Hello I got matched with a 3 year Neurology program through SF Match and will be participating in the NRMP match for preliminary year internal medicine. SF Match stipulates one should withdraw from competing PGY2 positions in NRMP if he/she matches with any of the SF Match programs. My dilemma is about what happens if I do not get matched with any of the preliminary positions and should I rank the 4 year anesthesiology program I attended as the last entry in my NRMP rank list after all my preliminary position ranks. My idea is if I dont get matched with any of the preliminary positions, my neurology match will get cancelled and I become eligible for the 4 year anesthesiology program without violating the SF match rule. Appreciate if any one could confirm my assumption or share your idea.