Can you get into a top 20 IM residency with a failed class your first year on your transcript?

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Probably not. Those are really competitive programs, so they are not in penury of competitive applicants. They will screen your app for every little thing they can find: Low class rank, being a DO or low tier MD, Step 1 lower than 240, no publication/research, class failure, ect...
 
Put yourself in the position of Program directors. You have hundreds of applications without any failures and equivalent or better board scores.
Glad you passed!
 
Sure, if you go to Harvard. BID is a consolation prize for bottom of the class Harvard students.
 
Moko said:
Depends on your Step scores, research, LORs, and grades during your clinical clerkships.

Also BID should not be treated as a "consolation prize". Not everyone wants to match at MGH and BWH
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Forgive me but what is "BID". My mind goes to BID PO lol
 
Drrrrrr. Celty said:
Why does it really matter? If you're barely scraping by you should be thinking about how to actually make it into residency...
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I am. My problem is more like self management. Our tests are on 3 weeks of lectures and I only studied for 72 hours before the test and slept about 8hr in that time frame. Pulled it off but it was horrible. I feel like if I can apply that work ethic over time I will be ok, maybe even good enough for top schools. But Im not focusing on that (I mostly wanted to know how bad if I destroyed my chances), right I'm just trying to improve to get a good grades so I can legitimately learn this material for Step 1
 
subdermallight said:
I am. My problem is more like self management. Our tests are on 3 weeks of lectures and I only studied for 72 hours before the test and slept about 8hr in that time frame. Pulled it off but it was horrible. I feel like if I can apply that work ethic over time I will be ok, maybe even good enough for top schools. But Im not focusing on that (I mostly wanted to know how bad if I destroyed my chances), right I'm just trying to improve to get a good grades so I can legitimately learn this material for Step 1
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you shouldn't be cramming. study over the whole 3 weeks. this isn't college.
 
subdermallight said:
I am. My problem is more like self management. Our tests are on 3 weeks of lectures and I only studied for 72 hours before the test and slept about 8hr in that time frame. Pulled it off but it was horrible. I feel like if I can apply that work ethic over time I will be ok, maybe even good enough for top schools. But Im not focusing on that (I mostly wanted to know how bad if I destroyed my chances), right I'm just trying to improve to get a good grades so I can legitimately learn this material for Step 1
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you arent going to remember **** from that 72 hour cram session come boards prep time. People that had to repeat years in my class had similar study habits.
Slow and steady wins the race.
 
libertyyne said:
MDs still have a 5% failure to match rate nationally. who do you think end up in that 5 percent?
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The people who apply to programs more competitive than their application qualifies for. If OP only applied to top 20 IM, then this could be a problem, but otherwise everyone should match someone if they app properly, barring extreme flags.
 
Dwan said:
The people who apply to programs more competitive than their application qualifies for. If OP only applied to top 20 IM, then this could be a problem, but otherwise everyone should match someone if they app properly, barring extreme flags.
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Repeated failures would be an obvious red flag. It doesn’t take much more than poor planning on a hard rotation to end up failing a shelf. Especially if you don’t learn to pace your studying during the first 2 years. Cramming is probably a good way to risk failing step as well.

I hardly thinking applying to only top programs is a common reason to go unmatched
 
Dwan said:
The people who apply to programs more competitive than their application qualifies for. If OP only applied to top 20 IM, then this could be a problem, but otherwise everyone should match someone if they app properly, barring extreme flags.
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As mentioned above the people in my class who were at risk of failing step or had to take a year were the same people who would cram like OP did.
 
kb1900 said:
Repeated failures would be an obvious red flag. It doesn’t take much more than poor planning on a hard rotation to end up failing a shelf. Especially if you don’t learn to pace your studying during the first 2 years. Cramming is probably a good way to risk failing step as well.

I hardly thinking applying to only top programs is a common reason to go unmatched
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Not really. Take a look at the match rates for IM for USMDs. The ones that don't match don't apply enough programs or apply too high, but even then it's extremely rare.
 
libertyyne said:
As mentioned above the people in my class who were at risk of failing step or had to take a year were the same people who would cram like OP did.
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You're making a lot of extrapolations, and even if it does come true that OP fails step, they're still very likely to match with a smart application. The fail rate for step is far higher than the failed match rate for IM.
 
Dwan said:
You're making a lot of extrapolations, and even if it does come true that OP fails step, they're still very likely to match with a smart application. The fail rate for step is far higher than the failed match rate for IM.
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The issue wasn't about matching IM but about matching a top 20 IM program.

Sent from my SM-G973U using SDN mobile
 
Obviously I need to change, and do so fast. I'm going to use the holiday break to re-learn some of the stuff I crammed. But do you all have any tips for breaking this habit of cramming? The only thing I can really think of is make a schedule and do my best to stick with it
 
I would not work over the holiday break. What you need to do is work when you are at work. Don’t bring work home. Stop cramming - just study on a schedule you set for yourself and you will be fine. No one gets the first year perfect. Learn from your mistakes, and start doing the right thing from now on.

Best of luck.

subdermallight said:
Obviously I need to change, and do so fast. I'm going to use the holiday break to re-learn some of the stuff I crammed. But do you all have any tips for breaking this habit of cramming? The only thing I can really think of is make a schedule and do my best to stick with it
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DrStephenStrange said:
The issue wasn't about matching IM but about matching a top 20 IM program.

Sent from my SM-G973U using SDN mobile
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I dont think you read the thread. Someone posted that OP should worry about even matching into residency, not thinking about top 20.

I acknowledged what you said in my post: "If OP only applied to top 20 IM, then this could be a problem"
 
Dwan said:
You're making a lot of extrapolations, and even if it does come true that OP fails step, they're still very likely to match with a smart application. The fail rate for step is far higher than the failed match rate for IM.
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Obviously no one can tell the future, and my extrapolations are the worst case scenario. But imo, Op is better served by being scared straight right now rather than being lulled into a false sense of security.
 
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