual interviews, signaling, and visiting rotations are reshaping anesthesiology recruitment.
