My friends, suffer any indignity, endure any hardship, make any bargain to avoid matching into a specialty which you do not like. Trust me on this. Try to match into the specialty of your choice, even if it is something for which you are not competative, and if you don't match have a plan to come back again next year with stronger credentials and better letters.
If this means scrambling into a preliminary surgery or medicine spot then suck it up and do it. Don't bemoan the lost year. Meaning no disrespect to the specialty, I made a big mistake scrambling into family medicine. I should have done a preliminary year. Since I am going through the match again this year for Emergency Medicine and will start out as an intern again next year, the year has been lost either way. If I had done a preliminary medicine year I would have at least had an easier time scheduling interviews and getting good letters because this is expected of an intern in a preliminary spot but not of someone in a categorical position.
I repeat. Don't "settle" for familiy practice just because it is so non-competative. If you want to be an FP then more power to you and you have my respect. If you don't want to then you will be very unhappy. Period. End of story.
Folks, I would almost rather go back to being a structural engineer than to finish the next two years in Family Practice. Family practice salaries are not that high and I could probably easily make the low-end salary as an engineer. I made higher than the mean salary for FP during one year as a private consulting engineer. (I have my professional engineering license) Don't think I haven't thought about it. I was almost to the point of sending my resume out to head-hunters but then I started getting interview offers for EM, a specialty which I truly enjoy and something that I would really like to do for the rest of my life.
Do not go into a specialty you will not like and don't try to convince yourself that being an MD is all that counts. There are huge differences between IM, surgery, FP, and EM. The distinctions are blurred in medical school because in doing a little of everything you kind of get the idea that everyone has a wide scope of practice. This is not the case. If you don't like continuity of care then FP is not for you. If you don't like long hours don't even think of surgery. If you don't like uncertainty and making decisions based on less than perfect information then maybe you'd pefer Internal Medicine to Emergency Medicine.
Do not find yourself making that lonely drive to a new job which you only hope you will like.
Stop this nonsense about C=MD. Yeah, it's true we all can't be dermatologists but most specialties have alternate paths by which they can be approached.