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I have talked to a few friends with a similar question, and I realize that this is extremely variable. I have been fortunate to receive interviews at some of the more competitive TYs (Scripps Mercy, Colorado P/SL, Riverside in Virginia, Aurora St. Luke's in Milwaukee, Virginia Mason, Gundersen in LaCrosse WI). Assuming no geographical preference, do I have a good chance of matching at one of these? How frequently does someone fall lower than #6 on intern year rank list? The interviews have been so conversational and straightforward that I don't know how much they can impact things.