How many programs are you ranking?

I ranked 19 programs last year and didn't match.

That sucks a lot. I certainly don't mean to salt anyone. After going though this a second time, what things have you done differently?

I know that even though the chances (95%+) are spectacular with 11,12,13....19 contiguous ranks, there are always anomalies and outliers. And no one is "safe".

Thanks for any insights that can help.

the point is that the # of ranks doesn't mean jack squat. You rank 1 program and still match. A program has to like you, and that's it.. when you get to doing a lot of interviews like I did last year.. you become jaded, and I think that shows, and you don't think the game needs to be played.. but it does.. oh boy it does.

Statistically the # of ranks matter. I am a numbers person. I choose to trust the statistics from the NRMP. Each person can have their on opinion about it.

Although there are many variables that go into who matches, only 36% of the 146 US seniors who ranked 5 programs or less last year matched. Conversely, 64% failed to match. I would argue that is statistically relevant. I interpret this to mean: To increase your chances of matching, do all you can to receive as many interview invites as possible, interview as best you can at 11 - 16 programs, and rank all programs that you could live with matching at.

I agree with you that doing more interviews can make you either:

A) Jaded - feeling you're an "absolute lock" after hearing all the, "what can we do to get you here", combined with post-interview calls and e-mails saying your great and ranked to match, ranked highly or whatever. Therefore you decline to contact programs, play the game etc.

Exhausted - I think its tough for applicants to keep up their true level of excitement, positive body language, and game face on their 15th interview. Especially if it's the 4th interview of a mini-tour long weekend that went: social night/interview/social night/interview/FLIGHT/interview/FLIGHT/social night/interview.

- I agree with you that at some point, killing yourself to do 20 interviews can produce some diminishing returns.

- Clearly, it does only take one program to match. And it only takes one program to "like" you, or in other words, rank you high enough to match. However, I would approach the process in a manner that gives me and my paper application the best probability of matching. That means interviewing well and often and it means playing the interview and post-interview game well, and it means ranking as many programs as you can live with.

- I don't like any situation that yields a 36% success outcome. If I did find myself in that situation, with 5 or less programs on my ROL, I would certainly do anything humanly possible to try and move myself up the list of those programs. Sometimes your efforts will be futile and wont make a difference. Sometimes they might help. Who knows.

I think you nailed it on the head. The game needs to be played to a degree and certainly played well.

Good luck to all this year in the match!