Hi guys,
For those of you who got someplace to go this year, congrats! Thank the lucky stars this is over for you.
For those who got nada, I empathize because I was in your shoes last year.
About me: Middling to below average AMG with non-stellar boards scores, good LORs and Rotation evals. I tried to match into IM in the 2013 match. Obviously didn’t match in Main, SOAP, and mini scramble after SOAP.
What I did immediately:
1) Grieved – owned the feelings, dealt with them, talked to counseling and friends during match week and a couple of days after. Don’t wallow in self-pity (too long).
2) Navel gazed – did I want to try again? How passionate am I about medicine? Can I recommit?
3) Talked to IM PD in my school and the “community” IM program affiliated with my school. Got feedback on what their advice would be as to what I should do if I want try again. The answers I got: A) Do an MPH and B) Find a research position. Along with that, I would have to demonstrate commitment to medicine somehow (volunteer at a free medical clinic, find shadowing experiences, etc.)
4) I talked to my Letter Writers, and flat out asked them if I could have their support again if I tried next time (they said yes).
5) I decided to recommit. I cared about medicine too much (and my loans were too big) to not try again. I did, however, make this decision with the following caveat: if I did not Match the 2nd time I WOULD NOT try again. The second time I was going for broke.
What I did over the year:
1) Since I was going for broke and was determined to match, I decided I cared enough about being a doctor that I would dual apply – both IM and FM
2) To that end, I talked with my school's FM program director about my situation and to put out feelers as to how FM PDs would receive my application. Obviously FM’s concern would be whether I was actually committed to becoming a Family Practitioner. To me, I was committed to being a physician and FM naturally fit into that mix.
3) This was an EXPENSIVE decision – I chose to postpone graduation one semester so that I could take another FM and IM rotation and hopefully do well and get fresh letters (especially for FM). In addition these were the added benefits: A) I would still be covered by my school’s trainee malpractice insurance so that I could volunteer as a training clinician at our free medical clinic and student run clinics, and B) I would have concrete evidence about my dedication to medicine, learning, and continuing patient contact. I did not take the above the decision lightly. I talked with PDs and other physician-mentors I trusted. It also took some convincing of the Dean of student affairs and the Registrar.
4) I found a research position. At first I was contacting anyone who had a lab. But then I decided to play to my strengths and interests. I knew I wanted to get into pulm/crit care and I had basic science experience. I cold contacted a PI doing basic pulm research. I laid out my situation and he took me on. I was upfront about me still being enrolled in school, and needing to be away for a couple rotations as well as the time off I would have to take for interviews. The work has been hard but rewarding. And, I got an LOR from it.
What I did for Match 2014:
1) APPLY ON TIME. I got my applications in late last year, and I think that hurt.
2) This is gonna be a numbers game and, again, EXPENSIVE. I kid you not. I dual applied to FM and IM for a grand total of 245 applications. You read that right. It cost, but I had my family’s support. I did discriminate somewhat, I definitely avoided obvious reach programs.
3) That gamble paid off (sorta, depends on your perspective) because I got ~50 interview invites. The proportion of FM:IM invites was the same as FM/IM split of my applications.
4) I went on 32 interviews, both FM/IM. That cost, also. But hey, I said I was going for broke and I was determined to maximize my chances.
5) I had to shift gears constantly between IM and FM. I had to make sure I demonstrated utter passion and commitment to the field I was interviewing for. I will make no excuses, this was disingenuous. However, my rationale is that PDs will do what is right for the program (i.e. self-interest) and you have to do what is right for you.
6) I was surprised that there actually were several FM programs that really impressed me and I ended up ranking them pretty high (given my primary interest in IM). High enough such that I would not be surprised if I match into FM.
7) I tried my absolute best to e-mail thank-yous and “love notes” in a timely fashion. With this many interviews I did screw up once: in my e-mails to an IM program I really liked, I referred to them by the wrong institution’s name. In my defense, I was exhausted and the names were quite similar. PUT EXTREMELY LOW TRUST IN WHAT THEY SAY TO YOU. It’s just the game that has to be played.
8) GET THAT RANK LIST IN! If you don’t, you have absolutely no one to blame but yourself.
9) As match day approached, I felt confident that I had done everything in my power to maximize my chances. This firmed my resolve that if I did not match this time around, then it was not meant to be and I would not try again.
10) I made peace with the fact that I have massive debt, and that I would just find a way to pay it back some other way if I did not practice medicine.
Regarding that last part: We are all smart, competent, and capable. None of us would have finished Med School otherwise. Trust me, I did not feel that way last year during Match Week. But promise me and yourself that – eventually – you will remember that fundamental truth. How I handled this past year is not for everyone, but no one could doubt my dedication and resilience.
Talk to people. Get as much advice as you can, then lay out a road-map for how you want to proceed. Maybe some of you will try the Match again. Others may chose to redirect their life. Note: I won’t call it quitting. It’s not. It is making a rational decision regarding what is right for you.
BTW, I Matched. If you have questions, I’ll try to field them.