This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Med School: T20 west coast
M1-M2 grades: Pass/Fail; all pass
M3 grades: P/F clinicals (all pass)
M4 grades: All Honors
Class rank: Top 10%
Step 1: Pass
Step 2: 281
AOA: School does not have AOA
GHHS: No
Research: 25 ERAS publications - 14 pubmed journal articles (3 first authors one is in IF 10+ journal, 3 middle authors in C/N/S, rest are 2nd - 8th author in various onc/derm/ortho journals), 11 oral/poster/abstracts.

Extracurriculars: random volunteering/leadership gigs nothing special

LORs: 2 research/clinical (heavier research) PI letters, one is GI, one is derm. 1 general IM letter. Hoping to get one more clinical IM/subspecialty letter on my current SubI. FWIW, I am switching from derm to IM very late in the process and am hoping to match top tier IM in hopes of pursuing a competitive fellowship down the road (onc or cardiology).

Geographic Signaling: East coast

Red flags: None

School list: MGH, Brigham, JHU, UCSF, Duke, Mayo, Penn, Michigan, Duke, Columbia, WashU, BIDMC, UChicago, Northwestern, Cornell, Vandy, Stanford, UTSW
Should I be applying to more programs? Not sure if my late specialty switch and lack of pure IM letters will be a big hindrance
haha all I have to say is wow. Youll match at one of the bolded programs. Probably one of the best IM apps Ive ever seen in my life. Add Yale Sinai NYU Emory. Maybe Tufts Georgetown GW or Jeff for a safety based on your preference after researching those programs
 
Last edited:
Med School: T20 west coast
M1-M2 grades: Pass/Fail; all pass
M3 grades: P/F clinicals (all pass)
M4 grades: All Honors
Class rank: Top 10%
Step 1: Pass
Step 2: 281
AOA: School does not have AOA
GHHS: No
Research: 25 ERAS publications - 14 pubmed journal articles (3 first authors one is in IF 10+ journal, 3 middle authors in C/N/S, rest are 2nd - 8th author in various onc/derm/ortho journals), 11 oral/poster/abstracts.

Extracurriculars: random volunteering/leadership gigs nothing special

LORs: 2 research/clinical (heavier research) PI letters, one is GI, one is derm. 1 general IM letter. Hoping to get one more clinical IM/subspecialty letter on my current SubI. FWIW, I am switching from derm to IM very late in the process and am hoping to match top tier IM in hopes of pursuing a competitive fellowship down the road (onc or cardiology).

Geographic Signaling: East coast

Red flags: None

School list: MGH, Brigham, JHU, UCSF, Duke, Mayo, Penn, Michigan, Duke, Columbia, WashU, BIDMC, UChicago, Northwestern, Cornell, Vandy, Stanford, UTSW
Should I be applying to more programs? Not sure if my late specialty switch and lack of pure IM letters will be a big hindrance
Maybe just have one safety school in one of those cities you are applying to like Boston or Philadelphia.
 
Med School: Low tier, rank 100ish?? Midwest
M1-M2 grades: Pass/Fail; all pass
M3 grades: Honored: IM, FM, Psych, Peds, and OB/Gyn, HP: Surgery
M4 grades: No grades as of yet
Class rank: Top 10%
Step 1: Pass
Step 2: 273
AOA: Did not get selected for AOA first app cycle, will be reapplying hoping to get it this time.
GHHS: No
Research: 1 journal publication first author, 3 published abstracts, 2 accepted abstracts pending publication, 2 abstracts pending results, and 2 journal articles in the manuscript writing stage.

Extracurriculars: Free clinic volunteering mainly, a lot of mentorship and tutoring.

LORs: 2 IM letters one from clerkship director, 1 letter from psych. Will try to obtain letter on subI.

Geographic Signaling: New England, mid Atlantic, and east north central. ORM. Family ties to NY. From the east north central region

Red flags: None

Goal: Heme/onc fellowship at this time

Am not sure which schools I should aim for. Without AOA currently and going to a **** tier school I'm not sure if top 20 programs would even look at my app. The more recent top tier matches at my school really only include WashU, UMich and Mayo if that speaks to school pedigree.

Extreme Reach: MGH, BWH, UPenn, Columbia
Reach: UMich, (UVirginia, WashU and Mayo? not in geo pref), Cornell, Northwestern, UChicago, BIDMC, Yale, NYU, Sinai, UPMC
Target: CCF, Case Western UH, Brown, UWisconsin, Boston U, OSU, Rush, Temple, UIC, Cincy, Indiana University, Montefiore, U Rochester, Rutgers RWJ, Loyola, Tufts, Dartmouth, SKMC Jefferson
Safety?: Buffalo, Henry Ford, UConn, UMass, Rutgers NJMS, Zucker, Case Western Metro, Stony Brook, Penn State, UVermont, SUNYs, Icahn Morningside, Beaumont Mich, Detroit Medical Center, NYU Long Island, Maine, Westchester, Albany, Allegheny, Geisinger, Lankenau

Will probably gold signal BIDMC, UMich and UH
Silver for other underlined atm. Am unsure what to signal or what would be a good distribution for them
 
Last edited:
Med School: Low tier, rank 100ish?? Midwest
M1-M2 grades: Pass/Fail; all pass
M3 grades: Honored: IM, FM, Psych, Peds, and OB/Gyn, HP: Surgery
M4 grades: No grades as of yet
Class rank: Top 10%
Step 1: Pass
Step 2: 273
AOA: Did not get selected for AOA first app cycle, will be reapplying hoping to get it this time.
GHHS: No
Research: 1 journal publication first author, 3 published abstracts, 2 accepted abstracts pending publication, 2 abstracts pending results, and 2 journal articles in the manuscript writing stage.

Extracurriculars: Free clinic volunteering mainly, a lot of mentorship and tutoring.

LORs: 2 IM letters one from clerkship director, 1 letter from psych. Will try to obtain letter on subI.

Geographic Signaling: New England, mid Atlantic, and east north central. ORM. Family ties to NY. From the east north central region

Red flags: None

Goal: Heme/onc fellowship at this time

Am not sure which schools I should aim for. Without AOA currently and going to a **** tier school I'm not sure if top 20 programs would even look at my app. The more recent top tier matches at my school really only include WashU, UMich and Mayo if that speaks to school pedigree.

Extreme Reach: MGH, BWH, UPenn, Columbia
Reach: UMich, (UVirginia, WashU and Mayo? not in geo pref), Cornell, Northwestern, UChicago, BIDMC, Yale, NYU, Sinai, UPMC
Target: CCF, Case Western UH, Brown, UWisconsin, Boston U, OSU, Rush, Temple, UIC, Cincy, Indiana University, Montefiore, U Rochester, Rutgers RWJ, Loyola, Tufts, Dartmouth, SKMC Jefferson
Safety?: Buffalo, Henry Ford, UConn, UMass, Rutgers NJMS, Zucker, Case Western Metro, Stony Brook, Penn State, UVermont, SUNYs, Icahn Morningside, Beaumont Mich, Detroit Medical Center, NYU Long Island, Maine, Westchester, Albany, Allegheny, Geisinger, Lankenau

Will probably gold signal BIDMC, UMich and UH
Silver for other underlined atm. Am unsure what to signal or what would be a good distribution for them
I would scotch basically all of the safeties minus maybe Vermont, UConn, UMass and Stony Brook; add in Hopkins, Georgetown, maybe Maryland/Minnesota/GWU. If you want another safety how about Cincinatti? UVa, WashU and Mayo are all right in your wheelhouse but if those areas are a dealbreaker for you then don't bother; on the other hand, might be worth at least sending out an application, seeing if you get an interview and hearing them out if so. I thinkyou'll get a few top 20 interviews (some combination of UChicago, Michigan, UPMC, NYU, UPMC and Yale if I had to guess) and will match either with one of them or certainly with one of your targets. AOA would help your cause of course.

The signalling stuff I really don't have a feel for at all, but intuitively I'd think targeting your signals towards the schools I listed above would be your best bet.
 
Last edited:
I would scotch basically all of the safeties minus maybe Vermont, UConn, UMass and Stony Brook; add in Hopkins, Georgetown, maybe Maryland/Minnesota/GWU. If you want another safety how about Cincinatti? UVa, WashU and Mayo are all right in your wheelhouse but if those areas are a dealbreaker for you then don't bother; on the other hand, might be worth at least sending out an application, seeing if you get an interview and hearing them out if so. I suspect you'll get a few top 20 interviews (some combination of UChicago, Michigan, UPMC, NYU, UPMC and Yale if I had to guess) and will match either with one of them or certainly with one of your targets. AOA would help your cause of course.

The signalling stuff I really don't have a feel for at all, but intuitively I'd think targeting your signals towards the schools I listed above would be your best bet.
This all sounds good! Thank you so much for the advice! Should I apply to all the top 30 and shoot my shot? I really am fine with any location, nothing can be worse than where I am from haha.
 
This all sounds good! Thank you so much for the advice! Should I apply to all the top 30 and shoot my shot? I really am fine with any location, nothing can be worse than where I am from haha.
If you're not picky about location, then yeah, go ahead and throw on Mayo/WashU/UVa. I'd add in Vanderbilt, Duke, UNC, Emory, UTSW, UCLA, UCSD, Stanford, UCSF, UWashington and UColorado too; with the exception of Stanford/UCSF/UCLA these would also very much be in your range.
 
Med School: Low tier, rank 100ish?? Midwest
M1-M2 grades: Pass/Fail; all pass
M3 grades: Honored: IM, FM, Psych, Peds, and OB/Gyn, HP: Surgery
M4 grades: No grades as of yet
Class rank: Top 10%
Step 1: Pass
Step 2: 273
AOA: Did not get selected for AOA first app cycle, will be reapplying hoping to get it this time.
GHHS: No
Research: 1 journal publication first author, 3 published abstracts, 2 accepted abstracts pending publication, 2 abstracts pending results, and 2 journal articles in the manuscript writing stage.

Extracurriculars: Free clinic volunteering mainly, a lot of mentorship and tutoring.

LORs: 2 IM letters one from clerkship director, 1 letter from psych. Will try to obtain letter on subI.

Geographic Signaling: New England, mid Atlantic, and east north central. ORM. Family ties to NY. From the east north central region

Red flags: None

Goal: Heme/onc fellowship at this time

Am not sure which schools I should aim for. Without AOA currently and going to a **** tier school I'm not sure if top 20 programs would even look at my app. The more recent top tier matches at my school really only include WashU, UMich and Mayo if that speaks to school pedigree.

Extreme Reach: MGH, BWH, UPenn, Columbia
Reach: UMich, (UVirginia, WashU and Mayo? not in geo pref), Cornell, Northwestern, UChicago, BIDMC, Yale, NYU, Sinai, UPMC
Target: CCF, Case Western UH, Brown, UWisconsin, Boston U, OSU, Rush, Temple, UIC, Cincy, Indiana University, Montefiore, U Rochester, Rutgers RWJ, Loyola, Tufts, Dartmouth, SKMC Jefferson
Safety?: Buffalo, Henry Ford, UConn, UMass, Rutgers NJMS, Zucker, Case Western Metro, Stony Brook, Penn State, UVermont, SUNYs, Icahn Morningside, Beaumont Mich, Detroit Medical Center, NYU Long Island, Maine, Westchester, Albany, Allegheny, Geisinger, Lankenau

Will probably gold signal BIDMC, UMich and UH
Silver for other underlined atm. Am unsure what to signal or what would be a good distribution for them

Not having AOA and going to a low tier school doesn't help, but the rest of your app does. I would say none of the Top 20 are out of the question except maybe MGH/BWH (whose class is mostly Harvard students plus a trickle of other top tier med schools) and to a lesser extent UCSF.

In all though you can add any of the T20-30s you're interested in that you haven't added. Whether you get the II will come down to a crapshoot but you'll certainly receive some love.

I had a similar app (though also AOA) and got interviews at all the T20s in my geo signal I applied to (and a few outside). Others at my school without AOA and weaker apps overall were at some of those interviews.
 
Not having AOA and going to a low tier school doesn't help, but the rest of your app does. I would say none of the Top 20 are out of the question except maybe MGH/BWH (whose class is mostly Harvard students plus a trickle of other top tier med schools) and to a lesser extent UCSF.

In all though you can add any of the T20-30s you're interested in that you haven't added. Whether you get the II will come down to a crapshoot but you'll certainly receive some love.

I had a similar app (though also AOA) and got interviews at all the T20s in my geo signal I applied to (and a few outside). Others at my school without AOA and weaker apps overall were at some of those interviews.
I’m just gonna have to hope I get AOA this time around 😭
 
Med School: Low tier, rank 100ish?? Midwest
M1-M2 grades: Pass/Fail; all pass
M3 grades: Honored: IM, FM, Psych, Peds, and OB/Gyn, HP: Surgery
M4 grades: No grades as of yet
Class rank: Top 10%
Step 1: Pass
Step 2: 273
AOA: Did not get selected for AOA first app cycle, will be reapplying hoping to get it this time.
GHHS: No
Research: 1 journal publication first author, 3 published abstracts, 2 accepted abstracts pending publication, 2 abstracts pending results, and 2 journal articles in the manuscript writing stage.

Extracurriculars: Free clinic volunteering mainly, a lot of mentorship and tutoring.

LORs: 2 IM letters one from clerkship director, 1 letter from psych. Will try to obtain letter on subI.

Geographic Signaling: New England, mid Atlantic, and east north central. ORM. Family ties to NY. From the east north central region

Red flags: None

Goal: Heme/onc fellowship at this time

Am not sure which schools I should aim for. Without AOA currently and going to a **** tier school I'm not sure if top 20 programs would even look at my app. The more recent top tier matches at my school really only include WashU, UMich and Mayo if that speaks to school pedigree.

Extreme Reach: MGH, BWH, UPenn, Columbia
Reach: UMich, (UVirginia, WashU and Mayo? not in geo pref), Cornell, Northwestern, UChicago, BIDMC, Yale, NYU, Sinai, UPMC
Target: CCF, Case Western UH, Brown, UWisconsin, Boston U, OSU, Rush, Temple, UIC, Cincy, Indiana University, Montefiore, U Rochester, Rutgers RWJ, Loyola, Tufts, Dartmouth, SKMC Jefferson
Safety?: Buffalo, Henry Ford, UConn, UMass, Rutgers NJMS, Zucker, Case Western Metro, Stony Brook, Penn State, UVermont, SUNYs, Icahn Morningside, Beaumont Mich, Detroit Medical Center, NYU Long Island, Maine, Westchester, Albany, Allegheny, Geisinger, Lankenau

Will probably gold signal BIDMC, UMich and UH
Silver for other underlined atm. Am unsure what to signal or what would be a good distribution for them
Your reaches are all in your wheelhouse. Extreme reaches are simply just reaches. AOA and top tier med school always helps but you clearly have wverything else so I wouldnt be surprised if you matched somewhere in the T25 if you interview well
 
Med School: T20 west coast
M1-M2 grades: Pass/Fail; all pass
M3 grades: P/F clinicals (all pass)
M4 grades: All Honors
Class rank: Top 10%
Step 1: Pass
Step 2: 281
AOA: School does not have AOA
GHHS: No
Research: 25 ERAS publications - 14 pubmed journal articles (3 first authors one is in IF 10+ journal, 3 middle authors in C/N/S, rest are 2nd - 8th author in various onc/derm/ortho journals), 11 oral/poster/abstracts.

Extracurriculars: random volunteering/leadership gigs nothing special

LORs: 2 research/clinical (heavier research) PI letters, one is GI, one is derm. 1 general IM letter. Hoping to get one more clinical IM/subspecialty letter on my current SubI. FWIW, I am switching from derm to IM very late in the process and am hoping to match top tier IM in hopes of pursuing a competitive fellowship down the road (onc or cardiology).

Geographic Signaling: East coast

Red flags: None

School list: MGH, Brigham, JHU, UCSF, Duke, Mayo, Penn, Michigan, Duke, Columbia, WashU, BIDMC, UChicago, Northwestern, Cornell, Vandy, Stanford, UTSW
Should I be applying to more programs? Not sure if my late specialty switch and lack of pure IM letters will be a big hindrance
I think you'll most likely match with the list you provided but yes, I think you should apply to more programs. For a west coaster my additions would be UCSD, UCLA, Colorado, OHSU and Washington at a minimum. Probably would also throw on Michigan, Yale, NYU, UNC. Add a couple target-safeties too: you don't seem to have any strong geographic preference so I'd say some combination of BU/Tufts/Georgetown/Maryland/Loyola/UIC/Minnesota. Maybe a couple of university programs in your favored cities (if you have them) that aren't listed above just for the sake of having a few true "safeties." Again I think you'd probably match with the list you gave but this process can be random and the consequences of not matching can be devastating.
 
If you're not picky about location, then yeah, go ahead and throw on Mayo/WashU/UVa. I'd add in Vanderbilt, Duke, UNC, Emory, UTSW, UCLA, UCSD, Stanford, UCSF, UWashington and UColorado too; with the exception of Stanford/UCSF/UCLA these would also very much be in your range.
Would the mayo AZ and FL, university of kentucky, univeresity of louisville, medical college of Wisconsin and Hopkins bayview be worth applying to as a safety?
 
Last edited:
I think you'll most likely match with the list you provided but yes, I think you should apply to more programs. For a west coaster my additions would be UCSD, UCLA, Colorado, OHSU and Washington at a minimum. Probably would also throw on Michigan, Yale, NYU, UNC. Add a couple target-safeties too: you don't seem to have any strong geographic preference so I'd say some combination of BU/Tufts/Georgetown/Maryland/Loyola/UIC/Minnesota. Maybe a couple of university programs in your favored cities (if you have them) that aren't listed above just for the sake of having a few true "safeties." Again I think you'd probably match with the list you gave but this process can be random and the consequences of not matching can be devastating.
With that application, I'll be surprised if they fall below 3rd (where I fell and most of my programs were the ones they applied to). I don't think it's as random as people say. Though I agree I would probably add at least SD, LA, Yale, UMich.
 
Would the mayo AZ and FL, university of kentucky, univeresity of louisville, medical college of Wisconsin and Hopkins bayview be worth applying to as a safety?
Yeah most of those places would certainly be safeties for you although honestly I don't think you need them. If you're open to Florida could consider UMiami and UWisconsin over MCW. But I think your list was very safety heavy to begin with. Unless the process has changed radically I don't see Loyola or Temple passing you up.
 
Yeah most of those places would certainly be safeties for you although honestly I don't think you need them. If you're open to Florida could consider UMiami and UWisconsin over MCW. But I think your list was very safety heavy to begin with. Unless the process has changed radically I don't see Loyola or Temple passing you up.
Appreciate all the advice! I tend to worry a lot lol. Will cut most of the safeties except the ones you thought were worth keeping. Didn't realize that a lot of the SUNY programs were a majority IMG, looked through residency explorer today and started narrowing down the list.

What I have now would include
Reach: UCSF, MGH, BWH, JHH, Duke, UPenn, Columbia, UMich, Mayo, Cornell, UTSW, UCLA, Vanderbilt, Stanford
Target: UChicago, UWashington, BIDMC, Yale, Baylor, NYU, Sinai, UPMC, UNC, UCSD, Colorado, Emory, UVA, CCF, Case Western UH, Brown, UWisconsin, Boston University, OSU, Rush
Safety: Temple, UIC, Cincinnati, Indiana, Montefiore, Rutgers RWJ, Loyola, Tufts, Dartmouth, SKMC Jefferson, UConn, UMass, Stony Brook, UVM, GWU, Georgetown, Hopkin’s Bayview, UKentucky, ULouisville, Mayo AZ, Mayo FL, UMiami, Geisinger, Allegheny, and Lankenau

Home affiliate safeties
 
Last edited:
Hey everyone! Here is a list of schools I was thinking of applying to. Any advice would be greatly appreciated! Got some great advice from Deecee2DO and would like to see if there is anything else I can do with my school list. Thank you in advance!

Med School: DO
M1-M2 grades: passed all classes
M3 grades: A's in IM, FM, Psych, Peds, OB/Gyn, and surgery.
M4 grades: No grades as of yet
Class rank: 2nd quartile
Step 1: Pass
Comlex1: Pass
Step 2: 241
Comlex 2: pending
AOA: No
GHHS: No
Research: 5 in total. 3 publications ( including a 1st author pub in a good journal), and 2 conference presentations (1 at a national and 1 at a local conference).
Extracurriculars: leadership involvement in an organization on campus, peer mentor
LORs: 1 from IM Hospitalist, 1 from FM outpatient, 1 from IM subspecialty, 1 from my school's IM chair
Geographic Signaling: All of the Southern regions (I think there are 3). I am from TX but go to school in another state
Red flags: None
Goal: Allergy and Immunology. possibly Heme/Onc. Would love to match into TX but going to a program that provides me a decent opportunity to pursue a fellowship is my number one priority

Schools:
AL: Crestwood Medical Center, UAB- Huntsville, USA
AR: UAMS
AZ: University of Arizona- Phoenix, University of Arizona- Tucson
Fl: UCF Orlando, Orlando Health, Advent Health-Orlando, UF-Jax, UF, USF, Advent Health-Tampa
GA: MCG
IN: IU
KS: KU
KY: University of KY, UofLouisville
LA: LSU Shreveport, LSU Baton Rouge, LSU NOLA, Willis Knighton (Shreveport)
MO: SLU, Mercy (St.Louis), St Luke (St. Louis), UMKC, U Missouri
MS: Umiss
SC: MUSC
TN: UT Memphis, UT Nashville, UT Chatanooga
TX: UT Tyler, Dallas Methodist, Houston Methodist, THR Forth Worth, THR Dallas, THR Plano, BSW- Fort Worth, BSW Dallas, BSW Temple, BSW Round Rock, UTMB, UT- Houston, UT- San Antonio, UT-Dell, Texas Tech Lubbock, TX Tech El Paso, Baptist Health Beaumont, Christus Health Longview
 
Last edited:
Hey everyone! Here is a list of schools I was thinking of applying to. Any advice would be greatly appreciated! Got some great advice from Deecee2DO and would like to see if there is anything else I can do with my school list. Thank you in advance!

Med School: DO
M1-M2 grades: passed all classes
M3 grades: A's in IM, FM, Psych, Peds, OB/Gyn, and surgery.
M4 grades: No grades as of yet
Class rank: 2nd quartile
Step 1: Pass
Comlex1: Pass
Step 2: 241
Comlex 2: pending
AOA: No
GHHS: No
Research: 5 in total. 3 publications ( including a 1st author pub in a good journal), and 2 conference presentations (1 at a national and 1 at a local conference).
Extracurriculars: leadership involvement in an organization on campus, peer mentor
LORs: 1 from IM Hospitalist, 1 from FM outpatient, 1 from IM subspecialty, 1 from my school's IM chair
Geographic Signaling: All of the Southern regions (I think there are 3). I am from TX but go to school in another state
Red flags: None
Goal: Allergy and Immunology. possibly Heme/Onc. Would love to match into TX but going to a program that provides me a decent opportunity to pursue a fellowship is my number one priority

Schools:
AL: Crestwood Medical Center, UAB- Huntsville, USA
AR: UAMS
AZ: University of Arizona- Phoenix, University of Arizona- Tucson
Fl: UCF Orlando, Orlando Health, Advent Health-Orlando, UF-Jax, UF, USF, Advent Health-Tampa
GA: MCG
IN: IU
KS: KU
KY: University of KY, UofLouisville
LA: LSU Shreveport, LSU Baton Rouge, LSU NOLA, Willis Knighton (Shreveport)
MO: SLU, Mercy (St.Louis), St Luke (St. Louis), UMKC, U Missouri
MS: Umiss
SC: MUSC
TN: UT Memphis, UT Nashville, UT Chatanooga
TX: UT Tyler, Dallas Methodist, Houston Methodist, THR Forth Worth, THR Dallas, THR Plano, BSW- Fort Worth, BSW Dallas, BSW Temple, BSW Round Rock, UTMB, UT- Houston, UT- San Antonio, UT-Dell, Texas Tech Lubbock, TX Tech El Paso, Baptist Health Beaumont, Christus Health Longview
Baylor College of Medicine in Houston takes DOs so consider adding them on
 
Med School: mid-tier MD in the midwest
M1-M2 grades: P/F, all passes
M3 grades: Honors in IM, Psych, Neuro, and OB/GYN; High pass in surgery, FM, and peds
M4 grades: P/F, all pass
Class rank: no ranking to my knowledge
Step 1: Pass
Step 2: 255
AOA: Pending
GHHS: No
Research: 2 basic science peer-reviewed pubs, middle author; 6 poster presentations 5 local and 1 national conference
Extracurriculars: Cancer advocacy group, spoke with legislators on capitol hill on multiple occasions. President of IM subspecialty organization for 3 years. Extensive medical student tutoring.
LORs: 1 from IM Hospitalist, 1 from psych PD, 1 ICU faculty/dean, 1 from my school's IM chair
Geographic Signaling: Unsure. Likely pacific, atlantic south, and midwest vs mid atlantic.
Geographic ties: Chicago, Southern Cal, SW Florida, Philly, Baltimore
Red flags: None
Goal: academic heme/onc, my spouse and I would like to move out of the midwest

Schools:
Reach: Duke, Johns Hopkins, WashU, Yale, Penn, Vanderbilt, Stanford, Northwestern, U Chicago, UCLA, UCSF
Target: Colorado, Emory, UNC, USC, UCSD, Maryland, Georgetown, IU, UIC, UAB, Baylor, Utah, Thomas Jeff, Temple, Ohio St, Wisconsin, Rush, Miami, Brown, Rutgers - RWJ
Safety: George Washington, UT Austin, UC Irvine, UT Houston, Loyola, U Tennessee Nashville, MUSC, USF, U Arizona Phoenix, Louisville, MCW

Hello, having a hard time assessing my competitiveness considering I'm coming from the midwest and wanting to land in the east or west coast. I plan to apply broadly but am not sure how I would like to signal and whether or not to include the midwest in my geographic preferencing. Should I make any changes to how I've organized these programs?
 
Would the mayo AZ and FL, university of kentucky, univeresity of louisville, medical college of Wisconsin and Hopkins bayview be worth applying to as a safety?
When people say Mayo what university is that? I always thought all the Mayos were the same prestige/rank.
 
So Mayo is Rochester? AZ and FL are good just not MGH JHH tier? Thank you for explaning
I think that’s a bit of a stretch. Mayo az and fl are community programs with some academic connections to main campus. It’s more like mayo is top tier and the others are good community programs nowhere near the prestige and quality of training of most mid tier academic joints
 
Med School: mid-tier MD in the midwest
M1-M2 grades: P/F, all passes
M3 grades: Honors in IM, Psych, Neuro, and OB/GYN; High pass in surgery, FM, and peds
M4 grades: P/F, all pass
Class rank: no ranking to my knowledge
Step 1: Pass
Step 2: 255
AOA: Pending
GHHS: No
Research: 2 basic science peer-reviewed pubs, middle author; 6 poster presentations 5 local and 1 national conference
Extracurriculars: Cancer advocacy group, spoke with legislators on capitol hill on multiple occasions. President of IM subspecialty organization for 3 years. Extensive medical student tutoring.
LORs: 1 from IM Hospitalist, 1 from psych PD, 1 ICU faculty/dean, 1 from my school's IM chair
Geographic Signaling: Unsure. Likely pacific, atlantic south, and midwest vs mid atlantic.
Geographic ties: Chicago, Southern Cal, SW Florida, Philly, Baltimore
Red flags: None
Goal: academic heme/onc, my spouse and I would like to move out of the midwest

Schools:
Reach: Duke, Johns Hopkins, WashU, Yale, Penn, Vanderbilt, Stanford, Northwestern, U Chicago, UCLA, UCSF
Target: Colorado, Emory, UNC, USC, UCSD, Maryland, Georgetown, IU, UIC, UAB, Baylor, Utah, Thomas Jeff, Temple, Ohio St, Wisconsin, Rush, Miami, Brown, Rutgers - RWJ
Safety: George Washington, UT Austin, UC Irvine, UT Houston, Loyola, U Tennessee Nashville, MUSC, USF, U Arizona Phoenix, Louisville, MCW

Hello, having a hard time assessing my competitiveness considering I'm coming from the midwest and wanting to land in the east or west coast. I plan to apply broadly but am not sure how I would like to signal and whether or not to include the midwest in my geographic preferencing. Should I make any changes to how I've organized these programs?
Tiers look reasonable. Most of your reaches are true reaches but that’s fine. Could add/sub places like Pitt, Case Western, Cleveland Clinic, Cincinnati, Michigan (reach), Minnesota, OHSU, UC Davis if you want. I think you’re likely to match to one of your target programs and you need to do some soul-searching about geographic preferences, esp. prestige vs leaving the Midwest.
 
Tiers look reasonable. Most of your reaches are true reaches but that’s fine. Could add/sub places like Pitt, Case Western, Cleveland Clinic, Cincinnati, Michigan (reach), Minnesota, OHSU, UC Davis if you want. I think you’re likely to match to one of your target programs and you need to do some soul-searching about geographic preferences, esp. prestige vs leaving the Midwest.
Thank you, very helpful!
 
Hey guys, just got my Step2 score recently and wanted to asses my competitiveness in terms of what tier of residencies I should aim for (or if I should even try for academic programs).

Med School: USDO
M1-M2 grades: Mostly A's, some B's
M3 grades: 7/10 honors (including 2 core IM's, Pulm/crit, and heme/onc rotations). 2 HP , 1 Pass (peds).
M4 grades: No grades yet.
Class rank: Top 30 out of 175
Step 1: Pass
Step 2: 250-255
Research: 2 case reports and 1 abstract published. 9 Poster presentations. Working with an attending and a resident for an ASH submission by August 1st.
Extracurriculars: VP of Cardiovascular Interest Group. 2x Touch/Volunteer service awards.
LORs: 1 from IM Assistant PD. 1 from Pulm/Crit Assistant PD. 1 from an Oncologist.
Geographic Signaling: Likely Pacific West, South Atlantic, and Mid Atlantic.
Geographic ties: California
Red flags: None
Goal: Academic heme/onc.
 
Last edited:
Hey guys, just got my Step2 score recently and wanted to asses my competitiveness in terms of what tier of residencies I should aim for (or if I should even try for academic programs).

Med School: USDO
M1-M2 grades: Mostly A's, some B's
M3 grades: 7/10 honors (including 2 core IM's, Pulm/crit, and heme/onc rotations). 2 HP , 1 Pass (peds).
M4 grades: No grades yet.
Class rank: Top 30 out of 175
Step 1: Pass
Step 2: 251
Research: 2 case reports and 1 abstract published. 9 Poster presentations. Working with an attending and a resident for an ASH submission by August 1st.
Extracurriculars: VP of Cardiovascular Interest Group. 2x Touch/Volunteer service awards.
LORs: 1 from IM Assistant PD. 1 from Pulm/Crit Assistant PD. 1 from an Oncologist.
Geographic Signaling: Likely Pacific West, South Atlantic, and Mid Atlantic.
Geographic ties: California
Red flags: None
Goal: Academic heme/onc.
What programs are you interested in? Make your own list and we can go from there.
 
Hi everyone! I recently got my step 2 score today and it was a lot lower than I expected. Given everything below, will I still be able to match IM? What are my chances of matching into a community program vs low tier academic program?

Med School: DO
M1-M2 grades: passed all classes
M3 grades: High Passed surgery, FM, OBGYN, peds, IM, OMM, Geriatrics. Honored Psych and my Cardio elective
M4 grades: No grades as of yet
Class rank: top 35th percentile
Step 1: Pass
Comlex1: Pass
Step 2: 236
Comlex 2: pending
AOA: No
GHHS: No
Research: 3 papers in a good journal from a wet lab I worked in at MGH during my gap years. 2nd author for 1 of them. 2 abstracts where I was 2nd author on one of them. 1 science paper and 1 paper that will be submitted soon. Presented 4 posters at student research day in my medical school. 2 posters from my undergrad (not sure if this counts)
Extracurriculars: leadership involvement student run clinic since 1st yr, student ambassador, mentorship program for under classman, leadership in another club 1st and 2nd yr where I organized a women in medicine panel, organized a 5k fundraiser for the student run clinic
LORs: 1 from IM Hospitalist, 1 from FM outpatient, 1 from IM subspecialty, 1 from my school's IM chair
Geographic Signaling: all of East coast
Red flags: None
 
Last edited:
Hi everyone! I recently got my step 2 score today and it was a lot lower than I expected. Given everything below, will I still be able to match IM? What are my chances of matching into a community program vs low tier academic program?
You'll still match but you need to apply to a lot of places. What are your career goals? If you have any interest in fellowships that are competitive (Cards, GI, Onc, PCCM) you need to apply to university and community programs that have these fellowships; your best shots will be at places in the Southeast and to a lesser extent the Midwest.
 
Would appreciate feedback on my list, really not sure if I’m competitive for the top-tier places with my obvious lack of pubs but decent research activities otherwise.



Med School: Regional campus of a T20 US MD—i guess its considered mid tier?

Step 1 / Level 1: Pass

Step 2 / Level 2: TBD (exam soon, scores in 265-270 range)

Clerkship grades: 7/7 Honors

Class rank: No rankings at my school.

Research: 12 entries total. 3 posters at national conferences (1st author on one i presented, 2nd author on two i didnt present.) 2nd author on a palliative care reflection piece in AAMC’s journal. an abstract publication in ASH. manuscript that will be submitted at time of app (first author). other entries are poster presentations at school research day/local conferences with a mix of case reports, clinical research, med-ed.

LORs: One from Heme/Onc fellowship chair at my institution (should be particularly strong, as he is also my mentor), combined letter from IM clerkship director and IM resident chair, one from FM attending whom I spent a ton of time with, one from peds heme/onc attending.

Gold Humanism: N/A at my school

AOA: N/A at my school

ECs: enjoy writing and had one of my pieces published in a college textbook, presented a med-ed workshop at a national conference, served as class representative for 1 year, co-chair of weightlifting club for 1 year, lots of free clinic volunteering all years, apart of mentoring program for local & low SES college students all years, peer mentor for M1s, solid amount of social determinants of health-ish work before med school.

Story: Feel-good ‘american dream’ story lol. Low SES, no family in medicine, my parents are immigrants and never went to college, I went to NYC public schools my entire life, father drove yellow cab to support us. yada yada.

Red flags: none.

Career goals: Heme/Onc

School list:

Reaches: MGH, BWH, UPenn, Hopkins, Columbia, UCSF, Stanford
Target: Mt. Sinai, Cornell, NYU, BIDMC, Northwestern, UChicago, Yale, UVA, UMich, Mayo (MN), Pittsburgh, Brown
Safety: Georgetown, GWU, BU, Jefferson, Brown, Tufts, VCU, Hofstra, RWJ, Monte
 
Would appreciate feedback on my list, really not sure if I’m competitive for the top-tier places with my obvious lack of pubs but decent research activities otherwise.



Med School: Regional campus of a T20 US MD—i guess its considered mid tier?

Step 1 / Level 1: Pass

Step 2 / Level 2: TBD (exam soon, scores in 265-270 range)

Clerkship grades: 7/7 Honors

Class rank: No rankings at my school.

Research: 12 entries total. 3 posters at national conferences (1st author on one i presented, 2nd author on two i didnt present.) 2nd author on a palliative care reflection piece in AAMC’s journal. an abstract publication in ASH. manuscript that will be submitted at time of app (first author). other entries are poster presentations at school research day/local conferences with a mix of case reports, clinical research, med-ed.

LORs: One from Heme/Onc fellowship chair at my institution (should be particularly strong, as he is also my mentor), combined letter from IM clerkship director and IM resident chair, one from FM attending whom I spent a ton of time with, one from peds heme/onc attending.

Gold Humanism: N/A at my school

AOA: N/A at my school

ECs: enjoy writing and had one of my pieces published in a college textbook, presented a med-ed workshop at a national conference, served as class representative for 1 year, co-chair of weightlifting club for 1 year, lots of free clinic volunteering all years, apart of mentoring program for local & low SES college students all years, peer mentor for M1s, solid amount of social determinants of health-ish work before med school.

Story: Feel-good ‘american dream’ story lol. Low SES, no family in medicine, my parents are immigrants and never went to college, I went to NYC public schools my entire life, father drove yellow cab to support us. yada yada.

Red flags: none.

Career goals: Heme/Onc

School list:

Reaches: MGH, BWH, UPenn, Hopkins, Columbia, UCSF, Stanford
Target: Mt. Sinai, Cornell, NYU, BIDMC, Northwestern, UChicago, Yale, UVA, UMich, Mayo (MN), Pittsburgh, Brown
Safety: Georgetown, GWU, BU, Jefferson, Brown, Tufts, VCU, Hofstra, RWJ, Monte
I think you most likely match at one of your targets, if you do as well on Step 2 as your practice scores predict. Could definitely get a reach...but could also potentially drop down to the safety range (although I'd be suprised if Brown or UVa pass you up). Certainly for you it's worth the application fee at all the places you list.
 
I think you most likely match at one of your targets, if you do as well on Step 2 as your practice scores predict. Could definitely get a reach...but could also potentially drop down to the safety range (although I'd be suprised if Brown or UVa pass you up). Certainly for you it's worth the application fee at all the places you list.
Thank you, I really appreciate the insight.
 
OHHey guys, just got my Step2 score recently and wanted to asses my competitiveness in terms of what tier of residencies I should aim for (or if I should even try for academic programs).

Med School: USDO
M1-M2 grades: Mostly A's, some B's
M3 grades: 7/10 honors (including 2 core IM's, Pulm/crit, and heme/onc rotations). 2 HP , 1 Pass (peds).
M4 grades: No grades yet.
Class rank: Top 30 out of 175
Step 1: Pass
Step 2: 250-255
Research: 2 case reports and 1 abstract published. 9 Poster presentations. Working with an attending and a resident for an ASH submission by August 1st.
Extracurriculars: VP of Cardiovascular Interest Group. 2x Touch/Volunteer service awards.
LORs: 1 from IM Assistant PD. 1 from Pulm/Crit Assistant PD. 1 from an Oncologist.
Geographic Signaling: Likely Pacific West, South Atlantic, and Mid Atlantic.
Geographic ties: California
Red flags: None
Goal: Academic heme/onc.

School list: Full disclosure, I've asked a lot of people on how to stratify reach/target/safety and I got a lot of conflicting advice. I personally just based it off the % of DO's they take and fellowship matches. My apologies if certain schools are in the wrong tiers! I don't mind location too much, I care more about being able to land a solid fellowship after, but I've bolded the schools I definitely prefer.

Super High Reach: Hopkins, Wake, U Washington, UC Davis, Emory, Rutgers/Robert Wood, Thomas Jefferson, Brown, Montefiore Medical/Albert Einstein

Reach: Scripps Green Hospital, UCI, Kaiser Permanente Oakland, OHSU, UCLA Harbor, U Rochester, Cleaveland Clinic, Westchester, Temple, U Miami, U Cincinnati, George Washington, Morehouse, Icahn Morningside/West and Icahn Beth Isreal, Stony Brook, University of Florida Gainsville, University of South Florida Morsani

Target: Scripps Mercy, UCSF Fresno Loma Linda, Kaiser Permanente LA, Charles R Drew, Cottage in Santa Barbara, Rutger Health/New Jersey, Mount Sinai Florida, University of Jacksonville, Virginia Commonwealth, Cooper Medical at Rowan, Hackensack University, Lenox Hill, U Buffalo, Penn State, U Arizona Phoenix and U Arizona Tucson, UMass Chan Baystate and Umass Chan Worcester.

Safety: Kaiser Permanente Fontana, Adventist Health White (CA), Riverside University Health Systems, San Ysidro, Prism Health/ U South Carolina Columbia Program, Carillon Clinic-Virginia Tech, St Luke's University Program, Geisinger Health System (PA)
 
Last edited:
I'd appreciate any help with signals and gauging competitiveness, TIA

Med School: Low tier USMD
M1-M2 grades: Pass/Fail; all pass
M3 grades: 6/7 H, HP in OB
M4 grades: Honored medicine SubI
Class rank: 1st quartile
Step 1: Pass
Step 2: 260s
AOA: Yes
GHHS: No
Research: 15 first author publications, some in name-brand journals you've heard of. A number of middle author publications, plus many poster and oral presentations at national conferences. About 60 total research items.

Extracurriculars: Lots of mentorship activities, some volunteering. Strong leadership, founded 3 organizations at my university

LORs: 1 from IM chair, 3 subspecialty

Geographic Signaling: Midwest, East coast (NYC), South Atlantic (NC, SC, GA, FL)

Red flags: None

Goal is competitive fellowship. Want to stay academic for a while and match at the best place in a desirable (large) city. Not sure how to use my signals and gauge where I'm at.
(g) = gold signal, (s) = silver signal

Reach: MGH/Brigham, Hopkins, Mayo, Penn (s), Vanderbilt (s), UPMC (s), Duke, UNC, Northwestern (g), Columbia (s), Cornell (s), UChicago (s), UTSW, WashU, Michigan

Target: Baylor, Beth Israel, Boston University, Brown, Case Western, Cleveland Clinic, Dartmouth, Einstein, Emory (s), Mount Sinai (g), NYU (s), OSU (s), Rush (g), UVA, Wisconsin

Safety: George Washington, Georgetown (s), Indiana, Loyola, MCW, MUSC (s), SLU, Temple, Jefferson, Cincinnati (s), UIC (s), Miami, Minnesota, USF, Wake Forest, Henry Ford
You are a very competitive applicant. You should not have any issue getting interviews from those programs you are signaling. Mayo, UPMC, UTSW, UNC would not be considered reach programs for you
 
Top 20 school, 273 Step 2, lots of research, lots of EC and leadership, all Honors, URiM

As someone interested in academics, who plans to do a fellowship in a competitive field, is it "silly" to rank programs like Brown or Yale over programs like Hopkins, mainly because I want to stay in the Northeast not-big-city areas vs moving away to say Baltimore or elsewhere?

How much of a difference in my career does it make?
Is there truly a big difference in the training?

tyty
 
Top 20 school, 273 Step 2, lots of research, lots of EC and leadership, all Honors, URiM

As someone interested in academics, who plans to do a fellowship in a competitive field, is it "silly" to rank programs like Brown or Yale over programs like Hopkins, mainly because I want to stay in the Northeast not-big-city areas vs moving away to say Baltimore or elsewhere?

How much of a difference in my career does it make?
Is there truly a big difference in the training?

tyty
You are likely to be the rate limiting step in your career success, not the residency or fellowship program you go to. That said, connections, especially in academics, matter. And you get more and "better" connections at the bigger names than you would at a smaller place like Brown. Only you can decide how much that matters for you.
 
You are likely to be the rate limiting step in your career success, not the residency or fellowship program you go to. That said, connections, especially in academics, matter. And you get more and "better" connections at the bigger names than you would at a smaller place like Brown. Only you can decide how much that matters for you.
I note you specified Brown, what about Yale (which is like... 10 miles from where I grew up).

Honestly I think the only thing that would make me go one way is if I genuinely thought I'd get better training. And maybe Hopkins is just really good at selling the "Osler Way," and their alum speak about it in such a light (almost cult like though...) which makes me feel a fool for considering otherwise heh. I'll admit there's some upward pressure from faculty as well who went through that training.
 
I note you specified Brown, what about Yale (which is like... 10 miles from where I grew up).

Honestly I think the only thing that would make me go one way is if I genuinely thought I'd get better training. And maybe Hopkins is just really good at selling the "Osler Way," and their alum speak about it in such a light (almost cult like though...) which makes me feel a fool for considering otherwise heh. I'll admit there's some upward pressure from faculty as well who went through that training.
Yale is in another tier from Brown imo; it (Yale) probably loses most head-to-head battles with MGH et al but they compete for the same pool of applicants. Going there would not hold you back in any way (nor would Brown, for that matter).
 
Last edited:
I note you specified Brown, what about Yale (which is like... 10 miles from where I grew up).

Honestly I think the only thing that would make me go one way is if I genuinely thought I'd get better training. And maybe Hopkins is just really good at selling the "Osler Way," and their alum speak about it in such a light (almost cult like though...) which makes me feel a fool for considering otherwise heh. I'll admit there's some upward pressure from faculty as well who went through that training.
Brown is in a different tier compared to Yale and the Harvard affiliated programs, and Columbia and Cornell, etc , etc. It’s a solid mid tier program that will more than likely be just fine for you. (Note that I did residency and fellowship at a “solid mid-tier program” that I chose for reasons other than just career prospects.

For someone with a hyper specific end goal though, you should look less at the name and reputation of a place and more at what they offer that is specific to your interests and goals. For all I know, Brown might be a better choice for you than MGH or Hopkins, but it might not be.

The thing about the transition to residency is that it’s less about chasing prestige (star ****ing, if you will) and more about finding the right environment for you.

I will also note that, as long as everyone keeps buying into the virtual interview BS, this will be hard to do.
 
Hey everyone! Here are some programs I'm interested in. Overall very middling applicant so wanted some advice on how to go about my list of programs focusing on strong community programs and low/mid tier academic. Feel free to be brutally honest.

Med School: DO
M1-M2 grades: passed all classes
M3 grades: High pass on all rotations
M4 grades: Honored my sub-specialty rotation so far (Sub-I isn't until the week ERAS is due)
Class rank: 3rd Quintile
Step 1: Pass
Comlex1: Pass
Step 2: 240
Comlex 2: pending
AOA: No
GHHS: Yes
Research: 5 Publications (3 from wet lab work, 1 chapter, 1 review paper), 3 Posters (1 more pending unsure if it'll be done before ERAS)
Extracurriculars: Student Body Leadership, Student leader E-Board of Multiple Clubs, Yearlong Service Project
LORs: Strong SLE from 3rd Year IM rotation and IM chair, 1 from IM subspecialty, 1 from Hospitalist
Geographic Signaling: Northeast (NH, CT, NY, MA, PA, NJ)
Red flags: None
Goal: GI, HemeOnc, Rheumatology

Reach Programs: Temple, UConn, UMass Chan Baystate, UMass Chan Medical School, Montefiore, Rutgers, Cooper,
Target Programs: Pennsylvania Hospital, Jefferson-Abbington, Hackensack University, Lehigh Valley, Bridgeport/Yale University, Quinnipiac, Geisinger Health System, Morristown, Albert Einstein Philly
Safety Programs: Jefferson New Jersey, Virtua, Danbury Hospital Program, St Lukes University, Christiana, Inspira
 
Last edited:
Hi everyone, pretty excited to finally get to post in this thread. Really appreciate everyone's insights.

Med School: T30 USMD program (state school, not ivy/brand name)
M1-M2 grades: Pass/Fail; all pass
M3 grades: 3/7 honors (honors in IM), 3 high pass, 1 pass (surgery)
M4 grades: no medicine SubI grade yet
Class rank: 1st quartile
Step 1: Pass
Step 2: 271
AOA: Yes
GHHS: No
Demographics: white
Research: 5 publications, all in rads/surgery, no first author, 12 posters/abstracts (3 in IM). Nothing particularly impactful or interesting. Not in well known journals.

Extracurriculars: leadership in free clinic, IM club leader, underserved community work

LORs: 1 from IM chair, 2 gen med, 1 subspecialty, none amazing none terrible

Geographic Signaling: Midwest, central (for Mayo), new england (for Yale and BIDMC)

Red flags: None

Aiming to do a heme onc fellowship after residency. Goal is to match at an elite academic IM program that doesn't have a terrible schedule (hence the Mayo, Yale, and BIDMC gold signals, they all have decent schedules).

My school has very poor advising, so I'm basically just curious about if I'm competitive for the top programs. Is it worth doing a gold signal for one of the big 4 (other than hopkins, f that call schedule)? Is my signaling list too top heavy?

Big 4- ??
T10- Duke (silver), Mayo (gold), UTSW (silver), Michigan (silver), Penn (silver)
T20- Vandy, Yale (gold), BIDMC (gold), Cornell (silver), Northwestern, UChicago
T30- Baylor, Cleveland clinic (silver), UCSD (silver)
T40- OSU (silver)
Other- Miami, Cincy (silver)
 
@gutonc any thoughts? Particularly interested in heme/onc
My understanding of the signalling thing is that the gold = most interest, silver = less (but still interested, since you only have so many signals)? Imo for somebody like you using a gold on Rush is a waste and you should swap it with one of the silvers on your reach list (UChicago perhaps?).
 
Hi everyone, pretty excited to finally get to post in this thread. Really appreciate everyone's insights.

Med School: T30 USMD program (state school, not ivy/brand name)
M1-M2 grades: Pass/Fail; all pass
M3 grades: 3/7 honors (honors in IM), 3 high pass, 1 pass (surgery)
M4 grades: no medicine SubI grade yet
Class rank: 1st quartile
Step 1: Pass
Step 2: 271
AOA: Yes
GHHS: No
Demographics: white
Research: 5 publications, all in rads/surgery, no first author, 12 posters/abstracts (3 in IM). Nothing particularly impactful or interesting. Not in well known journals.

Extracurriculars: leadership in free clinic, IM club leader, underserved community work

LORs: 1 from IM chair, 2 gen med, 1 subspecialty, none amazing none terrible

Geographic Signaling: Midwest, central (for Mayo), new england (for Yale and BIDMC)

Red flags: None

Aiming to do a heme onc fellowship after residency. Goal is to match at an elite academic IM program that doesn't have a terrible schedule (hence the Mayo, Yale, and BIDMC gold signals, they all have decent schedules).

My school has very poor advising, so I'm basically just curious about if I'm competitive for the top programs. Is it worth doing a gold signal for one of the big 4 (other than hopkins, f that call schedule)? Is my signaling list too top heavy?

Big 4- ??
T10- Duke (silver), Mayo (gold), UTSW (silver), Michigan (silver), Penn (silver)
T20- Vandy, Yale (gold), BIDMC (gold), Cornell (silver), Northwestern, UChicago
T30- Baylor, Cleveland clinic (silver), UCSD (silver)
T40- OSU (silver)
Other- Miami, Cincy (silver)
Yeah I think giving a gold to one of MGH/BWH would be worthwhile. I'd give Mayo one of your silvers, you're already very competitive there. You should get interviews at UCSD and CC and OSU and Cincy without a signal so you might consider giving the rest of those signals to more competitive places like NW and UChicago.
 
I'd appreciate any help with signals and gauging competitiveness, TIA

Med School: Low tier USMD
M1-M2 grades: Pass/Fail; all pass
M3 grades: 6/7 H, HP in OB
M4 grades: Honored medicine SubI
Class rank: 1st quartile
Step 1: Pass
Step 2: 260s
AOA: Yes
GHHS: No
Research: 15 first author publications, some in name-brand journals you've heard of. A number of middle author publications, plus many poster and oral presentations at national conferences. About 60 total research items. All data-driven projects, no case reports.

Extracurriculars: Lots of mentorship activities, some volunteering. Strong leadership, founded 3 organizations at my university

LORs: 1 from IM chair, 3 subspecialty

Geographic Signaling: Midwest, East coast (NYC), South Atlantic (NC, SC, GA, FL)

Red flags: None

Goal is competitive fellowship. Want to stay academic for a while and match at the best place in a desirable (large) city. Not sure how to use my signals and gauge where I'm at.
(g) = gold signal, (s) = silver signal

Reach: MGH/Brigham, Hopkins, Mayo, Penn (s), Vanderbilt (s), UPMC (s), Duke, UNC, Northwestern (g), Columbia (s), Cornell (s), UChicago (s), UTSW, WashU, Michigan

Target: Baylor, Beth Israel, Boston University, Brown, Case Western, Cleveland Clinic, Dartmouth, Einstein, Emory (s), Mount Sinai (g), NYU (s), OSU (s), Rush (g), UVA, Wisconsin

Safety: George Washington, Georgetown (s), Indiana, Loyola, MCW, MUSC (s), SLU, Temple, Jefferson, Cincinnati (s), UIC (s), Miami, Minnesota, USF, Wake Forest, Henry Ford
Fellow IM applicant here. Your CV is really impressive. I'm in a similar boat with not understanding how to use signals. Have folks at your school offered any insight, particularly in their confidence in you obtaining interviews from places that you don't signal (especially your safety list)? Clearly your application will be viewed favorably everywhere. I've heard conflicting things (i.e. some PDs say no signal = no interview, whereas others will do a "holistic" app review).

Truthfully I think it's all kind of ridiculous haha but I do understand PDs wanting to cut down the number of apps they review through the program/geo signaling stuff.
 
Yeah I think giving a gold to one of MGH/BWH would be worthwhile. I'd give Mayo one of your silvers, you're already very competitive there. You should get interviews at UCSD and CC and OSU and Cincy without a signal so you might consider giving the rest of those signals to more competitive places like NW and UChicago.
Any recommendations for split between reach/target/safety ratio for signaling? And honestly unclear to me what my safety programs would be, T20s?
 
Requesting some help with general sense for competitiveness!!!

Med School: Low tier USMD in east coast city

M1-M2 grades: all pass, top quartile

M3 grades: 5/7 H, HP in surgery and peds

M4 grades: HP in medicine Sub-I

Class percentile: unsure, but probably 20-30th percentile

Step 1: Pass

Step 2: 260

AOA: potentially

GHHS: potentially

Research: total research items is 17. 4 publications (2 first author papers), 5 are published abstracts, 8 posters.



Extracurriculars: mix of teaching and mentoring, volunteering (held leadership role in clinic for homeless shelter), student government (not president), created an organization related to art and medicine in school, leadership for a bunch of other clubs, lots and lots of research



LORs: 1 from hospitalist, 1 from a subspecialty, and 1 from IM PCP, definitely good but not sure if they’re “strong”



Geographic Signaling: New England, Mid-Atlantic, East North Central (Ohio, Michigan, Wisconsin etc)

I am from New England and have strong ties there



Red flags: None



Goal: GI or heme-onc



Of note: I’m couples matching with someone going into a surgical subspecialty that does not have many programs, so I will be applying to pretty much every academic IM program in the country. I’ve only listed the programs I am thinking of signaling here

Reach:
UPenn, BIDMC, Yale, NYU, Mount Sinai, Duke, Mayo in Rochester, Wash-U

Target:
Temple, UPMC, Jefferson, case western, Cleveland clinic, Georgetown, Boston University, Tufts, Rutgers Robert Wood, Brown, Emory, Rush, Ohio State

Safety:
Hofstra, UMass, Mount Sinai Morningside-West, Rutgers New Jersey (in Newark), Cooper

I am thinking of giving the silver signal to target and safety programs, gold to 2 reaches and 1 target program that I especially want to match at!
 
Med School: Mid Tier USMD, Top ~40-50
M1-M2 grades: Pass/Fail; all pass
M3 grades: 4/7 honors (honors in IM), 3 high pass
M4 grades: We have to do 2 SubI's, Pass on the first, Honors on the second
Class rank: 2nd quartile
Step 1: Pass
Step 2: 269
AOA: No
GHHS: No
Demographics: white
Research: Not much, I hate reserach. A few low commitment projects with little to no output. Have 1st author review article from undergrad, just a case report in med school, working on a manuscript that won't be submitted in time.
Extracurriculars: nothing too notable
LORs: IM chair, a couple hospitalists from my SubI's (hoping to soften up the P on the first SubI)
Geographic Signaling: Will overlap with my Silver/Gold's
Red flags: None
Career goals: Heme/onc. Want to go academic residency to maximize my chances of matching heme/onc, but have no interest in academics or research for my actual career.
Golds: Oregon, USC, Colorado
Silvers: UCSD, UPMC, Cincy, Ohio State, Case Western, Cleveland Clinic, Utah, UC Davis, UC Irvine, Rush, Cedars Sinai, UI-Chicago
Others: will apply to a ton of others, mostly lower and mid tier academic places within my GEO signal + a few local community programs

Q's: -If we assume my main chances of getting interviews are from my signals, am I aiming at the right level? I have no true safety's signaled (other than home program as silver), but am also trying not to waste any on mega-reaches. Have been contemplating UWashington, UChicago, Uva, Georgetown, UAB, Mayo Scottsdale, Arizona-Tucson, Arizona-Phoenix as silvers.

- @gutonc Does going to a say top 50-60ish program vs top ~30 program even matter for my career goals given I have no long term interest in academics/research? I would love geographic mobility but only see myself staying in PP/hospital employed.

-How much does the P on one of two SubI's matter?
 
Top