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Unfortunately, I'm going to agree with the comments above.
Any surgical career you may have considered is basically over. If you did not match into surgery this year, it's not going to happen. As mentioned, by the time you're submitting applications you'll have completed so little of your PGY-1 there won't be anything useful to say about your performance. GS programs are not going to see an IM year as a positive. Getting time to interview is not easy -- this is a job now, you can't just take days off when you want to. You matched to IM, but it sounds like you matched to a community program -- also not going to impress surgery programs. You will now have a major funding problem for a GS residency, which would be a bigger problem for smaller community GS programs where you might have a chance. And if you do apply and get interviews, match day is in late March and your current program may require you to sign or decline a contract for the next year before match day, and if you decline they will look for a replacement.
Moving closer to your partner is also a huge hurdle, but more realistic. The timeline is much later, usually after Jan 1. A closer program would need to have an opening, and be willing to consider you. Transferring as a PGY-2 is very difficult -- learning a whole new system while moving into the PGY-2 role is very challenging.
Your best plan is to assume you'll be at your current program for all three years. Getting a GS spot after completing IM residency is also very difficult but you could try -- if unsuccessful then you have your career in IM. If you want a fellowship then you need to focus on that, not GS.
Not couples matching was probably a mistake, unless you both had more than 15 programs to rank -- once you have more than 15 programs, you can't rank all combinations.
Any surgical career you may have considered is basically over. If you did not match into surgery this year, it's not going to happen. As mentioned, by the time you're submitting applications you'll have completed so little of your PGY-1 there won't be anything useful to say about your performance. GS programs are not going to see an IM year as a positive. Getting time to interview is not easy -- this is a job now, you can't just take days off when you want to. You matched to IM, but it sounds like you matched to a community program -- also not going to impress surgery programs. You will now have a major funding problem for a GS residency, which would be a bigger problem for smaller community GS programs where you might have a chance. And if you do apply and get interviews, match day is in late March and your current program may require you to sign or decline a contract for the next year before match day, and if you decline they will look for a replacement.
Moving closer to your partner is also a huge hurdle, but more realistic. The timeline is much later, usually after Jan 1. A closer program would need to have an opening, and be willing to consider you. Transferring as a PGY-2 is very difficult -- learning a whole new system while moving into the PGY-2 role is very challenging.
Your best plan is to assume you'll be at your current program for all three years. Getting a GS spot after completing IM residency is also very difficult but you could try -- if unsuccessful then you have your career in IM. If you want a fellowship then you need to focus on that, not GS.
Not couples matching was probably a mistake, unless you both had more than 15 programs to rank -- once you have more than 15 programs, you can't rank all combinations.