oh, and what's the deal with the surgery OSCE? can someone break it down for me? thanks.
As I recall, the surgery OSCE was pass/fail, and you could only fail it if you did something egregious. It was more like show up/fail. Pretty straight forward initial exam sort of stuff; abdominal pain, etc. I don't really remember any details of it other than that it was very easy.
Make no mistake, you have no time for electives. Not at this school.
Not that my opinion was asked for, but since when does that stop me? *evil laugh*
Alright, so I did these statistics using "Charting Outcomes from the Match", which only looks at NRMP data. Sorry early match folks, but I'm just not that ambitious.
Of the 14293 US seniors that applied in the match, 73% went into specialties that are covered by your third year core clerkships. The other 27% were in: derm, ER, ortho, path (although you could make an argument about that one, but it's only 300 students), radiology, rad onc or PM&R. There are third year electives available in ER (or, there used to be), ortho, radiology and PM&R. As I recall, some of the early matches (ENT, uro, etc) also have third year electives.
So the problem is this: if you have absolutely no idea what you want to do, and you don't like any of the core clerkships, then yes, you might have issues. But if you have an inkling (med vs surg, primary care vs. consultant, potpurri, etc), you should be able to target your third year to help you to rule in/rule out some things. I had my elective first and took radiology, because I thought that would be useful no matter what I did. And yes, I knew I wanted to do OB before the clerkship, but there was always the possibility I would change my mind.
Also, the beginning of your fourth year is a time to take electives to solidify your decision. July especially, but August as well. You can't submit ERAS until Sep 1, and letters of rec don't need to be in immediately, although it certainly doesn't hurt. The process of getting your fourth year schedule is a little strange, but most people get something in their top choice. I think I got either number 5 or 6 (we rank between 100 and 225 choices) as one of my courses. So if you've got a few things you're deciding between, you'll just put those up top and deal with the rest. You might end up with a weird elective, or bad timing for your med sub-I (those poor April people), but those are the decisions you make when you design your schedule.
Wow, I wrote a novel. Carry on.