Applying IM as a backup, can anyone help me with a list?

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hector10

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Hello everyone,

I am not a great applicant for the specialty i am applying for therefore i have decided to throw 20 or so applications toward IM.
Background:
top 50 US allo
region Northeast
Step 1- 221
Step 2- waiting
3rd year clerkships= 0 honors
4th quartile

I want to only apply to programs in the northeast/ tristate--> DMV area. Although i am not applying to IM primarily, i can see myself enjoying a GI fellowship and teaching so i would like to have major university programs on my list.

I understand that some of you may be annoyed at this post, but i am just trying to play the game. its unfortunate that I will dual applying but i gotta do what i gotta do.

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Good luck... You won't match at any of the top/upper-mid tier university programs. Mid-tier programs like Hofstra, Rutgers, etc. may give you a look but even that is not a lock as your desired location is competitive.
 
Hello everyone,

I am not a great applicant for the specialty i am applying for therefore i have decided to throw 20 or so applications toward IM.
Background:
top 50 US allo
region Northeast
Step 1- 221
Step 2- waiting
3rd year clerkships= 0 honors
4th quartile

I want to only apply to programs in the northeast/ tristate--> DMV area. Although i am not applying to IM primarily, i can see myself enjoying a GI fellowship and teaching so i would like to have major university programs on my list.

I understand that some of you may be annoyed at this post, but i am just trying to play the game. its unfortunate that I will dual applying but i gotta do what i gotta do.
Well the “top 50” thing isn’t really important unless it’s the top 10 of that top 50 and well you would have said that to begin with

Hopefully your ck is considerably better than that step 1 score.
With no honors and bottom of your class, you aren’t all that competitive for IM...what are you applying for to begin with?

If you want IM to be a true back up, then I suggest you apply to more than 20 places and apply to a lot of community programs...you are
Not competitive enough for Most of the NE academic programs...they are quite competitive and have their pick of top of their class students that are coming from top 10 schools.
 
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Well the “top 50” thing isn’t really important unless it’s the top 10 of that top 50 and well you would have said that to begin with

Hopefully your ck is considerably better than that step 1 score.
With no honors and bottom of your class, you aren’t all that competitive for IM...what are you applying for to begin with?

If you want IM to be a true back up, then I suggest you apply to more than 20 places and apply to a lot of community programs...you are
Not competitive enough for Most of the NE academic programs...they are quite competitive and have their pick of top of their class students that are coming from top 10 schools.


Thanks for the input mate.
Believe me i understand that i am Subpar for ANY specialty, but i also understand that some specialties are easier to match into than others. I am not only looking at Manhattan, I am open to anything from Mass to Virginia ( places i could drive for interview and not waste money on flights). I love teaching and would like the opportunity to teach medical students and residents one day and would prefer to work at a university/ program affiliated with a medical school. If i match into IM, my plan would be to go on to a GI fellowship and would want the program that would provide the best opportunities for me. I would not rather say the other specialty.

I would appreciate any input as i dont know much about IM programs.
 
Thanks for the input mate.
Believe me i understand that i am Subpar for ANY specialty, but i also understand that some specialties are easier to match into than others. I am not only looking at Manhattan, I am open to anything from Mass to Virginia ( places i could drive for interview and not waste money on flights). I love teaching and would like the opportunity to teach medical students and residents one day and would prefer to work at a university/ program affiliated with a medical school. If i match into IM, my plan would be to go on to a GI fellowship and would want the program that would provide the best opportunities for me. I would not rather say the other specialty.

I would appreciate any input as i dont know much about IM programs.
Then you have to decide what are the “must haves “ and what you are willing to compromise on...if you are bound geographically (and frankly not wanting to spend money and time with flying really isn’t a good one..you have spent, what, a couple hundred grand on your education, what is another 5 grand or so to insure that you optimize your chances of getting the best residency) then you will need to compromise and apply to programs that you are competitive for...and if your geographical boundary is NE, you are notGoing to be that competitive...not saying that you dont apply to them, but apply to more safe places as well
If you want to be at an academic place where you get to teach med
Students, then you will have to widen your reach to places that may be in less desirable places out in the middle of no where.
Now really is not the time to scrimp...your career is dependent on the decisions that you make now.
 
Keep in mind...there is obviously no guarantee you get GI. Would you be happy as a general internist/hospitalist? Something to consider before you dual apply.
 
Thanks for the input mate.
Believe me i understand that i am Subpar for ANY specialty, but i also understand that some specialties are easier to match into than others. I am not only looking at Manhattan, I am open to anything from Mass to Virginia ( places i could drive for interview and not waste money on flights). I love teaching and would like the opportunity to teach medical students and residents one day and would prefer to work at a university/ program affiliated with a medical school. If i match into IM, my plan would be to go on to a GI fellowship and would want the program that would provide the best opportunities for me. I would not rather say the other specialty.

I would appreciate any input as i dont know much about IM programs.

There are plenty of great academic programs in other places (eg midwest/south) that might be more interested in you than the NE programs. You will obviously need letters from IM physicians that make you sound more interested than you do in this thread.

Not matching is a catastrophe that is increasingly possible--pay money up front now in apps/flights to avoid this at all costs. If you are rolling in interview invites then you can decline but adding applications later in the process if you find yourself without invitations will put you at a significant disadvantage.
 
There are plenty of great academic programs in other places (eg midwest/south) that might be more interested in you than the NE programs. You will obviously need letters from IM physicians that make you sound more interested than you do in this thread.

Not matching is a catastrophe that is increasingly possible--pay money up front now in apps/flights to avoid this at all costs. If you are rolling in interview invites then you can decline but adding applications later in the process if you find yourself without invitations will put you at a significant disadvantage.
Well he doesn’t need to sound all that interested here...better he is honest here where he can get appropriate advice.
 
Just apply to county and community programs. Take a look on ERAS and NRMP and you can come up with a list easily. If you've never heard of it, apply for it.

Also put some apps into mid tier places.
 
I kind of expected this reaction from the IM forum. Look we have already established that I am a ****ty applicant. There is no need to ridicule me even more especially during this time of the year. Whether you like it or not IM is filled with IMG and Carib grads just like my academic northeastern home institution.

I am here to look out for my best interests. Please, if you are not here to give valuable advice please don’t post.
 
I kind of expected this reaction from the IM forum. Look we have already established that I am a ****ty applicant. There is no need to ridicule me even more especially during this time of the year. Whether you like it or not IM is filled with IMG and Carib grads just like my academic northeastern home institution.

I am here to look out for my best interests. Please, if you are not here to give valuable advice please don’t post.

Just pick any 20 university programs that are not MGH, B&W, BID, Dartmouth, Yale, anything colloquially “NYC” or close by, Penn, Pitt, Hopkins, or Virginia in the NE. Add 20 more community programs in places you might want to live. Good luck.
 
I feel bad that people are so mean without any meaningful input.

I am an IMG already completed residency in an IM program and currently doing fellowship. I would not say I am super familiar your situation but what I can say is that IM programs span so widely that there are the super tops which are very competitive even for the best candidates to the bottom programs that there is no way you will unmatch if you apply

I am personally from a program you can call it either a strong community program or a mid-low tier university program in New York area and I don't think it would be difficult for you to get in based on my previous colleagues' profile. I think you may get a better place, especially if you have better CK and strong LORs

GI is THE MOST competitive fellowship program in IM and although there is no guarantee for your to get into with the IM program you may end up with, you definitely have a decent chance as an AMG without visa needs and work hard in residency and research.

In summary, a mid-low tier university program or strong community program should not be difficult for you in my opinion, and you stand a chance for GI if working hard. You can add a few mid tier university and see if you have any luck. But I wish you to match with your most desirable specialty
 
Willing to expand to Florida, TX, Cleveland, Detroit and Chicago

I came up with this really fast. Probably a horrible list but some programs like Yale i wont remove although i know little return on investment. Suggestions ? additions?

VCU
UConn
UMass
Jefferson
Wake forest
NYMC
Icahn St Lukes
NYU
NYP
Maimondies
Rutgers x2
Tufts
UI-Chi
Uni Florida
USC
MCW
EVMS
Yale

Edit: I hope i am not coming off as an a-hole, or cocky bastard with this list, Its just that if i am going to do 3 years in a residency that is not my top choice i want it to be in a city/area i enjoy. I feel good about matching in my desired specialty and plan to apply broadly in that field 80+ apps.
 
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I feel bad that people are so mean without any meaningful input.

I am an IMG already completed residency in an IM program and currently doing fellowship. I would not say I am super familiar your situation but what I can say is that IM programs span so widely that there are the super tops which are very competitive even for the best candidates to the bottom programs that there is no way you will unmatch if you apply

I am personally from a program you can call it either a strong community program or a mid-low tier university program in New York area and I don't think it would be difficult for you to get in based on my previous colleagues' profile. I think you may get a better place, especially if you have better CK and strong LORs

GI is THE MOST competitive fellowship program in IM and although there is no guarantee for your to get into with the IM program you may end up with, you definitely have a decent chance as an AMG without visa needs and work hard in residency and research.

In summary, a mid-low tier university program or strong community program should not be difficult for you in my opinion, and you stand a chance for GI if working hard. You can add a few mid tier university and see if you have any luck. But I wish you to match with your most desirable specialty


Thanks for the insight. I understand that GI is competitive but even in small community programs? there are several very small community programs in my state that offer a GI fellowship. I would be willing to do GI at these programs.
 
Willing to expand to Florida, TX, Cleveland, Detroit and Chicago

I came up with this really fast. Probably a horrible list but some programs like Yale i wont remove although i know little return on investment. Suggestions ? additions?

VCU
UConn
UMass
Jefferson
Wake forest
NYMC
Icahn St Lukes
NYU
NYP
Maimondies
Rutgers x2
Tufts
UI-Chi
Uni Florida
USC
MCW
EVMS
Yale


Based on my experience in NY, would suggest you add Montefiore/AECOM (Moses and Wailer), if you are ok with Bronx. Academic wise this is a decent program even for AMG
Mount Sinai Beth Israel used to be a decent program, but they are closing down due to financial reasons and I can see you did not include it
Why not consider Northwell Hofstra (NSLIJ)? This one is somewhere between strong community program to mid-low academic program and in good geographic location.
SUNY stony brook is also a good mid-tier-ish university program to my knowledge.
NYU and both NYPs (Columbia and Cornell) are clearly very competitive
 
Thanks for the insight. I understand that GI is competitive but even in small community programs? there are several very small community programs in my state that offer a GI fellowship. I would be willing to do GI at these programs.


I happened to be from one of the program on your list.

Unfortunately, I don't think it is a guarantee for even small community GI program if you are from my IM program and dose not work hard. Even cardiology (with similar salary) can be a totally different story.
 
Willing to expand to Florida, TX, Cleveland, Detroit and Chicago

I came up with this really fast. Probably a horrible list but some programs like Yale i wont remove although i know little return on investment. Suggestions ? additions?

VCU-maybe
UConn
UMass
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
Tufts
Uni Florida
USC
EVMS
Yale don’t think you have a chance...but left it here
Willing to expand to Florida, TX, Cleveland, Detroit and Chicago

I came up with this really fast. Probably a horrible list but some programs like Yale i wont remove although i know little return on investment. Suggestions ? additions?

VCU
UConn
UMass
Jefferson
Wake forest
NYMC
Icahn St Lukes
NYU
NYP
Maimondies
Rutgers x2
Tufts
UI-Chi
Uni Florida
USC
MCW
EVMS
Yale

Edit: I hope i am not coming off as an a-hole, or cocky bastard with this list, Its just that if i am going to do 3 years in a residency that is not my top choice i want it to be in a city/area i enjoy. I feel good about matching in my desired specialty and plan to apply broadly in that field 80+ apps.

VCU-maybe
UConn
UMass
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
Tufts
Uni Florida
USC
EVMS
Yale don’t think you have a chance...but left it here

Look on freida to see how you compare to their existing stats...and apply accordingly...

If geography is your must have, then you will need to look at places that are lower tier... if your ck improves and your
LoRs are outstanding, the fact that you are a USMD will help a lot.

For your field of choice, it it’s more
Competitive than IM, then I would suggest applying to every program out there...you get 20+ invites, then you don’t need IM as a back up

Make sure you write separate PS and have different letters for IM that are more IM specific... you don’t want them to think that IM is a back up.
 
I kind of expected this reaction from the IM forum. Look we have already established that I am a ****ty applicant. There is no need to ridicule me even more especially during this time of the year. Whether you like it or not IM is filled with IMG and Carib grads just like my academic northeastern home institution.

I am here to look out for my best interests. Please, if you are not here to give valuable advice please don’t post.
You must be new to SDN...once you put something out here , you don’t co trim who can or cannot post or what they say... you can ignore them if you dm don’t want to see their posts... but people will post.
 
I happened to be from one of the program on your list.

Unfortunately, I don't think it is a guarantee for even small community GI program if you are from my IM program and dose not work hard. Even cardiology (with similar salary) can be a totally different story.


is pulm/crit as competitive ?
 
VCU-maybe
Montefiore
UConn
UMass
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
Tufts
Uni Florida
USC
Hofstra
Stony brook
Yale- prob not


How about these?

UMaryland
Rush
UMiami
USouthFlorida
Loyola
GeorgeWash
Georgetown
Brown
UT-austin
Casewestern x2


Yup iam in contact with an IM faculty that i worked well with and as well as a departmental letter ( all students applying to IM get this in my school). The IM faculty stated he is willing to write me a strong letter ( do i tell him that i am dual applying? or do i lie to him? My gut wants to tel him " hey look, im in a tough situation and if i dont match to my specialty of choice i would love to pursue a career in this etc..)
 
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VCU-maybe
Montefiore
UConn
UMass
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
Tufts
Uni Florida
USC
Hofstra
Stony brook
Yale- prob not


How about these?

UMaryland
Rush
UMiami
USouthFlorida
Loyola
GeorgeWash
Georgetown
Brown
UT-austin
Casewestern x2


Yup iam in contact with an IM faculty that i worked well with and as well as a departmental letter ( all students applying to IM get this in my school). The IM faculty stated he is willing to write me a strong letter ( do i tell him that i am dual applying? or do i lie to him? My gut wants to tel him " hey look, im in a tough situation and if i dont match to my specialty of choice i would love to pursue a career in this etc..)
Better ...if you know Spanish, then it will help at UM and USF, probably UT-Austin.
If your LOR writer asks, then don’t lie...let him know what you like about IM and the places you are applying, again, if asked...there is still a game to be played.

Have you thought about sitting down with your IM PD or aPD and getting a critique of your application and what programs s/he you may be competitive for...they can be a good resource.

Consider Washington hospital in dc
Temple in philly
Tulane and LSU in Nola
Grant medical on Columbus
Alleganey in Pittsburgh
Maine medical in portland
Stoneybrook and Winthrop on Long Island
St michaels or st Joseph in Newark and Paterson-these frankly are I/fmg heavy, but if you do chief year there you are pretty much guaranteed to get the in house fellowship of your choice...and they have GI. Plus they are pretty close to the city


Have you thought about atl savannah or Charleston? Fun cities
 
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I think some of these are a bit too much of a reach with below average stats and might be better off being cut so you can add more targets/safeties instead. You could also take a look at the match list and pick some programs that have taken recent IM applicants from your school.

I applied IM last cycle from the same region and had a slightly higher medical school ranking, and stats overall which were around average for IM, so some of this is based on which programs I was interviewed by vs. rejected from.

Also, I feel like I ran into a decent amount of regional bias, where IM programs outside the NE were much less likely to offer me an interview even if I thought they should have been a safety. Chicago and NY didn't seem to care, but further south/west from those I had interviewers ask about why I'd want to leave the northeast frequently. You might want to email some of those programs and express interest, or customize your personal statement for them, in order to increase the odds of getting an interview.

Probably cut:
Tufts
Yale
GeorgeWash
Georgetown
Brown
Case

Maybe cut:
UF
USF
UMiami
UMaryland
Rush
Loyola
 
I kind of expected this reaction from the IM forum. Look we have already established that I am a ****ty applicant. There is no need to ridicule me even more especially during this time of the year. Whether you like it or not IM is filled with IMG and Carib grads just like my academic northeastern home institution.

I am here to look out for my best interests. Please, if you are not here to give valuable advice please don’t post.

I don’t know why you’re being cagey about the other specialty you’re applying to. But when you post here you are opening yourself to all opinions. None of these have been abusive.

And sure IM is filled with folks who are not AMGs. But competitive, good IM programs which set you up for GI fellowship will typically want better applicants.

As others have said, you might have a shot at one of the lower tier institutions in the NE. If you basically want to live in a nice city then you need to apply to lower tier academic and community programs and cast a broad net
 
Probably No
Yale
GW
georgetown
Tufts
Brown
Casewestern

Maybe
VCU
UF
USF
UMiami
UMaryland
Rush
Loyola
Temple
Tulane

Good
Washington Hospital
baystate
UIC- advocate
albany
westchester NYMC
Montefiore
UConn
UMass
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
USC
Hofstra
Stony brook
MCW
Methodist Health- dallas
UT-austin
 
Probably No
Yale
GW
georgetown
Tufts
Brown
Casewestern

Maybe
VCU
UF
USF
UMiami
UMaryland
Rush
Loyola
Temple
Tulane

Good
Washington Hospital
baystate
UIC- advocate
albany
westchester NYMC
Montefiore
UConn
UMass
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
USC
Hofstra
Stony brook
MCW
Methodist Health- dallas
UT-austin
That actually looks like a good list...has a variety of places and you never know what may strike someone in your application.
 
Sorry ppl are being such asshats to you in this thread. I did exactly what you are describing when I applied. I had very similar stats to you, DO Grad, 219 Step1, 237 Step2, Straight P's, 4th Quartile.

I applied EM primarily, (got enough EM interviews that statistically I should have matched, but the match just didn't fall in my favor) and ~30 IM programs as a backup. I didn't want to mess with scrambling into a pre-lim or TY spot and saw myself as potentially very happy pursuing Pulm/CC if EM didn't end up working out. EM didn't work out. Life goes on. Ended up in a very respectable Academic IM program. I'm quite happy now (PGY2) and should have pretty decent fellowship options at the end of residency. Admittedly still a little bitter about pouring my heart and soul into EM apps (I did a ridiculous 5 aways, and still didn't match - WTF?!?!), and still having it not work out - but regardless of what ends up happening you'll find what you like.

It looks like you've got a good list going already. You should be fine for matching into a decent academic program. Ignore the H8rs.
 
Willing to expand to Florida, TX, Cleveland, Detroit and Chicago

I came up with this really fast. Probably a horrible list but some programs like Yale i wont remove although i know little return on investment. Suggestions ? additions?

VCU
UConn
UMass
Jefferson
Wake forest
NYMC
Icahn St Lukes
NYU
NYP
Maimondies
Rutgers x2
Tufts
UI-Chi
Uni Florida
USC
MCW
EVMS
Yale

Edit: I hope i am not coming off as an a-hole, or cocky bastard with this list, Its just that if i am going to do 3 years in a residency that is not my top choice i want it to be in a city/area i enjoy. I feel good about matching in my desired specialty and plan to apply broadly in that field 80+ apps.

Go for it!
 
Probably No
Yale
GW
georgetown
Tufts
Brown
Casewestern

Maybe
VCU
UF
USF
UMiami
UMaryland
Rush
Loyola
Temple
Tulane

Good
Washington Hospital
baystate
UIC- advocate
albany
westchester NYMC
Montefiore
UConn
UMass
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
USC
Hofstra
Stony brook
MCW
Methodist Health- dallas
UT-austin


FYI monte is WAY more competitive than GW and doesn’t really fit in with any of the other programs in the “good” list. You should definitely apply but the way you’ve separated is sort of hodgepodge.

Yale is the only program in the probably no group that I agree with. The rest are reaches but worth applying; (I’ve added some too)

Georgetown
Maryland
Jefferson
Brown
Tufts
BU
Monte
VCU
Dartmouth

A step below and more likely for you to get an IV

Temple
GW
UF
Miami
Rush
Loyola
Tulane
USC
USF

The rest are definitely worth applying and you’d definitely get an IV at IMO. But those separations you’ve made don’t make a lot of sense

@MyTachyBradyHeart
 
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FYI monte is WAY more competitive than GW and doesn’t really fit in with any of the other programs in the “good” list. You should definitely apply but the way you’ve separated is sort of hodgepodge.

Yale is the only program in the probably no group that I agree with. The rest are reaches but worth applying;

Georgetown
Maryland
Jefferson
Brown
Tufts
BU
Monte
VCU

A step below and more likely for you to get an IV

Temple
GW
UF
Miami
Rush
Loyola
Tulane
USC
USF

The rest are definitely worth applying and you’d definitely get an IV at IMO. But those separations you’ve made don’t make a lot of sense

@MyTachyBradyHeart

Thanks for the input! I have spent most of my time researching programs in my desired residency hence why I’m asking on here.
Thanks for adding BU.
Are there any programs worth applying to within driving distance from the tristate area that is not mentioned above (strong community/ county programs) with good reputations.
 
Thanks for the input! I have spent most of my time researching programs in my desired residency hence why I’m asking on here.
Thanks for adding BU.
Are there any programs worth applying to within driving distance from the tristate area that is not mentioned above (strong community/ county programs) with good reputations.

(Presuming you mean NYC metro area)

Jacobi
NYU Winthrop
?lenox hill (not a great program)

Otherwise the other good community/university affiliated programs are

NJMS
Mt Sinai st Luke’s
 
If you’re at a “top 50 allo” then you best stay at your home program and then hope to get into their fellowship (loyalty helps) because those stats and the arrogance of your post sound like you might otherwise experience some real challenges.
 
Probably No
Yale
GW
georgetown
Tufts
Brown
Casewestern

Maybe
VCU
UF
USF
UMiami
UMaryland
Rush
Loyola
Temple
Tulane

Good
Washington Hospital
baystate
UIC- advocate
albany
westchester NYMC
Montefiore
UConn
UMassbe
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
USC
Hofstra
Stony brook
MCW
Methodist Health- dallas
UT-austin
Zero chance for the "Probably No". You might have 1-2 invites in the "Maybe" category. The "Good" category is where you will get most of your invites and will likely match, and a lot of them are good programs.
 
Zero chance for the "Probably No". You might have 1-2 invites in the "Maybe" category. The "Good" category is where you will get most of your invites and will likely match, and a lot of them are good programs.

That list isn’t even very accurate (see my post from above) it’s a hodgepodge of randomness. Like GW and tufts being probably no when in reality those are really not as competitive as say umaryland and USC which are listed as maybe and good respectively

This list is way more appropriate;

Yale is the only program in the probably no group that I agree with. The rest are reaches but worth applying; (I’ve added some too)

Georgetown
Maryland
Jefferson
Brown
BU
Monte
VCU
Dartmouth
Hopkins bayview

A step below and more likely for you to get an IV

Tufts
Temple
GW
UF
Miami
Rush
Loyola
Tulane
USC
USF
Rutgers
Hofstra

The rest
 
Probably No
Yale
GW
georgetown
Tufts
Brown
Casewestern

Maybe
VCU
UF
USF
UMiami
UMaryland
Rush
Loyola
Temple
Tulane

Good
Washington Hospital
baystate
UIC- advocate
albany
westchester NYMC
Montefiore
UConn
UMass
NYMC
Icahn St Lukes
Maimondies
Rutgers x2
USC
Hofstra
Stony brook
MCW
Methodist Health- dallas
UT-austin

I'd move USC to the reach section, despite its reputation. It's been getting a lot of residents from good schools recently, and those who matched there from my low-tier med school were very competitive applicants. Montefiore is also higher up.
 
If you’re at a “top 50 allo” then you best stay at your home program and then hope to get into their fellowship (loyalty helps) because those stats and the arrogance of your post sound like you might otherwise experience some real challenges.

Arrogance? what arrogance. Frankly i have been told i am fine for my desired specialty and yet i am still applying to a backup due to a lack of confidence in my application.
Am i arrogant to state i attend a top 50 US allo?
I will be sure to report back. thank you very much.
 
Arrogance? what arrogance. Frankly i have been told i am fine for my desired specialty and yet i am still applying to a backup due to a lack of confidence in my application.
Am i arrogant to state i attend a top 50 US allo?
I will be sure to report back. thank you very much.
You have below average scores for IM, nothing to suggest you have anything outstanding, don’t really want to do IM but can learn to like it enough for a competitive fellowship but are feeling certain to get it because of what exactly?
 
What if you apply for your first preference choice of specialty and backup specialty in the same hospital? If you have research within your first specialty and you apply to IM as a backup in same hospital would the IM department find out? Any experience with someone who has been through this?
 
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