D
deleted349260
deleted post
Last edited by a moderator:
- Joined
- May 16, 2002
- Messages
- 1,283
- Reaction score
- 14
- Joined
- Dec 20, 2004
- Messages
- 30,872
- Reaction score
- 10,060
The consequences are that you are going to be barred from the match and out of a job. You can't be forced to work against your will -- that is slavery. So you can always quit and go sit at home unemployed and in debt. But they can enforce a system where if you do want to do a residency, you have to abide by their rules and go where the match dictates. You matched and so you are contractually bound by that agreement, which you signed when you put in your rank order list. Some people have been able to arrange swaps with the approval of both PDs and the NLRP, but that's a low percentage play -- unless you have a really good reason for making a switch (a spouse who matched elsewhere). No PDs are going to be excited about folks who want to swap simply because it wasn't their dream residency.
Honestly, IMHO your best bet is to suck it up and get through at least the first year of residency before considering anything more drastic. Intern year is not "happy fun time" for anyone, so it probably doesn't make as big a difference suffering for a year where you matched as compared to suffering for a year in a more desirable program. After a year, you at least have the ability to get licensed, so you have career options outside of the match. And at that point it's a lot more reasonable to try to change to another specialty, after having worked for a while in one. Just my two cents.
- Joined
- Mar 26, 2008
- Messages
- 782
- Reaction score
- 3
Did you not read the Match Participation Agreement before submitting your ROL?
You will be in violation of the match and in breach of contract. You may be barred for 1-3 years from participating in the match again, or you may be barred permanently. You may be barred from signing outside the match with a program if that program participates in NRMP and you may want to consider this in the context of the All In policy currently being discussed. Your violation history will be sent to the powers that be: ABMS, ECFMG, Federation of State Medical Boards, your med school, etc. So unless you plan on bailing to do something non-clinical, go to your program. You only have to show up on the first day to satisfy the terms of the NRMP contract.
I wont scold you about ranking programs that you knew you didnt want to go to, but Im sure someone else will.
I will say that I think you should keep an open mind-- remember that we are submitting our ROL based on websites and a single interview day; what we may perceive as a "poor fit" may actually be a decent program for us.
Try to look at it this way: you've matched, you're well on your way to completing your training and your future is essentially secured. Make the best of it and it'll be over before you know it.
- Joined
- Jun 17, 2004
- Messages
- 9,801
- Reaction score
- 138
If you didn't want to go there, why did you rank it???????????
You signed a contract. Go. If you hate it, try and transfer for second year. But you're stuck I'm afraid.
You signed a contract. Go. If you hate it, try and transfer for second year. But you're stuck I'm afraid.
- Joined
- Oct 11, 2006
- Messages
- 10,666
- Reaction score
- 15,365
An interesting question, given your prior post suggesting that this is your second match.
- Joined
- Nov 17, 2004
- Messages
- 1,922
- Reaction score
- 123
So you switched from IM to FP but ranked a program you didn't even want to go to? Why? Because you didn't want to take the risk of scrambling? 😕
- Joined
- Nov 20, 2002
- Messages
- 1,678
- Reaction score
- 72
I agree with those saying that your best bet is to go to this program this year and then if you still hate it try to transfer elsewhere as a PGY-2.
I think it's likely that this issue of having already used a year of funding in your previous internship may have been the reason you slid further down your rank list than you expected, and that's not an issue that you can fix. I'd recommend giving this program a chance, especially since they were willing to give you a chance. 🙂
I think it's likely that this issue of having already used a year of funding in your previous internship may have been the reason you slid further down your rank list than you expected, and that's not an issue that you can fix. I'd recommend giving this program a chance, especially since they were willing to give you a chance. 🙂
- Joined
- Feb 27, 2007
- Messages
- 5,737
- Reaction score
- 5,490
Dude, you want to leave a second residency program (without even seeing it)?!? That would be a red flag the size of China for any future PD.
Presumably, this program was a long way down your list. What does that tell you about where you were on the programs' lists?
You need to finish a residency, any residency, at this point. You might not get a third strike. Go.
- Joined
- Jul 25, 2010
- Messages
- 178
- Reaction score
- 2
What happens if you don't want your spot? You learn to want it!
- Joined
- Apr 23, 2006
- Messages
- 119
- Reaction score
- 1
I have met a few docs who completed two residencies that had nothing to do with one another... I know of a doctor who started off as a surgeon and then became a psychiatrist...I know another that did IM and the became and OBGYN. As i see it there is nothing worse then sitting at home on a couch and accruing more debt. If you renag you will be barred from the match for 3 years anyways and it is doubtful you will ever match again. After completing a residency is just about anything you will be ever more competitive in the match then you were today.
good luck,
david
good luck,
david
- Joined
- Jan 28, 2010
- Messages
- 97
- Reaction score
- 3
- Joined
- Sep 23, 2007
- Messages
- 28
- Reaction score
- 0
- Joined
- Mar 20, 2011
- Messages
- 7
- Reaction score
- 0
Having completed a U.S. Residency, will not make you a more attractive candidate it will make you a far less attractive candidate. Having just applied to 150+ primary care programs only to get 5 interviews, not matching and with no luck in the scramble. I can attest that having completed a US residency is not looked upon favorably. This is due to the funding issue. Even thought a program may only loose 20K out of the 120K they get from the government they would much rather have their full funding and are willing to take any other applicant with funding over someone with out funding. Many program directors said they would like to have me in their residency, they just can't risk loosing the funding. One program director explained, where candidate with out funding, fit into the match, he said I should not try to scramble but wait until after the scramble was over and then apply to any remaining open positions, unfortunately after the scramble there are only a handful of of open positions are being chased by many of the 12,000 applicants who did not match.
"The 2011 Main Residency Match was the largest in NRMP history, with more than 26,000 positions and almost 38,000 applicants." from http://www.nrmp.org/
I would gladly take the spot of the IP if he does't want it.
- Joined
- Apr 13, 2006
- Messages
- 231
- Reaction score
- 2
I think there's a generational misunderstanding.. the antecdotes of the switches were MUCH more frequent a few years back with recent switches being few and far between.....with PDs considering the fact that they have to deal w/ lack of funding........I would wager those antecdotes ppl cite mainly pre-date the law that changed fundings...then residents were far more cavilier about switiching.
