Question: if we don't match for prelim...

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Terpskins99

Fear... The Stig
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Is it possible, we are unmatched for this year and can be pulled from the advanced residency as well?

I did match for an advanced residency, but wouldn't object to re-entering the match next year.
 
Is it possible, we are unmatched for this year and can be pulled from the advanced residency as well?

I did match for an advanced residency, but wouldn't object to re-entering the match next year.

Intern years are required for the advanced spots. So yes, you would probably get pulled. The PD's next year may question you why you didn't get an intern year since there are so many prelim med or surg spots. It might be a red flag.
 
Intern years are required for the advanced spots. So yes, you would probably get pulled. The PD's next year may question you why you didn't get an intern year since there are so many prelim med or surg spots. It might be a red flag.

We're maxed at 30 prelim spots that we can apply to through ERAS. And according to the NRMP, there were only 41 sites that had prelim positions available anyhow.

I don't think I can do a prelim surgery year since I'm currently going into neurology (we have a minimum number of required IM floor months).
 
terpskins,
if you don't match into a prelim year, you need to scramble for an IM intern year if you want to do the PGY2 in neuro. You HAVE to do a prelim year (or TY). You should be able to get an IM prelim year if you were competitive enough to get neuro. You could also contact your future neuro PD and see if he/she can do anything to help you get into a prelim year. Sometimes a prelim year spot can be created for you, if the neuro program is at a big hospital that needs a lot of interns...he/she might also know of a nearby hospital that needs a prelim intern.
 
can i call my advanced PD today and ask for help? I know where I matched advanced as I know the city and I ranked only one program there...

Is it a match violation if I call them today?
 
You can call, and it is not a match violation. I called my PD today because my other half my couple's match didn't match an advanced position and the match had to tell us where I matched for him to scramble (not that scrambling is going very well at all, we still haven't spoken to a human and none of our faxes are going through)
 
You can call, and it is not a match violation. I called my PD today because my other half my couple's match didn't match an advanced position and the match had to tell us where I matched for him to scramble (not that scrambling is going very well at all, we still haven't spoken to a human and none of our faxes are going through)
Good grief, tell me about it.

Over half of the prelim medicine spots disappeared RIGHT when the scramble started. That is complete BS. EVERYONE is violating the rules.
 
I hear ya...did you have any luck..I am so frutrated by this process.
my only hope is to try and get my advanced program to help me, but I am so nervous about what they will say.
I am surprised I have never read abt a similar situation on the forums...it has to have happened with someone..what do you do if you do not match even after the scramble?
 
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hey. im in same boat. got matched to advanced, figured out where it was, but zero luck with scrambling for prelim spot. i was afraid to call untill thursday...wasnt sure about violations and all.
did you call, and how did it go?
 
Good grief, tell me about it.

Over half of the prelim medicine spots disappeared RIGHT when the scramble started. That is complete BS. EVERYONE is violating the rules.

Exactly. Last night we all saw stats saying 89 spots in IM prelim. This morning, NRMP list said 41. WTF?? 😕
 
Exactly. Last night we all saw stats saying 89 spots in IM prelim. This morning, NRMP list said 41. WTF?? 😕

My guess is that it was people who needed a prelim year (or didn't match period) who got a spot at their home program.
 
pls do post if you contacted your advanced program bc of no luck w prelim....

also, anyone sny thought abt surgery prelim for neuro?
 
I did contact them, but couldnt get thru. I am hoping I will be able to tomorrow. I thought about surg, but then I know we will not meet the minimum floor months of medicine criteria...
 
thanks for reply. i will try to contact them tomorrow as well. ask if they can manage anything and ask about surgery prelim.
anywho, lets keep posting any info....anything might help.

one more thing...when would they drop you if couldnt help you out with prelim slot....
 
thanks for reply. i will try to contact them tomorrow as well. ask if they can manage anything and ask about surgery prelim.
anywho, lets keep posting any info....anything might help.

one more thing...when would they drop you if couldnt help you out with prelim slot....

i have the same question....anyone who has any insight, please help!
 
Is it possible, we are unmatched for this year and can be pulled from the advanced residency as well?

I did match for an advanced residency, but wouldn't object to re-entering the match next year.

Yes. The match is legally binding. However, you must be physically able to actually start your residency on time. From the NRMP match agreement (Section 5.1):

Each such appointment is subject to the official policies of the appointing institution in effect on the date the program submits its rank order list and is contingent upon the matching applicant meeting all eligibility requirements imposed by those policies.

So, if you don't complete your PGY-1 by June 30th, they can technically void your contract.

Intern years are required for the advanced spots. So yes, you would probably get pulled. The PD's next year may question you why you didn't get an intern year since there are so many prelim med or surg spots. It might be a red flag.

It will be a red flag, simply because if it happens again, your PGY-2 PD will be short a resident. As part of your application / interviewing process, you will need to be clear why you didn't match PGY-1 (i.e. I didn't apply to enough programs, etc). Alternatively, you could simply not mention that you even matched the first time. No where on the ERAS application does it ask about prior matches, so (in some ways) you wouldn't be lying. You never started. Be aware that an alert PD could ask, or could look up your match history online -- if so, you'll look like a fool and probably get dropped. My best advice is to be honest.

can i call my advanced PD today and ask for help? I know where I matched advanced as I know the city and I ranked only one program there...

Is it a match violation if I call them today?

Not a violation, you should clearly call.

Good grief, tell me about it.

Over half of the prelim medicine spots disappeared RIGHT when the scramble started. That is complete BS. EVERYONE is violating the rules.

Exactly. Last night we all saw stats saying 89 spots in IM prelim. This morning, NRMP list said 41. WTF?? 😕

41 programs with 89 open slots. Some programs have more than one slot. People are not violating the rules. There are many more applicants in the scramble than spots, and PD's can't wait to see if "better applicants" apply later. It's first come, first served. Hence the possible new scramble plan proposed by the NRMP. Interestingly, the new scramble plan could give added weight / emphasis / priority to advanced matched applicants -- I'll personally mention that to the NRMP folks.

thanks for reply. i will try to contact them tomorrow as well. ask if they can manage anything and ask about surgery prelim.
anywho, lets keep posting any info....anything might help.

one more thing...when would they drop you if couldnt help you out with prelim slot....

Your advanced match is contingent on you being present and ready for work on July 1, 2010. Thus, you have until July 1, 2009 before you really have a problem. If you can get a PGY-1 before then -- even if you get one in July or Aug -- then they may simply hold your spot for you.

If you were to get a PGY-1 very late -- let's say January -- then still all is not lost. There is SOME chance that they will take you with only 6 months of PGY-1 work. They could start you as a PGY-2 Neuro in July, and then once your neuro training is done, or anytime beforehand, you could make up the 6 months of PGY-1 work.

Legally, after July 1, 2009, if you don't have a PGY-1 spot, they can start the match waiver process.
 
Thank You aProgDirector for your replies...

one more ? for you...if possible...

can a program do anything in regards to helping one out (if matched to their advanced program)...and if at the same time their IM spots got filled? i mean is there possibility of an aditional slot being added? or anythign along the lines....

thank you
 
I know of a woman that did her CA-1 and 2 years, then her prelim IM year, then her CA-3 year, back in the early part of this century. I don't know if this is still feasible.

At the same time, neurology needs more knowledge of IM than anesthesia.
 
Hey all, I have a question relating to this topic. I unfortunately find myself with an advanced position, but without one for the prelim year. I will continue to scramble for the few spots left tomorrow, but I am not counting on it.

Other than contacting my PD, is there anything I can do to obtain a spot as a prelim or TY after the scramble?
 
Thank You aProgDirector for your replies...

one more ? for you...if possible...

can a program do anything in regards to helping one out (if matched to their advanced program)...and if at the same time their IM spots got filled? i mean is there possibility of an aditional slot being added? or anythign along the lines....

thank you

Not much. Can always ask, but spots do not usually materialize out of thin air. Nevertheless, ask!

Another possibility not mentioned above is to do a prelim surgery. This will not completely qualify you for the ABPN boards, but it will get you to your neuro slot. Then, anytime later, you could "make up" the extra medicine blocks needed. This will likely need your neuro PD asking the IM PD for a favor, but I did it once for a neuro candidate who somehow ended up short 8 weeks of IM rotations. Again, you would need to ask.
 
Another possibility not mentioned above is to do a prelim surgery. This will not completely qualify you for the ABPN boards, but it will get you to your neuro slot. Then, anytime later, you could "make up" the extra medicine blocks needed. This will likely need your neuro PD asking the IM PD for a favor, but I did it once for a neuro candidate who somehow ended up short 8 weeks of IM rotations. Again, you would need to ask.

Thank you. I hadn't thought of this at all. Will many surgical prelim programs consider applicants in specialties like neurology? Are there benefits to a surgical education to neurological training? And finally, will surgical programs allow for medical electives? Thanks again.
 
I'm in the same boat. I was stupid and really didn't apply for more then a few prelims in the match because I was hoping for categorical, but ended up matching advanced with no prelim. I'm a decent applicant, and tried to scramble yesterday. My medical school was astounded at how much harder the scramble was yesterday than it has ever been before for us. I'm waiting to hear back from a couple programs.
I also probably messed up by trying for TY and IM prelims for the first couple hours of the match while it was still easy to get the surgical prelims. It took a half hour for me to fill out ERAS. When I started calling at 12:30ish the mailboxes were often full and you couldn't even leave a message. When you could get through the position would be full.
 
Thank you. I hadn't thought of this at all. Will many surgical prelim programs consider applicants in specialties like neurology? Are there benefits to a surgical education to neurological training? And finally, will surgical programs allow for medical electives? Thanks again.

If you have a pulse and a degree, there is a surgical prelim spot out there for you. The only real benefit to a surg prelim for neuro is that it MIGHT allow you to start your Neuro residency on time, with the caveats mentioned by aPD. You will get NO electives on a surg prelim year. Medicine or otherwise (unless you consider urology or ortho an elective). At best, you'll get a couple of ICU months that will count in the future.
 
You will get NO electives on a surg prelim year. Medicine or otherwise (unless you consider urology or ortho an elective). At best, you'll get a couple of ICU months that will count in the future.

Not true at all programs (but probably most). I got one elective block. The categorical PGY1's didn't get an elective though.
 
After looking at the ABPN website, I'm afraid that my suggestion to do a prelim surgery year looks like a really bad idea. First, they stipulate that the prelim IM year needs to be done BEFORE the neuro training begins. FYI, the description of the prelim year req is as follows:

A full year of ACGME-accredited training in internal medicine or, as an acceptable alternative, a full year in an ACGME-accredited program in which a minimum of six months of training must be in internal medicine, the details of which must be documented by the training director. The composition of these six months may NOT include rotations in neurology, family medicine, or emergency medicine. To ensure that these six months constitute a high-quality experience, they should emphasize progressive responsibility for the resident. At least two of the additional six months must be spent in internal medicine, pediatrics, and/or emergency medicine. For candidates entering neurology residency training on or after July 1, 2001, at least two of the additional six months must be spent in internal medicine, pediatrics, family medicine, and/or emergency medicine. No more than two of the remaining four months may be spent in neurology.

So, a prelim surgery year is very unlikely to meet these requirements.
 
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