IllinoisStudent said:
Does the multi-speciality match work the same way? Who decides which speciality you end up going? Let's say you applied to IM and EM, and you are matched w/ ur second IM choice and first EM choice. Can you go into either residency? I hope so.
You rank every program at which you interviewed and would consider attending from one to whatever. You can only have one number one, one number two and so on. The programs themselves rank their interviewed applicants who they would not mind having in their program from one to whatever. They can only have one number one, one number two, and etc.
On a certain day in March (?), the NRMP runs a computer program that matches you, the applicant, with the program you ranked highest which also ranked you high enough to fill one of their available spots. Even if you are realtively low on a program's rank list you can still match there if their top-ranked applicants match at other programs.
However, when you sign up for the NRMP, you sign a contract obligating you to either go to the program where you match or to sit out a year until the next match if you change your mind. (You cannot be forced to go where you don't want but you cannot make "side deals" outside the match.")
Consequently, you should not rank programs which, for whatever reason, you have no interest in attending. Don't even rank 'em last because if your first through eight choices didn't rank you high enough, you might be stuck.
As for multi-specialty matches, many programs will ask you during your interview if you are applying to other specialties. This is to assess your committement to their specialty. Now, the programs don't know to what other programs you have applied so you can lie (I suppose) but this is not advisable.
First, because lying is wrong. Period. Your word is your bond, in life and especially as a physician.
Second, because the world of academic medicine is fairly small and Dr. Shmuckatelli in the Dept. of Surgery at Bum**** University might mention to Dr. Rottencrotch in Emrgency Medicine at Podunk School of Medicine that he interviewed you and you will be caught in a lie. It happens.