Trust Your Instincts and Personal Fit
When ranking residency programs, one of the most important factors is how you felt during your interview and whether you can see yourself being happy there for several years. Trusting your gut feelings about a program is crucial; if something felt off, it might be worth considering that in your rankings [1]. The personal fit with the program's culture and residents is also vital. If you felt welcomed and accepted as your authentic self, that program should rank higher on your list
[2:3].
Prioritize Your Preferences
The match system is designed to favor applicants, so it's recommended to rank programs based on your preferences rather than trying to predict how programs will rank you [2:1]. Consider what aspects of a program are most important to you, such as location, lifestyle, work-life balance, and training opportunities. Rank programs according to these priorities to ensure you end up in a place that aligns with your values and goals
[3:1],
[3:7].
Evaluate Training and Opportunities
Consider the quality of training and opportunities available at each program. If you have specific career goals or interests, such as pursuing a particular fellowship or engaging in research, ensure that the programs you rank highly offer strong support in those areas [3:2]. Additionally, consider the overall reputation of the program and its ability to set you up for future success
[5:1].
Lifestyle and Work-Life Balance
Work-life balance is another critical factor to consider when ranking residency programs. Evaluate the lifestyle and culture of each program, including factors like work hours, call schedules, and the general vibe of the residents [3:4],
[4:2]. A program that offers a supportive environment and manageable workload can significantly enhance your residency experience.
Location and Personal Circumstances
Finally, take into account the location of the program and how it fits with your personal circumstances. Proximity to family, friends, or significant others can be an essential factor in your decision [4]. Consider the cost of living, availability of affordable housing, and whether the location is somewhere you would enjoy living
[4:3].
By considering these factors, you can create a rank list that reflects your priorities and maximizes your chances of matching with a program where you'll thrive both personally and professionally.
One of the most common questions I receive is: How should I rank my programs? While there’s no perfect formula, here are key factors to consider when making your list.
✅ Red Flags & Gut Feelings: If something felt off during your interview, trust that instinct.
✅ Long-Term Happiness: Imagine yourself living and working there for the next 3-8 years.
✅ Acceptance & Personal Fit: Choose a place where you felt welcomed as your authentic self.
✅ Passion for Your Specialty: If you dual applied, prioritize the specialty you see yourself practicing for life.
✅ Location & Lifestyle: Consider city/state preferences, family support, political climate, and recreational activities.
✅ Community & Program Culture: Do the residents and faculty align with your values and personality?
🔹 Where would I be happiest?
🔹 Which specialty am I most passionate about?
🔹 Where did I feel most accepted?
🔹 What do I value most in a program?
🔹 Did any red flags come up during my interview?
🔹 Would I still be happy there after multiple years?
🔹 What type of community do I want to serve?
🔹 Which program had residents I genuinely connected with?
🔹 What does my gut say?
We’re all scientists at heart, craving hard data—but ranking is deeply personal. There’s no “perfect” list. Take five minutes after each interview to write down your impressions, emotions, and standout moments. Those notes will be invaluable when finalizing your rank list.
🛑 Only rank programs you interviewed at. Accidentally ranking a program you didn’t interview at wastes a slot. Double-check program codes against your ERAS list.
✔ Save & Certify Every Time You Edit. Clicking “Save” alone is NOT enough—you must also press “Certify” to finalize your list.
📩 Wait for Email Confirmation. If you don’t receive an email, your rank list may not have been submitted. Once certified, do not touch it again—you don’t want last-minute panic wondering if you hit the right buttons!
✅ Save your rank list
✅ Certify your rank list
✅ Receive the email confirmation
Follow these steps, trust yourself, and you’ll be ready for Match Week & Day!
📺 For more tips, watch the full video or check out the full post on navigating the weeks leading up to Match.
Good luck everyone!!
👍
I can’t believe someone got above a 280. Hope she does great
So I know most people say rank programs based off how you liked the program, not how you think they will rank you.. but what if you feel like you didn’t do well on the patient case at all due to nerves .. but loved everything else about the program?!
The match is in the favor of you. There is no reason not to rank in the order of your preference. Watch the video on the website.
They can teach you the clinic parts. They can't teach you how to be you. If you feel a personal fit, rank them.
This! 10000%. I always remind my colleagues/candidates about this
This right here! I always say this. They can teach you everything but how to be genuine, yourself and empathy.
If you love the program, rank it highly! You want to spend a year enjoying where you are
I wonder how I should rank my one and only interview.....1 or....1 lol. Just rank on what you want. If you feel that's where you're suppose to be then go 100%
LOLLLLL THANK U FOR THIS LAUGH. I LUV IT
Rank in order of your preference.
The system puts you in your #1 unless someone who the program ranked higher than you is also placed in the slot.
The programs ranking of candidates is irrelevant from a standpoint of how you should rank.
All in the title really. Bonus question: What was the one best thing you did (or can be a mindset shift thing too) in residency that made it way more enjoyable/bearable? Share your experiences and/or regrets, impart your wisdom - this is a pretty huge decision and I’ll appreciate all the insight I can get. TIA!
I think there a few questions you should answer:
What do you want to do? If you know what part of psychiatry you’re interested in, you should pick a program with good training in that. You want to be set up for success, so don’t go to a place without your preferred fellowship. You also don’t want to go to a community program if you want to do research, for example.
Is the lifestyle and culture a good fit? Consider personalities, vibes, work-life balance, etc.
Where do you want to live? Consider your ideal location.
I would go in that order personally, but there are reasons to change the order of the list and prioritize what you think is most important. Psych program training can vary a lot. People who are happiest are in programs that aligned with their desired professional opportunities, culture (friends, work-life balance), and location.
Imo this is the best answer. I came here to essentially comment this. It’s so up to the individual that it’s impossible to know what is best for a stranger.
For me I knew work life was my top value. I also knew good training was #2. I ranked accordingly, was fortunate enough to get my number one, and couldn’t be happier. I would also just be entirely yourself in your interviews; you want to work somewhere that values your personality as much as your intellect I think! I would just rank based on values and what’s important to you, you won’t go wrong! Also, there’s no “perfect” choice, you’ll have compromises of some form, that was hard for me to accept as a perfectionist lol.
What’s the best way to get total number of hours worked per residency so you can rank from lowest to highest?
I would often just ask bluntly. But I’m a blunt person, take that advice with a grain of salt. if there’s a place that “hides” or tries to be esoteric about their hours, that was always weird to me and rubbed me wrong.
I chose based off how happy/friendly the residents seemed. I had an acquaintance at the program, too, who could vouch for that.
If you can, try to find programs with full day didactics - it really was huge for resident WLB and cohesion. We would all either hang out the night before didactics or after.
I still feel I got satisfactory/good training - we didn't get some of the most specialized training (geri and addiction could have been a little better) but def had satisfactory C/L. We got above average CAP exposure, too.
Biggest mindset change was not being afraid to ask questions if you don't know. You're no longer in that stupid situation in med school where you have to feign knowledge to get a good clerkship grade. It's all about your training now. Ask about this during interviews.
You want to be at a program that at least has supervision and attendings willing to teach. I've talked to residents at other programs who felt they didn't get supervision.
I had a generally positive experience intern year at a land grant/safety net hospital. I asked residents directly how much they work at every program I interviewed at. You can't have everything with the current medical system so if more chill schedule is important to you rank those programs higher. You can message me to and I can answer more questions.
Location, lifestyle, opportunities in that order
Hi everyone. I just completed my residency interviews and I’m trying to finalize my rank list. I’m having a hard time deciding who I should rank #2, 3, and 4. I’m between two pretty big programs who would provide me with really great opportunities, plus another program that is smaller (but a part of a larger system) and all there were incredible during the interview process.
What factors did you consider/help you break the tie between multiple programs?
Also, two of the programs I’m interested in are located close to my boyfriend and ideally I want to be closer to him. He is a huge support system for me, but I don’t want to base my rankings solely based on him.
Any advice???
My best piece of advice would be to think about your life as a resident. What are your must haves? What would you like to have? What would make life a little more pleasant, but isn’t a must? Come up with a list and score your locations based on that.
I’m in the same position and that’s what I’ve been doing. If the rotations and culture of two institutions are similar, I’ll start thinking about longitudinal requirements. Ex: how often is weekend staffing? Are there weeknight staffing requirements? Do on-call and staffing weekends overlap? If this still doesn’t break the tie, I’ll think about things that are nice to have. Ex: facilities, good coffee/food nearby, etc. Anything that might make my life more enjoyable if all other criteria are equal.
Kind people, good location (you can get an affordable apartment) and IMO a less intense program so it's not miserable for you. Staffing would be big to me as well as I have seen residents staff so much because they are cheap labor. Also potential if you staff do you get pharmacist money
This is a copy of the original post in case of edit or deletion: Hi everyone. I just completed my residency interviews and I’m trying to finalize my rank list. I’m having a hard time deciding who I should rank #2, 3, and 4. I’m between two pretty big programs who would provide me with really great opportunities, plus another program that is smaller (but a part of a larger system) and all there were incredible during the interview process.
What factors did you consider/help you break the tie between multiple programs?
Also, two of the programs I’m interested in are located close to my boyfriend and ideally I want to be closer to him. He is a huge support system for me, but I don’t want to base my rankings solely based on him.
Any advice???
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I've been looking at match lists for the schools I applied to to kill time (didn't realize until recently this was public available). I know match lists are not to be taken at face value because there are many factors they don't show, but I figured it's at least worth seeing what portion of students match to competitive specialties.
But how can you tell whether students are matching into good/desirable programs—especially for specialties that are generally less competitive but have some very selective programs? I've heard internal medicine varies a lot in terms of competitiveness, but I don't know which programs are generally considered more desirable than others? It looks like there's no agreed upon residency rankings so it's hard to tell. I'm curious because if I don't end up wanting an uber competitive specialty, I still ideally want to go to school where students match to really good programs.
Is there a list (not necessarily a ranking) of some of the best programs within each specialty? Right now all I know are that MGH and Brigham are big names, but I don't even know if that applies to all specialties? Sorry in advance if this is an annoying question
It's definitely a bit of a neurotic question, but like one that most people have.
For internal medicine, the best programs are the Big 4 (MGH, JHU, UCSF, and BWH). Most of the other top medical schools also have great internal medicine residencies, but those are widely regarded as the best.
The water is muddier for other specialties, because different hospitals/medical school are good at different specialties. For example, going to MGH/Hopkins for pediatrics is honestly not as impressive as Cincinnati Children's. That being said, I think that generally if the students are going to a T10 medical school's residency, then that's probably a fine litmus for what you're looking for.
To be entirely honest though, for most specialties the ranking really doesn't matter, it's the program design. When you actually get into medical school, you'll be able to figure out your specialty of interest and then talk to doctors at your school about the pros and cons of different programs. Like for some surgical fields if you want to do research as a career there are programs with a built-in research year, but if you don't then you should look at shorter residencies. There's a lot of things that make a residency a good fit, and you'll think more about it when the time comes. Focus on getting into med school for now, don't worry about all this!!
Good caveat too that “best” as defined by prestige/ease of fellowship matching and nothing to do with clinical skills. Sure, if you’re as HSS for ortho you’ll probably do 20-30 cases as a resident you would never have seen at a community program. On the other hand, your peer community resident has probably banged out 100+ cases as lead/first assist in the time it takes HSS resident to hold a retractor for thr bajillion fellows for 20-30 cases. Academia has costs
Hmm, I think this was exactly the answer I needed, thank you!
Is Doximity still the best resource to use to determine the rank and competitiveness of programs?
it is the best resource but you must keep in mind that a candidate who is interested in SCI would be better off ranking a program who has robust SCI training higher than a program without it. Ergo you must analyze which programs align with your career goals
This is basically correct. Think of Doximity as helping with tiering (top 10, 20, etc) and then account for what your ultimate career goals are.
Limitations:
Doximity: The way that Doximity collects data is by a PM&R attending going on Doximity and voting on their top 5 programs. Naturally most are going to include their own program. This favors programs that are both large and old, as those are the programs with large alumni base. If there is a large, old program lower on the list, or if there is a new, smaller program higher on the list…those could be useful factors to consider.
US News: Ranks Hospitals…not programs. You can get a sense of the strength of the overall hospital and the attached rehab hospitals though. Many more useful for prestige and perhaps strength of inpatient rehab exposure. Says very little about outpatient exposure.
SDN (below): lists tiers of programs based on signals received, which is likely a solid measure of program competitiveness. Limitation includes not accounting for program size/interview slots (smaller programs with fewer interview slots for the same number of signals is more competitive) and does not consider that quality of applicant that applies to different programs (i.e. programs may get stronger applicants that signal than others).
> US News: Ranks Hospitals…not programs. You can get a sense of the strength of the overall hospital and the attached rehab hospitals though. Many more useful for prestige and perhaps strength of inpatient rehab exposure. Says very little about outpatient exposure.
Another caveat is it is based off volume of diagnosis type. High ranked rehabs have the highest volume of stroke, SCI, TBI. That says nothing of how good the care is or standards. Not even CARF will tell you as such.
Look at alumni and their reputation as practicing physicians.
https://forums.studentdoctor.net/threads/pm-r-advice-to-applicants.1114792/
Scroll down to see the ranking of competitiveness based on signals received
it is not, doximity is ranked by peer voting so there are always going to be biases. I really like US news & world report.
But the correct answer is that program rank is what fits you best!
There's been a lot of discussion about how applicants should rank programs (in order of actual preference). But how do residency programs do it? Do they rank their top applicants first? If they think an applicant is unlikely to rank them highly, would they put them lower on the list to avoid going down a lot on their list?
I'm aware that this may vary by specialty/program. Just wondering what exists out there in the program world.
I think every specialty has its own ways. But in ours, psychiatry, they are pre-ranked before the interview based on stats, the interview can bump you up or down, it's mainly to weed out any bad applicants. The rank list is adjusted every week obv after a set of interviews and its unlikely to be moved after unless something really bad is found out to remove you completely from the rank list or move to the last spot. At some programs, every interaction counts, lunch, second looks etc ( so avoid doing anything bad to be moved down). if you network ie had someone reach out to the PD whom the PD also knows or trusts, that also helps your rank bc they trust someone who vouched for you etc. There's a ton of bad applicants (that you can't see just based solely on stats) that are out there, so anything to reassure the PD you are a good human being is good, (ie team player, hard worker, professional).
I thought second looks are after program rank lists are due?
RIP to me thinking that my interview skill would mean something against an applicant with a 260+
Haha, it depends on your program. Like some have 2+ points for above 250 vs others say only 1+ for anything above 230. So you’re not that far off. Someone can get a 10+ from interview with a 230 vs a 270 with like -1 for weird interview lol
Resident at an academic surgery program here. Definitely varies between programs but can share my programs process.
The starting point for the list is each applicant gets a numeric score based on their application and interviews based on a standard rubric (includes things like leadership, teamwork, academic performance, intellectual curiosity, perseverance, etc). This is sorted in total score descending and is the basis for discussion and then applicants are moved up/down during the rank list meeting. For example, if there’s a prelim we want to keep, strong performance on a SubI, or more generally if members of the ranking committee/program leadership want to advocate for applicants to be higher/lower based on other things not factored into the score.
Historically whether an applicant has indicated they are “ranking us #1” hasn’t been an explicit concern in the meetings, but if someone who is a highly competitive applicant has made it clear we are their top choice (eg they are a top student at a top school in another region and they tell us they want to come here because they/their partner have family nearby) it can factor into how strongly people advocate for them to stay at the top.
Residents are included in interviewing and rank meetings but the ultimate order is confidential and at the discretion of the PD/APD.
Is there a lot of room to improve with an interview if your numeric pre-score was on the lower end? I'm curious as to how much a good or neutral interview can be for an average to below average applicant
Our cutoff for getting an interview at all is quite high… we got ~1700 applications for 7 spots and sent about 70 interview invites. Aside from giving guaranteed interviews to SubIs/med students at our school, anyone who met the bar to get an invite has a chance to match.
Interview is the deciding factor, but keep in mind the rubric is kind of the same… if we’re grading on leadership skills you’re going to be graded on the same activities your put on paper as you are going to talk about in your interview. The extra points in an interview would be for demonstrating maturity/thoughtfulness in how you discuss those experiences that wouldn’t necessarily come through on your eras.
Also— Don’t undersell yourself before you even interview! Given the high volume of apps all programs are getting these days if you got an invite it means you met their bar to match there (otherwise why would they waste their time/an interview spot?), so go into interview day confident that you belong!
Curious, does the timeline of when we receive interviews matter? i.e. are the best/top applicants for a particular program going to be sent out interviews first? Or is that completely random also?
Logically, it’s unlikely they’re sending their worst applicants interviews first. Risks removing too much space to interview their best applicants.
Safe to assume if you’re getting an interview at the end of November, it’s most likely from a program who had a spot open up due to a “better” applicant dropping theirs.
by penis size
Well shit…how are the girls ranked
also by penis size
Any tips on ranking? I guess it's pretty straightforward for US graduates, they will rank the programs in order of their preference, but how about IMGs? Should we rank the "safest" programs first?
What's the experience?
Thanks in advance
Rank in the order that you want to be at. If you can't be accommodated at your top choices, the algorithm will move down your list until it identifies a match.
The only advantage of ranking a "safe" program at the top is that you can claim to have matched at your #1 (provided that program also ranks you high enough for you to match there at all). If that same program was your #10 and you couldn't be matched to preferences 1 to 9, you would still match at this safe program.
You should rank in order of preference too. Ranking safer programs first does not increase your overall chance of matching.
There's really no such thing as "safe" programs. You should rank programs in your order of preference; doing so makes it more likely you'll Match at one of your top choices and does NOT decrease the chance that you'll Match into a program lower on your list.
Here's a helpful video on the topic.
Hope this helps!
r/EmpoweringIMGs
Having the same problem 😞
Rank according to where you would be happiest. Or whatever is most important to you.
Applying ENT next cycle and trying to get a feel for where programs stand against each other. Doximity ranks programs but I've heard that their list is trash, though idk if that's true or not. When I talk to advisors, they all have differing opinions.
​
ETA: Is there a way to tell how competitive a program is?
Residencyexplorer.org is a website run by AAMC that will show a lot about stats for residency programs. It has info on board scores, extracurriculars and other perks/benefits of the program. Some programs even have a board score cutoff on there (although not sure if verified by the program or not). Can also see where there residents went to medical school to check for regional bias. Hope this helps.
This is actually pretty helpful. Thanks for the suggestion!
It has old data though
That's probably true, just thought I'd mention a resource that hadn't been brought up in the comments yet.
Lol no man. There are so many variables to consider there is no actual ranking of any type and things like location, perks become increasingly important when it comes time for applicants to actually rank programs. Sounds like you’re looking for a prestige ranking - might as well use doximity though that’s just a popularity contest
>Sounds like you’re looking for a prestige ranking
Yeah, basically trying to figure out which are too competitive for me
Texas STAR is better for knowing avg stats for applicants
ENT is competitive so just apply broadly & worry about prestige later, once you get the interviews. However, I would caution you that there is much more to finding a perfect "match" than prestige (i.e. does the program have the opportunities you are looking for and will you be supported).
Rank lists, even if they were accurate, would only be helpful when you are making your final rank list. There is no reason for them when you are in the interview process.
Apply to any program that you would consider going to. Now is not the time to cheap out.
Hmm, never thought of it like that. Though I'm also planning aways rn and I'd rather not go to a program I know wouldn't take me as a resident
You can try perusing the otomatch spreadsheet for this cycle and get a sense of the feel/pros/cons of each program, as told subjectively by those who’ve rotated/interviewed. There is also a comparison tab comparing similar programs (with regards to prestige, location, research prowess, etc.) that may fit the bill for what you’re looking for.
Editing to add: ENT is very competitive. The match rate is abysmal, but does fluctuate widely from year to year because it’s a small specialty and there are only like 350 spots/year. My advice to you is to apply broadly and, as much as it pains me to say, start thinking about contingency plans if you don’t receive as many interviews as you’re comfortable with in November. Best of luck to you!
Much appreciated, sounds like you applied oto this year? Hope match gods are in your favor
How should I rank residency programs
Key Considerations for Ranking Residency Programs:
Personal Interests and Goals: Reflect on your specialty interests and career goals. Choose programs that align with your desired practice style and future aspirations.
Program Reputation: Research the reputation of each program, including faculty, training quality, and alumni success. Look for programs with strong networks and opportunities for mentorship.
Location: Consider the geographic location of the programs. Think about lifestyle, cost of living, proximity to family, and whether you prefer urban or rural settings.
Work-Life Balance: Evaluate the program's culture regarding work-life balance. Look for feedback from current residents about their experiences, workload, and support systems.
Training Opportunities: Assess the clinical training opportunities, including patient diversity, procedural experience, and research opportunities. Programs with robust training can enhance your skills and resume.
Program Size: Consider whether you prefer a smaller program with more individualized attention or a larger program with more resources and diverse cases.
Interview Experience: Reflect on your interactions during interviews. Consider how well you connected with faculty and residents, as this can indicate the program's culture.
Diversity and Inclusion: Look for programs that prioritize diversity and inclusion, as this can enhance your training experience and foster a supportive environment.
Recommendation: Create a ranking system based on the above factors, assigning weights to each category based on your priorities. This structured approach will help you make an informed decision that aligns with your personal and professional goals.
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