Residencies first year applying

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Yes, most can get into a residency immediately after medical school. Now, whether that residency is your top choice of specialty or in the location you really want to be in is a different story. Some unlucky ones take preliminary medicine or surgery spots while they reapply for their desired specialty since they didn't match the first time.
 
Do almost all medical students obtain residency first year they apply for it? Like straight after medical school do they start residency?
Yes, if you're a US medical student. A small number might (deliberately) opt to do research for a year to make themselves a better candidate for a more-selective residency. And a very few do the same due to a failure to match or SOAP. I know of one who took the year off to have a baby.

(SOAP is a backup system for getting a residency if one doesn't match, results of which are known at the same time everyone else knows where they'll be going).
 
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