Jan 2, 2014
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Medical Student
Can you defer your residency start date?
Is it possible to request to start 4-6 months after July 1?
If possible, what do you need to do?
 

Raryn

Infernal Internist / Enigmatic Endocrinologist
10+ Year Member
Apr 25, 2008
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6,520
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Attending Physician
Can you defer your residency start date?
Is it possible to request to start 4-6 months after July 1?
If possible, what do you need to do?
Short answer: No.

Long answer: Hell no.

Longer answer:

It may be possible to find an off-cycle position that starts in Nov-Feb, but you'd have to find it after the completion of the match (where almost 100% of the spots fill). The only realistic way these positions exist is if someone doesn't start residency 2/2 something like visa issues/not graduating/not passing step 2 OR if someone gets kicked out of residency. Then the programs are left with an empty spot mid-year and may look to fill it. There is no way of telling when or where such spots might exist.

Realistically, if you can't start residency till after Nov of a year, you simply don't start until July of the following year. Or you find a program that so desperately wants you they leave a spot empty and then fill it off cycle. Off cycle spots that start before february being the only ones allowed to fill outside of the match. I'm not even sure how kosher leaving a spot empty is to be honest.
 
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Oct 21, 2013
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Short answer: No.

Long answer: Hell no.

Longer answer:

It may be possible to find an off-cycle position that starts in Nov-Feb, but you'd have to find it after the completion of the match (where almost 100% of the spots fill). The only realistic way these positions exist is if someone doesn't start residency 2/2 something like visa issues/not graduating/not passing step 2 OR if someone gets kicked out of residency. Then the programs are left with an empty spot mid-year and may look to fill it. There is no way of telling when or where such spots might exist.

Realistically, if you can't start residency till after Nov of a year, you simply don't start until July of the following year. Or you find a program that so desperately wants you they leave a spot empty and then fill it off cycle. Off cycle spots that start before february being the only ones allowed to fill outside of the match. I'm not even sure how kosher leaving a spot empty is to be honest.
It possible, depending on why you're deferring it. Three reasons that a PD might accept are:

1. You're a Nobel prize winner who just won a billion dollar lottery, and you'd like to finish writing up your RCT-proven, FDA pre-approved cure for cancer (all cancers) before donating $500 million to the department.

2. Your 3rd year performance in medical school was so astounding that they promoted you to the Chair of Medicine--that's ALL of medicine, not just Internal Medicine--at MGH. And you weren't even attending HMS. While Chair, you discovered a mutant strain of Ebola that posed a grave threat to humanity, so you took a six-month leave of absence to work on a cure. You found it in four. Of course that means your contract with MGH still has four months on it, which is why you have to start residency a bit late. Sigh.

3. Zombies. Yes, society is now post-apocalyptic, and there lies a swath of zombies across the entirety of the U.S. waiting to attack you as you travel from your current location in Maryland to the residency program in California. These aren't slow zombies either, they're the fast ones which make you go "that's ****ing unfair!" Fortunately you used to be the #1 super agent in --redacted-- but unfortunately that you are now tasked with taking the President along. Obama, you think to yourself, is cool to hang out with, but a ****ing liability when it comes to shooting zombies. During the trek you also discover the cure, and one of the first zombies you rescue happens to be the head of the NIH. The second zombie--his daughter. Little known fact: her mother has early-onset Huntington's and the cure also works for that. Society re-establishes itself, and he and the president now promise to give all NIH funding to the residency program you are about to start.
 
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