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collegedude22

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  1. The problem is the CaRMS match happens first, so if you match to a Canadian residency program you will be automatically withdrawn from the American match. You don't get to match to a program in Canada, subsequently match to something in the US, then get to pick between the two. Basically, you have to not submit a rank-order list to CaRMS at all if you seriously want to match to the US; however, you then risk not matching in either country at all. It's a very risky move. In most cases, it's not feasible to apply to programs in both countries as you only have so much elective time in fourth year and have to focus on one match. And it goes without saying that CaRMS is becoming tighter every year. One thing you can do to get a sense of how strong an applicant you might be in the US is to take the USMLE step 1. If you score > 250, you can be reasonably sure of matching in the US as long as you're not applying to rads/ophthal/anesthesia/derm/plastics.
  2. It ends up on your dean’s letter. The vast majority of programs do not care about applicants being unmatched before per se unless there was some red flag, in which case it does matter. Most people don’t match because of bad strategies so it’s immaterial basically when applying the following year.
  3. Programs are actually not allowed to ask you what other specialties/programs you’ve applied to. It’s in the rules on the CaRMS website.
  4. Exactly. And those are only the stats for people who 1) got internal interviews, and 2) ranked internal first. I'm sure the numbers are worse for people who backed up with internal and didn't match to their speciality of choice. I also heard of a few internal gunners this cycle who got very few or zero interviews. The game is changing for internal medicine, which is not surprising.
  5. The problem with Toronto is there is very much no guarantee you will get an interview EVEN IF you rock those 6 weeks, get a glowing letter, are told by multiple faculty you will match there, get interviews almost everywhere else you applied using the letter you got from Toronto. This happened to me. Internal med interviews are definitely NOT guaranteed. I would plan electives assuming you won't get an interview at Toronto. Hopefully you do! But play it safe and don't use up more than 3 weeks at any one centre.
  6. Dal used to provide phone calls to IP applicants before they included application scores in the decision letters. Now that they do, there's no need to make those calls.
  7. I don't think most people expect to get in to any one school. People who've interviewed at a number of places might expect to get in somewhere because (1) they have multiple interviews and (2) the fact they received multiple interviews means they're probably good applicants.
  8. This year was extremely tight for internal medicine. 498/502 spots were filled. Most applicants who were "all in" for internal medicine this year didn't get 2-3 interviews they were expecting to receive, let alone people who were backing up. Internal programs generally require 3 letters and you realistically need 2 letters from internists. A strong 3rd general letter from another specialty would generally be fine. I'm going to venture and say that it's extremely unlikely many people matched to internal this year who hadn't done at least one internal elective. That said, family this year was less competitive, with many spots left in desirable locations.
  9. Completely doable. Try your hardest to switch up your electives. Learn lots of urology before your electives and get good letters. Try to write up a case report or some other type of research. Apply to surgery as well.
  10. Yes, it is possible. Dermatology is first or second in terms of competitiveness each year, and programs expect that applicants will also be applying to an alternate specialty. Most people whose preferred discipline is dermatology end up matching to something else. I have even heard of dermatology programs negatively viewing applicants who clearly aren't applying to another specialty, as it shows poor judgment. The other consideration is what you choose to back up with. As you have probably heard, internal medicine is becoming increasingly competitive for those who are "all in", let alone those who are backing up. You would need to do at least one internal medicine elective (3 weeks would be best) and get a very strong letter from it. That way you have at least 2 internal letters. I think most internal programs are open to a strong general letter from another specialty to round out the 3 required by most programs. Then you would need to apply VERY broadly. Most applicants this year didn't get at least 2-3 interviews they were expecting. Keep in mind that some internal programs prefer candidates who are clearly more "all in" (Toronto/UBC/Mac/Calgary/others), whereas some programs value applicants who have done electives in different specialties (Dal/Queen's/Manitoba/Saskatchewan/Alberta). You'll likely have better luck with the latter programs. Another consideration is the fact that if you don't match to dermatology in Canada, you could do a year of internal medicine then apply for the PGY2-entry dermatology programs in the US. You would obviously have to take (and annihilate) steps 1 and 2CK/CS.
  11. The IP (NS) waitlist has barely moved at all in recent years.
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