Are you sure about that? I was under the impression that they let MD folks know in 4th year. Still though, it's worse for us. Imagine you took step 1 and do well enough to maybe get a decent ACGME IM residency. However, you'd rather do AOA derm. We have to go into an AOA internship, then apply derm. What happens if we dont get in then? Other than missing out on that ACGME IM spot that would then be lost. lol. It's a risky move. I'm at wits end about what to do about that.