twospadz

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I will tell you my personal story which should help the psych people that did not match. I am a third year psych resident moonlighting at two hospitals pulling 10k-17k a month with moonlighting alone. Just listen.

When I was in 4th year med school, I ended up getting 7 interviews for psych. I applied to 36 places. I ended going to 6 interviews. My step scores was 227 for both step 1 and 2 first time pass. By jan, i found out i had failed step 2 cs but did not submit my score. I ended up taking step cs in feb but didnt have my scores by match day. By Match day in March, i didnt match. I was devastated.

I missed my first SOAP day because i was out of the country. My program was furious. It didnt matter, i didnt get a SOAP spot and I wouldnt have anyway since all programs auto screen if all your steps are not passed by SOAP. At this point, I was really scared.

My program told me to take a research year or MPH. I vehemently refused both. There had to be another option. I went to the program director at my psychiatry program. I had interviewed at my program so he would understand. He offered solace but little guidance. "This year was competitive". No offer to look for a spot or open a spot for me. He was useless.

I then was told to look for a prelim spot. I went to my IM program. They did not have any spots but said to do a research year. I went to neurology. No help either. At this point I was so lost. I was looking at a gap year with loans and currently no job. I felt trapped. My classmates also seemed to somewhat avoid me due to awkaradness as I was one of the students who didnt match. Questions about what i was going to do by other med students only perturbed me more. "Im trying to do something" i always thought. I kept reaching out for advice. There had to be a way.

I reached out to one friend. The school considered him as "a person who didnt listen" to their advice and he didnt match and was doing a gap year. Maybe I could learn from his mistakes? He ended up being the most helpful. His advice. Send a email to every program in the country and look for new programs.

So i did what i was told. I sent a generic email to every psych, IM, and neurology program in the country. In all honestly at least over 1000+ emails (found emails and phone numbers using link below). I also looked up new programs on a list that gets updated everyday. I contacted the program once they appeared on the list (link below). And followed up every day. My step cs came back in April which showed i passed. Long story short, I got offered two prelim IM spots and a neurology spot in a very desirable part in the country that were out of match. I ended up taking the neurology. After my first year in neurology, I transferred directly to PGY 2 psych and will be going into PGY 4. Anyway, lesson is, there is still hope. Just work hard.


 
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SourceOfDenial

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Glad you got a spot. But:

“No offer to look for a spot or open a spot for me. He was useless.“

programs can’t just ‘open a spot’ for folks. Thats not how this works.
 
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twospadz

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Glad you got a spot. But:

“No offer to look for a spot or open a spot for me. He was useless.“

programs can’t just ‘open a spot’ for folks. Thats not how this works.
Yes. Its happened before. They might have to scrap up funding but its been done.
 
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SourceOfDenial

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Yes. Its happened before. They might have to scrap up funding but its been done.
ACGME sets the number of spots a program can have for residencies and fellowships. If a ‘spot opens up’ it means that they either: were newly approved for another spot, or had the opportunity to have another resident/fellow but for whatever reason chose not to fill it(funding, rotation supervision, etc).

Residents/fellows shouldn’t expect that programs have much latitude to increase their class size.
 
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Mar 21, 2020
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Thanks for your story, it's truly encouraging. I SOAP matched into IM but wanted psychiatry from the start. Do you think it is worthwhile to finish an IM program and the re-apply to psychiatry?
 

twospadz

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Thanks for your story, it's truly encouraging. I SOAP matched into IM but wanted psychiatry from the start. Do you think it is worthwhile to finish an IM program and the re-apply to psychiatry?
If you want to do psych and know you will do it, then apply during pgy 1. If you finish IM then do psych, your basically throwing 400k of psych attending pay down the drain that you could have made because you did two extra years of IM residency.
 
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wolfvgang22

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Jun 15, 2004
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I will tell you my personal story which should help the psych people that did not match. I am a third year psych resident moonlighting at two hospitals pulling 10k-17k a month with moonlighting alone. Just listen.

When I was in 4th year med school, I ended up getting 7 interviews for psych. I applied to 36 places. I ended going to 6 interviews. My step scores was 227 for both step 1 and 2 first time pass. By jan, i found out i had failed step 2 cs but did not submit my score. I ended up taking step cs in feb but didnt have my scores by match day. By Match day in March, i didnt match. I was devastated.

I missed my first SOAP day because i was out of the country. My program was furious. It didnt matter, i didnt get a SOAP spot and I wouldnt have anyway since all programs auto screen if all your steps are not passed by SOAP. At this point, I was really scared.

My program told me to take a research year or MPH. I vehemently refused both. There had to be another option. I went to the program director at my psychiatry program. I had interviewed at my program so he would understand. He offered solace but little guidance. "This year was competitive". No offer to look for a spot or open a spot for me. He was useless.

I then was told to look for a prelim spot. I went to my IM program. They did not have any spots but said to do a research year. I went to neurology. No help either. At this point I was so lost. I was looking at a gap year with loans and currently no job. I felt trapped. My classmates also seemed to somewhat avoid me due to awkaradness as I was one of the students who didnt match. Questions about what i was going to do by other med students only perturbed me more. "Im trying to do something" i always thought. I kept reaching out for advice. There had to be a way.

I reached out to one friend. The school considered him as "a person who didnt listen" to their advice and he didnt match and was doing a gap year. Maybe I could learn from his mistakes? He ended up being the most helpful. His advice. Send a email to every program in the country and look for new programs.

So i did what i was told. I sent a generic email to every psych, IM, and neurology program in the country. In all honestly at least over 1000+ emails (found emails and phone numbers using link below). I also looked up new programs on a list that gets updated everyday. I contacted the program once they appeared on the list (link below). And followed up every day. My step cs came back in April which showed i passed. Long story short, I got offered two prelim IM spots and a neurology spot in a very desirable part in the country that were out of match. I ended up taking the neurology. After my first year in neurology, I transferred directly to PGY 2 psych and will be going into PGY 4. Anyway, lesson is, there is still hope. Just work hard.


Thank you for sharing and providing hope to others of what is possible. I have tremendous respect for your perseverance and hustle. I bet you are an excellent physician. Bravo. :claps:
 
Mar 19, 2020
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Thank you so much for sharing. You might have seen my thread- I didn't match with step scores 24x/25x, no red flags (to my knowledge) from a decent MD school. This gives me a small amount of hope.
 
Mar 11, 2020
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If you want to do psych and know you will do it, then apply during pgy 1. If you finish IM then do psych, your basically throwing 400k of psych attending pay down the drain that you could have made because you did two extra years of IM residency.

Looking at some of the job boards and even general hourly rates of telepsych nowadays, you might be throwing away closer to 6-800k for those two years of IM.
 
Dec 8, 2019
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Hello twopads,

I am a U.S. IMG from Caribbean medical school. I have been trying to match for last 5 years without a luck. There is tremendous pressure on me to match with 300000K student loan debt and a family of 4 to support. I am so desperate that I am on the verge of major depression.

My story, I passed step 1 with no failure and 202, CS one failure, CK one failure then 229 and finally step 3 with no failure and 207.

I have been here in the u.s. for over 20 years with an undergrad degree from u.s. and an MPH degree.

I have been doing anything I can find to improve my resume. Completed Jamaica Hospital Psychiatry Externship in Queens, NY (Very well known) for 6 months.

All this time I have been working as an assistant to a physician in NYC (minimum wage).

This season I got only one interview. Prior years - zero interview.

What can I do? Please tell me. I have been calling programs and emailing them but no luck.

Do I have any chance of matching?
 

CalmAndCollected

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Apr 8, 2017
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Hello twopads,

I am a U.S. IMG from Caribbean medical school. I have been trying to match for last 5 years without a luck. There is tremendous pressure on me to match with 300000K student loan debt and a family of 4 to support. I am so desperate that I am on the verge of major depression.

My story, I passed step 1 with no failure and 202, CS one failure, CK one failure then 229 and finally step 3 with no failure and 207.

I have been here in the u.s. for over 20 years with an undergrad degree from u.s. and an MPH degree.

I have been doing anything I can find to improve my resume. Completed Jamaica Hospital Psychiatry Externship in Queens, NY (Very well known) for 6 months.

All this time I have been working as an assistant to a physician in NYC (minimum wage).

This season I got only one interview. Prior years - zero interview.

What can I do? Please tell me. I have been calling programs and emailing them but no luck.

Do I have any chance of matching?

I have seen similar carib IMGs to you. You will have it tough, but I don't think I can recommend anything else but doing more rotation at IMG friendly programs. Many places are probably filtering you out based on your stats and YOG, but they are much more likely to ignore that if they have worked with you and see you are a hard-worker.

Florida has many for-profit hospitals that take carib residents, like Larkin and such. Most of those let you rotate through them similarly as through Jamaica. One of the Larkin resident has a similar story to you so I can recommend you reach out to them for some advice. Feel free to DM me if you want more info on how to reach out to them. I can only speak of the places I rotated in, but Larkin offered the most opportunities compared to anywhere else.
 

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