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So You Haven’t Matched, Now What: an Action Plan

  • by Dr. Mike Ren
  • Mar 24, 2022

If you are a fourth year medical student, March marks the beginning of the next chapter of your medical journey. You have been anxiously awaiting for the Match results. Even if Match Day ended up not being what you expected and you did not match this cycle, keep your head up! There are plenty of options to consider. 

Check out the data

About 96 percent of US medical school graduates continue to practice medicine within four years of graduating from med school. This bodes well for US grads, while IMG grads should keep an eye on the CramFighter blog for a match post dedicated to you!

Take a breather! 

Medical students are ambitious, so failing to match naturally causes initial shock and disappointment. If you fall within this category, remember that you are not alone. Data from the The National Residency Matching Program (NRMP) reveals that thousands of students do not match on their first cycle and either take a year off or go into the Supplemental Offer and Acceptance Program (SOAP). During the 2020 Match, 44,959 applicants applied to 37,256 positions, and with the substantial increase in medical schools across the US, more students will go unmatched.   

More than 96 percent of US med grads practice medicine within four years of graduating. Press on, and work towards your next steps… you’ll make it through.

Diagnose the problem

Once you’re past the initial disappointment phase, pinpoint the reason(s) you didn’t match:

  1. Have an experienced set of eyes – preferably your medical school’s dean or local program director – review your application and personal statement.
  2. Perhaps your scores were too low, or maybe there was a lack of extracurriculars.

Other common reasons to fail the match are:

  • Low national exam scores
  • Poor academic standing in comparison with peers applying to the same speciality

Many applicants who don’t match also lack interviewing and interpersonal skills.

Be proactive! 

Once you’ve figured out the cause, work to address it. Take an extra year to bolster your ERAS application. Gain experience to improve your personal statement. Meet with academic advisors or one of our residency consultants (please excuse the shameless MST plug!) to hone your interview skills. Study and retake USMLE if your initial scores were not competitive enough. Don’t be afraid to ask for help. Furthermore, consider checking USMLE step 3 off your to-do list. Program directors favor applicants who have passed Step 3 as it’s a hurdle you’ll have to conquer during residency otherwise. Also, scoring well on Step 3 may compensate in case your scores on the previous tests were lower than you wished.  

If you’re aiming for a particularly competitive residency, use the year to seek out research opportunities. Options include:

  • Laboratory research
  • A public health or health policy role
  • Clinical research.

Talk to residents or fellows who have already matched in the field to find out which is best for your specialty. Then find the right mentor or PI, because a publication in your field can help your cause – especially if you are the primary author or if you or your co-authors present at a national conference. 

If research is not for you, think of getting a year of medical experience such as by working in a volunteer clinic. Show your commitment to medicine to program directors, improve upon your exam skills, care for patients and stay up to date on medical knowledge. Alternatively, consider pursuing an advanced degree such as an MBA or MPH with your year off.  Doing so will set you apart from traditional applicants. It will indicate to PDs that you will bring a unique perspective and expertise to the residency.  

Taking a year off is out of the question? Some rural areas in the Midwest allow you to practice straight out of medical school. Most of your work will be primary care in medically undeveloped/underserved areas, and this option is quite new, so constant changes can make it challenging.  

Rethink your specialty

Another option is to apply for a less competitive specialty. The NRMP has useful data on speciality matches including average step scores, research publications, students’ standings such as AOA, etc.

Ideally, you can use this information before you submit your application, but you also can check it out afterwards to gauge how competitive you are. Sometimes, the difficult truth is that you are not competitive enough and need to change specialities. If practicing medicine is your true passion, think of multiple specialties you could enjoy, maybe less competitive ones, to aim for. Lastly, If you happened not to match and are eligible, you should consider participating in SOAP.

If you don’t match, you are likely to feel disappointed, but don’t give up. Reach out to your support system. Press on, and work towards your next steps. To reiterate what I mentioned at the beginning, more than 96 percent of US med grads practice medicine within four years of graduating. Strengthen your skills, knowledge and application, and you’ll make it through

 

About the Author

Mike is a driven tutor and supportive advisor. He received his MD from Baylor College of Medicine and then stayed for residency. He has recently taken a faculty position at Baylor because of his love for teaching. Mike’s philosophy is to elevate his students to their full potential with excellent exam scores, and successful interviews at top-tier programs. He holds the belief that you learn best from those close to you in training. Dr. Ren is passionate about his role as a mentor and has taught for much of his life – as an SAT tutor in high school, then as an MCAT instructor for the Princeton Review. At Baylor, he has held review courses for the FM shelf and board exams as Chief Resident.   For years, Dr. Ren has worked closely with the office of student affairs and has experience as an admissions advisor. He has mentored numerous students entering medical and residency and keeps in touch with many of them today as they embark on their road to aspiring physicians. His supportiveness and approachability put his students at ease and provide a safe learning environment where questions and conversation flow. For exam prep, Mike will help you develop critical reasoning skills and as an advisor he will hone your interview skills with insider knowledge to commonly asked admissions questions.