Hi What are the chances of a person who completes a preliminary surgical year to match into a PGY-1 general surgery categorial year? Let's assume that the person does really well during the internship year and gets strong letters. Is that person a highly regarded candidate because he or she has proven themselves during the internship year? Also, is it a good idea to use some of the letters that I have now when I apply after the preliminary year? I'm a pretty strong candidate, however, I'm starting to realize that I may have to go that route. My orthopedic surgery chances are diminishing and I am in a bit of a depressed mood.