I've got to disagree here. Where you spend the next three years is a really big decision and what I keep hearing over and over again is if you don't want to go somewhere don't rank it. Sure scrambling is not exactly an ideal way to end the match season, but people in the past have done very well scrambling (especially in a less competitive field like pediatrics) and at least you can make sure you end up somewhere you are happy I'd say that's worth the stress in the end.