I’ve had several people just today ask me what happens when you don’t match. On Monday of Match week, if your email from the National Resident Matching Program states that you did not match, apart from the inevitable depression that you will probably experience, you have to get ready to scramble for a position.
A list of unfilled positions in all specialties is released to everyone who did not match. I’m not completely sure on the logistics, but I think that starting on Tuesday, you can resubmit your electronic residency application to any programs that have spots open for anything. One would hope that you can find a position in your own field, but many people end up taking whatever position they can find. You have Tuesday and Wednesday to complete this process. It’s a second chance to get a job. Many people who don’t find a position or who don’t want to change fields will settle for a preliminary year in which you work as an Internal Medicine intern or a surgical intern. While working, you use that extra year to reapply and go through the whole application process again. The preliminary year is often required by more specialized fields like Dermatology or Orthopedic Surgery or Ophthalmology. Most people can get one of these one year positions.
As I’ve mentioned before, this whole process really sucks. It’s so stressful and ultimately, if luck is not in your corner, you can end up jobless despite your four years of hardwork.
Worst yet, medical schools across the country are accepting more students but residency programs are not increasing the number of jobs available. Residency is getting more and more competitive each year in every specialty!
I’m very grateful that I have somewhere to go next year, and I’m also very grateful that I like the program. Can’t really ask for anything more.