Yes, you can match. I'm assuming your IM residency is ACGME accredited--if so, the internship year counts (not to mention that you'll be done with the entire residency).I had a few questions for you. I'm in somewhat of a different circumstance (maybe not so unique with rads). I was in a unique kind of IM residency program that I started in medical school (I never had to go through the match, so it is unfamiliar to me). I'm currently a PGY-2 (will complete IM residency June 2020). I have had doubts about my specialty choice and have been thinking about trying to switch into radiology for quite sometime. I talked with my home school PD and was able to get an interview for their advanced program. I am now submitting my rank list (only one program as I was unable to go on any other interviews due to busy rotations and was very late to the process). I'm likely being paranoid, but will the system allow me to match even though it won't recognize that I will have completed a "preliminary year" (I am planning on finishing my IM residency prior to starting radiology, if accepted that is). Like I said, I just never went through the match so I'm trying to make sure I am navigating it correctly.
Also, I am trying to figure out a plan of action if I don't match this year. Can I still apply for advanced programs next year even if I don't complete a year of PGY training the year prior to starting radiology residency (I would technically be an attending)? Or do you have to complete a year of preliminary medicine the year prior to radiology residency no matter what? Sorry if this is a dumb question.
Finally, will it look bad next year if I don't match this cycle (again, I only applied to one program). Should I count my losses this year and withdrawal from the match? This program would very likely be my #1 regardless of any other programs I interviewed at because of location. I just don't want to screw my chances to get in next year when I can apply more broadly. If it helps I do feel I'm a competitive applicant to get interviews at least - Step 1 249, Step 2 254, AOA. I feel like I did okay during the interview, I'm not a very good judge of myself in situations like that.
Reading through this I think I am overly worried, but I appreciate your help. Just hopeful to get into radiology!
Yes, if you don't match this year, you can apply for advanced programs OR "R" programs next year.
No one will realize that you didn't match this cycle since you are in a residency. It's obvious when a person doesn't match out of medical school since they are typically in a prelim spot when they are applying again. You aren't screwing any chances by only applying to your #1 program this year because of location.
Your stated metrics (Step 1 249, Step 2 254, AOA) are more than sufficient. I'd be surprised if you did not match this year UNLESS you just aren't a good personality match for the program. If you don't match this year, you will definitely match next year by applying more broadly, barring any red flag that hasn't been stated.