SDN Members don't see this ad. (About Ads) I am totally unsure how many prelim and transitional years to apply to this coming year. I'm trying to think about things like this, because I'm trying to think about money for ERAS + travel expenses etc. I'm applying in Anesthesiology with a 240/99 Step 1, some clinical research with hopefully some pubs, should have great letters, really interesting and involved ECs, and I've been told I have a compelling personal statement (dare to dream - who knows, right). Great clinical grades. P/F school, so no rank will show, but I'm hoping I still have a shot at AOA in the fall. Making it my job to kill Step 2. I don't want my home program's prelim year, because we really want to leave this area, and I don't like the structure. I'd prefer transitional, but I'm doubting my ability to compete for one. I know they are competitive. How many prelim med years should I apply to? Transitional? I just have no idea what kind of number is rational? I was thinking I'd apply to 30 anesthesia programs, but mainly because I would like to go to a research-heavy, top-tier, and I am not sure how the chips are going to fall. Can anyone give me some insight into the prelim/transitional world?