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as90

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I was wondering if anyone who has used this service or knows about it can comment. I am currently in a categorical program and I am planning on starting this July. I do want to look for programs that would be closer to my SO as he will not be able to move due to school. I was wondering if I were to subscribe to this service would my current program find out? I'm just simply on the look out for something and I am not actively applying as I don't want to loose my position. I have every intention of giving my program enough notice if I do find something and fulfilling my duties for the year.

I am just curious as to how this all would work out? If I even subscribe to this service, does my program find out that I am looking?

I just don't want the program to find out that I am trying to leave in the even that I can't find anything. Then run the risk of being terminated. Thanks for any help with this.
 

ThoracicGuy

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    I was wondering if anyone who has used this service or knows about it can comment. I am currently in a categorical program and I am planning on starting this July. I do want to look for programs that would be closer to my SO as he will not be able to move due to school. I was wondering if I were to subscribe to this service would my current program find out? I'm just simply on the look out for something and I am not actively applying as I don't want to loose my position. I have every intention of giving my program enough notice if I do find something and fulfilling my duties for the year.

    I am just curious as to how this all would work out? If I even subscribe to this service, does my program find out that I am looking?

    I just don't want the program to find out that I am trying to leave in the even that I can't find anything. Then run the risk of being terminated. Thanks for any help with this.

    I've not used that service and can't comment on that, though if you put in any identifying information and a PD was looking for potential candidates and that included your own PD, that could be awkward.

    How much longer does your SO have in school and how long is your residency? Your plan of switching residencies is a dangerous one that could end in disaster for you...
     

    as90

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    My SO has about 4 years total.

    My residency program (categorical Neuro) is 4 years in length. My main issue has to do with the fact that numerous residents have been let go from the program, the hospital is in a sticky financial situation, and lastly, location.

    I know I made a mistake of not finding out the negatives of the program beforehand, but, really as a medical student you don't know a lot about malignancy and resident politics to begin with.

    I don't see what is wrong with switching residencies after finishing a year? If a program is a bad fit after a year, do you recommend one continue in a malignant environment, where they could potentially be asked to repeat rotations, deal with unfair politics, etc for 3 more years? Let's say one has a change of heart about specialties and decides to go for something else.

    I feel we have invested enough in our education and take on a huge financial burden as future physicians, that it seems fair to be able to have a little bit of say if things don't go so well in our chosen path. In any other profession, you have some lenience in your career choices. I suppose its unfair and I should just deal with it, but seeing as though residency contracts are year to year, I don't think what I am asking for is completely out of the ordinary.

    Not trying to but heads with you and I appreciate your caution, I guess I'm just trying to vent...
     

    Winged Scapula

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    Not trying to butt heads with you either but:

    1) location: you knew the location when you put them on your rank order list
    2) hospital finances in "sticky" situation: most likely doesn't affect you at all. Hospitals are bought out by other groups all the time. Many operate in the red.
    3) program firing people: that could have been found out before you submitted your ROL, but you are correct in that as a student it can be difficult to accurately assess a program.

    You really have no way of knowing the program is "malignant" based on what you've seen/heard. You need to experience it firsthand before you can accurately say.

    There's nothing wrong with finding out that you made a mistake once you get there and looking for other options. That's not what you're doing. IMHO you regret ranking program that distances you from your SO (classic "buyer's remorse") and now are looking for ways to justify it. Nothing wrong with that but let's be honest here.

    Anyway, back to your original question: at some point, yes your PD could find out if you registered on FAR. Either because they were looking for a resident and contacted you and you revealed certain information or because you revealed it to another PD who then contacted your current PD. IMHO, the most common way the news gets out is that you "confide" in another resident, office staff member, nurse etc and they spill the beans. Be circumspect about what you discuss. You've already shared a bit of information here on SDN which leads us to believe you aren't the most competitive candidate so you need to be very careful about what you're doing.

    Best of luck to you.
     
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    ThoracicGuy

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    My SO has about 4 years total.

    My residency program (categorical Neuro) is 4 years in length. My main issue has to do with the fact that numerous residents have been let go from the program, the hospital is in a sticky financial situation, and lastly, location.

    I know I made a mistake of not finding out the negatives of the program beforehand, but, really as a medical student you don't know a lot about malignancy and resident politics to begin with.

    I don't see what is wrong with switching residencies after finishing a year? If a program is a bad fit after a year, do you recommend one continue in a malignant environment, where they could potentially be asked to repeat rotations, deal with unfair politics, etc for 3 more years? Let's say one has a change of heart about specialties and decides to go for something else.

    I feel we have invested enough in our education and take on a huge financial burden as future physicians, that it seems fair to be able to have a little bit of say if things don't go so well in our chosen path. In any other profession, you have some lenience in your career choices. I suppose its unfair and I should just deal with it, but seeing as though residency contracts are year to year, I don't think what I am asking for is completely out of the ordinary.

    Not trying to but heads with you and I appreciate your caution, I guess I'm just trying to vent...

    The reason for caution when switching is that it's much harder to get a position and leave a program. You have problems where the new program wonders why you are leaving and if what you say is truly what is going on. People will say anything to try and get a spot somewhere and they don't know you from anyone else. Why should they believe you? Add to that a program, if true, that is malignant. The new PD will want to speak to the old PD. If the PD is such a bad guy that he wants to fire people all the time, how do you think he will portray you to the new place? At that point you have burnt the bridge at your original place and will not have your contract renewed and have the chance of not getting a new slot. Plus, looking back at your prior posts, you have a low COMLEX and failed COMLEX 2PE. That's going to make you a worse candidate for a new position somewhere.

    There are many stories on here where people left a program for some reason or another and never found a new place. They are now stuck without completion of their training. The new program, as well, could be even worse than the first program. Just as you said you can't really find out about malignancy and resident politics as a med student, it can be hard to really determine that from a short visit/interview with the new place. What if you get there and its much worse than what you left?

    Changing specialties is a bit different. A PD may be more open to you going to another field as compared to you just not liking his program. Yes, other professions you can switch your jobs as often as you want and can find a position. With residency, you are still in training and are not able to just go work. Once you become an attending somewhere, though, you can go wherever you want.

    Hope this helps you to understand where those of us cautioning you against this course of action are coming from. You are risking your future as a doctor with this.
     
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    as90

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    Thank you for your comments. I assure you they arent going to deaf ears.

    I think it is buyers remorse and mistakes made throughout this match season. I feel like I was under some sort of false impression that being a DO grad even with a red flag of low board scores that I would still have a second chance to find something better since the DO world may have programs that are less malignant. But maybe thats just my misunderstanding. I think its super hard to make these decisions as a 4th year med student that impact the rest of your life in a huge way
     
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