I am not familiar with how residencies work. I know that all US med students are guaranteed a residency through the Match program. So when you apply for residencies, do you exclusively only apply to 1 specialty? Or can you apply to several different specialties if you're interested in living in a specific location? Since derm and ophth are the most competitive residencies to get, and say you apply for only 1 specialty and since you're guaranteed to get in somewhere, how are those fields competitive then? It seems like when people talk about intern yr, it's hell, but I've only heard horror stories of ER internships. So what if you go into another specialty where it's not as chaotic and doesn't seem as time consuming as ER, is intern yr still hellish and have 80 hr shifts? Basically, in any specialty you enter into, are you doomed to have a horrible intern yr? Also, if you're a CA resident and go to out of state med school, would you have a harder time getting accepted to a CA residency?