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MD & DO co'21 Residency Panic thread

Started by kraskadva
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Also i'm having a brain fart since i should know the answer but don't remember:

Why is there a delay in announcing where you matched?
I think it's so that everyone can "celebrate" together, so it's not obvious that someone had to SOAP if they don't tell their peers where they have matched.

Maybe I'm totally off but that's an explanation I've been telling myself lol
 
You have to do something really aggregious to not be ranked at all in most cases. There is no limit to a programs rank list and if if they rank top tier applicants above you, they don’t magically get those people unless those people drop down to that program on their own list.
I think the bolded is incorrect.

Program X interviews 1000 applicants and ranks 1000 (everyone interviewed well). The program has 50 slots. You are 300th. If 250 of those above you get ranked elsewhere, you get that last spot.

Alright, could have sworn programs don't rank everyone, but I'll take ya'lls word for it! My friend saw a program he ranked in the soap this year : /.
 
Any SOAP gems in the rough? I remember a previous year, I read there where some open spots like Cornell IR or something. Just trying to prepare myself for whats available next year's SOAP, as I suspect it will be similar to this year's SOAP.
 
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Alright, could have sworn programs don't rank everyone, but I'll take ya'lls word for it! My friend saw a program he ranked in the soap this year : /.

That's unfortunate and my condolences to hear about the SOAP. Neither of us knows what proportion of applicants programs rank, but I would imagine it's an overwhelming majority because there's no penalty to ranking everyone you interviewed and each rank is a buffer from SOAPing. By not ranking someone (our version of DNR'ing a program) the program is saying they would rather not have a rank they already paid for (in the form of a interview slot) to buffer them from SOAPing. Unlike us, programs that SOAP are ultimately published and that reflects poorly on them.

One piece of advice I have for your friend is to NOT select that program as one of his/her 45 to apply to. I was browsing Reddit threads and someone was advising people to apply one of their 45 slots to a program they failed to match at which I think is, at best, controversial advice. It's a bad idea IMO because if you see that that happened to you, it for sure means the program did not rank you and essentially would rather enter the SOAP and find a candidate than have you. If your heart is really set on that place and felt like the program director made a mistake and maybe will do a double take this time, but most likely, that's not the case unless they too were humbled by SOAP. I suspect a good number of bottom feeders(i.e US-IMG majority programs) that make up the majority of SOAP probably have an inkling that they may SOAP on a yearly basis and acknowledge their program rep is already shot and hence DNR more aggressively as they're more comfortable going in the SOAP to find someone.

The word DNR gets thrown around very liberally, but I doubt that many people actually DNR programs that frequently. It may happen based on someone's unique circumstances (i.e they decide all of a sudden they can't live XYZ or the PD threatens them during an interview), but a majority of people who've actually seen the programs available in SOAP would very much rather match before they have to SOAP.
 
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Any SOAP gems in the rough? I remember a previous year, I read there where some open spots like Cornell IR or something. Just trying to prepare myself for whats available next year's SOAP, as I suspect it will be similar to this year's SOAP.

Not to be the SOAP police, but apparently mentioning SOAP programs can get ppl in trouble and the NRMP takes these things seriously. I once saw a series of screeenshots on Reddit about a candidate who supposedly got a spot in SOAP, but then another program asked him to interview/visit them and the candidate politely declined saying they had a match at a different program... and then the malignant program coordinator sent a message to the NRMP asking if what the candidate did was allowed and the NRMP said no, please give me the name of the applicant.
 
Alright, could have sworn programs don't rank everyone, but I'll take ya'lls word for it! My friend saw a program he ranked in the soap this year : /.
Programs don’t rank everyone they interview. But it’s by choice, and those reasons are program-specific, typically because they straight up just didn’t like someone. Not by a limit to the size of their rank list.
 
Unpopular opinion coming up (but today seems to be in general a great day for a lot of people so here goes nothing...)

I've really objected to this whole notion of "interview hoarding" all season. The implication that the top applicants "hoarded" and "took away chances for other people" has an aftertaste of entitlement that I'm not entirely sure should have been echoed and amplified throughout the season. Those top applicants worked their butts off to earn those step/comlex scores, get those honors, publish those papers. They deserve every interview invitation they worked for and should not have been made to feel bad for wanting to accept those interviews. What people also tend to forget is the competition is stiff for those spots at the top programs, and those applicants probably don't have a sense of safety either. I mean can you imagine banking on matching at MGH/BWH/Hopkins/Stanford/Mayo/etc.? Everyone would tell you you're foolish and apply to some back-ups in there. So why is it such a surprise that the top applicants went on more interviews this year?

Some PCs and residents in our SDN/reddit communities have noticed that there have been fewer cancellations (almost none at so many programs). I would not be surprised if the reality was that every single year, these top applicants would have gotten the same enviable number of IVs at both top and mid-tier programs but were limited by finances and scheduling. What happened this year was the time and financial barriers have been removed. The otherwise-really-solid-but-not-tippy-top applicants who didn't get the IVs they would normally see in a different year - was it probably because the top applicants didn't cancel some IVs? Probably so. But that doesn't mean the "hoarders" took something away; it is more likely the case that they were finally able to grasp that opportunity they wanted unencumbered by ghastly cost of an in-person season.

This may also mean that programs did not alter their normal behaviors. There's a lot of speculation around mid-tier programs inviting top-tier candidates they had no business inviting because they're unlikely to come. What if programs actually always invited those applicants and then get turned down by them? Suddenly this year, those top applicants might finally take a look at those mid-tier programs that might be a great fit otherwise, since it's now feasible without taking away the resources needed to fly to a top program. Programs are always fighting for top talent, and why should they stop? I bet so many applicants this year too were surprised/impressed by some programs that weren't really on their radar and conversely disappointed by programs they were really excited about.

I recognize that this situation is far far far from ideal for everyone, but this is an important conversation to have. One PD mentioned that the AAMC was really scrutinizing how the virtual format plays out this year because being able to do all virtual interviews might be a way to address the SES disparity in this process. Affluent applicants are generally able to apply, take, and rank more programs compared to their financially challenged counterparts. This virtual reality might be the norm going forward, scary as it sounds (I agree with @efle - dumpster fire indeed), but where the blame has been placed all season was misguided IMHO. I think nobody knew how to function, deans didn't know how to give guidance, applicants didn't know if the charting outcomes would hold true, and programs couldn't have known who would accept/decline their IVs. After the dust settles, I hope everyone takes a deep breath and some braniacs will figure out how to optimize this system.
 
Unpopular opinion coming up (but today seems to be in general a great day for a lot of people so here goes nothing...)

I've really objected to this whole notion of "interview hoarding" all season. The implication that the top applicants "hoarded" and "took away chances for other people" has an aftertaste of entitlement that I'm not entirely sure should have been echoed and amplified throughout the season. Those top applicants worked their butts off to earn those step/comlex scores, get those honors, publish those papers. They deserve every interview invitation they worked for and should not have been made to feel bad for wanting to accept those interviews. What people also tend to forget is the competition is stiff for those spots at the top programs, and those applicants probably don't have a sense of safety either. I mean can you imagine banking on matching at MGH/BWH/Hopkins/Stanford/Mayo/etc.? Everyone would tell you you're foolish and apply to some back-ups in there. So why is it such a surprise that the top applicants went on more interviews this year?

Some PCs and residents in our SDN/reddit communities have noticed that there have been fewer cancellations (almost none at so many programs). I would not be surprised if the reality was that every single year, these top applicants would have gotten the same enviable number of IVs at both top and mid-tier programs but were limited by finances and scheduling. What happened this year was the time and financial barriers have been removed. The otherwise-really-solid-but-not-tippy-top applicants who didn't get the IVs they would normally see in a different year - was it probably because the top applicants didn't cancel some IVs? Probably so. But that doesn't mean the "hoarders" took something away; it is more likely the case that they were finally able to grasp that opportunity they wanted unencumbered by ghastly cost of an in-person season.

This may also mean that programs did not alter their normal behaviors. There's a lot of speculation around mid-tier programs inviting top-tier candidates they had no business inviting because they're unlikely to come. What if programs actually always invited those applicants and then get turned down by them? Suddenly this year, those top applicants might finally take a look at those mid-tier programs that might be a great fit otherwise, since it's now feasible without taking away the resources needed to fly to a top program. Programs are always fighting for top talent, and why should they stop? I bet so many applicants this year too were surprised/impressed by some programs that weren't really on their radar and conversely disappointed by programs they were really excited about.

I recognize that this situation is far far far from ideal for everyone, but this is an important conversation to have. One PD mentioned that the AAMC was really scrutinizing how the virtual format plays out this year because being able to do all virtual interviews might be a way to address the SES disparity in this process. Affluent applicants are generally able to apply, take, and rank more programs compared to their financially challenged counterparts. This virtual reality might be the norm going forward, scary as it sounds (I agree with @efle - dumpster fire indeed), but where the blame has been placed all season was misguided IMHO. I think nobody knew how to function, deans didn't know how to give guidance, applicants didn't know if the charting outcomes would hold true, and programs couldn't have known who would accept/decline their IVs. After the dust settles, I hope everyone takes a deep breath and some braniacs will figure out how to optimize this system.
1. Easy to say this now that the data's out.

2. Regarding feeling bad, I don't think anyone is going to (atleast publicly) get mad at people who take what was given since it's in everyone's best interests to take what they can get... but at the same time if it did happen, it did create issues so stressed out people are going to shame them on anonymous forums like discord/google sheets.

3. Agreed. That's further supported if your point about lack of cancellations is true. What's another afternoon on Zoom cost you besides an excuse to dip out of a rotation?

4. I agree with virtual interviews moving forward for all. There can be optional, blinded open houses for those who require more sensory stimulation (i.e. I have to touch, see, smell a place to get a feel for it). The only thing missed this time around I felt was valuable was quality time with residents but I put the fault for that on the novelty of the situation or the program's not being creative enough. There are so many solutions to this. 1.) Resident break out rooms without PCs with part of the virtual contract signed saying socials include no one involved in the ranking process 2.) Giving out a list of resident's emails/names so students can contact them at their leisure. 3.) Having an anonymous type-in option with Q&A sessions with the PD/APD so that people can type in questions anonymously and the PD would have to answer them.
 
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Unpopular opinion coming up (but today seems to be in general a great day for a lot of people so here goes nothing...)

I've really objected to this whole notion of "interview hoarding" all season. The implication that the top applicants "hoarded" and "took away chances for other people" has an aftertaste of entitlement that I'm not entirely sure should have been echoed and amplified throughout the season. Those top applicants worked their butts off to earn those step/comlex scores, get those honors, publish those papers. They deserve every interview invitation they worked for and should not have been made to feel bad for wanting to accept those interviews. What people also tend to forget is the competition is stiff for those spots at the top programs, and those applicants probably don't have a sense of safety either. I mean can you imagine banking on matching at MGH/BWH/Hopkins/Stanford/Mayo/etc.? Everyone would tell you you're foolish and apply to some back-ups in there. So why is it such a surprise that the top applicants went on more interviews this year?

Some PCs and residents in our SDN/reddit communities have noticed that there have been fewer cancellations (almost none at so many programs). I would not be surprised if the reality was that every single year, these top applicants would have gotten the same enviable number of IVs at both top and mid-tier programs but were limited by finances and scheduling. What happened this year was the time and financial barriers have been removed. The otherwise-really-solid-but-not-tippy-top applicants who didn't get the IVs they would normally see in a different year - was it probably because the top applicants didn't cancel some IVs? Probably so. But that doesn't mean the "hoarders" took something away; it is more likely the case that they were finally able to grasp that opportunity they wanted unencumbered by ghastly cost of an in-person season.

This may also mean that programs did not alter their normal behaviors. There's a lot of speculation around mid-tier programs inviting top-tier candidates they had no business inviting because they're unlikely to come. What if programs actually always invited those applicants and then get turned down by them? Suddenly this year, those top applicants might finally take a look at those mid-tier programs that might be a great fit otherwise, since it's now feasible without taking away the resources needed to fly to a top program. Programs are always fighting for top talent, and why should they stop? I bet so many applicants this year too were surprised/impressed by some programs that weren't really on their radar and conversely disappointed by programs they were really excited about.

I recognize that this situation is far far far from ideal for everyone, but this is an important conversation to have. One PD mentioned that the AAMC was really scrutinizing how the virtual format plays out this year because being able to do all virtual interviews might be a way to address the SES disparity in this process. Affluent applicants are generally able to apply, take, and rank more programs compared to their financially challenged counterparts. This virtual reality might be the norm going forward, scary as it sounds (I agree with @efle - dumpster fire indeed), but where the blame has been placed all season was misguided IMHO. I think nobody knew how to function, deans didn't know how to give guidance, applicants didn't know if the charting outcomes would hold true, and programs couldn't have known who would accept/decline their IVs. After the dust settles, I hope everyone takes a deep breath and some braniacs will figure out how to optimize this system.
I mean, regardless if they've always been invited, the fact that the barriers of travel/money/etc are removed and they are now able to go on more interviews than they would have been able to on a regular year is the "hoarding" that people are referring to. They have more time and less restraints --> more interviews to go on. I think hoarding is the wrong way to describe it tbh but nonetheless
 
I mean, regardless if they've always been invited, the fact that the barriers of travel/money/etc are removed and they are now able to go on more interviews than they would have been able to on a regular year is the "hoarding" that people are referring to. They have more time and less restraints --> more interviews to go on. I think hoarding is the wrong way to describe it tbh but nonetheless

I agree. Like @Jillofalltrades said, lack of cancellations likely resulted in a higher interview/application ratio since travel is often a barrier and that shouldn't be called hoarding. That said, I do think every year there is overapplying. Back when I did my application, I overapplied by mistake and cancelled 4-5 interviews because of overlapping events/flights. Had I had that this time around, I probably would have attended those. I agree hoarding is the wrong word.
 
I agree. Like @Jillofalltrades said, lack of cancellations likely resulted in a higher interview/application ratio since travel is often a barrier and that shouldn't be called hoarding. That said, I do think every year there is overapplying. Back when I did my application, I overapplied by mistake and cancelled 4-5 interviews because of overlapping events/flights. Had I had that this time around, I probably would have attended those. I agree hoarding is the wrong word.
Yeah. I personally cancelled two interviews this cycle after realizing that I didn't want to train there. But probably wouldn' thave been able to attend the # of interviews I did attend this year if travel and money was a factor. I do agree that there's a good chance this virtual thing sticks. The programs save too much money and I don't know they lose out on much by not having us applicants there in person. But as @Jillofalltrades mentioned, they as in smart people will have to tweak this up. App or interview caps or something like that. I don't think this current application cycle is sustainable
 
I do agree that there's a good chance this virtual thing sticks. The programs save too much money and I don't know they lose out on much by not having us applicants there in person.
I doubt it. It doesn't really cost much at all for the programs to put on interviews except for marginal expenses like "meals," (which in my experience, some programs took some very creative liberties with) and goodie bags that are a drop in the bucket overall. At the end of the day they want to avoid accidentally matching someone who's going to alienate people or be difficult to work with and in my opinion it's much, much easier to detect that kind of thing when somebody is at an all day in-person interview as opposed to several discrete video interviews.
 
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I agree. Like @Jillofalltrades said, lack of cancellations likely resulted in a higher interview/application ratio since travel is often a barrier and that shouldn't be called hoarding. That said, I do think every year there is overapplying. Back when I did my application, I overapplied by mistake and cancelled 4-5 interviews because of overlapping events/flights. Had I had that this time around, I probably would have attended those. I agree hoarding is the wrong word.
I attended same day AM and PM rads interviews (and prelims) and know many people who did this multiple times. I think there was very, very little waitlist movement and based on the radiology discord it was mostly the same people posting that they received trickle interview invites. The SOAP spots are way less this year for rads apparently. I don't think it will make people not match but I do think that most people received less quality interviews than they probably would have during a normal year.
 
Congratulations to all that match. Could you answer one questions for me. I thought neurosurgery was an early match but now I am seeing many people that receive their match email today in neurosurgery
 
I attended same day AM and PM rads interviews (and prelims) and know many people who did this multiple times. I think there was very, very little waitlist movement and based on the radiology discord it was mostly the same people posting that they received trickle interview invites. The SOAP spots are way less this year for rads apparently. I don't think it will make people not match but I do think that most people received less quality interviews than they probably would have during a normal year.
Let's hope that corrects such that those same people get higher slots on their rank list.
 
Someone matched neurosurgery from the inaugural class at my school. This guy is a walking Legend. Never doubt he would match NSG despite coming from a brand new DO school. And we also had a Urology match earlier. That's two people that went against the odds being stacked up against them at my school.
 
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I doubt it. It doesn't really cost much at all for the programs to put on interviews except for marginal expenses like "meals," (which in my experience, some programs took some very creative liberties with) and goodie bags that are a drop in the bucket overall. At the end of the day they want to avoid accidentally matching someone who's going to alienate people or be difficult to work with and in my opinion it's much, much easier to detect that kind of thing when somebody is at an all day in-person interview as opposed to several discrete video interviews.
I agree with you. I don't know the costs to run in person interviews but anecdotally for me, there were multiple IM PDs who mentioned to me on the interviews that they believe there's a chance this stays virtual. Hope it's not the case though. Not seeing programs in person sucked so much IMO
 
Looking at this regional data... seems pretty rough. I've never looked at it in prior years but it seems like the open slots for soap are sparse.
 
Looking at this regional data... seems pretty rough. I've never looked at it in prior years but it seems like the open slots for soap are sparse.
I was directly comparing the round 1 soap options to bsolomon data for prior years and it looked like night and day. I'm guessing because of COVID a lot of people added a backup specialty or a ton of extra programs to their list.
 
Looking at this regional data... seems pretty rough. I've never looked at it in prior years but it seems like the open slots for soap are sparse.
I keep seeing people describe it as rough because if there not being open spots. Is this not a good thing? It literally means more people matched.
 
I was directly comparing the round 1 soap options to bsolomon data for prior years and it looked like night and day. I'm guessing because of COVID a lot of people added a backup specialty or a ton of extra programs to their list.
Yeah, probably. Really curious how this all looks when the dust settles

I keep seeing people describe it as rough because if there not being open spots. Is this not a good thing? It literally means more people matched.
True. I guess rough for classmates who are soaping. Also if theres more applicants this year and not a similar increase in spots, wouldn't it look like on paper more people matched wooo but also more people didn't, from a % stand point, and then less available soap positions = rough. Just my thoughts
 
I was directly comparing the round 1 soap options to bsolomon data for prior years and it looked like night and day. I'm guessing because of COVID a lot of people added a backup specialty or a ton of extra programs to their list.
Purely anecdotal, but of the other people applying surgical subs at my school, nearly 50% also applied a backup. In previous years that was probably closer to 10%.
 
Yeah, probably. Really curious how this all looks when the dust settles


True. I guess rough for classmates who are soaping. Also if theres more applicants this year and not a similar increase in spots, wouldn't it look like on paper more people matched wooo but also more people didn't, from a % stand point, and then less available soap positions = rough. Just my thoughts
This, my hunch says the increased apps account for this. Absolute numbers are likely similar or worse.
 
They virtual interviews aren’t here to stay, sorry. There isn’t much cost to the programs because most of the financial burden falls on the applicant. And because of that, applicants have to be more thoughtful about where they apply. There were too many “tourist applicants” this year and no program wants to have a bunch of applicants who actually have no interest in coming to the program but take up an interview spot for funnzies.
 
Also the advising has been shockingly bad on the schools part. Faculty called my friend and recommended he SOAP into a surgical prelim with intention of reapplying into ortho. Why would that EVER be the route to take, it doesnt even count towards your training time.
my home PD told me to apply to 20-25 rad programs! Insane. My class counselors were ill prepared for this as well. I do think getting any clinical job experience is better than nothing. Also this is a common tactic for our school counselors because it increases their "match" rate and ultimately forces students into a general surgery pathway.

They virtual interviews aren’t here to stay, sorry. There isn’t much cost to the programs because most of the financial burden falls on the applicant. And because of that, applicants have to be more thoughtful about where they apply. There were too many “tourist applicants” this year and no program wants to have a bunch of applicants who actually have no interest in coming to the program but take up an interview spot for funnzies.
With all due respect. This is non-sense. If i am applying to your program, interviewing, and then ranking your program. That is not a tourist application.
 
They virtual interviews aren’t here to stay, sorry. There isn’t much cost to the programs because most of the financial burden falls on the applicant. And because of that, applicants have to be more thoughtful about where they apply. There were too many “tourist applicants” this year and no program wants to have a bunch of applicants who actually have no interest in coming to the program but take up an interview spot for funnzies.
What if... hear me out here... you interviewed and ranked based on preference, instead of based on who loves you back?
 
my home PD told me to apply to 20-25 rad programs! Insane. My class counselors were ill prepared for this as well. I do think getting any clinical job experience is better than nothing. Also this is a common tactic for our school counselors because it increases their "match" rate and ultimately forces students into a general surgery pathway.


With all due respect. This is non-sense. If i am applying to your program, interviewing, and then ranking your program. That is not a tourist application.
Sure it is. There were many more applications to our program this year than in years prior. But it’s not like there was some dramatic increase in graduating students. It was the “I don’t really want to go there, but since I don’t have to travel or pay for a hotel... whatever” applicant.
 
Also this is a common tactic for our school counselors because it increases their "match" rate and ultimately forces students into a general surgery pathway.
This was my suspicion as well, they wanted to pass off the hot potato

Sure it is. There were many more applications to our program this year than in years prior.
Interesting, the overall numbers of apps per capita and total applicants was similar to years prior. Must be that some particular programs felt the COVID differences more than others.
 
Sure it is. There were many more applications to our program this year than in years prior. But it’s not like there was some dramatic increase in graduating students. It was the “I don’t really want to go there, but since I don’t have to travel or pay for a hotel... whatever” applicant.
would you rather you fill from soap or fill from an applicant that way if you had to drop down your list? I would be more empathetic to the programs perspective if programs didnt over interview for positions too. or failed to fill despite interviewing these applicants.
 
They virtual interviews aren’t here to stay, sorry. There isn’t much cost to the programs because most of the financial burden falls on the applicant. And because of that, applicants have to be more thoughtful about where they apply. There were too many “tourist applicants” this year and no program wants to have a bunch of applicants who actually have no interest in coming to the program but take up an interview spot for funnzies.

I think this will largely be program-specific, depending on if they filled this year, and how they end up liking the intern class that matched. But from what I've been hearing anecdotally from some of the programs I interviewed at is that PDs ended up liking the virtual format. With the caveat that ideally there would be some in-person component as well, either in the form of an optional in-person interview or second look.
 
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What if... hear me out here... you interviewed and ranked based on preference, instead of based on who loves you back?
What a concept!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Blow Your Mind Wow GIF by Product Hunt
 
I’m not sure I understand what you’re asking.
A lot of programs will take a weaker applicant that has expressed more interest in them, like sending a letter of interest to get an interview or a letter of intent to get a higher ranklist position. It's the opposite of how the process is supposed to work. Unless your program is truly inundated with HMS grads and would fail to fill if you interviewed all your superstar applicants, that'd be an exception.

Preference for some programs includes how interested the applicant is in coming to the program. Nothing wrong with that in my opinion.
"I wanted to stop higher on my ranklist" is a pretty weak basis for "preference" but I guess it's up to each PD to do whatever they want at the end of the day. Sending emails to people you actually aren't gonna match? Why not, they prefer it that way, it makes the recipients of the email more interested 🙄
 
would you rather you fill from soap or fill from an applicant that way if you had to drop down your list? I would be more empathetic to the programs perspective if programs didnt over interview for positions too. or failed to fill despite interviewing these applicants.
I don't know how many spots are filled by scrambled applicants. But that's not really the point. I'm talking about applicants who are generally good applicants applying broadly and taking interview spots at places they don't have any real interest in going to but applying and taking the interview because it is of no burden to them. They end up taking away from other applicants who maybe have a slightly less impressive application on paper, but who actually want to match to that program.