A hypothetical situation: Dr. X starts her medicine prelim year at some nice university-based program. After a few months of questioning how she could best utilize her talents as well as stay challenged and stimulated by her career choice, Dr. X decides to remain in internal medicine. Which is more likely? Dr. X's prelim program will find a categorical spot for her, and she can continue her residency at the same program. Dr. X will have to find another residency program.