IM Fellowships in specific city

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Hi everyone, I'm an MS3 thinking about specialty choice. I'm interested in heme/onc (IM) and critical care (IM, anesthesia, EM).

I was hoping to hear people's thoughts regarding the difficulty of getting fellowships in a specific (large) city due to family. I'm sure many residents face similar issues in coordinating jobs with a spouse, and I'm wondering if the possibility of not getting a fellowship in your desired city is a serious concern for residents.

I think this also goes along with another question I had - lots of people go into IM thinking they want to do Cards or GI, but these are quite competitive. What happens when you don't get that fellowship? Do you become a hospitalist and reapply?

Thanks!
 
Hi everyone, I'm an MS3 thinking about specialty choice. I'm interested in heme/onc (IM) and critical care (IM, anesthesia, EM).

I was hoping to hear people's thoughts regarding the difficulty of getting fellowships in a specific (large) city due to family. I'm sure many residents face similar issues in coordinating jobs with a spouse, and I'm wondering if the possibility of not getting a fellowship in your desired city is a serious concern for residents.

I think this also goes along with another question I had - lots of people go into IM thinking they want to do Cards or GI, but these are quite competitive. What happens when you don't get that fellowship? Do you become a hospitalist and reapply?

Thanks!

Whenever you limit your options (geographically, program-type, etc), there's always a chance you won't match in your desired specialty. When you try to limit yourself like this for residency, unless you're a stellar candidate (or are trying to go to a crappy place/program), you run a high risk of finding yourself without a spot, entering the scramble and (hopefully) finding some program that will take you for a year or 3, usually not in the location or specialty you want. The good news for fellowship applications is that, you will have completed a residency and can get a job (hospitalist, PCP, locums, etc) while you re-apply.

So while it may suck to not match for your chosen fellowship in your chosen location, it's not the near death sentence that not matching for residency is becoming.
 
Hi everyone, I'm an MS3 thinking about specialty choice. I'm interested in heme/onc (IM) and critical care (IM, anesthesia, EM).

I was hoping to hear people's thoughts regarding the difficulty of getting fellowships in a specific (large) city due to family. I'm sure many residents face similar issues in coordinating jobs with a spouse, and I'm wondering if the possibility of not getting a fellowship in your desired city is a serious concern for residents.

I think this also goes along with another question I had - lots of people go into IM thinking they want to do Cards or GI, but these are quite competitive. What happens when you don't get that fellowship? Do you become a hospitalist and reapply?

Thanks!

Depends on the city. Where you trying to go? Getting into IM there probably won't be that big of a deal if there are multiple programs in town. Finding fellowship in a specific city is different beast, though, if enough fellowships programs in town, shouldn't be a big deal.
 
Thanks for the responses. I'm trying to end up in Philly, and I know there are several fellowship programs there.

So while I know there are more options there than in most other towns/cities, being limited geographically does concern me, particularly at the fellowship stage. For some reason, I just assumed that the geographic problem would be easier to solve when looking for fellowships as compared to residencies since it's a common problem as more people will probably have families at that stage in life. But maybe I'm wrong - maybe people just make sacrifices, either the family moves for the fellowship in another city or you finish residency and take on a hospitalist position in town?
 
Thanks for the responses. I'm trying to end up in Philly, and I know there are several fellowship programs there.

So while I know there are more options there than in most other towns/cities, being limited geographically does concern me, particularly at the fellowship stage. For some reason, I just assumed that the geographic problem would be easier to solve when looking for fellowships as compared to residencies since it's a common problem as more people will probably have families at that stage in life. But maybe I'm wrong - maybe people just make sacrifices, either the family moves for the fellowship in another city or you finish residency and take on a hospitalist position in town?

I'm not as familiar with the east coast programs, but unless you're trying to match fellowship at Penn (which arguably has the top 5 programs in almost all of their fellowships), you should be able to find a spot, especially since you are local. Between TJ, Temple, and Drexel you have really pretty good fellowship prospects of staying in Philly, IMHO.
 
What about U of Washington - Seattle, UCSF, UCLA, OHSU, or UCSD for P/CCM? Coming from a mid tier university program? Chances?
 
What about U of Washington - Seattle, UCSF, UCLA, OHSU, or UCSD for P/CCM? Coming from a mid tier university program? Chances?

We've ALL been through this with you MULTIPLE times. :bang:

Besides, Iowa is arguably a top 30-35 IM program, with plenty of well respected faculty. You can ride that to a pulm fellowship out west without to much trouble . . . in theory . . . just don't be a headcase . . . like you have been in here. Good luck.
 
I am not super familiar with pulm CC but I do know that UW is considered one of the top programs and as such is hard to match at. UCSF is also challenging to match at but I think that this has more to do with research and name recognition than clinical training. At least from the critical care side, I am not sure that the fellows get a very in depth clinical training.
 
I am not super familiar with pulm CC but I do know that UW is considered one of the top programs and as such is hard to match at. UCSF is also challenging to match at but I think that this has more to do with research and name recognition than clinical training. At least from the critical care side, I am not sure that the fellows get a very in depth clinical training.

You are correct UW has the better clinical Pulm/CC program, a top 5 in my opinion. UCSF is not far off of that, but definitely more known for their pulm and name recognition than critical care, but let's be honest, and you saw it, critical care at UCSF might not be UPittsburgh, but it's not like it's some kind of weak critical care. It's a big name institution getting tertiary referrals for the sickest patients. UW is also a big program (numberwise), and with the right application from a place like Iowa you could pull a match IMHO.
 
I matched at the University of Arizona and am very interested in the same programs!

I know that U of Arizona isn't as well known for IM as U of Iowa is! (I didn't know about Iowa was either!) But do I have a chance at those programs also? (OHSU, UCSD, UCSF, U of Washington, etc.)?

I would be open to applying to Denver or perhaps a big city on the east coast, unlike the other poster who sounded like he/she wanted to stick with the west coast.

So research and good letters eh? Anyone at U of Arizona with some pull? Or will I have to work a bit harder? Do an away rotation at an institution I am interested in?

docscience, I sent you an private message!
 
I matched at the University of Arizona and am very interested in the same programs!

I know that U of Arizona isn't as well known for IM as U of Iowa is! (I didn't know about Iowa was either!) But do I have a chance at those programs also? (OHSU, UCSD, UCSF, U of Washington, etc.)?

I would be open to applying to Denver or perhaps a big city on the east coast, unlike the other poster who sounded like he/she wanted to stick with the west coast.

So research and good letters eh? Anyone at U of Arizona with some pull? Or will I have to work a bit harder? Do an away rotation at an institution I am interested in?

docscience, I sent you an private message!

Arizona has a well respected pulm program generally, but it's also not generally considered to be an academic powerhouse either. With the right application, you can make it from the U of AZ to any pulm/cc program anywhere. You'll need research experience and your name on a few things prior to application to be competitive though - find a mentor early.

FYI, U of Colorado is considered the #1 pulm program in the country with national jewish in town. If you like the mountain west, I would also suggest U of Utah - awesome program, critical care heavy though (and I personally don't mind Salt Lake as a city, at least not for three years, with all of the mountain activities).

The bottom line . . . right now as long as you are an AMG with an application that includes both research "experience" and an interest to continue doing research, the big name programs open up to you. It's important to understand that part of the deal with the devil you make going to a "big name" program is that you'll be interested in doing the heavy lifting in the lab for the funded researchers in the division. If all you want to do is work int he unit, bronch like crazy, and enjoy a solid general pulm practice, there are arguably better programs to suit those needs that don't include any of the "big names".
 
The bottom line . . . right now as long as you are an AMG with an application that includes both research "experience" and an interest to continue doing research, the big name programs open up to you. It's important to understand that part of the deal with the devil you make going to a "big name" program is that you'll be interested in doing the heavy lifting in the lab for the funded researchers in the division. If all you want to do is work int he unit, bronch like crazy, and enjoy a solid general pulm practice, there are arguably better programs to suit those needs that don't include any of the "big names".

Thanks for the advice! I would definitely consider living in the Mile High City or SLC. But I feel like I need to live in a big west coast city/big city while I am young....i.e. when I do my fellowship. But Denver and SLC would be awesome. I didn't match into a big city program for residency. I will be in Tucson for my residency.

But I was recently talking to a resident about the "deal with the devil" that you have to make going to a good program. She was telling me the same thing...she said if I wanted really good clinical training, I should probably go to a "non-research powerhouse" and go to a place where I am going to see a lot of sick patients (lots of ICU, and lots of good pulm pathology). Do I need to start looking to see if these big names having clinical tracks? Are they harder to obtain? I can see myself stenting way more than I can see myself doing basic science research on pneumocytes (not that that isn't cool).

I know it is very preliminary, but are there programs with a good combo of big name/big city and clinical training? I am not into bench research, but would be willing to do some kind of clinical research. Or should I start thinking about my clinical career over my big city dreams?

My ultimate long term goal for my career is to be a versatile P/CCM specialist with the ability to practice in any niche...private practice, academics, community teaching program, etc. This should enable to have some geographic preference also.
 
But I was recently talking to a resident about the "deal with the devil" that you have to make going to a good program. She was telling me the same thing...she said if I wanted really good clinical training, I should probably go to a "non-research powerhouse" and go to a place where I am going to see a lot of sick patients (lots of ICU, and lots of good pulm pathology). Do I need to start looking to see if these big names having clinical tracks? Are they harder to obtain? I can see myself stenting way more than I can see myself doing basic science research on pneumocytes (not that that isn't cool).

I know it is very preliminary, but are there programs with a good combo of big name/big city and clinical training? I am not into bench research, but would be willing to do some kind of clinical research. Or should I start thinking about my clinical career over my big city dreams?

My ultimate long term goal for my career is to be a versatile P/CCM specialist with the ability to practice in any niche...private practice, academics, community teaching program, etc. This should enable to have some geographic preference also.

Basically any programs in big cities that one doesn't have to do tons of research and will be trained well clinically???
Can we make a list of programs?? Or is there a link to reviews of programs??

Thanks!
 
For pulm/cc?

Yes sir! I was looking for a list of programs with descriptions of pulm heavy vs. cc heavy vs. research heavy (18 month research) vs. good overall clinical training, etc. I think I want to do clinical medicine (not sure if I want to do academic vs. private), and I want to train in a big city (pref west coast/mountain west). I was looking for programs that I could "aim" for as I am doing my medicine residency.

The more and more I am exposed to medicine (currently a graduating 4th year), I understand that Harvard medicine isn't necessarily the "best." It all depends if you want to do academic medicine vs. private practice vs. industry/finance, etc.

Correct me if I am wrong, but if one definitely knew that he/she wanted to do a private practice career, then going to University of Cincinnati would probably prepare them better for a solid clinical career. Correct?
 
Sorry. Forgot about this one.

Which cities are you interested in?

NYC, Chicago, San Francisco, Denver, Portland, Seattle, Philadelphia, San Diego, Charlotte, Boston, DC, SLC, Miami

Thanks!
 
In NYC the highly-clinically-oriented programs include:

*Beth Israel
*Saint Luke's Roosevelt
*North Shore LIJ

and with asterisks:
*arguably NYU (though you will also have a *lot* of research)
*Sloan Kettering (sort of--you'll get a unique patient pool, but will miss out otherwise)

Columbia and Cornell, you certainly know by reputation

Montefiore was a surprise. I had expected a much more clinically-oriented program given its location and patient population. The echo training seemed embryonic, fellows freely admitted that they often called the attending in at night and got little to no interventional pulm, and the program director was downright confrontational when I suggested that bench research was not my focus.

The reason Monte merits so much mention, though, is that much of this stems from the fact that it has a VERY strong straight CCM program. Lots of politics, it seemed, between Pulm/CCM and this group. I was impressed with the clinical research of some of the pulmonary folks, but the CCM training seemed stunted unless you chose straight CCM.
 
Well . . . you just want me to name the programs that aren't so research heavy out of those places?

Thanks to the above poster for the NYC program reviews!

And jdh, that would be a great start! A little description/your thoughts would be appreciated also.

I am aiming for these programs being an intern at U of AZ.
 
Thanks to the above poster for the NYC program reviews!

And jdh, that would be a great start! A little description/your thoughts would be appreciated also.

I am aiming for these programs being an intern at U of AZ.

NYC has already kind of been covered, and honestly I don't know enough about ALL of the programs there to give much info, outside of the fact that NYU by reputation might be the most bang for your buck - some research, but very busy critical care . . . it's gossip, but as I understand it pulmonary very aggressively defends their airway territory

Chicago. Layola. Enough research months to break up a busy fellowship, but nothing crazy, nothing bench. THE Tobin is there. As of my interviews they were the only transplant game in town, and for this reason I think it's the strongest clinical game in town. PD and Fellows were super cool. Of course it is like 10 miles west of downtown. UC and NWern will be research heavy. UIC and Rush more clinically orientated programs.

San Fran. Cal Pacific, check them out. Stanford and UCSF very much research orientated.

Denver. Colorado's program is considered the TOP pulm/critical care program in the country with National Jewish in town. VERY, VERY research orientated.

Portland. OHSU, sweet program, heavier rearch emphasis. Probably not what you are looking for.

Seattle. UW is the only game in town and very much research orientated.

Philly. Drexel, TJ, Temple, and Eistein more clinically orientated programs. Though I'm not familiar with specifics. Penn is going to be VERY research orientated.

San Diego. UCSD is the only civillian game in town. Very much research orientated.

Nothing in Charlotte. *(Though Wake is pretty close by and was an awesome program)

Boston. Tufts, BU, and Umass will be your less research orientated - though to what extent I'm not as familiar. The Haavahds obviously, lots of research.

DC. Georgetown.

SLC. UofU only game in town. You can do pretty much as much or as little research as you want. It's a little more critical care heavy, but a nice program with a cool PD. It was high on my list last year.

Miami. Jackson Memorial is the only game in that town and I know nothing about it.

Hope that helps.
 
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JDH! Thank you very much for your help!

It seems like there is mostly research oriented programs out west (Colorado, OHSU, Seattle, SD, and SF). Cal Pac is the one you told me to check out for more clinical training.
It seems like the more "research oriented" programs still have the fellows do clinical training their first year and then 2nd and 3rd year they seem to be focused on research:
U of Colorado
U of Washington- Seattle
OHSU
CPMC

So I might be out of luck if I really want to do a clinical heavy fellowship out west. I did check out SLC....18 months clinical, 18 months research:
University of Utah

Also, what are the ABIM requirements as far as research goes for this fellowship?

What percent of fellows from the big name research programs go onto to pursue clinical careers? Or do most of them go onto academic careers?


Thanks!
 
JDH! Thank you very much for your help!

It seems like there is mostly research oriented programs out west (Colorado, OHSU, Seattle, SD, and SF). Cal Pac is the one you told me to check out for more clinical training.
It seems like the more "research oriented" programs still have the fellows do clinical training their first year and then 2nd and 3rd year they seem to be focused on research:
U of Colorado
U of Washington- Seattle
OHSU
CPMC

So I might be out of luck if I really want to do a clinical heavy fellowship out west. I did check out SLC....18 months clinical, 18 months research:
University of Utah

Also, what are the ABIM requirements as far as research goes for this fellowship?

What percent of fellows from the big name research programs go onto to pursue clinical careers? Or do most of them go onto academic careers?


Thanks!

I will disagree slightly with jdh WRT OHSU's training. While research is required and is pushed kind of strongly by some people in the division (both the Division Chief and PD have strong basic/translational research labs), plenty of (i.e. the vast majority) the program's graduates go on to PP jobs and there is plenty of clinical experience to go around. Of my friends who have finished this program in the past 2 years, I can think of 1 who went on to an academic job and 5 who went on to PP jobs.

And now that residents are only able to work 15 minutes shifts before they have to take an 8 hour nap, fellows will have more work to do (here and everywhere) so I don't think you'll miss out on clinical training/experience here.
 
JDH! Thank you very much for your help!

It seems like there is mostly research oriented programs out west (Colorado, OHSU, Seattle, SD, and SF). Cal Pac is the one you told me to check out for more clinical training.
It seems like the more "research oriented" programs still have the fellows do clinical training their first year and then 2nd and 3rd year they seem to be focused on research:
U of Colorado
U of Washington- Seattle
OHSU
CPMC

So I might be out of luck if I really want to do a clinical heavy fellowship out west. I did check out SLC....18 months clinical, 18 months research:
University of Utah

Also, what are the ABIM requirements as far as research goes for this fellowship?

What percent of fellows from the big name research programs go onto to pursue clinical careers? Or do most of them go onto academic careers?


Thanks!

IIRC, I think only 6 month of required research is what is written. And Utah must have changed their research emphasis a little because when I interviewed out there it was kind of a gentleman's decision of "research" vs "clinical" pathway. If you wanted the research it was available and and you were going to get you 18 months with an optional 4 year on a training grant for anyone interested, however, if research wasn't really your thing, they would tailor your training away from a full 18 months of research and get you more clinical electives.

All of the more research orientated fellowships where I interviewed still sent about 50% out into PP. The "top 5" probably keep more in academics, though I didn't interview at any of those (though you kept running into PDs, division chiefs and other staff from Colorado, Michigan, and Hopkins all over the place), and those programs essentially expect you to do a 4th year on a training grant.
 
I will disagree slightly with jdh WRT OHSU's training. While research is required and is pushed kind of strongly by some people in the division (both the Division Chief and PD have strong basic/translational research labs), plenty of (i.e. the vast majority) the program's graduates go on to PP jobs and there is plenty of clinical experience to go around. Of my friends who have finished this program in the past 2 years, I can think of 1 who went on to an academic job and 5 who went on to PP jobs.

And now that residents are only able to work 15 minutes shifts before they have to take an 8 hour nap, fellows will have more work to do (here and everywhere) so I don't think you'll miss out on clinical training/experience here.

I guess I was just putting any program that requires the FULL 18 months of research into the research heavy category. Outside of the biggest names those staying academic and those going PP seem to be right about 50/50. Since I'm not completely sold on academics and researching, but I'm leaning that way, I selected a program with 18 months of guaranteed research with basic science available (in both pulmonary fibrosis and acute lung injury, among others, but these are areas of interest to me) and options for a 4th year on a training grant for anyone interested. My problem is a low threshold for bull****, and if I don't like it after 3-4 years of fellowship, or god forbid I got for it but don't get a K-grant (or other funding), I can always lick my wounds and head to the PP and bank a nice paycheck. I'm not currently convinced I'd like academic enough if I wasn't doing some real research, and I'm not talking "chart reviews" - but rather basic/translational stuff (which as you know means needing money).
 
This was some invaluable discussion/info! Thanks to gutonc, jdh, and whoever else contributed.

All of the more research orientated fellowships where I interviewed still sent about 50% out into PP. The "top 5" probably keep more in academics, though I didn't interview at any of those (though you kept running into PDs, division chiefs and other staff from Colorado, Michigan, and Hopkins all over the place), and those programs essentially expect you to do a 4th year on a training grant.

JDH, where did you run into these PDs and chiefs? On your interview trail? At other programs?

So, if I understand completely, people pursue |"research pathways" to keep the academic door open? It seems from your info, that a lot of fellows in top research programs, do end up going to PP. Do they change their minds during fellowship that academics is not what they want to pursue? Get jaded? Want more of a paycheck?
When you interview for the fellowship...do they ask if you want to do academics vs. PP???

Also, 18 months of "heavy lifting" for other programs can't be that bad right? Research seems a bit stressful, but better than the pressures of clinical rotations.

As a soon to be intern (in a month and a half), what can I (others on the board) to be the best applicants for a P/CCM fellowship?
Should we start research immediately? Before internship starts? Move to our respective residency locations early and start on research? I only have 2 weeks reserved for research during my intern schedule.
Start looking into journals? Abstracts? Conferences?
I only have 18 months to improve my applications on top of intern year!!
 
This was some invaluable discussion/info! Thanks to gutonc, jdh, and whoever else contributed.

JDH, where did you run into these PDs and chiefs? On your interview trail? At other programs?

I think he meant that a lot of the people who have these positions previously trained at Colorado, Mich, Hopkins, etc.

So, if I understand completely, people pursue |"research pathways" to keep the academic door open? It seems from your info, that a lot of fellows in top research programs, do end up going to PP. Do they change their minds during fellowship that academics is not what they want to pursue? Get jaded? Want more of a paycheck?

First, you need to understand that there's a difference between a research heavy fellowship which is what we're discussing here and the "research pathway" which is a separate beast involving 2y of IM and a required extra year of fellowship (4+ total in the case of PCCM). People do the former because that's what's out there, particularly at the big name places. People do the latter because they want to have research careers.

When you interview for the fellowship...do they ask if you want to do academics vs. PP???

Yes. And unless you're at a community program where "research" consists of a 3 month block in your 2nd year where you can do a chart review or just do more clinic, your answer should be "yes."

Also, 18 months of "heavy lifting" for other programs can't be that bad right? Research seems a bit stressful, but better than the pressures of clinical rotations.

Depends on who you ask. I know people who would rather do a Gen Surg prelim year than spend half an hour doing bench research.


As a soon to be intern (in a month and a half), what can I (others on the board) to be the best applicants for a P/CCM fellowship?
Should we start research immediately? Before internship starts? Move to our respective residency locations early and start on research? I only have 2 weeks reserved for research during my intern schedule.
Start looking into journals? Abstracts? Conferences?
I only have 18 months to improve my applications on top of intern year!!
[/QUOTE]

Relax. You now have >2 years. They're changing the timing of fellowship applications to happen during 3rd year (roughly August - December). What you can do now is rock your rotations, especially pulm and ICU and start talking to faculty about research opportunities.
 
Relax. You now have >2 years. They're changing the timing of fellowship applications to happen during 3rd year (roughly August - December). What you can do now is rock your rotations, especially pulm and ICU and start talking to faculty about research opportunities.

Thanks for the heads up on the two tracks...I think I would pursue the "traditional" 3 years of IM + 3 years of P/CCM. I am not totally convinced on academic medicine either. I don't know all the ins and outs quite yet. Can you still work in an academic setting and not do research (especially p/ccm)? I know hospitalists that do this, but don't know any P/CCM attendings that only do clinic/teach residents and students. Is this possible? Or does every department (especially @ big name institutions) want attendings to generate research $$ for the program?

Also, I am glad you brought up the timing. I thought one started applying for fellowships 2nd year of residency. But I guess they are changing it to 3rd year? Is there a link where I can read the details?
I assume you would interview the end of your 3rd year? Jan/Feb/March? Then match around April/May? What if one doesn't end up matching? They would have to "scramble" for a job while applying again. Sounds like a mess...
I would love to apply half way through my 2nd year and know all through my 3rd year where I am headed!
 
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Thanks for the heads up on the two tracks...I think I would pursue the "traditional" 3 years of IM + 3 years of P/CCM. I am not totally convinced on academic medicine either. I don't know all the ins and outs quite yet. Can you still work in an academic setting and not do research (especially p/ccm)? I know hospitalists that do this, but don't know any P/CCM attendings that only do clinic/teach residents and students. Is this possible? Or does every department (especially @ big name institutions) want attendings to generate research $$ for the program.

Yes you can do this. No you probably can't do it at some place like Hopkins.

Also, I am glad you brought up the timing. I thought one started applying for fellowships 2nd year of residency. But I guess they are changing it to 3rd year? Is there a link where I can read the details?
I assume you would interview the end of your 3rd year? Jan/Feb/March? Then match around April/May? What if one doesn't end up matching? They would have to "scramble" for a job while applying again. Sounds like a mess...
I would love to apply half way through my 2nd year and know all through my 3rd year where I am headed!

The details on the MSMP date changes are here. You apply in the summer/fall of your 3rd year and interview in the Fall. Match is in December. As for not matching, it happens to lots of people and it's generally not a big deal to find a job as a hospitalist or locums for a year or two while you re-apply. It's much less of a problem than it is for med students not matching into residency (at which point your employment opportunities are much more limited).
 
Thanks again. It just helps me to make a timeline of my residency (something I wish I had done during medical school). Try to schedule small goals and celebrate the small victories during residency I think will keep me sane.

So it sounds like in the past, one applied in Dec of their second year and matched by June of their 3rd year...which is about 6 months of time!
Now, it sounds like one would apply in August of 3rd year and match by Dec of their 3rd year...that is only 4 months!
So is it valid to say that interview season will be more hectic with the new schedule?
Consider scheduling research months/easy rotations that month?

As always, I am appreciative of all the advice/perspectives.
 
Thanks again. It just helps me to make a timeline of my residency (something I wish I had done during medical school). Try to schedule small goals and celebrate the small victories during residency I think will keep me sane.

So it sounds like in the past, one applied in Dec of their second year and matched by June of their 3rd year...which is about 6 months of time!
Now, it sounds like one would apply in August of 3rd year and match by Dec of their 3rd year...that is only 4 months!
So is it valid to say that interview season will be more hectic with the new schedule?
Consider scheduling research months/easy rotations that month?

As always, I am appreciative of all the advice/perspectives.

You won't be interviewing until the beginning of your third year, and by that time you should be able to schedule electives accordingly. Senior residents usually have a pretty large say in their schedules at most programs (you'll have requirements, but will probably be able to decided when you'll do them).
 
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