Big Issue

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

je355804

Mew Nember
15+ Year Member
Joined
Nov 6, 2005
Messages
247
Reaction score
24
Greetings! At the risk of taking the backlash of everyone's prejudices (mostly rightfully so) I present my issue in desperate hope of some advice that can put me back onto the right path.
Here is my story...

I majored in economics in undergrad and it wasn't until my junior year that I realized I wanted to go to medical school. From there I quickly enrolled in all the pre-reqs for medical school... and long story short I ended up in the Caribbean (AUA) at the end of my senior year.

My first semester was ROUGH!!!!! I was there with essentially NO anatomy, physio knowledge and essentially was really clueless (remember I was an econ major...) I struggled mightily this semester and ended up failing anatomy. I really needed to learn how to study correctly for medical school, which economics had not prepared me for.

From here the story turns brighter... I went on to get straight A's several semesters, and was a solid 3.5 gpa + student for the remainder of my time on the island. I really improved my study habits and actually became an above average medical student. My NBME shelf grades were also always towards the top of the class (after that dreaded first semester anyway.)

After this, I took ~2 months to study for step 1 and ended up with a what I consider to be respectable 226 (my exam indicated that the average US/Canadian first time taker for that exam was 220... so I beat the mean for US students at least.) I know this score isn't a world beater, but it's also not too bad.

Right after this, my girlfriend and I whom I met on the island at AUA (she also got a 226, and we took the test on the same week) got married. So that was another great thing in my life... having just got a step score I was happy with and then getting married. Life WAS good.

Then the story turns dark... Right after this, our school tells both of us we A. Can not be placed into rotations until July 2012 (we took step 1 and got our scores in Nov. 2011) and B. Will not be placed together in rotations in spite of the fact that we are married.

This was obviously ridiculous by ANY standards, after all, family is more important than being at AUA of all places.

To make a long story short, we made the VERY VERY tough decision to transfer. We obviously had to go transfer over to another Caribbean school. The new school is definitely a breathe of fresh air, none-the-less it's a transfer on the record... That can't look good.

Now for the BIG problem... So we can't take step 2 at our school until we have taken all our core rotations, which is 48 weeks worth of cores. On top of this I am sure there will be gaps between rotations here and there.... which will certainly extend the core rotation duration beyond 52 weeks. Which means if I start rotations in early July, I won't be done with cores until July of 2013. And that leaves me with EXACTLY 1 month to study for step 2... take the step and then get all my applications in for residency by early Sept.

I suppose my first question is... as a Carib student, is it suicide to not have my applications in until say November or December? I would like to think that early July end date on cores is possible, but realistically I don't think it's likely.

Secondly, does the fact that I have a F and a transfer preclude me from doing anything beyond family or internal? My ultimate goal has been surgery or anesthesiology, however with all these new hurdles it seems less and less likely to me.

Last, if something along the lines of the current trend continued and I missed the 2014 match due to delays in clinical rotations, is it possible to do research in the time off that I have after graduation to improve my chances of matching in a more competitive residency. In other words, what do people do that miss match because of the timing of their graduation dates.

I've showed steady improvement all along my medical school career and expect to continue to do so with step 2... I anticipate scoring at least 240+...

Thank you VERY MUCH to anyone who can lend advice to this debacle that is my life 😱
 
realistically speaking it would be tough to match into those fields
 
Meaning surgery/anesthesiology?

What about internal?
 
Meaning surgery/anesthesiology?

What about internal?

I think if you have a pulse and a medical degree you can likely match into FM, and you can match into IM. Certainly not at a top tier place, but certainly somewhere. I don't quite understand how there is a gap between finishing second and starting 3rd year, but nevertheless I think you can likely still match in those fields.
 
You should be in the running when it comes to FP or IM. Remember you're going to be couples matching (presumably) and you've got some issues on your record - Carib, transfer, failed class, etc. If I were you I wouldnt really pursue fields like surgery or anesthesia unless you're fully prepared and willing to be apart from your wife. Those fields would be hard enough for you to break into with your record had you been single. As a couples match? Oof.

My suggestion is this. If the best you can do is submit your app in November/December, don't do it. Your application will be in so late, it'll be pretty much a waste of time and money since nearly all the interview spots will be taken up. Instead, take the rest of the year off. Do some research, get some good connections and LORs, and really bolster your application. Now, you may be able to pursue anesthesia or surgery if you've made some strong connections and have done well in all other aspects.
 
You can't always have it all my man. You've made your choices, and your record is what it is. Your priority is obviously to stay together with your wife, and I don't fault you for it. Maybe it's not the worst thing in the world if you aren't a surgeon? I would try to couples match into something like FM or peds at community programs, and I would do everything possible to get those applications in as early as possible. November/December half of the interviews are over.
 
You can't always have it all my man. You've made your choices, and your record is what it is. Your priority is obviously to stay together with your wife, and I don't fault you for it. Maybe it's not the worst thing in the world if you aren't a surgeon? I would try to couples match into something like FM or peds at community programs, and I would do everything possible to get those applications in as early as possible. November/December half of the interviews are over.

Not that I am saying you're wrong, but I must say that I'm surprised you don't even think we can get internal. I know people with some flaws on their records with much lower step scores that have received decent internal medicine residencies...

You would think with above US Step average scores, that would be good enough for a match in internal somewhere.
 
You should be in the running when it comes to FP or IM. Remember you're going to be couples matching (presumably) and you've got some issues on your record - Carib, transfer, failed class, etc. If I were you I wouldnt really pursue fields like surgery or anesthesia unless you're fully prepared and willing to be apart from your wife. Those fields would be hard enough for you to break into with your record had you been single. As a couples match? Oof.

My suggestion is this. If the best you can do is submit your app in November/December, don't do it. Your application will be in so late, it'll be pretty much a waste of time and money since nearly all the interview spots will be taken up. Instead, take the rest of the year off. Do some research, get some good connections and LORs, and really bolster your application. Now, you may be able to pursue anesthesia or surgery if you've made some strong connections and have done well in all other aspects.


Is it better to turn in late and not match for some reason, or is it better to take a year off without turning in the application late.

Will not matching, due to turning in the application late look worse or better than taking that year off?
 
Not that I am saying you're wrong, but I must say that I'm surprised you don't even think we can get internal. I know people with some flaws on their records with much lower step scores that have received decent internal medicine residencies...

You would think with above US Step average scores, that would be good enough for a match in internal somewhere.

It's likely that you'll match somewhere but probably not at a top tiered institution. Yes some people with lower scores do indeed match, but you have to realize that you went to a carib school, transferred, and unfortunately had a failure also. You should try to do as well as possible from here on, and apply broadly to FM/IM.
 
So I basically confirmed today that based on the starting date of my first clinical rotation I am going to miss the 2014 match by a few months.

I am wondering if anyone has experience something like this?

What in your opinion is the best way to spend my time during this off period so that I can bolster my CV for the 2015 match? What type of experience would program directors most like to see? Finally, is time off like this going to be detrimental to my chances of matching? I know a lot of people who don't match the first time around that later match must do something in their off time to increase their chances of matching.

Any opinions are greatly appreciated.
 
There was already some good advice posted in your previous thread here: http://forums.studentdoctor.net/showthread.php?p=12717730 .

Have you lined up anything for your "gap" year yet? Research opportunities, away rotations, sub-internships, etc.? Yes, of course the more time that passes by since graduation, the worse your odds - but I'm sure you already knew that. It behooves you to do whatever you can to make that gap year productive and then apply as early as possible for the 2015 match.

Edit: did you really mean 2015??? You took Step 1 in 2011...seems like an awful long time between that date and Match Day. Usually people match 2 years after Step 1, not 4.
 
I took step 1 at the end of 2011 (Nov), then my school delayed my start of rotations for 6 months because of shortages etc... now once I've finally got started in clinicals it's going to be July 16th.

Edit:

In other words, I'll be starting July 16th... with 48 weeks of cores that means I'll be finishing those approximately sometime around August or September of 2013. Then I'll take a approximately a month for step 2 studying. So now we're at around November 2013 when I get my step 2 scores, presumably too late to begin the application process for the 2014 match.

Now there is another 30 or so weeks of elective rotations, which again I will most likely finish around July of 2014. At this point I'll be done with school but I'll need to fill the gap in time, with something nice to put on my CV for the upcoming Sept. 2014 application process. (Don't worry I'll be the FIRST person handing my application in since I'll be doing nothing except waiting to apply.)

Does this timeline make more sense as to why I will (unfortunately) be going for the 2015 match?
 
Last edited:
The application opens in mid-september and is released to residencies in october. If you are finishing your last 3rd year rotation in august-september you can definitely get your app submitted in time for the coming match. You do not need a step 2 score to apply. I understand that you are a carib student and the score will help you out but there are some pretty desperate programs out there that will invite you for an interview anyway. As for finishing in July 2013... sounds like you just need to study for step 2 while taking a relatively easy or less time consuming elective. You really need to talk to someone at your school who can help you with this. I'm sure its not the first time theyve been presented with this prob.

Sent from my DROID2 GLOBAL using Tapatalk
 
The application opens in mid-september and is released to residencies in october. If you are finishing your last 3rd year rotation in august-september you can definitely get your app submitted in time for the coming match. You do not need a step 2 score to apply. I understand that you are a carib student and the score will help you out but there are some pretty desperate programs out there that will invite you for an interview anyway. As for finishing in July 2013... sounds like you just need to study for step 2 while taking a relatively easy or less time consuming elective. You really need to talk to someone at your school who can help you with this. I'm sure its not the first time theyve been presented with this prob.

Sent from my DROID2 GLOBAL using Tapatalk


Thanks for the help Skin. It appears as though I will indeed be able to match in time... I've been asking around and it looks like there should be no problem in matching 2014 if I started this month.
 
Thanks for the help Skin. It appears as though I will indeed be able to match in time... I've been asking around and it looks like there should be no problem in matching 2014 if I started this month.

great! glad it worked out. best of luck in the match!
 
I thought you had to have step 2 cs/ck done to be ecfmg certified?
 
Top