By Guest on Sunday, 24 February 2008
Posted in Match Center
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i am a fourth year medical student interested in ortho, but I did not pursue ortho because of my step one score (204/83). I decided to be realistice with myself and instead applied for a less appealing field, general sugery. after speaking with an ortho chairman, he told me that was a mistake and that I should have pursued my passion. I decided to take step 2 early and received a 233/96. the ortho chairman told me that my step 2 score was good and that step 2 is a better predictor of an applicants success, and that I have a shot. because it was simply too late to apply for ortho this year, i decided to follow through on my general surgery application. I interviewed at 20 places, of which I was only happy with a few. I am now struggling with the decision of whether or not to submit my match list. I was hoping someone could give me some advice on whether or not I should pursue ortho. I have a year of dedicated ortho research set up for next year if i want it. the attending told me that he could not pay me, but he would write me a letter of recommendation and call on my behalf to a program to which he is connected. although i will not say which program, i am fortunate it is one of the lesser competive programs out there. I am worried that a year of research will not be enough to get me the interviews I need to be successful. with only a few days till i need to submit my match, can anyone advise me on whether or not i have a realistic shot? do you know anyone in a similar situtation with my scores who was successful? my parents would like me to do a year of general surgery and then try to switch. i have been told that many applicants try this and are unsuccessfully. i am also worried that not being a ms4 next year when i reapply will further hurts my chances. by the way, I am a b student with a few a's here and there. I really appreciate any help with this difficult decision.
You have a difficult decision to make, but you have a few options. First, I am of the belief that you will always regret not going for your dreams. So if ortho is truly your passion, then you can never go wrong with giving all you have got.

Ok, as for your options, the way I see it you can either go through with your general surgery residency and try to switch down the road, which can be difficult and many surgery programs will not do anything to help you when the time comes to leave. There is a big difference between doing a transitional year and getting a full residency spot. Secondly, you can not submit a rank list and do your year of research. As for strategy, I think that this is a better option. If this attending will truly going to go to bat for you and he does have strong connections, then he will be a valuable person to have on your side. Plus, dedication to research may get you a few more interviews next year. Finally, you could give up and just stay with general surgery. I wouldn't recommend this to anyone.

As for your chances of matching, nobody can tell. You didn't do well on your boards and that is a big strike against you. But some programs really appreciate a person who makes such a substantial jump between step 1 and 2. You have an uphill battle ahead of you, but you have a year to get some great letters of recommendation, form some relationships with some attendings who can talk you up, and get your confidence up before interviews.

If you go for it, you are taking a big risk, but the rewards are tremendous. You may want to talk to the chairman again and let him know that you really want this badly and ask him what you can do to convince him that you belong in orthopaedics. I've said it before, you will always look good if you do more than people expect of you. That is how you should approach the next year.

Good luck!
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18 years ago
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You have a difficult decision to make, but you have a few options. First, I am of the belief that you will always regret not going for your dreams. So if ortho is truly your passion, then you can never go wrong with giving all you have got.

Ok, as for your options, the way I see it you can either go through with your general surgery residency and try to switch down the road, which can be difficult and many surgery programs will not do anything to help you when the time comes to leave. There is a big difference between doing a transitional year and getting a full residency spot. Secondly, you can not submit a rank list and do your year of research. As for strategy, I think that this is a better option. If this attending will truly going to go to bat for you and he does have strong connections, then he will be a valuable person to have on your side. Plus, dedication to research may get you a few more interviews next year. Finally, you could give up and just stay with general surgery. I wouldn't recommend this to anyone.

As for your chances of matching, nobody can tell. You didn't do well on your boards and that is a big strike against you. But some programs really appreciate a person who makes such a substantial jump between step 1 and 2. You have an uphill battle ahead of you, but you have a year to get some great letters of recommendation, form some relationships with some attendings who can talk you up, and get your confidence up before interviews.

If you go for it, you are taking a big risk, but the rewards are tremendous. You may want to talk to the chairman again and let him know that you really want this badly and ask him what you can do to convince him that you belong in orthopaedics. I've said it before, you will always look good if you do more than people expect of you. That is how you should approach the next year.

Good luck!
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18 years ago
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The best bet is if you decide not to do Gen Surg is to not graduate. Do the research year and then re apply to ortho through the match. many programs don't like interviewing post grads. If you can stay in school and do your research year then re apply. I know someone who did this and matched and several who did gen surg and tried the next year and did not. Good luck
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18 years ago
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I obviously don't know what your whole situation is, but I would say you have a much better chance at matching into ortho by taking the research year (graduating or not) than by matching into general surgery. There is certainly no guarantee (for anyone) to get a spot, but if you can truly afford to delay your training a year in order to chase your dream, then in 15 or 20 years, that year may seem like a nominal investment to achieve your goal. Those with family commitments (children, etc) may not be able to afford to take the chance, but even if you try and fail, you could always scramble into a GS program, or apply to both next year and rank GS programs further down the list. I am by no means an expert, but taking a year to dedicate to ortho research will likely go farther to demonstrate your passion and commitment to ortho than by spending a year as a GS intern. As alluded to above, as a GS intern, you will likely have little time to boost your application and make yourself a stronger candidate.

Also, I'm not bashing GS in any way, but from my experience, THE most miserable GS residents I worked with were those who wanted to go into a surgical sub-speciality, but "fell back" on GS instead. GS is vastly different from ortho, ENT, plastics, etc and only those who seem to have a passion for GS seem to enjoy it. You can always subspecialize after GS residency, but 6+ years is an eternity to spend sweating it out in something your heart is not in.

Just my 2 cents, far from an expert opinion.

ED
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18 years ago
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The best bet is if you decide not to do Gen Surg is to not graduate. Do the research year and then re apply to ortho through the match. many programs don't like interviewing post grads. If you can stay in school and do your research year then re apply. I know someone who did this and matched and several who did gen surg and tried the next year and did not. Good luck


This is great advice. My program was a bit short-sighted (in my opinion) and refused to interview anyone who was post-grad so I know this happens. I maybe saw 2 or 3 post-grads on the interview trail that I know of. If you do it was ortho060802 said, it looks as if you're just taking a year off and you don't look indecisive. It seems obvious to me that you would not be happy doing g-surg, and if that's the case, I think your answer is easy as far as whether or not to submit your rank list.
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18 years ago
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