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Worst Case....

Discussion in 'Emergency Medicine' started by mountebank, 02.04.03.

  1. mountebank

    mountebank Member

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    Worst case if I don't match, I'll scramble for a spot in Mississippi. What's with that program? they've had spots open in the last two years. Is it solely location?

    Or I'll scramble for a surgery spot at MGH ... could happen, wouldn't be happy though.
     
  2. Melb

    Melb Member

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    If I don't match, I think I will abdandon my dream of becoming a doctor and pursue a career as a foot model.
     
  3. EMIMG

    EMIMG Senior Member

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    My understanding with Mississippi is that they intentionally do not fill every year. I think that they just upped their number of residents; however, they used to have 8 a year. They would put 6 up in the match for the current interview season. So, This year they would be interviewing for 6 people to start as PGY-2s in 2004. Then, what they will do is next year, they will interview for the remaining spots and interview people that have already done at least one year of training. So, if they do not fill with their full number, they always have the following year where they can look for more PGY-1s to interview.
     
  4. pickaname

    pickaname Member

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    I did not have that many interviews, eight total, applied to 24. I think that I could match, but I think that I might not get one of my top three. The other places, four thru eight seem the same to me, not the best cities, average programs, blah, blah, blah.
    Would it be so horrible to scramble, does anyone know EM scramblers?
     
  5. mountebank

    mountebank Member

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    good question,

    Anyone out there know of residents who have scrambled? I wonder how difficult it is (not that I'll have to do it, I hope). there's previous poster who said the EM scramble was over in minutes....wow.

    I applied to a large number of programs and it would be quite ironic if I don't match and I scramble into a program that didn't offer me an interview. Is that possible? Or I scramble into a program I interviewed at but didn't rank. That would be strange. Sorry, I would do a transitional year instead. :p
     
  6. Annette

    Annette gainfully employed Lifetime Donor

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    I tried to scramble into an EM spot last year. NO ONE answered their phones! If you are trying to scramble into an em spot, give it up now, and look for an IM, FP, or surgery spot!
     
  7. Coleman

    Coleman Senior Member

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    I do know someone who scrambled into EM. He scrambled into Metropolitan in NY which, from what I hear, is not the most amazing program and usually has some empty slots after the primary match. It is possible, I guess.
     
  8. Apollyon

    Apollyon Screw the GST Lifetime Donor

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    For Metropolitan, they had 3 spots last year for 7 total. The scramble started at noon - by 3:30, they had 2 SIGNED contracts, and the third spot filled.

    I've said it many times - the scramble is fixed, worse than any horse or dog race, boxing match, or jai-alai game.
     
  9. pickaname

    pickaname Member

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    Don't you think that the scramble will be different this year?

    There are several new programs, so I am guessing that there will be more spots in the scramble this year. Also, who knows if the number of applicants are up/down/same. I would make the guess that the numbers are not up. I say that because the numbers are down at my school. Also, there has been resident work hours reform, so maybe those torn between EM and Surg, went to the dark side...figuring that work hours won't be such an issue.
    The SAEM website posts info about previous year matches and statistically 94% of us should match. I just hope I am not in that 6% group.
     
  10. DrQuinn

    DrQuinn My name is Neo Moderator Emeritus

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    I would be interested in seeing if this year's numbers have changed. One PD told me he had gotten more applications this year than ever before, while another one said applications had been down slightly...

    I do have a feeling, though, that EM may have slightly dipped in popularity, just from a general feeling talkign to students. I think it hit its height 2-3 years ago... which is fine for me as long as I match. I think the work hours have a lot to do with it, as well as the popularity of anesthesia as of late. Possibly the threat of malpractice may have scared people off from the front lines of EM (working in a fishbowl), but, well, you need to be confident in the ED and realize you will be sued someday.

    Q
     
  11. Apollyon

    Apollyon Screw the GST Lifetime Donor

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    Bingo. After getting sued, you either become a total prude, or fearless, because you either believe in yourself, or lose your confidence. At least the group pays the premiums.
     
  12. sundermannr

    sundermannr Junior Member

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    I have heard from a chicago PD that there are over1300 applicants this year for approx 990slots.
    Don't know how true or how scary.
    rks
     
  13. m and m

    m and m Member

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    I don't know where that information came from, but it does not sound right. There are new programs this year, no programs have closed, many programs have increased their quota, none that that I know of have reduced their quota, and there were 1211 slots last year. Soooo, there is certainly more than 990 slots out there. As to how many applicants there is, I have no idea. Even if there where 1300, 93% of applicants would match, which does sound about right.
     
  14. blackcat

    blackcat Senior Member

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    worst case scenario, i'll sign up for more time in the army...i hear iraq is beautiful in the summer!
    :clap:
     
  15. pickaname

    pickaname Member

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    Hey blackcat, VERY FUNNY, don't forget your gasmask!

    As for the 1300 applicants for 900'ish spots...What a bunch of crap!
    Why do people, let alone a PD say these things, it just doesn't make any sense!
    Whatever
    I'll place my bet now, numbers have evened out and more spots in the scramble.
     
  16. Apollyon

    Apollyon Screw the GST Lifetime Donor

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    We must have been standing in the same ED...I think the peak has peaked.
     
  17. blackcat

    blackcat Senior Member

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    picaname - the gas mask is strapped to my leg as we speak!
     
  18. mountebank

    mountebank Member

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    Annette,

    Personal question, answer only if you wish. What did you do after not matching in EM? Prelim med? are you in the match again this year, and is it easier.
     
  19. jpgreer13

    jpgreer13 Senior Member

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    I was a told by a PD at one program I visited that there would be "a spot for every applicant" this year, he felt.

    I don't know how much credence I give that, but as Match Day looms in the distance, that statement sort of calms my fears. Not really. I wonder if I'm the only one who just has a total, semi-irrational fear of going umatched?
     
  20. The White Coat Investor

    The White Coat Investor AKA ActiveDutyMD Partner Organization

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    You know, I hate to say this, but I have also heard the 1300 for 990 rumor, and I didn't hear it in Chicago. That doesn't sound like 94% to me though, which is what it has been for several years.
     
  21. droliver

    droliver Moderator Emeritus

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    I agree, those #'s just don't sound right with the several year trend with fewer applicants pushing the applicant:position ratio down pretty close to 1:1 for ER (especially if you only consider the American allopathic student population only)
     
  22. sundermannr

    sundermannr Junior Member

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    Thanks for responding desperado.
    I felt like a jerk for putting out info, whether it was true or not, that I thought people would want to know. Sounds like there are more acurate estimates, or exact numbers.
    Incidentally, I was in the first trip to the bid sand box. Not exactly a period of reflection for me.
    BLack cat: make sure you check your mask. Did you see 60 minutes this weekend that talked about 70-90% of our chemical gear being deficient? I remember those damn filters were always shot and heaven help you if you wear glasses. Keep your straps tight.
     
  23. Annette

    Annette gainfully employed Lifetime Donor

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    Mountbank, I'm an FMG and had no support or advice last year. (I wrote my own Dean's letter.) I also did my third year in England. So, I wasn't exactly well set up for the match last year. I didn't apply to nearly enough programs, applied late, and I applied only to EM programs. I didn't get any interviews.

    I took this last year off, worked on a master's program, and just generally enjoyed being with my family. I've done only limited clinical work. I applied earlier this year, and to a lot more programs. However, I'm still not the best applicant.

    It hasn't been easier the second time around. I certainly wouldn't recommend it to anyone. I wish I had scrambled into an IM or FP spot last year, then tried to transfer to EM.
     
  24. blackcat

    blackcat Senior Member

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    sundermannr - i bet the number is higher than that! those pro-masks are generally not very good. mopp gear is not much better, never fits right and hot as hell. my last ctt (common task training) i almost passed out trying to get the thing on.
     
  25. mountebank

    mountebank Member

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    annette,

    sorry to hear about that. Thanks for sharing. I wish you the best of luck this year in the match. If necessary scramble for one of the many prelim medicine spots if that suits you.
     
  26. rh

    rh Member

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    Don't Plan on scrambling into Mississippi. They fill there open spots with people who have completed a transitional year the year before. The two who will begin this year were both AOA. They are filling 4 spots outside the match this year, as they upped their number to 10 residents.
     

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