Medical Residency Application & Interview Preparation Specialists
In reality, if you place a program on your rank order list you are making a binding commitment to match to that program, assuming the algorithm matches you with it of course. Therefore if you receive an offer, you must be prepared to undertake multiple years of training in that location, with the faculty members that you met, etc. Therefore, consider whether you would in fact rather not have to train in this hospital – even if that means not training at all for the year.
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In reality, you should rank programs in the order of how much you actually believe you would enjoy them and enjoy working there. Whilst it may be tempting to rank programs in the order that you believe you performed well in (aka how well you performed at interview, or how you believe your statistics and approach match theirs), in reality you are much better remembering that the algorithm is designed to match your preference. Whilst it therefore may be tempting to spend hours or days agonising over a strategic order in which you can come as close as possible to matching your supposed number one choice, you are better ranking according to where you truly want to go, and letting the algorithm do its work.
In reality, despite only ranking programs that you will actively want to work in, you must still rank as many programs as possible. If you believe that you would find a program ‘acceptable’ then you must rank it, as you must try to develop a match list that is both long and full of programs that you would enjoy. Evidence has found that the shorter a ranking list, the higher the risk of not matching as a result. Therefore you must ask yourself whether not matching a program is worth it, or whether you should rank it despite it not being quite ideal.
In reality, there is no one correct approach to the process. Some will go with their gut, some will create carefully weighted spreadsheets that sum up every factor they can consider. In reality, the algorithm itself is more complex than any method you could use, and you’re better to allow the algorithm to do its job. Therefore try to focus on what’s important to you – is it the highest quality training, or is it an area in which you can indulge your passion for the outdoors and get away from the hospital easily? Think about what’s important to you in life, and rank based on these factors.
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