have analized and agonized from every angle and viewpoint possible. Used every resource and recourse I could muster. As a Medstudent Derm was first choice ended up not matching (applied only to a very few top tier programs in my location - as family illness responsibility made a move impossible. Matched into a great Rads program which started only a few months ago (Rads was never really on the radar as pregrad exposure is relatively non-exitestent in terms of true to life expore to the specialty.). Now three months into Rads i've been offerred a Derm match (seems the previous candidate was very quickly removed for 'legal' reasons). Three months ago, before starting Rads this would have been a 'no-brainer'...and now i've come to see Rads as the incredibly stimulating specialty it is. Stuck! And have to notify accpetance/decline Derm spot ASAP. Opinions/long term-thinking wisdom please?!