I was considering using this strategy when ranking programs and was hoping some of you could help lend some advice. It is greatly appreciated! Despite the fact that I have received several interviews to my desired specialty, there is one hospital that I much much much prefer to go to than the others. I will undoubtedly rank them number 1. I have received information from them that they will rank me highly, however it very well may not be number 1. My worry is that if I rank them number one on say a list of 7. And lets say they rank me #6 on their list. What if my number 2 or number 3 choice ranks me #1... than odds are I will wind up going to my number 2 or number 3 choice. However my desire to go to my number one choice is SUBSTANTIALLY higher than my second choice. So I was thinking.... what if after i rank my first choice as number one, below that I list like 5 programs that I never even received interviews at but that I applied to. I know there is no way I could wind up matching there. Therefore the next realistic shot would be number 7 choice(really my 2nd choice). Than if that program ranks me number one the computer will be less likely to so quickly match me with them because they are my 7th choice rather than my 2nd choice. Thus increasing my chances of matching at my number one choice. Does this make sense to anyone? Does this sound like a viable strategy? Any input is greatly appreciated.