Late Switch to IM

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JP2740

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Didn't get any replies in the IM forum after a week, so thought I'd give it a go here. So I spent the first 2 months of 4th year doing surgery. I'm starting to think I want to do IM instead. IM was always the other field I was debating with so this isn't out of nowhere. I know I can definitely match into IM, but I really built a competitive app, and I would like to go to a very academic IM program. While I don't like doing surgery as much as I thought I would, I still like procedures, so I want to go into something like GI (which one of my main mentors through undergrad and med school practices, but of course, still open minded)-pretty competitive from what I hear, so program means a lot, right?

Step 1 was 260+, Step 2 CK scheduled in late october, step 2 cs taken without results back (hopefully a pass)
Junior AOA
High passed my 3rd year rotation - not honor; only honor surgery and ob/gyn, rest high pass
1 pub

Letter of Rec: We spend a few months in outpatient IM one day a week, so I'm going to get a letter from that guy. I have one from the chief of IM. Going to get one from surgeon, pedes, or FM attendings who liked me. Going to hopefully get one during september.

Here's a problem though, I cannot schedule a sub-I before apps are done. I'm thinking of doing like a MICU month in September to get my last LOR in for an intense inpatient experience, but I won't have the sub-I done or a letter from sub-I for the forseeable future. They may add a spot for me, but right now I'm looking at no.

1) Does taking Step 2 CK in late October matter?
2) Does not having my sub-I done or a letter from sub-I mean a lot?
3) Am I still competitive for very good academic programs that can help me eventually get a competitive fellowship (if I end up wanting to do one)?
4) Does not honoring my 3rd year rotation have a big effect?
 
I don't think you got a lot of replies because people don't know the answers to your questions. It's impossible to know what each program wants.

But in general IM is easy to match. So if you apply you will definitely match given your stats (don't worry about 3rd year rotation). And your stats are really good. Personally all I think you need is a LOR from an IM person (3rd year attending) and if you can get at least MICU that is good. Not sure I personally would risk CK (even though you'll do fine most likely) seeing that risks>rewards. I do think some programs want step 2 ck but it isn't a requirement yet as far as I know. And then write a good personal statement about why you switched to IM.

I think you'll be competitive for good programs. Obviously the better the program the easier it will be for you to match into a procedural field like GI or cardiology.
 
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