Deferment for specialties with preliminary years?

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VTBuc

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Curious as to how this would work. Let's say I apply to physical medicine and am worried about the risk of getting a civilian deferment(as this has happened the last few years).

Does this mean that I would need to apply to both civilian transitional years as well as civilian PGY-2 PM&R slots to cover myself? Or just the transitional year and apply for the PGY-2 position the following year? Or would I end up in an Army transitional year instead and apply civilian PGY-2?

Very confused as to what happens in this situation.
 
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