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Should I take a year off or match?

Discussion in 'General Residency Issues' started by srcurren, Mar 20, 2017.

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  1. srcurren

    srcurren

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    Mar 20, 2017
    I know I want to be an interventional radiologist; I am convinced it is everything I want out of a medical career. That being said, there is no way I am going to match to the new IR residency, nor a radiology (ESIR) residency. My gpa is too low, I go to LECOM, I doubt I will be able to publish much--basically I am not competitive. Should I only apply to IR/ESIR residencies, and when I don't get one, take a year off to improve my resume for the next match; or would this only hurt my chances? Am I better off matching in a specialty I think is ok & sucking it up for the rest of my life, or take some time off and go for what I love?
     
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  3. NYCNative

    NYCNative Staten Island Dump 2+ Year Member

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    If you can swing it financially, it's only one year of your life. I'm not sure which person you are in the photo, but both of you look pretty young. Then just dual apply the following year. But you would need to move somewhere where you can do a TON of research, which will be a challenge in and of itself (especially financially, again).
     
  4. ThoracicGuy

    ThoracicGuy 2+ Year Member

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    Why not go for a Radiology residency and then do an IR fellowship? That would likely be easier to obtain.
     
  5. DrBowtie

    DrBowtie Final Countdown Moderator Emeritus 10+ Year Member

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    An IR "fellowship" will not exist in its current form by the time OP matches. They are transitioning to a 2 year independent "residency" done after a diagnostic radiology residency.

    I would tell OP to apply broadly to DR places along with integrated and ESIR places. The number of ESIR places are growing. If you match a non ESIR DR program and do the 2 year independent pathway, you wouldn't lose any time compared to taking a research year on the front end and possibly matching ESIR/IR.

    Also my experience has been many who are deadset on IR end up liking DR more.
     
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  6. ThoracicGuy

    ThoracicGuy 2+ Year Member

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    But wouldn't the Independent IR residency be essentially the same thing as the current IR fellowships?
     
  7. Raryn

    Raryn Infernal Internist / Enigmatic Endocrinologist 7+ Year Member

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    Yes. Except it will be a year longer than the current path (i.e. 5+2 rather than 5+1) unless your residency has you do a ton of IR rotations. The change in terminology is confusing at best. The two non-integrated paths are still fellowships in all but name.

    [​IMG]
     
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  8. DrBowtie

    DrBowtie Final Countdown Moderator Emeritus 10+ Year Member

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    It's an extra year with confusing terminology.
     
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  9. ThoracicGuy

    ThoracicGuy 2+ Year Member

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    Thus another pathway for the OP to consider that is probably much easier and better than her stated plan.
     
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  10. DrBowtie

    DrBowtie Final Countdown Moderator Emeritus 10+ Year Member

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    Agree. That was my recommendation since the time of a year off plus 6 year integrated is same as 7 year independent path.

    My previous post was mainly to clarify the new confusing terminology they have instituted for others.
     
    ThoracicGuy likes this.
  11. dpmd

    dpmd Relaxing 10+ Year Member

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    I thought someone said that even non fellowship trained rads folks will do some interventions like biopsies and drainages and such. Maybe that would be enough to keep the op satisfied if they can't get in to the ir specific training?
     
  12. ThoracicGuy

    ThoracicGuy 2+ Year Member

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    Maybe, but it doesn't make me happy when I get someone that just sorta does IR when I need IR's help...
     
  13. dpmd

    dpmd Relaxing 10+ Year Member

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    Yeah but sometimes it is so easy I could probably do it myself with an ultrasound or even just palpation and some luck but it is just simpler to have rads do it. Or it is a nice juicy target on ct without a ton of worrisome stuff nearby. If they are someplace where there is a skilled guy for backup for the tricky stuff it could be fine
     
  14. DrBowtie

    DrBowtie Final Countdown Moderator Emeritus 10+ Year Member

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    IR has just become synonymous with radiology procedures. Every place is different but many places any non vascular procedure is done by general or body radiologists.
     
  15. aProgDirector

    aProgDirector Pastafarians Unite! SDN Advisor SDN Moderator 10+ Year Member

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    This question is asked commonly -- if I can't get the field I want, should I match into something else (usually a prelim) and then try to match the next year, or should I take a year off and then try to match the next year? There isn't a simple answer. The way I look at it is this -- would taking a year off help fix your application? If your GPA / class standing / USMLE/COMLEX are the problem, then a research year isn't going to fix any of that, and matching with a gap year may actually hurt you. If the problem is not enough rads experience / research / etc, then a gap year might help a bunch. Matching to prelim will give you clinical experience, but will also make re-applying to rads difficult (as it will be hard to take off time for interviews).
     
  16. hallowmann

    hallowmann 5+ Year Member

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    I'm not really sure how much GPA matters here. LECOM is a big school. There are probably a lot of people with low GPAs. My question for you is what year are you? Did you take Step 1 yet? If so, how'd it go? You don't really mention clinical grades or boards, so I'm really wondering what year you are.

    If you are very early on (like MS1/2), there's still a lot that can happen for you. First off, you might change your interests (I know, I know, it never happens right?). Second, you might do very well on boards, provided you put in the effort. Third, you could still get involved in some research, especially during clinicals. That's what I did, and it was much easier doing research in 3rd or early 4th year than 2nd year.

    If you're an MS3, then how'd boards go? You took USMLE Step 1, right? You're further in the process, but having good scores will make DR somewhere very doable for you and you can go for an interventional "residency" afterwards. At least then, if you don't manage to get interventional, you have DR to fall back on with some procedures in the right setting if you become comfortable with them during residency. I agree with the others that an extra year might not be as useful as going DR and then interventional, same time spent, but at least you're getting paid to do it. But who knows, maybe you have connections with a radiologist at a big center that you can do a ton of research with over the next year with a gap year.

    Now if you think you wouldn't get DR, you could always apply for an internship as a backup, then reapply. Only you can really judge whether this is worth the risk to you as opposed to doing something else.
     
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