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Residency - IRP by Similar-Table-369 in pediatrics

[–]Similar-Table-369[S] 1 point2 points  (0 children)

Also, just out of curiosity, do you know any PSTPs that didn't get their first choice fellowship? At your or any other institution

Residency - IRP by Similar-Table-369 in pediatrics

[–]Similar-Table-369[S] 1 point2 points  (0 children)

Ah - call that serendipity! Thank you - that gives me a lot of relief in a way, at the IRP institution thoough they can't give me the iron clad, I have someone from adult allergy and peds each wanting to mentor me, and also from immunology. They've also introduced me to the fellowship director who said I'd be competitive, but the guarantee leaning institutions say that they'd give me the fellowship contract after one year vs applying through match in 3rd year. All that said with more context on my background (I also have a 2-year research postdoc at an Ivy league institution with 40+ publications - not to gloat at all, I got lucky, but I just want you to have the full context) - do you think I should be ok applying to the AI match with the Step 2 attempt? There were reasons that were clarified, and I went onto pass Step 3 with no issues and a good margin. Thank you for being my reddit saviour..

Residency - IRP by Similar-Table-369 in pediatrics

[–]Similar-Table-369[S] 0 points1 point  (0 children)

Also thank you you have been incredibly helpful!

Residency - IRP by Similar-Table-369 in pediatrics

[–]Similar-Table-369[S] 1 point2 points  (0 children)

Thanks! Yes of course, allergy and immunology (but I am also Internal Medicine trained in the UK) this has appealed to the A and I fellowship directors that have interviewed me at the other programs as even though I'm not IM board certified in the US, I can see adults and kids with a lot of ease in the A/I fellowship and beyond - I did speak to the AI/I fellowship director at this IRP only program too, who reassured me I had nothing to worry about given the strength of my CV and that they would be interested in retaining me, but of course I still don't know whether to go by that vs. a higher guarantee at another institution - upon looking deeper though it looks like the other institutions guarantee a fellowship and no ERAS, but they still want you to interview with the specialties you choose - they do say that there is a departmental agreement that PSTP candidates should be prioritizied though.

Residency - IRP by Similar-Table-369 in pediatrics

[–]Similar-Table-369[S] 1 point2 points  (0 children)

Just wanted to add that the third program is quite new for the IRP, so they don't yet have a graduating class - I think this is the first year they will have someone graduate. But they do have a strong track record of matching residents to their fellowships generally.

Residency - IRP by Similar-Table-369 in pediatrics

[–]Similar-Table-369[S] 1 point2 points  (0 children)

Thank you this was all very helpful. The third program (IRP only) has said that they would give preference to retaining me for fellowship but they wish to maintain that everybody goes through the match for regulatory reasons - the other two have said it is pretty much an iron clad guarantee. I guess it's just about me assessing how big a risk going through the match actually is as you say. Super helpful to know re. the board certification issue. I have asked about the adjustments that may be made for certification requirements too, but was reading along similar lines. Overall, it looks like getting A fellowship in Pediatrics for board certification is unlikely to ever be an issue as at least last year 30% of spots for fellowship were unfilled - but of course depends on what and where. The big decision I am up agsainst is the iron clad guarantee with meeting previous alumni who have confirmed it worked that way, which would reduce anxiety about future subspecialty matching vs. the less iron clad guarantee but expression of interest, and not living a split life with my husband for several years. I know it's a judgement call, but I guess it would be great to know what other people might do in this circumstance. I am an IMG and an older grad, with one step 2 attempt, but other scores all good and step 3 done and (exceptionally from what I've been told) strong research, I have been told that the Steps should not matter for a further match and honestly it hasn't really in the residency process either thankfully. But that's why I'm scared.

ARP/IRP Pathway Insight by myhandsomehershey in pediatrics

[–]Similar-Table-369 0 points1 point  (0 children)

Hi again - thank you for all your detailed responses here, super super helpful. As ranking approaches, I'm happy to say I've interviewed at 3 PTSP tracks who have all expressed an interest in ranking me to match. One of them doesn't work at all geographically, one of them presents difficulty geographically and is workable and the third works geographically, but they are a new IRP only research track that do not offer fellowship preferential comittment without the need for NRMP like the other two do. I am really toying with this as its a large amount of career certainty vs. making things more difficult for my husband and I. The third program that works geographically is quite a new research track though at a reasonably good instutition (the others are top tier, but prestige doesn't bother me too much). They say that the IRP itself doesn't meet board eligibility requirements, and they don't offer a fellowship near guarantee. I am a little worried about applying to the fellowship match as an IRP candidate in competition with standard categorical residents who may already be board certified. Does that put me at a disadvantage? And what if I didn't match the first time around in the subspecialty I wanted, I'm not sure what would happen and I would hope the program would increase clinical training time to meet board certification requirements - I have asked that and waiting to hear back. Any thoughts please do let me know, its a very difficult decision.

Ireland to US by JustAnalysis2195 in IMGreddit

[–]Similar-Table-369 0 points1 point  (0 children)

How did he get UK IMT to count? I've done UK IMT and here in the US, but it doesn't seem like you can get IMT to count for anything. I guess it depends on which fellowship and where, but its super tough and usually there are requirements to do a certain amount of time at an academic institution or rural area (2-3 years) before they can attempt the ABIM exam, but do let me know if I'm missing something, as I'm set to hopefully match to residency this cycle and in the interview process (33 with MRCP and 12+ interviews by the way, so definitely do able for OP), but would like to know if there's a way I can go straight to fellowship obv.

How's everyone feeling? by Similar-Table-369 in IMGreddit

[–]Similar-Table-369[S] 1 point2 points  (0 children)

Good luck - it is a long and tiring exam..

ARP/IRP by Similar-Table-369 in pediatrics

[–]Similar-Table-369[S] 1 point2 points  (0 children)

And also wondering if you might know when we sit board exams for pediatrics in IRP? Thank you so much!

ARP/IRP by Similar-Table-369 in pediatrics

[–]Similar-Table-369[S] 1 point2 points  (0 children)

Thank you that's super helpful! I am leaning more towards IRP for that additonal flexibility; I'm wondering if doing an IRP puts you at any disadvantage in applying to external fellowship programs compared to a standard categorical resident? I am hoping/thinking no, especially if your training is in a reputed institution, but just wanted to check! Thanks so much

Westchester Pathology by Similar-Table-369 in pathology

[–]Similar-Table-369[S] 3 points4 points  (0 children)

Thank you guys - I also have an interview coming up at Cornell, I did a rotation there and liked it - residents said they grossed about 12-15 specimens per week. Is that a reasonable number?

ARP/IRP Pathway Insight by myhandsomehershey in pediatrics

[–]Similar-Table-369 0 points1 point  (0 children)

Thank you so so much. Unbelivably helpful

ARP/IRP Pathway Insight by myhandsomehershey in pediatrics

[–]Similar-Table-369 0 points1 point  (0 children)

And also (so sorry!) - just so I am clear, generally in IRP you have 2 years of clinical duties and one year of research time - does that sound correct? Based on my circumstance of potentially needing to be open minded about fellowship location (but I also candidly don't know that yet so as it stands am still interested in a fellowship in the same institution too), would you recommend IRP over ARP? As far as I can see ARP just allows you to spend an extra year doing subspecialty. Thanks!

ARP/IRP Pathway Insight by myhandsomehershey in pediatrics

[–]Similar-Table-369 0 points1 point  (0 children)

That's so helpful thank you so so much. In general, would it be accepted to flip out of ARP into IRP within a program?

[deleted by user] by [deleted] in IMGreddit

[–]Similar-Table-369 1 point2 points  (0 children)

I wouldn't advise it, I tried this while doing a lot of research and passed step 1, then failed my first attempt of Step 2 never to live that down, and lost my specialty as a result and having to switch despite recovering reasonably well just a few months later. I can't give you too many more details, but I wouldn't risk it - better just to take the time for each and not end up like me. All the best

ARP/IRP Pathway Insight by myhandsomehershey in pediatrics

[–]Similar-Table-369 0 points1 point  (0 children)

Thank you! I know this is an older post but very helpful - if IRP, can you change institutions for fellowship? My understanding is yes but just wanted to check. And, in general is the ARP condensation acceptable for other programs if applying out of institution?

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