I'm a 4th year med students that has applied to ortho. It is a possibility that I may not match. I have done a lot of thinking about what exactly I should do. Before, ortho, I was considering general surgery and was playing around with the idea of cardiothoracic surgery down the line because it so freaking awesome field. My questions are: 1) if I don't match into ortho, how likely is it that I can scramble into a general surgery spot? 2) Is it a good idea to do a preliminary surgical year and then try to get a spot in a PGY-2 general surgery program? (this is in case, I decide not to give ortho another shot) 3) I don't care about the current rumors about CT surgery being a potentially non-lucrative field in the future. I like it and if I don't make a lot of money, it won't bother me. Is it possible to graduate from a lesser known general surgery program and land a CT surgery fellowship? thank you in advance for helping me out with this dilemma.