Unmatched Ortho MS4 - want to reapply to PMNR

[nkdoc]

Hello all, I am an MS4 at a DO school on a student visa. I applied to ortho and went unmatched. This upcoming cycle I want to apply to PMnR with a back up of FM. The chances of finding a TY or prelim position right now are slim. I have two options. Either (1) do a research year or (2) accept any open residency spot. Which one is a better plan, and how can I strengthen my application in the next few months? Step 2 is 253, I have 12 ortho pubs, 20 abstracts, and multiple leadership positions during med school.
For 1, I only found ortho research positions. Do you think I can justify that during my interviews?
For 2, does anyone have experience going into FM and then switching residency specialties?

If anyone has experience applying for a visa and securing an H1b, please let me know as well.

Thank you so so much! Appreciate any guidance.

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[2020OU]

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[Iamnew2]

Hello all, I am an MS4 at a DO school on a student visa. I applied to ortho and went unmatched. This upcoming cycle I want to apply to PMnR with a back up of FM. The chances of finding a TY or prelim position right now are slim. I have two options. Either (1) do a research year or (2) accept any open residency spot. Which one is a better plan, and how can I strengthen my application in the next few months? Step 2 is 253, I have 12 ortho pubs, 20 abstracts, and multiple leadership positions during med school.
For 1, I only found ortho research positions. Do you think I can justify that during my interviews?
For 2, does anyone have experience going into FM and then switching residency specialties?

If anyone has experience applying for a visa and securing an H1b, please let me know as well.

Thank you so so much! Appreciate any guidance.

You will have to have a convincing story as to why PM&R - in the past PM&R was used as a gateway for ortho peeps who didn't make it into Ortho. These days PM&R has far more applicants than spots likely in correlation to sky rocketing salaries.
So I would recommend you find some reasonable PM&R rotations, research or something that says hey PM&R rocks! and I want in.
I do a lot of MSK and enjoy it and work closely with surgeons. I would imagine that with the right experiences and spin on stuff it's feasible. They are also opening a program it seems in
Sanford, FL - you might want to inquire there. It's on the forum listed above somewhere.