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IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.


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  #1  
Old 04-03-2012
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Question Switching residency after PGY1

Hi guys

I got prematch in Psychiatry in a very good program this year. Actually this year I had applied to 100 Internal Medicine programs and 15 Psychiatry programs. I got 16 interviews in IM and few interviews in Psychiatry.

My credentials are:

STEP 1: 232
STEP 2CK: 241
STEP 2CS: PASS
STEP 3: 213
YOG : 2011
USCE: 2 months of Hands on clinical experience in US Clinic and 7 months of research in a hospital.

I took prematch in Psychiatry early in the interview period because I felt that MATCH process is unpredictable. But now I am not sure if I want to do Psychiatry residency for 4 years. I would have loved to get IM residency. So I want to ask you guys if I can apply to IM again this year despite being in Psychiatry residency. Will my program director be pissed off with me. Do people do things like this all the time? How do I go about it? And in case I don't get matched in any program will I still get to continue the Psychiatry residency? I feel like betraying the program which I haven't even started. Is it a normal thing? Do I need to let them know early about my decision? I don't want to jeopardize things at both ends.

Please advise me.
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  #2  
Old 04-05-2012
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Hi

If you didn't signed an intent paper or contract with the program then you are free not to start with them but you need to tell them early. If you don't like psych then staying another year out of the match is better than spending your life in a miserable residency and career. You got a decent number of interviews and I guess you are a strong applicant.

If you already signed then you are legaly in. In this case I advice you to accept the fact that you are a future psychiatrist. I don't advice you to try the match again as you will need a letter from your psych PD and when he know your intents he will not be happy with you and problems in the department will start here and there until you find yourself out. Although this is not the case with most PDs however these people are unpredictable especially when it comes to the feeling of unloyality.
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Old 04-06-2012
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There's no problem of switching to another residency in PGY2. Many residents do that every year. Currently there are over 124 positions open! see here https://services.aamc.org/findaresid...ogin.positions most of these are residents switching specialties or locations.

What you need to do is this.

Do not tell your program that you are willing to switch. Start applying next year for IM. If you get matched (and only if you get matched), go and tell your PD around April-May 2013 that you are not going to renew the contract and that you are leaving to internal medicine.

My colleague this year switched from Neurology to Internal Medicine and there was no problem. Of course they did not like it because they will be short in PGY2 but who cares! that's your future, don't do something that you don't like for the rest of your life.

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  #4  
Old 04-06-2012
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I agree with StepTaker regarding switching but usually PDs will not interview you without a LOR from your current PD. You may try your luck without this LOR maybe you will get interviews.
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  #5  
Old 04-26-2012
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Default I have the same problem

I prematched into FM. A stupid and hasty decision I made. I want to switch to IM without letting my current PD know. My question is if I dont get an LOR from this FM program, is that ok?
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Old 04-27-2012
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Quote:
Originally Posted by sireen View Post
I prematched into FM. A stupid and hasty decision I made. I want to switch to IM without letting my current PD know. My question is if I dont get an LOR from this FM program, is that ok?
It is ok if they didn't request it, but most likely they will.
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Old 04-27-2012
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You cant do it without your current PD knowing. Most if not ALL Programs will want an LOR from your current PD, it is NOT a smart move to apply and have your PD find out from someone else, and not you.

@StepTaker, I do not agree with the whole tell your PD next April-May, thats just wrong, and can get the person in trouble. Better to tell your PD, and let them not be happy but give you the go ahead to go.
Imagine not saying anything, and then program asks for an LOR, then now you go to PD, and say "oh btw I applied in this year's match, and I need a LOR from you", what if PD refuses to give you one, you cant force them. Plus they can give you one, and you have no idea what is in the LOR anyway.
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Psychiatry-Match, Residency-Choice, Residency-Life

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