The #1 Mistake Medical Students Make With Their Rank List

Insider tips from matched residents that could make or break your match

January 22, 2025 • Reading Time: 3 minutes

Hey Future Resident,

Want to know the #1 mistake medical students make with their rank list? It's letting post-interview communication influence their rankings. Programs dropping hints like "we're ranking you highly" might feel encouraging, but seasoned residents warn: these comments should NEVER change your true preferences.

Insider Tips from Residents

  1. The "Call Schedule" Secret: One resident advises looking at more than just the total number of calls. The real insider tip? Ask about "jeopardy call" coverage for sick residents. Programs with strong backup systems often indicate better work-life balance and resident wellness. One resident told us, "I ranked my program #1 after learning they hadn't activated jeopardy in two years – it showed they really had enough coverage."

  2. The Two-List Method: Create two rank lists – one immediately after each interview and another 24 hours later. Multiple residents told us their immediate impressions often differed from their more balanced next-day thoughts. Those who used this method reported higher satisfaction with their match.

  3. The Hidden Red Flag: Pay attention to how current residents spend their free time. If they can't give specific examples of their life outside the hospital, that's often a bigger warning sign than they'll openly admit.

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Here are the three most critical things to remember when building your ROL:

  1. Start Early: Create your spreadsheet now with program names, locations, and key details. Document your impressions immediately after each interview while they're fresh.

  2. Trust Your Gut: While prestige matters, your day-to-day happiness matters more. Did you click with the residents? Could you picture yourself there for the next 3-7 years?

  3. Don't Play Games: Some programs might hint at your ranking status. Remember - the only way to guarantee your best match is to rank programs in your true order of preference.

Want more detailed guidance? Check out our full ROL guide on the blog.

Best of luck with your rankings!

Tyler