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This might be the hardest part about the day. If you're on a busy rotation on match day and you have to scramble, you're gonna need to ask to be excused for the morning, or at least until you've gotten something secured. You could get a phone call offering you a spot at 9am, if you miss it and call back at 9:15 that position could be filled. Some programs might expect you to say yes or no on the spot. This isn't like vet school admissions where they wait to hear back from you before moving down their list.You will have only a very short time to make a decision
It can be high pressure but I would just quickly peruse the open positions list and start calling the ones you're interested in. The fun part is when you see that a program you actually ranked has an opening - call them first. I know quite a few people that ended up in competitive specialty internships and residencies that way. Just because the program didn't rank you initially does not mean they won't give you a spot in the scramble!