I haven't been around here but figured I'd post for the neurotic ones who will be looking next year like I was.
I matched my number 1, which is a middle of the road midwest academic program. They do have a history of taking 1-2 DO's a year and its close to my home city so I went for it. Just of note, I thought I was out because I sent them a letter of interest in later October, it got ignored. Did an AI there in November, still no interview and had little contact with the PD during this time, but then was given an interview for their last day in January in December. Sent them a letter of intent to no response. But I stuck with it, hoped for the best, and made the match!
Next part will just be a little bit about my situation for those of you who have kind of followed my journey and those of you who've reached out and message me. You're always welcome to ask questions! I'm just saying the same thing over and over again so I thought I'd post publically.
I haven't been shy about my level 1 failure with my retake >500, level 2 1st attempt >500, and passed my PE. I didn't take STEP as I was afraid to fail. I had a family death during my level 1 study time and no one on the interview trail even brought up the failure. I had research from undergrad that I presented at a large national conference so I threw that on my application, otherwise no research, very meaningless EC's. I did a little volunteering with NAMI. Grades in pre clinical years were mediocre, along with early clinical grades (Had to take my first few COMATs while trying to continue to prepare for level 1, they were pretty crappy and pulled me down to pass). Clinical grades drastically improved after Level 1, but I just had a P in my core psych rotation.
I've had multiple people message me asking me about how I faired/what I did to match my number 1. If you're someone with a less than stellar application, the big thing I think that helped was the AI. If you have somewhere you're interested in do an AI and work your butt off. Function as a resident, work as independently as you feel comfortable. Be impressive. Make a connection and follow up on those connections.
Also, don't apply to every program under the sun. It's a damn waste of money. I was panicking during ERAS time and researched every program that had taken DO's, didn't require STEP and didn't explicitly rule out a board failure. I also didn't apply Cali. This left me with 115 programs. I applied to every one of them and it was useless. I ended up with 10 interview invites, only 1 of those was from the shotgun approach. I didn't even go on that interview because it was offered to me at the end of January for the second week of February. I was done at that point and stuck to my 9 as I felt pretty confident in my ability to match at least 1 of them. They were all regional to me and in Florida where my parents own a home. If I would have curated a list of <50 programs the number of interviews I actually went on would have been the same. I'd recommend combing through the places you want to live, the places you have ties to, places that have graduates from your school and going from there. Much easier on the wallet and likely just as effective.
Ok anyway, thats my 4:30 am rant as I sit on hold with Expedia trying to still cancel my Europe trip that is supposed to leave in 2 days and have been trying to get through since midnight. Wish me luck.