I would like to change from my current IM Residency program to another IM program. I would greatly appreciate any advice about how to initiate contacting other IM programs and if it is reasonably possible to do this without going through the match. The motivation to change is somewhat due to unhappiness with the evaluation system at the current residency program and somewhat due to disenchantment with a number of attendings. Geographic preferences are also a factor. I am currently PGY-I, with several decent evaluations but also several poor evaluations which I believe were based on very superficial consideration. As someone who I would like to start working before the July 1 2003 period, I am wondering if it will be necessary to start all three years over, or if I would get partial credit for the 6 months I have completed to date. Also, would it be reasonable to expect that I would be paid a regular resident's salary, or would salary adjustment be necessary for the 6 months of funding a new program would not receive from Medicare. Any help would be greatly appreciated.