I am in my last year of med school, matched for an advanced position in PM&R, but not a PGY-1 spot. I have been unable to secure a PGY-1 spot in the scramble and afterwards. I have been pursuing options on find-a-resident and careermd.com, but no luck so far. My med school and the PM&R program have been helpful, but I feel like we have exhausted available options. I am now obviously worried about losing my spot. For now, all I can really see as an option is hoping someone backs out of a spot somewhere and something opens up before June. I basically would go anywhere for anything for the PGY-1 year, but I draw the line at doing a surg prelim year (no way). Also, in the worst case scenario, any ideas of what one could do for a year if I can't find something and need to wait a year? I would appreciate any suggestions anyone has.