I'll throw my hat into the "chances" ring. I discovered that I was interested in psychiatry early third year during the clerkship. I was previously interested in neurology and was jumping between the two specialties until my neurology clerkship (not my cup of tea).
Tl;dr version:
Fairly competitive applicant from allopathic state school in mid-west interested in middle-to-upper tier academic program in desirable location
Step 1: 245
Step 2 CK/ CS: Take CK in July and CS in October
School: Allopathic state school in Midwest (not very well-known)
Class Rank: Unsure, assuming top half (possibly top 25%)
Grades in Clerkship: Honors in neurology and what I would consider high pass in the remaining clerkships (Our school grades clerkships based on 3 categories and excellent in 3/3 categories is required for honors, I've received excellent in 2/3 categories in all third year clerkships)
AOA: Not junior, unsure about senior
Research/ Publications/ Extracurriculars:
- No publications or previous research experience
- Currently working on a project examining risk factors for chronic homelessness
- Heavily involved (planning committee member, volunteer coordinator, long-term patient follow-up) with a free clinic for the homeless run by medical student
- Co-founder and planning group member of a ethics and humanities discussion group for medical students. This group has hosted ~30 discussions where students and faculty are invited to talk about various issues in modern society as they relate to medicine. We also have an ice cream bar at the events.
- Volunteered at other small events throughout the years (Boy Scout First Aid Day, Student Community Service Day, etc)
- Will be serving as a tutor group leader for an entire block (neurology/psychiatry) of the 2nd year PBL curriculum next year
- Fairly active in the neurology interest group (helped coordinate educational lectures given by faculty) and should have the opportunity for a leadership position in the psychiatry interest group when we get it up and running
- Hobbies include cycling, backpacking, craft beers, caving, kayaking, and mineral/fossil collecting
Red Flags: (step failures, etc) None
My psychiatry Sub-I is scheduled for August and I have an away rotation at a top program scheduled for September so hopefully those will result in solid letters. I have already requested letters from the psychiatry clerkship director (also the chair of adult psych at my school) and the neurology clerkship director and feel that they will be strong.
Overview of where you want to end up: My current program list (rough draft of course) includes: MGH/McLean, Yale, Columbia, NYU, UCLA-NPI, UCSF, UPMC, UPenn, Duke, UCSD, UCLA-Harbor, UW, Stanford, UNC, MUSC, Wash. U, UTSW, Baylor, UColorado, UIowa, OHSU, Vanderbilt, San Mateo, IndianaU, UNM
I'm mainly looking for a solid academic program that offer a wide variety of training opportunities in an urban/semi-urban setting. I'm particularly interested in community psychiatry and neuropsychiatry so programs strong in those areas would be great. Any advice regarding my chances or my program list would be much appreciated.