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Will programs just ignore you or actually tell you you’re on a waitlist or have been rejected. There are 30 programs that have not made any contact with me whatsoever. Does that mean I’m rejected or waitlisted?
Probably means that they either 1) don't send rejections, or 2) you are in the large group of applicants who look pretty good on paper but didn't get an invite. As people cancel interviews, applicants from this pile will be offered interviews.
What are these psych programs looking for? Like it seems they want psych extracurriculars so if you discover psych late in the game you’re pretty screwed because obviously good scores and grades aren’t enough for interviews anymore

Will programs just ignore you or actually tell you you’re on a waitlist or have been rejected. There are 30 programs that have not made any contact with me whatsoever. Does that mean I’m rejected or waitlisted?
Historically the month of November tends to be when I see the biggest number of people calling to cancel a previously scheduled interview.
What are these psych programs looking for? Like it seems they want psych extracurriculars so if you discover psych late in the game you’re pretty screwed because obviously good scores and grades aren’t enough for interviews anymore
I'm not sure that grades and scores were ever valued all that much by psychiatry programs. But yes, as more and more people have applied to psych, programs are probably having to find ways to differentiate the applicants. I'm not sure if programs are thinking about this, but at my school, I know of at least two people who made the switch to psych late in 3rd year for mainly lifestyle reasons. As psych become more competitive, they will want to see evidence of interest in and aptitude for the field. I think it is really helpful to have experience in the field, and to have psychiatrists as letter writers who are able to talk about your interest in and potential as a psychiatrist.