Originally posted by TweetyPie
But if my interests do remain the same, perhaps my approach could be apply ENT in SFMatch, and apply to Gen Surg and EM in NRMP, and just know that if scramble became necessary and I couldn't get either of these two, them an IM spot is a relatively easier scramble.
You could do it, but it'd be a pain. Although you might be able to make the deadlines and file all the right paperwork, it'd be a colossal headache. Remember that you might be doing rotations that fall and winter, which would further complicate your scenario. I don't know where you are in your training, but by the summer after third year, you should have serious talks with your dean and faculty advisors about how competitive you'd be for these fields.
ENT is a tough match, no question. If a) you don't want it badly enough, or b) you and your advisors just don't think you'd match, then don't apply. Combining ERAS and the SF match is a huge headache that you should avoid if possible. If you think you're cut out for ENT and really want it, then give it 100% and forget ERAS. You'd just have to accept that if you don't match, you'll need to scramble and/or reapply next year.
If you decide to scrap ENT, you could apply in general surgery (more competitive this year) and add in a handful of emergency medicine programs. Just realize that you could open a Pandora's box by doing so (see earlier post).
The key for competitive fields is to apply early and broadly. Before you apply, you'll need to assess your own goals and competitiveness in the match. In my opinion, you should explore these fields as best you can, and go where your heart leads you. Forget applying to the rest, and give it your all.
Cheers,
doepug