If you try to get out of your osteopathic match...

[amx29]

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So I was very split between EM and anesthesiology. I had ranked both in my osteopathic match, and I entered the match because my limited # of interviews in the allopathic world wasn't enough for me to take the risk to go through the allopathic match. Now I matched EM which I am fine with...but the location I guess I am not thrilled about. It was #7 on my list (I was just so confident I was gonna get one of my top 4 or 5. Still feel so screwed over by some of those residencies.) I should have really thought about how hard it was going to be moving from a great big city I fell in love with the last 4 yrs to a smaller, colder city. I am happy though that I have a job.
But so this last few weeks I've been in an anesthesiology rotation (in my current city) where I had an allopathic interview and the program director likes me. I haven't told her my situation (today's the first day after the match.) This is an advanced program, and it's written that your first yr can be completed in almost anything, including EM. Now is anything possible for me to transfer if I'd like after first yr and not lose a yr (what would have to happen? that a spot doesn't fill in this yr's allopathic match?) I know DOs and FMGs can sign prematches...can that be used in this situation? Or if I don't sign this osteopathic residency's contract...I know I am banned from osteopathic match for a year. But if I were to do that, can I enter the allopathic match?

 

[pianoman511]

I was under the impression that once you match in the osteopathic match you are automatically dropped out of the allopathic match.

Sent from my PC36100 using Tapatalk

 

[gutonc]

So I was very split between EM and anesthesiology. I had ranked both in my osteopathic match, and I entered the match because my limited # of interviews in the allopathic world wasn't enough for me to take the risk to go through the allopathic match. Now I matched EM which I am fine with...but the location I guess I am not thrilled about. It was #7 on my list (I was just so confident I was gonna get one of my top 4 or 5. Still feel so screwed over by some of those residencies.) I should have really thought about how hard it was going to be moving from a great big city I fell in love with the last 4 yrs to a smaller, colder city. I am happy though that I have a job.
But so this last few weeks I've been in an anesthesiology rotation (in my current city) where I had an allopathic interview and the program director likes me. I haven't told her my situation (today's the first day after the match.) This is an advanced program, and it's written that your first yr can be completed in almost anything, including EM. Now is anything possible for me to transfer if I'd like after first yr and not lose a yr (what would have to happen? that a spot doesn't fill in this yr's allopathic match?) I know DOs and FMGs can sign prematches...can that be used in this situation? Or if I don't sign this osteopathic residency's contract...I know I am banned from osteopathic match for a year. But if I were to do that, can I enter the allopathic match?

You're kind of asking several different questions. I'll see if I can answer them all.

First, like the NRMP, the AOA match agreement is a binding contract. By submitting your ROL, you voluntarily agreed to be bound by the results of the match. Period. End of conversation. You have also been automatically withdrawn from the NRMP Match because of your successful AOA match. So unless you want to violate the AOA agreement and take a pre-match in the advanced gas program (that I should point out, you haven't even been offered yet), you're stuck with what you have.

Now, if you were to go to the gas PD and say "Hey, I matched EM this year but I really want to do gas instead. Any chance you could hold a spot out of the Match this year and give it to me next year?" The chance that she will say yes to this idea approaches zero, but it's not a violation of your AOA match agreement...the rules say you have to show up, not that you have to finish the entire residency program.

I guess the bigger question is, "do you want to be an EP or an anesthesiologist when you get done with your training?" Forget residency location for now...you can handle any place for 3-4 years (and if you didn't want to wind up there, why did you rank it at all?) and 10 or 20 years from now, it will be a tiny little blip on the radar of your career. But if you choose the wrong specialty now...well then you're a lot more screwed down the road.

 

[scotchtapetest]

So I was very split between EM and anesthesiology. I had ranked both in my osteopathic match, and I entered the match because my limited # of interviews in the allopathic world wasn't enough for me to take the risk to go through the allopathic match. Now I matched EM which I am fine with...but the location I guess I am not thrilled about. It was #7 on my list (I was just so confident I was gonna get one of my top 4 or 5. Still feel so screwed over by some of those residencies.) I should have really thought about how hard it was going to be moving from a great big city I fell in love with the last 4 yrs to a smaller, colder city. I am happy though that I have a job.
But so this last few weeks I've been in an anesthesiology rotation (in my current city) where I had an allopathic interview and the program director likes me. I haven't told her my situation (today's the first day after the match.) This is an advanced program, and it's written that your first yr can be completed in almost anything, including EM. Now is anything possible for me to transfer if I'd like after first yr and not lose a yr (what would have to happen? that a spot doesn't fill in this yr's allopathic match?) I know DOs and FMGs can sign prematches...can that be used in this situation? Or if I don't sign this osteopathic residency's contract...I know I am banned from osteopathic match for a year. But if I were to do that, can I enter the allopathic match?

1) You no longer can enter the 2012 NRMP match. No matter what you do or want (even if you don't sign the contract).

2) No one is going to offer you a prematch at this point. The deadline for submitting # of positions was last month. Whatever PDs submitted at that point HAS to go through the match and can't be changed.

3) No decent PD will take someone who violated their commitment to another program because they didn't "like" the city or the weather. Even thinking about it speaks volumes about your character and professionalism.

4) I hate to break it to you but you went through the application/interview process and as per your post you didn't get enough interviews on the ACGME side and couldn't even match to your top 6 on the AOA side. What have you done since last month that you think has drastically changed your application/stats that now all of the sudden you qualify for a pre-match position?

5) There are students (your colleagues) who would have killed for an EM match (anywhere) yesterday. It takes a lot of guts (and arrogance IMO) to come here and complain about your situation.

6) I wish you the best of luck in the future and hope you learn to grow up and act like an adult one day!

Sorry for the harsh post but reading your post just made me 😡

 

[Law2Doc]

You're kind of asking several different questions. I'll see if I can answer them all.

First, like the NRMP, the AOA match agreement is a binding contract. By submitting your ROL, you voluntarily agreed to be bound by the results of the match. Period. End of conversation. You have also been automatically withdrawn from the NRMP Match because of your successful AOA match. So unless you want to violate the AOA agreement and take a pre-match in the advanced gas program (that I should point out, you haven't even been offered yet), you're stuck with what you have.

Now, if you were to go to the gas PD and say "Hey, I matched EM this year but I really want to do gas instead. Any chance you could hold a spot out of the Match this year and give it to me next year?" The chance that she will say yes to this idea approaches zero, but it's not a violation of your AOA match agreement...the rules say you have to show up, not that you have to finish the entire residency program.

I guess the bigger question is, "do you want to be an EP or an anesthesiologist when you get done with your training?" Forget residency location for now...you can handle any place for 3-4 years (and if you didn't want to wind up there, why did you rank it at all?) and 10 or 20 years from now, it will be a tiny little blip on the radar of your career. But if you choose the wrong specialty now...well then you're a lot more screwed down the road.

It's pretty complicated, as the anesthesia position is an advanced position, so the OP needs to complete a year -- he can't realistically "prematch" a year out. I think what OP needs to do is simply try to maintain a good relationship with the PD of the anesthesia program, and do a year of EM. At some point early during the EM year, touch base with the anesthesia PD that you might be interested in transferring to anesthesia and see what he says. Might end up having to do another year of EM though, and at that point it begs the question of whether you ought to just complete the three year residency and become double boarded. If you are in your twenties I don't see a huge downside to doing this and it probably will make you a more valuable professional.

 

[gutonc]

It's pretty complicated, as the anesthesia position is an advanced position, so the OP needs to complete a year -- he can't realistically "prematch" a year out.

I am aware of that. But the anesthesia position is for next year anyway. So if he was matching into it, it would be for a year out, and if the OP was in a position to accept a pre-match to this program (i.e. hadn't already matched to an AOA program), s/he would still be pre-matching for a year out.

The biggest issue of course is that, the OP is already matched and is therefore kind of stuck. Also, I forgot about the program quota deadline.

But I agree that keeping a close relationship with this person, if the OP decides that Gas is really what s/he wants to do is a pretty good approach.

 

[wannabeOBGYN]

I am aware of that. But the anesthesia position is for next year anyway. So if he was matching into it, it would be for a year out, and if the OP was in a position to accept a pre-match to this program (i.e. hadn't already matched to an AOA program), s/he would still be pre-matching for a year out.

The biggest issue of course is that, the OP is already matched and is therefore kind of stuck. Also, I forgot about the program quota deadline.

But I agree that keeping a close relationship with this person, if the OP decides that Gas is really what s/he wants to do is a pretty good approach.

The whole idea of getting a pre-match next year is moot, however, since this is the last year pre-matching is available.

 

[jcu]

The whole idea of getting a pre-match next year is moot, however, since this is the last year pre-matching is available.

Unless a program decides on the risky "all out" option and prematches every single spot (though the overwhelming majority I'm sure will not).

 

[Socrates25]

Unless a program decides on the risky "all out" option and prematches every single spot (though the overwhelming majority I'm sure will not).

I wasnt aware the programs had a choice. The NRMP policy I saw said essentially that if a program chooses to place some spots in the match they have to put all of them in. The document I saw didnt make it sound like it was optional.

I guess its "optional" in the sense that a program could choose to withdraw from the NRMP completely. But that doesnt sound like an option that most programs who are already in teh NRMP would choose.