I am confused about how residency match is for the military and civilian, as well as how the two combine. The way this system works will either make or break the deal of me accepting HPSP. Here is the scenario that causes my confusion. A fourth-year medical student is in the HPSP and is applying for military and civilian residencies. The student does not get accepted to a military residency, but does get accepted to a civilian residency. This residency is not necessarily one that the military considers of great need. Is the student guaranteed the civilian residency anyways? Or is there any chance that the student would be "pushed" into doing a transitional year? I appreciate any help in this matter.