If I've shown no interest in derm thus far, but have started to think about it in my 4th year, do I have a chance of matching in California (family doesn't want to move out of state) if I take a year off and do some research after graduation? I go to a good school, did well on boards (high 240s) and honored in everything in 3rd year but psych. I've shown strong interest in other fields (research, leadership, etc.) but just haven't had any exposure to derm until now. Would derm residencies frown upon this late "switch"? What does everyone think?