Unmatched 2020

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bones2020

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Hi,

I am an IMG who did not match, nor SOAP into any programs. I've been reading some posts on here and things look rather dismal. My school wants me to delay graduation for a year and do an MPH to graduate with a dual degree next year and renter the Match. I know people with whom this has indeed worked. I have no idea what my options are now. My step scores are poor and hardly above pass thresholds. During my time, I suffered with some tremendous health struggles for which I pursued my medical education, but likely should have halted it to look after my ailments. As it stands now, I am slowly getting better most aspects, but I did not anticipate not matching. Unfortunately, I did disclose these health struggles, due to what I thought, indicated a perception of "overcoming obstacles". Unfortunately, I likely was perceived to be a "risky hire" as a result. Problem was, I never failed anything, but thought if things become bad, I would halt. Since I kept making my way through, I kept going. Now I've hit the proverbial wall - and am lost. Clearly, as an IMG, I have exceptional debt. My only return earning power exists in medicine. So my questions:

a) Is the MPH at all useful for reapplications?
b) How should I best make up this time?
c) As a Canadian, I could pursue the LMCC track and potentially "dump" the USMLE scores. Would doing this combined with the MPH be, perhaps, useful?
d) Is the track with working for a clinician either with EMR or scribing the right move? Is this of higher potential relative to MPH? (I can do 8 weeks of rotations - referred to as Extra Clinical - while in this MPH prgm --> would this restore my "image" for PDs?)
e) What did those with successful outcome do?

Finally, in further Match rounds, I would not at all disclose my health status at all. There was no need to and I did not design a "sympathetic" letter. It was uplifting and PDs or Chiefs that had read it thought it was rather incredible. I was told on several occasions, it was the best PS ever read. It was just a perception to discuss things and I thought it perhaps offered a "unique" application. I actually went against advice to do such from my school. I really did not realize what I did wrong...


All advice is most welcome. thx. ppl
 
Caribbean big four?
MPH doesn’t really help and it costs money. The only positive may be to delay your graduation.
I would not scribe, that’s just not what a medical student should be doing. You need to stay clinical, pay for rotations, this is why you want to delay your graduation, not for anything else.

You need to apply broadly. If that means 200, 300 programs. Do it. This may be it.

Good luck.
 
Caribbean big four?
MPH doesn’t really help and it costs money. The only positive may be to delay your graduation.
I would not scribe, that’s just not what a medical student should be doing. You need to stay clinical, pay for rotations, this is why you want to delay your graduation, not for anything else.

You need to apply broadly. If that means 200, 300 programs. Do it. This may be it.

Good luck.
I think I am restricted to 8 weeks in the MPH (which is free tuition). If I am not in a MD program, I do not think I could even do a rotation, even if I paid. Or can I? Yes, Big Four. I would think to do FM rotations and if I can get residency, move back to Canada with license transfer.
 
Wait, are you a US citizen? If you're a Canadian citizen who went to the Caribbean and got low scores, I think your match is going to be complicated. Is there any way to do some more rotations or something? You need stellar AIs and letters.
 
LoRs were amazing, I was told. But I think I interviewed at 2 programs at the same hospital may have caused this problem. I may have been dumped as a result. I even got a letter from one program ranking me "very high". I got only a few interviews ...

I need J-1 sponsorship (not dual citizen). I went for both IM and FM. I thought I was so well liked and given the health struggles, programs would not of felt "slighted" from interviewing at both programs.
 
More research with pubs and networking is a better use of your time.
So a clinical year of research is better direction than MPH? This may be an option for me as well. I may be able to do 8 weeks extra clinical placement as well, but I think it must be outside the US. As a result, I am considering doing the exam qualifications for CaRMs.
 
More details would be helpful. Do you need a visa? What field did you apply for? How many applications, and interviews did you get?

OP. If you can answer these questions, maybe aProgDirector can give you better advice.

Also there are plenty of threads out there regarding Caribbean unmatched students..... it’s the reality that IMG don’t want to talk about.

Good luck. Stay clinical... you need to knock on some doors, beg if you have to, catch someone’s attention. If you or someone knows someone, it may be a good time to get to know them.
 
OP. If you can answer these questions, maybe aProgDirector can give you better advice.

Also there are plenty of threads out there regarding Caribbean unmatched students..... it’s the reality that IMG don’t want to talk about.

Good luck. Stay clinical... you need to knock on some doors, beg if you have to, catch someone’s attention. If you or someone knows someone, it may be a good time to get to know them.
So outside of J-1 required for FM or IM, i send out about 200 applications and got almost not interviews ... My CK did not happen to get out with my application unfortunately. I did not know that and found out in my first interview. From this, I got 3 interviews and 2 were from my core hospital. Scores were poor, 203/218, but I've seen worse. No failures...

At this point, I would just be happy with FM. What would be better for that? An MPH year with a few rotations done in Canada, or a Clinical Research year that also provides an MPH in a state I have never lived before...?
 
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So outside of J-1 required for FM or IM, i send out about 200 applications and got almost not interviews ... My CK did not happen to get out with my application unfortunately. I did not know that and found out in my first interview. From this, I got 3 interviews and 2 were from my core hospital. Scores were poor, 203/218, but I've seen worse. No failures...

At this point, I would just be happy with FM. What would be better for that? An MPH year with a few rotations done in Canada, or a Clinical Research year that also provides an MPH in a state I have never lived before...?

OP, I almost had a seizure trying to follow your posts. Firstly, you haven’t answered any of the questions the posters above you have asked. They are genuinely trying to help you, and took the time and effort to learn about your situation but you keep on repeating the same thing over and over again in different ways. Ultimately, just from seeing how you communicate has me concerned that these issues extend to your interviewing skills as well.

While your scores aren’t great, it’s this strange communication barrier needs to be addressed otherwise you will find yourself in the same situation again next year.


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Your visa status, coupled with poor scores , coupled with IMG makes it difficult. Your best bet would be to get something in the country you have citizenship in. I hear it’s difficult to match into Canada.

I will give you some advice that is difficult. You should not be throwing good money after Bad at this point. You should find a research job or research fellowship. You should be workingrather than accumulating more debt that would not even be marginally helpful in securing a residency position.
 
203, 218 are not the best scores but lot of people had your scores per the nrmp charting outcomes that matched into FM. Yes, you're an IMG so the bar is higher for you.

I don't think you should quit yet. Research year if you can somehow get that with your visa status and everything is your best bet. Do a ton of research in the next few months preferably in IM or FM, apply broadly again...get some good letters. You probably have a shot if you work really hard during the next few months.

But, yes like other people said, it is going to be tough.
 
OP, I almost had a seizure trying to follow your posts. Firstly, you haven’t answered any of the questions the posters above you have asked. They are genuinely trying to help you, and took the time and effort to learn about your situation but you keep on repeating the same thing over and over again in different ways. Ultimately, just from seeing how you communicate has me concerned that these issues extend to your interviewing skills as well.

While your scores aren’t great, it’s this strange communication barrier needs to be addressed otherwise you will find yourself in the same situation again next year.


Sent from my iPhone using SDN
Whoa, pal ... can you point to a question unanswered? If so, I would be impressed. "I almost had a seizure...", quite a deal of hyperbole. Thanks for trying, but if you are trying to actually say I am merely repetitive, I would argue you are not reading well.
 
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Your visa status, coupled with poor scores , coupled with IMG makes it difficult. Your best bet would be to get something in the country you have citizenship in. I hear it’s difficult to match into Canada.

I will give you some advice that is difficult. You should not be throwing good money after Bad at this point. You should find a research job or research fellowship. You should be workingrather than accumulating more debt that would not even be marginally helpful in securing a residency position.
I understand what you are saying. My school did put over 1,000 students in US residency spots this Match season...
 
I understand what you are saying. My school did put over 1,000 students in US residency spots this Match season...
How many of those had your scores, and weren't american citizens?
 
How many of those had your scores, and weren't american citizens?
I'm just saying it is a little early to pack it in ... Options are available to me, MPH, MBA, MScBR, 8 weeks of hospital placement, or some super intensive sub-internship in NY --> no tuitions, costs waved: i look after room+board ... dumping everything at the first match attempt to completely transition to fellowship research now seems unproductive. Fellowship research generally occurs after a some Match attempts. And like was already mentioned, my scores seem adequate for FM. But to answer you're question directly, i don't know. it would be a minority, I gather
 
I'm just saying it is a little early to pack it in ... Options are available to me, MPH, MBA, MScBR, 8 weeks of hospital placement, or some super intensive sub-internship in NY --> no tuitions, costs waved: i look after room+board ... dumping everything at the first match attempt to completely transition to fellowship research now seems unproductive. Fellowship research generally occurs after a some Match attempts. And like was already mentioned, my scores seem adequate for FM. But to answer you're question directly, i don't know. it would be a minority, I gather
The point was that your best bet at obtaining residency with this circumstance would be to do some sort of work with a PD and convince them to take you with your work. Lots of IMGs do exactly that. Additional degree's bring almost zero net value to the matching conversation.
Your position is more similar to FMGs rather than IMGs considering the visa issues that PDs would have to take, on top of going school abroad.

Why would a PD take a chance on you vs an FMG that they would also have to do the visa paperwork for who would have significantly higher scores and potentially stronger paper application.

I do not believe it is your medical condition/ ps that is solely to attribute to difficulty matching, rather lower scores, Visa status, and the rest of your app that may have contributed significantly more.

You are not considered a US IMG consideirng you do not have the visa required to work here, you should be looking at the non-US IMGs for score comparisons.
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I wish you luck in this process.
 
I understand what you are saying. My school did put over 1,000 students in US residency spots this Match season...

SGU just isn’t a great school. That’s the reality of it. If it’s that good, as you pointed out, placing more than a 1000 students into residency, why are you solicit advice from the internet? Why not have them point you to the right direction, to those who have failed to match the first time, subsequently matched?

I am not trying to add any more insult to injury, but this isn’t really the time to get into any internet arguments, save your time and energy to find people who can move you forward.

As people and I have said. Stay clinical as much and as long as you can. MPH won’t add much; maybe consider clinical research so you can be with patients. Apply to as many places as you possibly can. If you think going through Canadian system is better, do that.

I am pretty sure there are plenty of people who have been in your shoes; however, they’re just too ashamed to ever follow up and share what happened to them.

As usual, I wish you luck, OP. I hope you would follow up with us in the near future and let us know where you are in your journey.
 
Thanks for the input everyone. I am getting input from all sources I can. I have seen the stats and I have asked for a Chief her advice as well. I appreciate everyone's time
 
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Your problem was a lack of a CK score reported. If it wasn't included in your application, I bet many programs never even looked at your application. So there's hope that if you apply again this upcoming year with all of your scores on day 1, your interview yield will be much better -- even if you don't change / improve your application at all.

Regarding what to do with this upcoming year, it's hard to say what the best option is. You're going to be applying to community based FM and IM programs with those scores / background. These programs won't really care about research, nor advanced degrees. So I would pursue something that you might be interested in, or something that you think might help your career. I agree that avoiding lots more debt would be good. Also remember that the school you get the degree from matters -- an MPH from SGU might be considered much less valuable. You'll also be limited in jobs here in the US because you need a visa.

Matching in Canada with those stats is basically impossible.
 
How much debt do you have???!!!

You’ve gotten yourself in a nightmare of a situation. This is why no one should ever go to Caribbean school. I honestly don’t see any way this ends well
 
You should also apply to some pathology programs next cycle...
 
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