Back Up Plan

[Dunce]

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In light of the ridiculous competitiveness of the Otolaryngology match I thought that I would solicit some opinions on options for a "back up plan" in the event that an applicant is not able to match.
I am pretty sure I know what my back up might be. What are your thoughts on the pros/cons of any of the following options?

1. General Surgery Prelim

2. Medicine Prelim

3. Transitional Year

4. Research (preferably in ENT)

 

[Dunce]

just moving this up to the top for one more chance at some replies

 

[resxn]

my back up was actually radiology because I didn't want to go into general slavery.