Is it naive to think I'll obtain residency in 1 state?

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Move with my plan?

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Dagrimsta1

Dagrimsta1

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I'm currently a second year (and I know I have better things to worry about) but out of curiosity, would it be possible/probable for me to schedule most of auditions (in multiple specialties that are within my reach) during 4th year in my home state (NYC) in the hope of achieving a residency position specifically within the NYC area?

Obv. I know there are a bunch of variables; step score, letters, grades etc. but assuming those are hurdles that I pass through, is it worth doing? The cost of living would be significantly cheaper for me (family and friends) which is a reason I'm considering this. Just wanted to know if it's feasible considering the fact that I'm currently on the west coast.

Also anything I can do to boost my chances? (Other than kill step 1 obv.)
 
Only a NYC'r would refer to NYC as a state.

Basically the answer to your question is yes. The question is way too broad and without enough useful information to answer any further. If you would do any IM program and don't care which, odds are in your favor.
 
Dagrimsta1 said:
I'm currently a second year (and I know I have better things to worry about) but out of curiosity, would it be possible/probable for me to schedule most of auditions (in multiple specialties that are within my reach) during 4th year in my home state (NYC) in the hope of achieving a residency position specifically within the NYC area?

Obv. I know there are a bunch of variables; step score, letters, grades etc. but assuming those are hurdles that I pass through, is it worth doing? The cost of living would be significantly cheaper for me (family and friends) which is a reason I'm considering this. Just wanted to know if it's feasible considering the fact that I'm currently on the west coast.

Also anything I can do to boost my chances? (Other than kill step 1 obv.)
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Multiple specialties will require multiple LOR. IM will translate to any field but specific Surgery, OB, Peds, psych, etc. letters are all going to be needed for those specialties
 
When your transcript shows multiple aways in different specialties and all in the same city, programs would question your dedication to their specialty. But NYC is a place with many programs in many fields, so if you pick a field and do a few aways at different NYC hospitals, it could be done.
 
I’m in the NYC area, also trying to stay in the city.
What specialty do you want? If it’s IM and you’re willing to go to some really crappy programs, it’s pretty likely. If you have decent scores and you want to do EM, definitely possible. If it’s surgery I’d think again. If you’re willing to consider north Jersey and Long Island that also opens up a bunch of programs.

I would 100% council against picking a specialty just to stay in the city. Residency is a few years, your specialty choice is more permanent. New York will be there when you’re done. And as others have said, doing a bunch of random aways is not going to look good on your application. But if you’re asking if you can try and schedule most of your 4th year rotations in the city (but not all as auditions) then sure, go for it.
 
There are always FMG sweatshops in NYC with an open slot for you. Be prepared to work 90-100 hrs a week while trying to learn espanol on top of that.
 
DO2015CA said:
Meh depends on specialty. I seemed to do okay applying to a primary care specialty.
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I’m mainly interested in IM and PMR. Possibly EM if the scores match
 
Dagrimsta1 said:
I’m mainly interested in IM and PMR. Possibly EM if the scores match
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PM&R would be tricky just because there aren't a lot of programs in the city (I think there are 6). EM would be doable if you have the scores and do well on your away rotations, there are a bunch of EM programs, ranging from very competitive (NYU) to not very competitive (Coney Island, Brooklyn Hospital). IM you could 100% do but as everyone said, NYC has a bunch of terrible IM programs that work you to the bone so be careful about where you apply. Obviously this assumes you do OK on your Step 1 and don't fail classes or anything like that.
 
Black Coffee 24/7 said:
There are always FMG sweatshops in NYC with an open slot for you. Be prepared to work 90-100 hrs a week while trying to learn espanol on top of that.
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I had great scores and most of those places wouldn't interview me in my specialty as a DO. My theory is they want to have a staff that they can lord over with visas to ensure they don't complain
 
Echoing what others have said here - it depends on both the specialty you're choosing, your grades and you're willingness to consider North Jersey, Westchester, Staten Island and Nassau County in your definition of "New York".

Overall, IM, EM, Psych and Peds are all doable in NYC, with the caveat that you likely won't be working in any of the "Big 4" institutions (Columbia, Cornell, Sinai & NYU). Northwell, Montefiore, Downstate, Lincoln, Jacobi, NYMC, Maimonides, Staten Island University Medical Center, Hakensack are all relatively DO-friendly for most non-surgical specialties, with the drawback that you will have to live in the outer boroughs or stomach a long commute, while the satellite campuses of the Big 4 can be relatively open to DOs (NYU-Lutheran, NYP-Methodist, NYP-Queens, Sinai Beth Israel, St Lukes-Roosevelt, Northwell-Lenox Hill).

Outside of the aforementioned, most programmes in NYC are IMG sweatshops as others have mentioned. In general, avoid any of the programmes based primarily out of New York's HHC hospitals ( the public hospital system) - they tend to be dreadful and of dubious quality.
 
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Appreciate all the info fellas. I am open to any of the boroughs and even Westchester, Nassau, North Jersey. I don't really care about working in Manhattan, just would prefer to be in the NYC area... Considering the thoughts on IM, I would probably focus my energy into PMR and EM.

Last question, anything I can do to further my chances other than do well on step 1?
 
Neopolymath said:
Have fun working with unionized, ****ty, and lazy staff in a bad city.
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facts: During my interview at one, One of the nurses on the floor yelled at the chief resident for not checking in with her that we were on the floor. "You dont go into someone's house without ringing the doorbell". During interview season.. and the chief resident just stood there and took it. You have got to be kidding me.
 
EmergDO said:
PM&R would be tricky just because there aren't a lot of programs in the city (I think there are 6). EM would be doable if you have the scores and do well on your away rotations, there are a bunch of EM programs, ranging from very competitive (NYU) to not very competitive (Coney Island, Brooklyn Hospital). IM you could 100% do but as everyone said, NYC has a bunch of terrible IM programs that work you to the bone so be careful about where you apply. Obviously this assumes you do OK on your Step 1 and don't fail classes or anything like that.
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N=1, but one of my classmates (DO) matched NYU for PM&R. She was a solid applicant, but certainly not superstar status from what I know about her (good acquantaince).

Black Coffee 24/7 said:
The privilege of living in the Mecca is worth it.
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God do I hope this was sarcasm.

DO2015CA said:
facts: During my interview at one, One of the nurses on the floor yelled at the chief resident for not checking in with her that we were on the floor. "You dont go into someone's house without ringing the doorbell". During interview season.. and the chief resident just stood there and took it. You have got to be kidding me.
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Lol, I'd walk out on the interview right there. Possibly after stopping by the PD and letting them know that a wildly inappropriate and unprofessional event just happened on their interview day.
 
Stagg737 said:
N=1, but one of my classmates (DO) matched NYU for PM&R. She was a solid applicant, but certainly not superstar status from what I know about her (good acquantaince).



God do I hope this was sarcasm.



Lol, I'd walk out on the interview right there. Possibly after stopping by the PD and letting them know that a wildly inappropriate and unprofessional event just happened on their interview day.
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They were ranked very low
 
Stagg737 said:
N=1, but one of my classmates (DO) matched NYU for PM&R. She was a solid applicant, but certainly not superstar status from what I know about her (good acquantaince).

God do I hope this was sarcasm.



Lol, I'd walk out on the interview right there. Possibly after stopping by the PD and letting them know that a wildly inappropriate and unprofessional event just happened on their interview day.
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I agree PMR is pretty open, I know people who have gotten interviews in it at big name University places in nyc
 
hallowmann said:
NYS, probably (lots of programs of varying competitiveness), but depends heavily on the specialty. NYC also probably, but why?
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More of personal preference, grew up in NYC and I guess I'm biased towards the city. Yeah I know it's not the greatest in terms of cost of living, but I'm set with living arrangements for residency which is a big factor (family). Plus I know PMR is big in NYC so that's also a plus.
 
Lots of NY hate in here. I'll tell you that I interviewed at plenty of IM programs in NY, none of which are the typical sweatshops. You'll need USMLE to compete with the I/FMGs. The reputation of NYC residencies is undoubtedly true, but if you really want to live there, it is doable.
 
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