So, I know it's a little late in the year, but I finally decided to leave IM for psych. I just need more pt. contact then I'm getting here and psych is the only place for that. I'm currently a PGY-1, but have yet to make any moves. I'm at a mid-level, university affiliated hospital in a big city. My question is this, I'm an FMG w/ Step 1 -224 and Step 2 -210, no faliures, the psych program in the hosptial im at now is okay, but not too many fellowships offered. I've been told I should start there and see if they can get me a spot for PGY-2. I just want to know if anyone thinks this is the best idea, or would I be competative enough to land a better residency program if I left my program and just reapplyed next year (to either PGY-1 spots or PGY-2). It is somewhat comforting to think I can just slip into a spot in the hospital I'm at now, but I don't want to sell myself short and if I approach the program director here and he has something for me, I won't be able to say no at that point. Any advice would help.