Hi, just thought I would update. Not matching into a program was a shock, and I wasn't the only one in my class who's not matching was a surprise. Had two friend who didn't match into categorical surgical spots, and they were both aiming high. As to why I didn't match, I have some ideas but no definite answers...some things to consider...
I aimed high, got interviews at 1st or second tier institutions, not ivy-league, but close. I turned down interviews at other good programs that seemed interested in me (baylor, san antonio, northwestern....) I should have gone to some of these interviews, and picked out solid safety schools....but having got such good responses, I guess I got a little cocky.
My record was interesting, and I think that's what attracted programs. I was really interested in the philosophy of psychiatry, did alot of research, and scored really high on the USMLEs. I did have some rocky years in med school and somepersonal problems, but managed to deal with them, and excel in the clinical years, getting solid recs etc. i would hope that psychiatry programs could see the value of self-improvemnt, but perhaps they worry about stability. Self-disclosure probably hurt as much as it helped.
I wasn't good at playing the game. My heart was set on a couple of programs, and I couldn'treally convey enthusiasm. Should have been more enthusasitic, or acted like it.
Didn't rank all the programs I visited, for example, I thought Rochester was a good program, even though it had its share of probs, its faculty were excellent, though still not sure I would enjoy rochester ny.
i wonder whether my school played a role, everyone I interviewed with went to ivy league places, whereas I would often ask where my med school was, or they didn't know about my campus.
when i applied, at least i like to think, it got more competitive. esp at the top tier places. all the residency directors i talked to told me that the apps jumped considerably.
that being said, i wouldn't stress too much out over it. in my defense i did have a strong record, though it was uneven and maybe a risk. if you've done reasonably well, are likeable, smart, hard working, team player etc you should match somewhere. one thing though is that the match really really limits your choices, i was lucky to get into the program that i'm in, in a nice city, and a relatively stable program. i would go to at one interview at a safety place in a city that you want to live in, (don'tgo to crappy programs), but at least go to the ones that are solid but may not have the names and all the nice little things you are looking for in a psych program.
as for myself, i'm doing fine in my program, i read alot, have time for a life, am one of the hardest workers in my program, and am satisified where i am. i do regret not going to some of the places i interviewed at but it's ok, such is life, and you get what you put into a program, and with the patinets you see,and this motivates me to study harder and work harder.