I ended up matching at a small, almost brand new program in the Midwest near the end of my list. Happy with the location, but I can't help but be slightly disappointed about the program itself. I don't care as much about "prestige", my primary interest is in being a competent community rheumatologist who is able to provide a high level of care to patients. With that being said, I'm concerned that I won't get the didactics and MSK ultrasound/procedural experience necessary to do that. Really hoping for some guidance from our more seasoned colleagues.
To be clear, I know how fortunate I am to have matched at all. I wouldn't have ranked the place if I didn't think it was at least a distant possibility that I'd end up there. I know there are thousands out there who would take my spot in a heartbeat (and I hope their hard work is rewarded as mine was). I'm just a little disconcerted that I fell so far down my list with no obvious red flags and repeatedly positive feedback on my letters/interview performance.