Residency - State Preference

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wildcat1988

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This probably sounds naive, but do residencies give preference to state residents? I'm putting together my med school list right now and I'm starting to accept the fact that I'm not going to end up in California. I'm holding onto the hope that I can do my residency there instead. Does it matter what your home state is or where you went to med school when you match?
 
I don't think that state residency is nearly as important in residency selection as it is for med school admission, but sometimes residencies do take into consideration if you have any personal ties/connections to the geographic area in deciding if you are serious about coming there or not (particularly for very in-demand locations like California). If you can arrange some away rotations in your field of interest at some California residencies that you are interested in that should help demonstrate that you are serious about wanting to come back to CA.
 
The only places that asked me during the interview trail about geographic ties to the area were on the West Coast (especially Cali). No one in the Midwest or East Coast cared.
 
It might be a question asked, more as interviewers try and find fit and regional preferences are slightly important.

Much more important is going to be: how you do in medical school, your boards, your CV, your LOR's and your personality. There will also be differences to this question based on specialty.

Pick a medical school you will be happy and productive at.
 
My understanding is that "preference" is not given in the same way that it was for undergrad or medical school. They don't have a quota to fill for % of students coming from CA because they're not principally supported with CA tax dollars anymore - at this stage, it's federal money footing the bill. However, I think when considering whether or not to grant you an interview PD's will consider how serious you really are about their program - e.g. if you grew up on the East Coast, and stayed there for college & med school, you might have more work to do to prove that you really are serious about moving cross-country for residency. However, I am sure they are familiar with Californians who had to leave for medical school and want to return for residency, and don't think that they would hold that against you.

I myself am from CA, and though I chose to leave for medical school, I now desperately want to go back (I'll be applying this coming fall). On that note, here's a question - do PD's have access to a list of the programs you've applied to? I am assuming the answer is "no", but in my case i wish they did. I plan to apply to every single program in CA and bordering states + my home program (and nowhere else in the NE/South/Midwest), which I figure would make it clear how serious I am about returning to the west coast.
 
I was definaty asked about ties to an area, and I interviewed in pretty much all midwestern locations. A lot of that stemed from the fact that I was born in Boston (on my ERAS) moved to Wisconsin when I was 10 and now consider that my home (but that isnt on my ERAS) and then went to a national university (Notre Dame again on ERAS) as opposed to an obvious regional school (any B10 school not named Michigan.)

Once my interviewers realized how much I wanted to stay in the midwest they warmed to me considerably.
 
Geography is huge when applying, especially for the more competitive specialties. When a school gets 100 great aps, they start trying to screen who's more likely to come to their locale. Especially true west coast and northeast. You can overcome this by doing away rotations in your location of interest, but not entirely.
 
I was definaty asked about ties to an area, and I interviewed in pretty much all midwestern locations. A lot of that stemed from the fact that I was born in Boston (on my ERAS) moved to Wisconsin when I was 10 and now consider that my home (but that isnt on my ERAS) and then went to a national university (Notre Dame again on ERAS) as opposed to an obvious regional school (any B10 school not named Michigan.)

Once my interviewers realized how much I wanted to stay in the midwest they warmed to me considerably.

I think that's the important take home point. In my experience, the programs like the idea of their residents staying somewhat local.
 
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