Most programs aren't "grasping" anywhere. Some, yes.
It is not hard to perceive that someone's IM program is a backup to their FM/OBGYN, although people fail to really grasp just how different IM and FM are. Enough that while applicants may feel equally comfortable either way, as aPD says, in a world where 10 people are interviewed for 1 spot, where does the person OK with either go in the pile compared to the people who can passionately state exactly why FM & IM are not interchangeable in their heart of hearts.
Listen guys, yes, life is life & will determine what you do. At the same time, ideals like "being upfront" "honest" & thinking the program gives a crap about you snowflake is ridiculous. I learned long ago medicine is business. Nasty nasty business dressed up in some altruism that does not extend to you in any measure.
Letting programs know you are going for more than one specialty is a no-no. If you were gen surg I imagine it's OK if it's known that you applied prelim surg too because you are that desperate for a foot in the field but I can't speak for cutters. There are some reach specialties where I understand that is the game, like neurosurgery, ortho, optho, etc where having a back up specialty is not held against you (except the backup would be sore if they knew).
Geez, is it so hard to understand that yes, you can apply to both, yes there are good reasons to do so, some that some people may find more or less sympathetic, still, no PDs don't like it, yes keep it under your hats.
I wish people just understood more that this is the way things are. Not so we can blindly accept them or never change them, I hate status quo, but just so you can ****ing survive. You don't realize how easy it is to **** yourself.
Approach the match as though your entire future depends on it. Because it does.
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Applying to multiple specialties
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