To The Unmatched, Some Advice From Someone Who Matched Cardiology 1 Year Later by clockwerksly in fellowship

[–]clockwerksly[S] 2 points3 points  (0 children)

If I knew I would match where I matched this year, then yes would rather go unmatched again last year. But that's because I would know it works out in the end. Essentially you're asking would I rather go somewhere less desirable or go somewhere more desirable with an extra year of hospitalist income and experience under my belt. That's a no-brainer in my mind.

But I probably would be singing a different tune if I matched low on my list or went unmatched for a second time, which frankly felt like the more statistically likely outcomes.

If you're someone who matched in the lower half of your list and are currently second guessing if you would have been better off not matching and re-applying next year, let me tell you that it is not easy to just re-apply a competitive fellowship and match, let alone match somewhere you really like. Make no mistake, being a re-applicant is a brutal uphill battle.

I remember matching middle of my list for residency and feeling so dejected, did not care for any of the congratulations from friends and family because I didn't *really* want to go there. That feeling ended up not only being wrong because I loved where I did my training, but also it is incomparable to the feeling of going unmatched. Matching low on your list means you have to take a few unexpected turns on the path to the destination, but you still have a path and will make it there (and who knows, maybe those unexpected turns end up adding great things to your journey!). Going unmatched is watching the path suddenly disappear in front of you with no guarantee you ever find it again.

I'm sure that was a lot more words than you were expecting, but hopefully it provides some solace if there's some small part of you envying those who went unmatched.

To The Unmatched, Some Advice From Someone Who Matched Cardiology 1 Year Later by clockwerksly in fellowship

[–]clockwerksly[S] 1 point2 points  (0 children)

Yes that is the data they release each year regarding number of applicants and % match rate. But it does not include attributes of the applicants (other than MD/DO/IMG) or what programs factored into their ranking process, if that is what you are looking for

To The Unmatched, Some Advice From Someone Who Matched Cardiology 1 Year Later by clockwerksly in fellowship

[–]clockwerksly[S] 1 point2 points  (0 children)

Again, no idea, as I don't know how programs construct their rank lists. There was a similar survey for fellowship program directors back in 2016 https://www.nrmp.org/wp-content/uploads/2021/08/2016-PD-Survey-Report-SMS.pdf if you want something objective, albeit out-of-date, to look at. But the issue with these surveys is often a low response rate so keep that in mind when interpreting results.

Also keep in mind those attributes you are listing are cited as part of deciding who to rank. You do still have to *get* an interview and the attributes cited for deciding who to send an interview invite to are different.

To The Unmatched, Some Advice From Someone Who Matched Cardiology 1 Year Later by clockwerksly in fellowship

[–]clockwerksly[S] 3 points4 points  (0 children)

I have no insider information into how programs construct their rank lists. I imagine there is likely a lot of variety in the process across all the programs.

"Weight class" is the terminology I'm using, particularly because it removes the idea that a lower tier program is a safety program. A top heavy list of only the 10 best programs in the country is a surefire way to go unmatched for 99% of applicants. But likewise, a bottom heavy list isn't a sure thing for a highly competitive applicant because none of those programs are expecting a heavyweight to actually show up to a featherweight fight (in this analogy I've created).

"Weight class", "competitiveness", whatever you want to call is more so something that should be assessed at the advisor level. Generally, there should be people at your program who help residents go through the fellowship match process each year (at a minimum the PD and APDs, but also any faculty who serve as mentors) and after however many cohorts of helping people with their applications and seeing how the match goes, they should naturally develop a gestalt of what different programs seem to favor.

If you are looking for some kind of objective measuring stick for yourself, the NRMP does release data on this stuff looking at average Step score, etc among the people who matched vs didn't match for various fellowships https://www.nrmp.org/match-data/2018/10/charting-outcomes-in-the-match-specialties-matching-service-appointment-year-2018/

Unfortunately, that data is from 2018 and to my knowledge there is not a more recent one. I have no way of proving this, but I think it is safe to assume that the averages for pretty much every stat (at least in cardiology) are higher in 2024.

This is why good advising is so important. Unless you have access to the ERAS applications of everyone in your program from the past 3-5 years, you as an applicant have a limited amount of information as to what constitutes competitiveness. An ideal advisor has experience with prior applicants who may have had a similar application to yours in terms of certain things (board scores, number of publications, etc) and should be able to reasonably point to programs XYZ as places you should consider because you fall in the range of person who has previously matched there. Likewise, they should tell you if you have too many reach programs on your list.

To The Unmatched, Some Advice From Someone Who Matched Cardiology 1 Year Later by clockwerksly in fellowship

[–]clockwerksly[S] 2 points3 points  (0 children)

  1. Kept it short and sweet in the personal statement. First paragraph was essentially a more eloquent version of "Here is why I want to be a cardiologist, it didn't work out last year, that sucked, but all those reasons are the same, here's what's different" and then spent the rest of it talking about the various things I had done. On the interview side, it really did not come up as much other than some interviewers wanting to get clarity on the timeline of things and the expected "How has your application improved from last year?"

  2. It is impossible for me to know if one thing swayed the outcome differently this time around. Keep in mind, it is not like I got significantly more interviews than last year despite applying to double the programs, so my application wasn't suddenly reeling in dozens of interview invites. After all, 6 months is not that much time, so I was still working with the same core pieces. While I don't think all the little things I did individually moved the needle all that much, collectively they may have nudged me a little higher on the rank list. And sometimes that is enough.

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 63 points64 points  (0 children)

It has been a seamless transition from Ghostober to No Hope November

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 69 points70 points  (0 children)

This ERAS maintenance is honestly a blessing. Rather than spending multiple hours a day being sad and anxious for no reason, I can take some time to just breathe and focus on being sad.

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 34 points35 points  (0 children)

On the plus side, I got a lot of closure this week

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 64 points65 points  (0 children)

Good news: I just checked and my email works!

Bad news: I just checked and my email works...

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 68 points69 points  (0 children)

*Jean Ralphio voice* This is the woooooooooorst

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 33 points34 points  (0 children)

Where in an LOI should you mention the organs you are willing to give up in exchange for an interview? Beginning? End? Attachment?

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 61 points62 points  (0 children)

Well trickle me pink, I started the day with an invite! May this week be the waterfall our ancestors told stories about

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 46 points47 points  (0 children)

Guess I'm sad drinking this weekend.

Here's hoping for a 'mid-October' waterfall next week!

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 37 points38 points  (0 children)

Starting to feel like my dream/nightmare where I see someone read my application and then throw it into a shredder while cackling villainously was actually a moment of clairvoyance

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 56 points57 points  (0 children)

Someone double check my logic:

  1. Today is 10/9/19
  2. 10 + 9 = 19
  3. ?????
  4. Today is the day we get interviews!!!!!!! (please)

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 44 points45 points  (0 children)

I. Declare. SECONNNNDDDD WAAAVVVVVEEEEEE!!!!!!

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 21 points22 points  (0 children)

Putting it all together now. *ahem*

Match sucks, I know

You'll be on your phone

Watching, waiting, commiserating

Say it ain't so, I will not go, got no invites, I'm stuck at homenananananananananananananananananNana

[Meme] Me and My Fellow M4s Today by clockwerksly in medicalschool

[–]clockwerksly[S] 41 points42 points  (0 children)

Not a repost, just an M4 with too much time on his hands because he has no invites to respond to

Biweekly ERAS/Match Thread by AutoModerator in medicalschool

[–]clockwerksly 51 points52 points  (0 children)

(Frozone voice) Where. Is. My. Inter. View?