Switching to IM

nope read the NRMP rules on the all in policy and yes it has made it essentially impossible for programs to put 1st year positions to the side to offer outside the match.

Taken from the NRMP website:
Applying for an Exception
Requests for exceptions to the All In Policy must be submitted in writing. If approved, exceptions apply only to the current Match year.

Exceptions may be granted for:

• Rural Scholars Programs: Students graduate medical school in three years and commit during medical school to a primary care program at that school.
• Family Medicine Accelerated Programs: Students make an early commitment to Family Medicine and are channeled in to that track.
• Innovative Training Programs: Students recruited into undergraduate medical education programs that integrate with residency training.
• Military appointees to civilian programs: Positions reserved for applicants with a military obligation based on pre-existing arrangements between civilian programs and military branch GME offices.
• Post-SOAP® positions: Positions created by programs at the conclusion of the Supplemental Offer and Acceptance Program® for partially-matched applicants who need either a PGY-1 or PGY-2 position to achieve a full course of training.
• Off-cycle appointments: Positions becoming available after the Match opens in September and for which training will begin prior to February 1 in the year of the Match. If training will begin after January 31, the position must be filled through the Match.

Read it carefully and you'll see how hard it is when you think about timing

I knew someone ill who had to stop training partway through the year and was told they would have to go through ERAS to start PGY1 training over in June because of the all in policy. No way to just hold the spot. Of course, they could have just put the spot aside and the resident could have only applied/interviewed there and the program ranked them to match making it all moot but I wonder what the NRMP rules are when it's a match just for show. They probably don't care because they get the fee. They claim this all in policy was for applicant benefit, of which I am sure there is sum, but I get the feeling it was just so they could have even more of a monopoly on being the money middle man.

I'm guessing that the program has to keep it hush hush those times when the interview is for show just as they do in the academic science realm. Could be wrong.

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Switching to IM