I am going to be an incoming PGY-1 resident going into my prelim year next week. I made a huge mistake on my rank order list, choosing to rank a community prelim medicine program higher because it was rumored to be "chill," a good schedule, short commute over a more competitive academic prelim which on paper looked 100x better for me in every respect (distance, pay, name etc). I ended up ranking the smaller program higher because I thought it would be a more manageable experience. Although not my first choice, I ended up matching there. It's pretty painful to go into specifics, but everyone who's heard my story agrees that I made a mistake. I received my schedule last week and I certainly agree with that. It's brutal and I was foolish for thinking it wouldn't be as much. There is no true justification for what I have done. A small silver lining is that I was not the most competitive candidate and may not have matched at the bigger program. I also did not interview at the bigger program, and the offer was just included as a bonus when I interviewed for the advanced program there. I've been having crippling waves of regret and disgust at myself for passing up on a clearly better opportunity and making this stupid move. I've even had the crazy thought to reach out to the PC at the larger program to see if I would have matched there, at the risk of getting no response and being blacklisted for seeming neurotic. However, it has been bothering me tremendously. Another reality that has begun to sink in, is that this year will be a permanent mark on my CV, and frankly, having it there in combination with my advanced program doesn't set me up for an academic career, which I had hoped to pursue. I'm certainly grateful to have matched, but this feeling of gnawing regret has just been crippling. Does anyone know any potential recourse to this situation? Has anyone switched prelim years midway through? Possibly considering gen surg as it could at least help me more with my career goals. Any advice is much appreciated.