MD & DO co'21 Residency Panic thread

Started by kraskadva
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Just certified my rank list! Now all that's left is to kick back, relax, and try to stave off nauseating feelings of imposter syndrome

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For a minute there, I lost myself.
 
Very neurotic question, but what did y'all put as the subject line on your letter of intent emails?
Haha this is what I had googled when I saw one of the results say to make the LOI a formal letter PDF rather than in the body of the email and came here and asked about that. I just put “Letter of Intent” as the subject.
 
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It's fine. We're all waiting for you to drop the "Guys I matched into Cleveland Clinic Florida" bomb 😀
Lol they didn’t interview me but it’s fine. They weren’t the best fit for me but I applied to every single Florida program because geography.

I will be rotating at my #1 during The Match, and that last week afterwards is going to be super awkward if I don’t match there 😅
 
Last year I put “letter of intent” for mine, got a response, matched there. Don’t overthink it y’all! If they want you, they want you and will open the email/be happy to see contact from you.
I wanna say that I didn’t send any post interview communication to my number one and matched there. I feel like this thread makes it seem like everyone sends a letter. I didn’t send a thank you even.
Curious if a program director would comment about their value. I can’t imagine that any program is going to change their rank list and move an applicant up the list from an “unlikely to match” spot to a solid spot based on a letter.
 
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Those surg prelim spots programs reserve for unmatched applicants from competitive specialty will be extra competitive this year...at least w the 100+ opthal applicants...
 
I wanna say that I didn’t send any post interview communication to my number one and matched there. I feel like this thread makes it seem like everyone sends a letter. I didn’t send a thank you even.
Curious if a program director would comment about their value. I can’t imagine that any program is going to change their rank list and move an applicant up the list from an “unlikely to match” spot to a solid spot based on a letter.
I’m pretty sure it makes zero difference the majority of the time. It just makes us feel like we’re doing something.
 
Just to clarify my anxieties, once I’ve ranked and certified with the NRMP and got the email saying I did it...I’m done, right? Nothing else?

So now we’re just left with a month of over analyzing every interview interaction and convincing ourselves that everyone hated us? This can’t be real.
 
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Just to be clarify my anxieties, once I’ve ranked and certified with the NRMP and got the email saying I did it...I’m done, right? Nothing else?

So now we’re just left with a month of over analyzing every interview interaction and convincing ourselves that everyone hated us? This can’t be real.
I'm doing this super fun thing where I ranked my home program #1 and I'm still going in for a couple cases a week, so I get to overanalyze every single interaction I have in those as well! It's so great.





I'm becoming increasingly convinced I'm going to fall to 10+ on my rank list.
 
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Just to clarify my anxieties, once I’ve ranked and certified with the NRMP and got the email saying I did it...I’m done, right? Nothing else?

So now we’re just left with a month of over analyzing every interview interaction and convincing ourselves that everyone hated us? This can’t be real.

Once you've double checked you have the correct programs/rank codes, and you hit certify and it says "Certified" in big green letters on your application header, you're done. Overanalyze away.
 
Anyone want to make $150 🤣
 

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Maybe you guys can help me decide, I'm having trouble deciding between 2 programs I really like. Being able to visit my home town/family is important to me.



Program 1: 5-6 Hour drive to family vs. 1.5 hour flight (total travel time 2.5 hours). Smaller airport with ~2-3 flights per day to hometown.

Program 2: 12 Hour drive to family (physically much further away) vs. 2 hour flight (total travel time 4 hours). International airport with 10+ flights a day from AM to late PM.


The dilemma is, I can see myself taking flights for weekend trips to my home town, I'd like to do this every couple of months during golden weekends. For program 1, a drive is possible, but would be pretty tough if I'm tired. Flight would be easy, but not so many options. For program 2, drive is impossible, but so many flight options - almost seems easier as I could theoretically get off of work on a Friday and take an evening flight.


How would you guys go about this situation. Assume I like both programs equally.
 
Maybe you guys can help me decide, I'm having trouble deciding between 2 programs I really like. Being able to visit my home town/family is important to me.



Program 1: 5-6 Hour drive to family vs. 1.5 hour flight (total travel time 2.5 hours). Smaller airport with ~2-3 flights per day to hometown.

Program 2: 12 Hour drive to family (physically much further away) vs. 2 hour flight (total travel time 4 hours). International airport with 10+ flights a day from AM to late PM.


The dilemma is, I can see myself taking flights for weekend trips to my home town, I'd like to do this every couple of months during golden weekends. For program 1, a drive is possible, but would be pretty tough if I'm tired. Flight would be easy, but not so many options. For program 2, drive is impossible, but so many flight options - almost seems easier as I could theoretically get off of work on a Friday and take an evening flight.


How would you guys go about this situation. Assume I like both programs equally.
Program 2. Driving is almost ridiculous for program 1, and limited flights=limited time flexibility AND more risk of delayed/cancelled flights eating into your trip and/or preventing you from getting back for duty.
 
Maybe you guys can help me decide, I'm having trouble deciding between 2 programs I really like. Being able to visit my home town/family is important to me.



Program 1: 5-6 Hour drive to family vs. 1.5 hour flight (total travel time 2.5 hours). Smaller airport with ~2-3 flights per day to hometown.

Program 2: 12 Hour drive to family (physically much further away) vs. 2 hour flight (total travel time 4 hours). International airport with 10+ flights a day from AM to late PM.


The dilemma is, I can see myself taking flights for weekend trips to my home town, I'd like to do this every couple of months during golden weekends. For program 1, a drive is possible, but would be pretty tough if I'm tired. Flight would be easy, but not so many options. For program 2, drive is impossible, but so many flight options - almost seems easier as I could theoretically get off of work on a Friday and take an evening flight.


How would you guys go about this situation. Assume I like both programs equally.
What's your tolerance for driving? Like a lot of Midwest people will drive 6-8 hours no problems every week or every other week, but I know people from other regions cannot even tolerate two hours of driving.
 
Maybe you guys can help me decide, I'm having trouble deciding between 2 programs I really like. Being able to visit my home town/family is important to me.



Program 1: 5-6 Hour drive to family vs. 1.5 hour flight (total travel time 2.5 hours). Smaller airport with ~2-3 flights per day to hometown.

Program 2: 12 Hour drive to family (physically much further away) vs. 2 hour flight (total travel time 4 hours). International airport with 10+ flights a day from AM to late PM.


The dilemma is, I can see myself taking flights for weekend trips to my home town, I'd like to do this every couple of months during golden weekends. For program 1, a drive is possible, but would be pretty tough if I'm tired. Flight would be easy, but not so many options. For program 2, drive is impossible, but so many flight options - almost seems easier as I could theoretically get off of work on a Friday and take an evening flight.


How would you guys go about this situation. Assume I like both programs equally.
I wouldn't even blink at driving 5-6 hours. You can go exactly when you want, and there is zero to minimal risk of cancellation/delay. Can make those golden weekends a lot longer.
 
I wouldn't even blink at driving 5-6 hours. You can go exactly when you want, and there is zero to minimal risk of cancellation/delay. Can make those golden weekends a lot longer.
That is so draining though. To drive 6 hours each way 48 hours apart or less. I wouldn’t do that more than every 2 years if that’s what it took.
 
Maybe you guys can help me decide, I'm having trouble deciding between 2 programs I really like. Being able to visit my home town/family is important to me.



Program 1: 5-6 Hour drive to family vs. 1.5 hour flight (total travel time 2.5 hours). Smaller airport with ~2-3 flights per day to hometown.

Program 2: 12 Hour drive to family (physically much further away) vs. 2 hour flight (total travel time 4 hours). International airport with 10+ flights a day from AM to late PM.


The dilemma is, I can see myself taking flights for weekend trips to my home town, I'd like to do this every couple of months during golden weekends. For program 1, a drive is possible, but would be pretty tough if I'm tired. Flight would be easy, but not so many options. For program 2, drive is impossible, but so many flight options - almost seems easier as I could theoretically get off of work on a Friday and take an evening flight.


How would you guys go about this situation. Assume I like both programs equally.
As someone who has regularly driven 5 hours to go to family, it isn’t that big of a deal. It is tiring, but I’ve done it pretty tired and it was fine. And as long as there are flights, you can make it happen—just have to be okay with being flexible.

That said, the ability to just go to the airport and jump on a plane on a Friday and not have to wait until Saturday morning is really nice. How willing are you to drive? Because you could also drive after work on a Friday and get there only a little later or even earlier than you would if you flew.
 
That is so draining though. To drive 6 hours each way 48 hours apart or less. I wouldn’t do that more than every 2 years if that’s what it took.

Yeah that’s why I asked how much the driving would bother him. I’ve driven 10 hours multiple days in a row, and I’ve driven 12 hours both ways 48 hours apart. But I don’t mind driving. I drive 3-4 hours each way with about 72 hours between them once a month.
 
I wouldn't even blink at driving 5-6 hours. You can go exactly when you want, and there is zero to minimal risk of cancellation/delay. Can make those golden weekends a lot longer.
What's your tolerance for driving? Like a lot of Midwest people will drive 6-8 hours no problems every week or every other week, but I know people from other regions cannot even tolerate two hours of driving.

I did 4 hour drives pretty regularly during college, so I could do it. Just concerned that surgery residency + being tired make this less feasible than it sounds.

In comparison with Program 2, I can get out theoretically at 6-7, catch flight at 8, and be at home town by 11 pm. Take flight back sunday evening, be back to residency city by 10 pm etc. And there are at least 2 flights daily that fit that possibility, plus many others at other times. Compared to driving from program 1, I would get home earlier, be less tired, have more time to spend at home etc.

Flights at program 1 would really only happen early AM on saturday, which I suppose makes no big difference effectively.


As someone who has regularly driven 5 hours to go to family, it isn’t that big of a deal. It is tiring, but I’ve done it pretty tired and it was fine. And as long as there are flights, you can make it happen—just have to be okay with being flexible.

That said, the ability to just go to the airport and jump on a plane on a Friday and not have to wait until Saturday morning is really nice. How willing are you to drive? Because you could also drive after work on a Friday and get there only a little later or even earlier than you would if you flew.

Yeah in terms of leaving Friday and coming back Sunday - that's really only possible via driving at program 1 and flying at program 2. The flying would actually take less time overall even tho its further.

In terms of willingness/ability, I could brute force my way through it for sure, I've done the exact drive both ways in just 24 hours before - just worried about getting exhausted haha.
 
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I did 4 hour drives pretty regularly during college, so I could do it. Just concerned that surgery residency + being tired make this less feasible than it sounds.

In comparison with Program 2, I can get out theoretically at 6-7, catch flight at 8, and be home by 11. Take flight back friday evening, be back to residency city by 10 etc. And there are at least 2 flights daily that fit that possibility, plus many others at other times.
But it’s 6 hours, not 4. And surgery residency, not undergrad. Program 2 and fly. All else being equal.
 
But it’s 6 hours, not 4. And surgery residency, not undergrad. Program 2 and fly. All else being equal.

Yeah. It's funny actually because program 2 just "feels" so much more further away since its several states apart vs. in the next state over (program 1) - but weirdly realistic travel to home and back may be easier with 2.


Either way both of them are towards the middle of my list so hopefully it doesn't even make a difference. My top 4 are within 1 hour of home so hoping I land there haha.
 
Yeah. It's funny actually because program 2 just "feels" so much more further away since its several states apart vs. in the next state over (program 1) - but weirdly realistic travel to home and back may be easier with 2.


Either way both of them are towards the middle of my list so hopefully it doesn't even make a difference. My top 4 are within 1 hour of home so hoping I land there haha.
Now I agree for the purpose of traveling home. However, and others may not agree, I also think there’s something to be said about regional population and pathology differences. I’m going into IM, and I’ve taken that into account.
 
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What's your tolerance for driving? Like a lot of Midwest people will drive 6-8 hours no problems every week or every other week, but I know people from other regions cannot even tolerate two hours of driving.
So true. I’ve driven the ~10 hour drive back to Michigan from Kansas City several times to visit family during medical school. Gotta have good playlists & excellent snackage.
 
Maybe you guys can help me decide, I'm having trouble deciding between 2 programs I really like. Being able to visit my home town/family is important to me.



Program 1: 5-6 Hour drive to family vs. 1.5 hour flight (total travel time 2.5 hours). Smaller airport with ~2-3 flights per day to hometown.

Program 2: 12 Hour drive to family (physically much further away) vs. 2 hour flight (total travel time 4 hours). International airport with 10+ flights a day from AM to late PM.


The dilemma is, I can see myself taking flights for weekend trips to my home town, I'd like to do this every couple of months during golden weekends. For program 1, a drive is possible, but would be pretty tough if I'm tired. Flight would be easy, but not so many options. For program 2, drive is impossible, but so many flight options - almost seems easier as I could theoretically get off of work on a Friday and take an evening flight.


How would you guys go about this situation. Assume I like both programs equally.
Program 1. With all the talk of new SARS-COV2 variants (would that make them SARS-COV2-infinity?) you don't know what types of travel restrictions your hospital will put on you. Regardless of state mandates, each hospital will have different travel protocol. Also, even though you will be vaccinated, you don't know what types of dipshytes will be on the plane with you hacking up a lung and having their mask barely hang on by a beard hair.
 
Program 1. With all the talk of new SARS-COV2 variants (would that make them SARS-COV2-infinity?) you don't know what types of travel restrictions your hospital will put on you. Regardless of state mandates, each hospital will have different travel protocol. Also, even though you will be vaccinated, you don't know what types of dipshytes will be on the plane with you hacking up a lung and having their mask barely hang on by a beard hair.
I'm fully vaccinated dude. If that isn't enough to justify air travel, then nothing ever will be.
 
Program 1. With all the talk of new SARS-COV2 variants (would that make them SARS-COV2-infinity?) you don't know what types of travel restrictions your hospital will put on you. Regardless of state mandates, each hospital will have different travel protocol. Also, even though you will be vaccinated, you don't know what types of dipshytes will be on the plane with you hacking up a lung and having their mask barely hang on by a beard hair.

This is an interesting thought. Currently, where I’m rotating we are not allowed to leave the county without incurring a quarantine, which effectively means we can’t leave the county without having to repeat the rotation. Being vaccinated doesn’t change that.