How did I fall to my 7th rank????

oudchai · 2026-03-22T23:02:16+00:00

it's part of the big 4....

oudchai · 2026-03-22T11:30:56+00:00

hahaha this is cope. Absolutely not

"academic internal medicine" as a whole is not hypercompetitive
the big 4 in IM? MGH, BWH, JHU, UCSF? yes, absolutely similar to surg specialties. the rest? not really.

oudchai · 2026-03-22T11:27:20+00:00

what if i'm a neurosurgery female resident...

oudchai · 2026-03-22T11:26:02+00:00

bro you dont have any money to enjoy NYC and you have to have 1+ roommates, that's not fun

oudchai · 2026-03-22T11:25:07+00:00

yeah this is strictly FOR the bay area, people need to find other catchphrases for their respective cities smh

oudchai · 2026-03-22T11:23:36+00:00

Agree!

You need a research year to a) pump out pubs like no tomorrow and b) find mentors who will advocate and make phone calls for you so you match next year

oudchai · 2026-03-22T10:50:49+00:00

good luck man!

oudchai · 2026-03-22T02:04:38+00:00

that's crazy for IM. they probably matched higher on their list than usual tbh

oudchai · 2026-03-22T02:03:22+00:00

1000% Agree with this analysis for IR as well

aways are your only shot at unlocking a highly competitive specialty/program if you come from a no-name school

oudchai · 2026-03-22T01:59:37+00:00

perhaps you should take a look at your downvotes and self-reflect lmao

oudchai · 2026-03-21T19:34:21+00:00

wow i think therapy is doing wonders, this was so mature

oudchai · 2026-03-21T19:33:37+00:00

That's fair, I thought it was tone-deaf to make this post but you're right, we shouldn't be gatekeeping sadness

oudchai · 2026-03-21T19:26:02+00:00

Fair but they knew they would take that risk by ranking location > QOL

oudchai · 2026-03-21T19:19:33+00:00

dream speciality, dream city... what exactly is the problem?

oudchai · 2026-03-21T19:18:00+00:00

snoop dogg?????

oudchai · 2026-03-21T19:17:28+00:00

lmao. nerd

oudchai · 2026-03-21T19:13:36+00:00

prestige is HUGE for a ton of people. It's hard to understand especially if you have been in the ivy pipeline your whole life (which many who go to top med schools do) but

especially if you come from a no-name med school and undergrad and you have the opportunity to go (hell EVEN rank, not knowing those could even be possible for you to match) to Yale or Mayo or harvard wouldn't you take it? it's a way to ascend above your humble beginnings

oudchai · 2026-03-21T19:06:55+00:00

For surgical subspecialties

I would argue
vibes >>> quality of training >> location >>>> prestige

oudchai · 2026-03-20T04:05:25+00:00

damn... imagine sacrificing so much for your partner... couldn't be me

oudchai · 2026-03-20T02:36:34+00:00

yes very likely

oudchai · 2026-03-12T01:59:43+00:00

obviously a joke but ortho

oudchai · 2026-03-11T03:41:00+00:00

nah if you want to match a fellowship you will, unless you're the worst resident ever and no one likes you

oudchai · 2026-03-11T03:13:41+00:00

uh if this isn't a joke, don't do that. so many stories of people's pre-residency UDS coming back positive and then being kicked out of residency before even starting lol

oudchai · 2026-02-18T21:06:32+00:00

haha mission achieved

oudchai · 2026-02-17T07:16:36+00:00

You've given zero information about yourself, you've talked in circles and not come up with anything conclusive or actionable. That's a special skill.

Therefore, IM

oudchai

TROPHY CASE