I'm an MS3 at a mid tier MD program in the NE who is planning to apply to derm without a research year. Feeling very nervous as RY appears to be the norm here regardless of how good ones' app is. I have been interested since MS1 and have good rapport with my home program. Step 1 in the 260s, will likely have around 5-7 pubs and a similar number of abstracts/posters/presentations in derm by application time. A scatter of first and second authors. Good clinical grades (mostly honors) and a couple strong letters (will need to ask for more before applying). Almost no volunteering or leadership stuff while in med school but I have a couple non academic hobbies I'm passionate about and can talk about for hours.
I feel very grateful and blessed to be in the position I'm in now, but I can't help feeling so nervous about applying without a year since my school pretty much advises every derm applicant to take the year. Also apprehensive about aways being limited to 1 this coming cycle. I took a year between college and medical school (worked in biotech) and am not super keen on doing another gap year (financial burden, family planning, etc). I'd love to match in a big city but willing to go anywhere.
My perception of what it means to be a competitive applicant may be skewed since everyone I've talked to has taken the year, but I know there are no guarantees in derm regardless of stats. So my question is how many people actually take the year? And what does it mean to be competitive for people who don't take the year.
Def don't mean to be a troll or sell myself short, just wanted to have a different perspective outside of the RY people!