I'm an MS4 on the interview trail in a moderately competitive speciality. I decided late in the year and did not pursue a research year to align with my SO. He is deciding on what he wants to do, but may do anything from IM to gen surgery. Both of us want to do academic medicine and would probably not be happy in a community program. If he does away rotations (once his mind is made up) is there a decent chance he can match in a good program if I go to a medium to large size city? Has anyone done this successfully?