EARLY Match Strategy – Does Attempting to Qualify for Either Derm or Plastics?

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Spinietzschon

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“Shoot for the moon. Even if you miss, you’ll end up in the stars.”

How much does the above hold true for match placement? Scenario: upon matriculation and beginning MS1, a student is enthusiastic about almost every specialty, with a few exceptions, even IM vs surgical. S/he is open to PC, specialist care, or even academia at this point. Everyone tells them they won’t really know till clerkships, and even then they can’t rotate into everything and each experience is attending-based (i.e. one may love a specialty but not realize it because of personality clashes on rounds. Oh well.)

SO its obvious that boards you want to maximize your score and if you can do honors and once you hit third year do great in clinicals regardless. But certain things start earlier – what student groups, what research (if any), and what other things one keeps involved in between MS1 and MS3.

For instance, some people hold that doing basic research (especially if publication is possible) is always better than clinical whereas others say more numbers of publications at the pre-fellowship stage will be better for March Match so clinical is better. This debate is unlikely to be resolved but more likely, I’d like to know – some people say programs are understanding if you do research in one thing your whole med school time, and want to specialize in another field – many things are cross-applicable to an extent. Others say that if you want a competitive specialty (i.e. rad onc), you had better have research in that field, research in other fields is fine but there are too many people with rad onc research vying and you’ve really downed your chances if you start between MS1 and MS2 in say, regenerative medicine research having nothing to do w/cancer. This example is just to illustrate.

So the actual question is: if you don’t know if you’re going to be enamored w/family medicine or neurosurgery or whatever. And if you pick the most competitive IM and surgical specialty, currently derm/plastics as far as I know (plastics straight not gen-surg/plastics-fellowship). And if you do all you can to be uber-competitive in either one of those (ok I think it’s unrealistic unless you actually really love those to join only derm/plastics interests groups, etc etc but you get the idea – research project that spans those two, etc). When you decide on the actual IM or surgical specialty that you want to do your whole life, are you (if you succeeded in the above the whole time) good to pick whatever you want, assuming you’re in the top 5% of all applicants in those 2? OR do you have to know what you’re doing earlier than MS3 even though everyone says you won’t know till then and set yourself up specifically for some of them?

-I fully recognize this will take some generalization and detail-ignoring to answer at all, and everything is case/program specific, so feel free to say there is no heuristic rule of thumb that’ll work out if that’s what your experience tells you. Oh, and of course I don’t know if I could do what I’m proposing anyway, sounds tough. I’m just trying to get a perspective of what other people’s opinions are, then I’ll be going to professionals (just hopefully with some extra food for thought on what people think here…!) Sorry to be all inflammatory w/derm/plastics. I’m wanting to maximize my options so they’re just the ones to mention in this question. Thank you!
 
wow, this is the most impossible to read post I've ever seen in my many years on SDN. I have no idea what you're saying or asking, but I presume it is: if you are competitive for derm/plastics, are you competitive for other stuff? The answer is, obviously yes, no duh. If you do derm/plastics research it might not enamor you with say, nsurg, radonc, or ortho departments, since they like people who have been passionate about those specialties throughout med school, but for anything else research looks good no matter what it's in. But if you have the numbers for derm/plastics, you'd probably still be able to match into those three if you have demonstrated interest in them M3 or M4 year.
 
Just focus on doing as well as possible. It's easier to do a year off for research once you decide what you want to do.

You're not going to be competitive researchwise with people who've known exactly what they've wanted to go into since before med school in any case, so don't bother. There's ppl with 40+ pubs/presentations in the more competitive fields.

“Shoot for the moon. Even if you miss, you’ll end up in the stars.”

How much does the above hold true for match placement? Scenario: upon matriculation and beginning MS1, a student is enthusiastic about almost every specialty, with a few exceptions, even IM vs surgical. S/he is open to PC, specialist care, or even academia at this point. Everyone tells them they won’t really know till clerkships, and even then they can’t rotate into everything and each experience is attending-based (i.e. one may love a specialty but not realize it because of personality clashes on rounds. Oh well.)

SO its obvious that boards you want to maximize your score and if you can do honors and once you hit third year do great in clinicals regardless. But certain things start earlier – what student groups, what research (if any), and what other things one keeps involved in between MS1 and MS3.

For instance, some people hold that doing basic research (especially if publication is possible) is always better than clinical whereas others say more numbers of publications at the pre-fellowship stage will be better for March Match so clinical is better. This debate is unlikely to be resolved but more likely, I’d like to know – some people say programs are understanding if you do research in one thing your whole med school time, and want to specialize in another field – many things are cross-applicable to an extent. Others say that if you want a competitive specialty (i.e. rad onc), you had better have research in that field, research in other fields is fine but there are too many people with rad onc research vying and you’ve really downed your chances if you start between MS1 and MS2 in say, regenerative medicine research having nothing to do w/cancer. This example is just to illustrate.

So the actual question is: if you don’t know if you’re going to be enamored w/family medicine or neurosurgery or whatever. And if you pick the most competitive IM and surgical specialty, currently derm/plastics as far as I know (plastics straight not gen-surg/plastics-fellowship). And if you do all you can to be uber-competitive in either one of those (ok I think it’s unrealistic unless you actually really love those to join only derm/plastics interests groups, etc etc but you get the idea – research project that spans those two, etc). When you decide on the actual IM or surgical specialty that you want to do your whole life, are you (if you succeeded in the above the whole time) good to pick whatever you want, assuming you’re in the top 5% of all applicants in those 2? OR do you have to know what you’re doing earlier than MS3 even though everyone says you won’t know till then and set yourself up specifically for some of them?

-I fully recognize this will take some generalization and detail-ignoring to answer at all, and everything is case/program specific, so feel free to say there is no heuristic rule of thumb that’ll work out if that’s what your experience tells you. Oh, and of course I don’t know if I could do what I’m proposing anyway, sounds tough. I’m just trying to get a perspective of what other people’s opinions are, then I’ll be going to professionals (just hopefully with some extra food for thought on what people think here…!) Sorry to be all inflammatory w/derm/plastics. I’m wanting to maximize my options so they’re just the ones to mention in this question. Thank you!
 
wow, this is the most impossible to read post I've ever seen in my many years on SDN. I have no idea what you're saying or asking

Avatar + portion of your post I quoted = perfect.

I have nothing constructive to add.
 
Avatar + portion of your post I quoted = perfect.

I have nothing constructive to add.

:laugh: I like Paul Rudd, but the 'facepalm' is my general attitude to life, and especially toward pre-meds/most med students (like the OP)
 
:laugh: I like Paul Rudd, but the 'facepalm' is my general attitude to life, and especially toward pre-meds/most med students (like the OP)

Reading your posts on SDN, I've noticed you think quite highly of yourself and walk that thin line between confidence and conceit. Is there something you've done with your life that justifies this? I'm not trying to be mean or rude, just curious.
 
Nevermind, your MDApps pretty much gave it all away haha continue! 👍
 
...
 
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Reading your posts on SDN, I've noticed you think quite highly of yourself and walk that thin line between confidence and conceit. Is there something you've done with your life that justifies this? I'm not trying to be mean or rude, just curious.

The way I read this, it certainly doesn't come across as confident or conceit coming through. I just want to make sure I didn't come across this way!
 
The way I read this, it certainly doesn't come across as confident or conceit coming through. I just want to make sure I didn't come across this way!


lol not you, the person w/ the handle sunset
 
Wow. ummmm... I'm not sure what to take away from this? To answer what I think your question is... yes, if you work hard like you're going into plastics and derm, and you have good grades, you'll probably be able to do a lot of other specialties too if you decide not to do plastics or derm.
 
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