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  1. #1
    YoungCC's Avatar
    YoungCC is offline Junior Member 523 points
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    MS3 needing some heartfelt advice

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    Hi guys,

    Its been a while since I've posted on here. I'm currently MS3 finishing off Psychiatry. I have completed OB/Gyn and FM. My next rotation is IM. I started my rotations in November 2012 so I guess thats where my dilemma starts. As of right now I am slated to graduate by May 2014 but only if I schedule all of my rotations back-to-back. This includes studying for CK while I take some electives in June-July. The whole process has been overwhelming and I would very much like some advice. Should I just give up and aim for the 2015 match? I want to do PM&R and I have an elective audition set up in August. My Step 1 score is not up to par (214). The recent news of US med grads exceeding residency spots is not sitting well with me either (JAMA Network | JAMA | Residency Training and International Medical GraduatesComing to America No MoreComing to America No More) and every year its becoming harder and harder for IMGs to match. I guess that's why I so want to desperately match in 2014. Some positives if I decide 2015 include research offers lined up at two very prestigious hospitals should I finish early. That would give me some solid recommendation letters. I also would have more time to study for Step 2. Some negatives I have to deal with is the fact I have to start paying student loans back. Does anyone know if residency programs look down upon you if you took an extra year to match? Please lay it on me. My head is about to explode! Lol.
    Binghamton University 2010
    Ross University 2014
    Semester 1-4 : X AICM: X COMP: X Step 1: X
    OB/GYN: X FM: X Psy: X IM: X PM&R: X Step 2: X Surgery: X Electives: X
    Winthrop University Hospital:Pulmonary Critical Care Research Resident: 2014-2015
    West Virginia University/ CAMC - Internal Medicine Residency 2015-2018

  2. #2
    gfliptastic's Avatar
    gfliptastic is offline Member 655 points
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    Y0!

    I got super-worried about this Match 2014/2015 deal, and myself, I think I rushed my Step 1. I mean, I didn't think I would ever get Pharm (so I said f*** it), but now that I've done pharm in smaller "digestible" chunks for rotations, I realize I could have studied it more/better. And so instead of my "anomalous" showing in Pharm (where my bar-range hit Borderline, the ONLY bar!), I got what I got on it. [This relates! LOL]

    Relegating to the fact my 2014 window is closed, I am going to approach CK to be higher by taking things slowly. Just realize as IMG's we probably only have 1 shot at Match, so we might as well make it good. Do you want to rush rush rush, not do your utmost best on CK, and have a basically slip-shod 1/2-arsed run at Match???

    Cuz that 15 maybe 20 pts I could have gotten NOT being borderline in pharm on Step 1...yeah, I wish I did have it. Had I really come to grips w/ the fact I was far from Match 2014, I would have taken 2-3 weeks more of intense pharm. OH WELL! [BTW, that's the part that relates]

    Just because your IMG chances are still really good in 2014 Match (relative to 2015), if you have a blah application, does that really help you??? Or do you want to be SUPER COMPETITIVE in 2015. It sounds like having some of that research at prestigious hospitals would help you out. And your best CK score.

    PM&R isn't derm or ortho, sure. But why not have the BEST application possible? Which probably isn't the "quickest"! I'm sure you still have your favorite residency, but why not be the MOST competitive for it, ya know?

    Best wishes!!!
    **Board-Certified Internist**

    Ross Graduate (Nov 2014)
    IM Residency Graduate (2018)

  3. #3
    axiomofchoice is offline Senior Member 6116 points
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    I second that advice. I would try to become a more competitive applicant and apply in 2015. Your Step 1 score is terrible, at least you didn't fail. Research is highly regarded. When you do these rotations at 'prestigious' places, you need to make sure you PUBLISH. A generic LOR by a big guy is easy to come by. You want something to talk about during interviews. My vote is delay match, do well on step 2 (>240), and publish.

  4. #4
    SpursDoc is offline Member 666 points
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    It's a tough situation, I am in the same position but hopefully it'll all workout by next week and I'll match Anesthesia. I started in Jan '10 and had to rush everything, applied without an Anesthesia letter or elective (which came in October) and not being ECFMG certified. So all of that affected the amount of interviews I got, but still received 8 and hopefully it'll workout. It's a tough call and my thinking was I knew I wanted to give myself the opportunity to match in the earliest possible match year because every year from here is getting more and more cut throat for IMGs, especially for anything besides psych, FM or IM. Any speciality is going to be even more ridicuolous to try to match into. I had to PDs that I interviewed with tell me that this was the last year they were interviewing any IMGs regardless of scores, letters etc. It's an extremely poor outlook for us and even though your step score isn't terrible (like previously said) it's definitely not competitive. So what to do? Is it better to try and match in the earlier and therefore less competitive (albeit still EXTREMELY competitive) match year or try to do you best to have the best app and match in 2015? To be honest your step 1 score is going to be extremely difficult to overcome regardless of step 2, LOR or research because you won't make it past the step 1 filter for many programs. I would ask yourself if you'd be happy with FM or IM and if it is possible to match 2014 give it a shot. If PM&R is the only thing you can see yourself doing than take the longer route and try to make your ERAS as competitive as possible and make sure to network as much as possible. If there's a national or regional PM&R conference go to it. Get your name out there and show your interest. Best of luck!
    PGY-2/CA-1

  5. #5
    medic300107's Avatar
    medic300107 is offline Supermedic Moderator 10497 points
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    Honestly I would try to match in 2014 if it's possible. That being said if you don't match take the research position. Scheduling electives back to back isn't extremely difficult if you start early and are persistent and flexible. As stated before matching is only going to get more difficult. Good luck!
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