(Update) Dismissed from residency. PD has offered a new LoR that is neutral. What now?

[BigSandwichGuy]

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Here is my post from when I was let go: Terminated from residency. What should I do?

The new update is that my PD still stood firm on his recommendation I don't continue medicine, but ultimately was willing to write a "statement of fact" LoR, consisting of verification that I worked there and reason for dismissal.

So, I have added that letter to the list of LoRs and am preparing to apply to FM, IM, and PM/OM. All personal statements and the activity list are done as well.

I'll add that having dived into PM/OM, it does look like it would be challenging to match in it without having being given PGY 1 credit.

I also had a pretty rough 1st time application (5 IVs/90 apps, COMLEX 2: 46X (15 - 20th percentile), no fails, STEP 1: fail that was unreported on app, initial program aware), so I would likely need to add a bunch of programs in all specialties to have a chance.

I was thinking around 120 in FM and IM each, with all being community programs plus all in states. All other LoR would be same as application year.

The way I see it, I'm looking at this cycle as "reach" and next cycle as realistic, assuming I can get some observerships with actual positive LoR.

Any thoughts on chances and reasonable expectations?

 

[dozitgetchahi]

I wonder if you’d benefit from speaking to an attorney. They can be helpful in negotiating what will be in the PD LOR.

 

[NotAProgDirector]

It sounds like you have a plan. You're applying to PM/OM/IM/FP. You have a letter from your PD which is hopefully a fair assessment of what did not go well.

I'll state again that not getting "credit" from your prior PD won't matter should you proceed into PM/OM. It will be up to the PM/OM PD, and they may not care that you were not promoted.