Interviewed Too Late?

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Torsades42

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So in the beginning of the season, I was told to schedule my "top choices" as late as possible so I could gain as much interview experience as I can before going in for them. Following that advice (whether it was good or bad), I have three interviews left at places I'm really interested in over the next three weeks. I keep reading threads about programs having ranking meetings already. Does that mean that they're lists will more or less be set and probably not going to change for those interviewing later? Yes, this is borderline neurotic. Anyone else in the same boat?
 
So in the beginning of the season, I was told to schedule my "top choices" as late as possible so I could gain as much interview experience as I can before going in for them. Following that advice (whether it was good or bad), I have three interviews left at places I'm really interested in over the next three weeks. I keep reading threads about programs having ranking meetings already. Does that mean that they're lists will more or less be set and probably not going to change for those interviewing later? Yes, this is borderline neurotic. Anyone else in the same boat?

That advice wasn't particularly good, but not for the reason you're worried about. Different programs make their lists differently. Some make running lists after every interview day and adjust as needed. Others will tier interviewees and then make final rank lists at the end of the season. Still others will give everybody a numerical score on interview day and make a list at the end. Finally, some programs will put every applicant's picture up on a wall, get a bunch of residents drunk, give them numbered darts and let the magic happen.

TL;DR - If they're still interviewing people, they're still interested and are likely to rank you wherever they would (roughly) if you'd interviewed earlier.

The main reason to interview at your top choices earlier (I always suggest that people put their top choices in the middle of the season) is so that you can get some good experience with the interview process at programs you like less, without getting as burnt out as you'll generally be at the end of the year.

But...nothing you can do about it now. Go forth and interview your butt off. Good luck.
 
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As usual, gutonc is right on.

Frankly programs have a lot invested in an interview day and have no interest in pulling one together if they're not planning on seriously considering the candidates for that day.

The only danger in interviewing late is how you approach it. You will have the same chances of being ranked by the program regardless of when you interview.
 
If the place is still having interviews, they have not made their final rank list yet. My program has multiple ranking meetings as the interview season goes along but then finalizes the list once they've seen everyone.
I bet you will do well. I definitely was tired of traveling by the end of my interviews, but I feel I was doing my best interviews at the end of the interview trail. I wasn't nervous because interviewing was second nature by then, and I had already heard all of the common interview questions multiple times already so it was very easy to rattle off some well-prepared answer and make it sound totally natural because I had refined it over the course of the months of interviews.
Don't worry, I bet you'll do well. 🙂
 
Since I'm the one that actually builds our rank list, I can answer your question with 100% certainty.


You are absolutely correct: You are being completely neurotic. Your spot on the rank list will be completely independent of what day you interview. If you're the best candidate interviewing on the last day, I'll rank you #1. There is nothing to worry about.
 
So in the beginning of the season, I was told to schedule my "top choices" as late as possible so I could gain as much interview experience as I can before going in for them. Following that advice (whether it was good or bad), I have three interviews left at places I'm really interested in over the next three weeks. I keep reading threads about programs having ranking meetings already. Does that mean that they're lists will more or less be set and probably not going to change for those interviewing later? Yes, this is borderline neurotic. Anyone else in the same boat?

Rank lists are not 'set', but (depending on the program) they are created and shuffled around on a rolling basis.

Our program sends out a volley of interview invitations, before the dean's letters are out, to the candidates who look really great on paper (e.g., one guy had a two seventy something on his Step 1, and many of us didn't even know the scale goes that high). They tend to pick early interview days. A second volley of interview invitations goes out after the dean's letters are out. These people may have had decent numbers or whatever, but on paper they were just not compelling enough for the PD to take a chance on them without seeing their letters/dean's letter. Then there is a trickle of invitations that goes out as people start canceling interviews. Not many people cancel (at our program) so there are very few of these. Because of the way the PD issues interview invitations, the people who trickle in are likely to be interviewing on the last days, and they are also like to be a priori not the most compelling candidates.

We meet weekly to discuss the students who interviewed the previous week, and they get thrown onto the ever-changing rank order list. You might be placed #2 on the rank list after you interview during the second week of availability, but if more compelling candidates interview on weeks 3, 4, 5, etc then you just get bumped lower and lower. Conversely, if nobody better than you comes along, then you stay where you are, and other candidates fall into place behind you.

It is human nature to use rules of thumb and other shortcuts in decision making. One of these shortcuts that plays out in the rank list is "anchoring". Every year it seems like there one or two candidates that serve as "anchors" for other candidates when we are deciding where to place them. Typically one of the anchors holds the place for the "ranked to match" set, and one of the anchors holds the place for the "not ranked to match but probably would match here given recent trends" set. And every week, there are bound to be a few applicants who just get compared to the anchors. One year, for whatever reason there was an applicant (let's call him or her Pat) who was a particularly prominent anchor. Pat was a decent candidate, with decent numbers and decent letters and a decent interview. But there were many, many applicants who, when it came to their turn to be discussed, the conversation ended up revolving around the question "Is she better than Pat or not?" Lots of candidates were deemed "better than Pat", so poor Pat just kept sinking lower and lower on the rank list.

At the end of the interviewing season, we review each person on the list to make sure that is where we want him, and we bump her up or down depending on whether we feel a corrective needs to be applied. But in my experience I haven't seen anyone shift more than a few places up or down. Certainly I've never seen anyone move from "meh" to "not ranked to match but probably would match here given recent trends".

Clearly this is a longwinded answer to the OP's question. Are the rank lists set by the end of the season? No. If you chose a late interview date (i.e., you were not one of the candidates who trickled in at the end because others canceled) and you are a compelling candidate, then you will be placed where we think you should be placed. But is there a certain amount of inertia that sets in? Yes. But there's really no way to predict whether the inertia will work for or against you.
 
My home program (a very large IM program in the south) has actually done informal research on this topic. Their conclusion: the date you interview has no bearing whatsoever on how the program will rank you. As others have said, though, early in the year you're inexperienced and later in the season, you're burned out. So it's typically best to interview at your top choices in the middle. You'll do fine 🙂
 
Rank lists are not 'set', but (depending on the program) they are created and shuffled around on a rolling basis.

Clearly this is a longwinded answer to the OP's question. Are the rank lists set by the end of the season? No. If you chose a late interview date (i.e., you were not one of the candidates who trickled in at the end because others canceled) and you are a compelling candidate, then you will be placed where we think you should be placed. But is there a certain amount of inertia that sets in? Yes. But there's really no way to predict whether the inertia will work for or against you.

If I'm one of the "trickle in" people that interviewed after being on a wait list, and interviewed well. Does that mean that I'll still be lower on the list, especially as an FMG?
 
If I'm one of the "trickle in" people that interviewed after being on a wait list, and interviewed well. Does that mean that I'll still be lower on the list, especially as an FMG?

Don't worry about where you are on a program's rank list. Rank according to where you want to go, even if you think it's a reach. I can tell you that at least a quarter of my residents started out on a wait list--sometimes because their application wasn't as strong as others in the pool, and sometimes because their interview day of choice filled quickly. Either way, some applicants cancelled, they were still available, they interviewed well and were ranked accordingly.

Since no one has a crystal ball, the process works best if everyone ranks according to preference.
 
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