Thanks for your reply. Just so I'm tracking... your friend who switched originally chose a specialty/applied to a residency program that was at a location where his spouse was, and he didn't get picked up for that particular residency program because someone else did, or did he choose a specialty that wasn't offering residency slots at that location where his spouse was? Or something else?
I've got quite a few specialties I'm interested in and really only one or two that I'm not interested in at all. I understand that could change for me once I start school and clerkships, but I'm cool with choosing a specialty that works out with where my partner is.
So the way ranking works is you have to rank all the programs in a specialty before you can rank a different specialty and you have to rank at least 5 programs. Ie if you wanted to do emergency medicine you'd have to rank
1. San Antonio
2. Madigan
3. Darnell
4. Medical College of Georgia
5. Civilian Deferment
6. Second Specialty
You can't rank,
1. Emergency Medicine, San Antonio
2. General Surgery, San Antonio
3. Internal Medicine, San Antonio
4. Anesthesiology, San Antonio
5. etc, etc
My buddy ranked
1. location where his wife was stationed, specialty choice
2. other locations, same specialty
3. other location, same specialty
4. other location, same specialty
5. other location, same specialty
6. TY year, location where wife was stationed
He matched TY where his wife is/was. A few months into that year he reached out to another specialty, asked to do a rotation in it as a TY, and subsequently matched in that specialty at the location where his wife was.
I'm fairly certain that's how the ranking has to be done still. If you could/can rank multiple different specialties I'd also say it doesn't set you up well to match, especially if it's in a competitive specialty. It will give the impression that you're not THAT interested in it. Not to say you couldn't potentially sell yourself to a program, particularly if its a non-competitive specialty, but having been involved in selection/ranking meetings in a competitive specialty, if you're not sure what you want to do that has triggered red flags and makes programs hesitant to rank you.