M4 applying this current match cycle. Match Day is March 19 this year. When is the earliest that programs typically require a urine drug screen?

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You should assume rght after match. Our institution bylaws require drug testing immediately at time of job offer/acceptance. They have interpreted the match to be a job acceptance. Our candidates have 1 week unless there are extenuating circumstances. We use a national lab so you can be tested anywhere.
 
Kinda defeats the purpose if they let you when they are going to test, but I guess its just a “checkmark” on a long list of pre-employment things to get through.

No one that I know of got tested in Residency or fellowship (after the initial test)

Also... don’t do drugs when your whole career and $200,000 in debt are on the line
 
I know you know this, but for the future, It is NOT worth risking your entire career over weed. Residents can and are terminated for testing positive for cannabis - and many programs test at random throughout the year. Even in states where it is legal.
 
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