Rank List - Thoughts to Consider

[supersayian]

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Hey everyone, especially residents and fellows who've been through this before. We will all be coming up with a rank list during the next month and I was hoping for some insight. What are some factors, looking back that you wish you would have considered more, especially things that may seem like moot points, but actually play a big role once you are a resident?

 

[pmrapplicant16]

Also, if anyone would care to share how far down their rank list they matched, it'd be super helpful. I know it's a sensitive subject but I think it'd make it more "real" when trying to rank outside of our top 3 or 5.

 

[runfastnow]

A few things to consider:

1. Are you excited about the programs you rank highly? Not excited about them on paper, but excited after you interviewed and would be thrilled when you open the envelope on Match Day. You're going to be there 3-4 years; it doesn't matter if it's RIC or Harvard or wherever, if you hate it you will be miserable. If you're excited, you'll want to be at the program and improve it while you are in residency.
2. What are the salary/benefis/cost of living? It may be a bit to pragmatic (or shallow based on your perception) but a program that provides excellent benefits, especially if you have a spouse or family, is very important. No reason to take an unnecessary pay cut or lose benefits unless you really want to go somewhere.
3. Do you get along with the residents? You're going to be around these people a lot and they will be your first connections in a new city. If you're laid back and the residents are cutthroat or you're a home body and the program is a big party atmosphere it will be harder to make connections.

Just my two (three) cents. Good luck.

 

[tacksharp]

1. Does the program offer you the best curriculum for what you want to do. (e.g. if you are interested in pain, having an inpatient heavy residency would not only hinder your ability to have access to procedures, but also would require you to have many months of rotations that you may not enjoy)
2. Does your personality fit with the program? You'll be seeing the residents and attending alot, so if your personality doesn't jive with the program feel, it's going to be a long 3 years. Trust your instinct with your interactions during your interview day, although short, most of the time that feeling is right.

 

[DMBandFan86]

In regard to creating my rank list, does anyone know if you should list prelim-IM or TY programs at the bottom of the primary rank list (below the PM&R programs). I understand the supplemental rank list for this reason for each advanced PM&R program; however does ranking prelim-IM or TY programs separately make sense in the case that I wouldn't match into a PM&R program, but may still match into a preliminary program.

 

[j4pac]

In regard to creating my rank list, does anyone know if you should list prelim-IM or TY programs at the bottom of the primary rank list (below the PM&R programs). I understand the supplemental rank list for this reason for each advanced PM&R program; however does ranking prelim-IM or TY programs separately make sense in the case that I wouldn't match into a PM&R program, but may still match into a preliminary program.

I would contact the NRMP.

 

[RangerBob]

In regard to creating my rank list, does anyone know if you should list prelim-IM or TY programs at the bottom of the primary rank list (below the PM&R programs). I understand the supplemental rank list for this reason for each advanced PM&R program; however does ranking prelim-IM or TY programs separately make sense in the case that I wouldn't match into a PM&R program, but may still match into a preliminary program.

Yes, people have been known to rank their pre-lims after all their PM&R programs in the event they don't match somewhere. However, keep in mind if that is the case you won't be able to SOAP into any categorical positions (whether PM&R or if your second choice would've been say, psych or OB-Gyn if you had to SOAP into something else). I do believe you can still SOAP into advanced positions--as J4Pac mentions, ask the NRMP about it.

The odds are quite low to match into PM&R if you don't match the first time, but there are people who decide not to do go their PGY2 year and PM&R positions can and do open up. So it isn't unheard of for a few people to get a second chance. And occasionally not every PM&R position fills (I think last year there was one unfilled spot? I can't remember)

For this reason I did not rank any pre-lims after PM&R programs on my main rank list. I figured if I didn't match, I'd SOAP into an FM or psych program. (However, I also felt I ranked more than enough programs to match, including my home program that I was 95% certain I'd have matched into if I went that far down on my list, so I figured the odds of SOAPing were pretty low anyway)

 

[DMBandFan86]

Yes, people have been known to rank their pre-lims after all their PM&R programs in the event they don't match somewhere. However, keep in mind if that is the case you won't be able to SOAP into any categorical positions (whether PM&R or if your second choice would've been say, psych or OB-Gyn if you had to SOAP into something else). I do believe you can still SOAP into advanced positions--as J4Pac mentions, ask the NRMP about it.

The odds are quite low to match into PM&R if you don't match the first time, but there are people who decide not to do go their PGY2 year and PM&R positions can and do open up. So it isn't unheard of for a few people to get a second chance. And occasionally not every PM&R position fills (I think last year there was one unfilled spot? I can't remember)

For this reason I did not rank any pre-lims after PM&R programs on my main rank list. I figured if I didn't match, I'd SOAP into an FM or psych program. (However, I also felt I ranked more than enough programs to match, including my home program that I was 95% certain I'd have matched into if I went that far down on my list, so I figured the odds of SOAPing were pretty low anyway)

Good point of view. Thanks for the response. I guess I hadn't been thinking about the SOAP options / backups yet.

 

[Hextra]

The EMR




Ha just kidding. They all make you want to smash your head into the screen, just some less than others

 

[j4pac]

The EMR




Ha just kidding. They all make you want to smash your head into the screen, just some less than others

Just wait until data mining for "quality of care" bull**** becomes common place. The military has AHTLA, the worst EMR ever created...and yet, the frustration associated with the quality of care initiatives that EMRs allow far outweighs the frustrations with the software. Stay tuned...it's coming. Physicians should be pushing back right now, both with the mandatory EMR legislation and the ICD-10...but I honestly believe that only military physicians can foresee the **** storm that is coming because we are already living it.

Could you imagine having to make a diagnosis of chronic pain syndrome, radiculopathy, spinal infection, or spinal tumor in order to order an L-spine X-Ray? We are doctors living in a world of coders and idiot healthcare admin types. They are forcing our hands to make diagnoses before the diagnosis is actually made, just to justify ordering cheap, easily obtained tests. It's a joke...and is made possible by EMR.

 

[GottaHaveIt]

Hey, has anyone signed into R3 yet? I was working on my rank list and noticed that the Tufts program has a little red flag icon next to it. Anyone have a clue as to what that means? I wasn't able to click on it for more information.

 

[DMBandFan86]

Hey, has anyone signed into R3 yet? I was working on my rank list and noticed that the Tufts program has a little red flag icon next to it. Anyone have a clue as to what that means? I wasn't able to click on it for more information.

MAIN 2015

Tufts Medical Center-MA

1263340A0 Phys Medicine & Rehab

Statement:

In the 2014 Main Residency Match, an applicant matched to the Physical Medicine and Rehabilitation program at Tufts Medical Center for a July 2015 start date. The Physical Medicine and Rehabilitation discussed that applicant's position with another candidate prior to the NRMP granting a waiver. Section 3.7 of the Match Participation Agreement prohibits programs who have matched to an applicant from discussing, interviewing for, or offering a concurrent year position to another applicant prior to the NRMP granting a waiver.

Sanction:

The NRMP has identified the Physical Medicine and Rehabilitation program as a Match violator in the NRMP's Registration, Ranking, and Results (R3) system until 8/6/2016. The Accreditation Council for Graduate Medical Education and the American Board of Physical Medicine and Rehabilitation also have been notified, in accordance with the NRMP's Violations Policy.

 

[Kissmyabjj]

Yes, people have been known to rank their pre-lims after all their PM&R programs in the event they don't match somewhere. However, keep in mind if that is the case you won't be able to SOAP into any categorical positions (whether PM&R or if your second choice would've been say, psych or OB-Gyn if you had to SOAP into something else). I do believe you can still SOAP into advanced positions--as J4Pac mentions, ask the NRMP about it.

The odds are quite low to match into PM&R if you don't match the first time, but there are people who decide not to do go their PGY2 year and PM&R positions can and do open up. So it isn't unheard of for a few people to get a second chance. And occasionally not every PM&R position fills (I think last year there was one unfilled spot? I can't remember)

For this reason I did not rank any pre-lims after PM&R programs on my main rank list. I figured if I didn't match, I'd SOAP into an FM or psych program. (However, I also felt I ranked more than enough programs to match, including my home program that I was 95% certain I'd have matched into if I went that far down on my list, so I figured the odds of SOAPing were pretty low anyway)

I matched to Jackson this year after failing to match last year.