Thursday, August 28, 2014

Helloooo Michigan!

From the previous Match post we learned that we would be moving 2,000 miles across the country to Michigan. We were simultaneously thrilled and rather terrified of such a big move. Given that the other option was no match at all, we were mostly thrilled. :) Due to my type A nature, the planner in me kicked into overdrive and I started researching and stressing about all the "to-do's" on our ever growing list. We needed to secure housing, sell our present AZ home, figure out how all of us were going to travel out there, pack, pack, and pack some more! And on and on and ON!




Tuesday, August 26, 2014

Match Week

Good gravy. Over 4 months overdue and the details are beginning to fade so I need to get cracking!

This is going to be long but important to our family history.

The third week of March is dubbed "Match Week" in the medical world. It is the time that the medical student finds out where they will be completing their residency and it is a BIG deal. Basically, you spend the first half of your final year in medical school narrowing down programs that you are interested in. You send in your application and wait to hear back from them; if they offer you an interview, GREAT! If not, there isn't much you can do. Hopefully one gleans a good handful of interviews to increase their odds of matching. Competition is fierce, especially with certain specialties, but overall you don't want to be unmatched. It is your future, your job, the next step to becoming a licensed physician and without a completed residency you cannot be a practicing physician.

The match works this way: (taken from the NRMP website)
"The process begins with an attempt to match an applicant to the program most preferred on that applicant’s rank order list (ROL).  If the applicant cannot be matched to that first choice program, an attempt then is made to place the applicant into the second choice program, and so on, until the applicant obtains a tentative match or all the applicant’s choices on the ROL have been exhausted.  When all applicant rank order lists have been considered, all tentative matches become final."

Phil had garnered 9 interviews; 7 M.D. and 2 D.O., and we were feeling pretty comfortable with this number, it would have been great to have more but we were feeling confident; he interviewed wonderfully and always had positive feedback. As a D.O. student he could participate in both matches but if he matched D.O. first, then he is automatically pulled from the M.D. Match. Since we had more M.D. interviews we decided to forgo the D.O. match and throw everything into the M.D. match. Seven chances to match. All of them were in the West so we could be closer to family.

March 17th came and I was scheduled to work. I was nervous and wishing that I had taken the day off to be available and supportive to Phil if things didn't go our way. On this day we only found out IF we matched, not where. I finally got a text from Phil saying that he didn't match and I was devastated. Panicked! I quickly stepped away from my patient and texted him back asking if he was joking. He was not. He called me and I could hear the defeat in his voice. I felt terrible and more so because I was not home to help him in the next critical hours. Since we were unmatched we had a few chances to "scramble", basically try and find an open residency spot. The NRMP released a list of programs that had open spots and Phil had 2 hours to submit his application to these programs and after that the window closed. You could not contact them in any way other than through the secure application site; any other communication is forbidden and can get you thrown out of the match. You have 30 applications to submit and then you wait, and wait and pray that someone, anyone!, contacts you. The program must make the first contact.

We had our babysitter there to manage the kids so Phil could work without interruption. Poor guy was totally flying blind; stressed to the max, depression and fear eating away at us. We had worked SO hard through school and then to go unmatched was a cruel slap in the face. He was a great candidate! What happened?! We will never know. We just had to focus on the present and make it our sole focus to secure a residency position.

Monday: We did not match and submitted our applications to programs across the country. Gone was the notion and desire to stay in the West. We just wanted to have a job.

Tuesday: The first day that programs were allowed to contact applicants. We heard from a hospital in Livonia, Michigan. They seemed to really like Phil and gave us positive feedback. They were pretty aggressive in recruiting; Phil spoke to the program director, current residents in the program and the program coordinator. We were happy to have any options at this point but Michigan? We had specifically avoided the D.O. match because we felt that we would have matched to a program in Grand Rapids and the cold winters scared us off. Foolish? Probably.

Wednesday: We still had only heard from the Michigan program and Phil was feeling pretty low. I took Kate to dance class and while we waited for her, the boys and I played at the park. Phil hung around home and the computer waiting for contact from programs. While at the park Phil called me with exciting news. He had received another call from a program in Georgia. We researched it online and were really excited about it. Phil's mood improved and he just felt good about it all. We were pumped to have 2 possible offers!

Phil communicated several times with the program in Georgia and he enthusiastically made it known that he wanted to go there. The program could not let us know if they were ranking us but they did say that we were on the list. Fist pump! We were stoked.

Finally, Wednesday afternoon the offers were to come in from the 2 programs that had called us. If an offer was in the system we had 20 minutes to accept or deny. Once the time limit passed then all offers were off the table and we would then participate in a second smaller match with the very limited remaining programs. It's pretty much "do or die". We signed into the system and waited for an offer to appear. At first, nothing. We kept refreshing the screen and stressing.

After a few tense minutes an offer came through. Michigan! I'll admit we were slightly disappointed it wasn't Georgia. But good grief! We had just been through hell and who were we to look a gift horse in the mouth? We quickly accepted the offer and set in motion a legally binding contract with this program.

We matched! We were thrilled. Emotionally and mentally spent, humbled and in awe of the Lord's hand in our lives. We strongly believe that we were meant to come to Michigan. We prayed mightily to the Lord for the opportunity to continue on this medical journey and we know that He is mindful of our desires.

While this was going on we were also actively helping our dear friends who didn't match either. I was calling programs to verify that they had open spots and together we would compare our lists so that not one precious application was wasted on a program that did not have any open positions. I am thrilled to say that after much work and prayer that they also matched into a great program.

This experience is one that I would never want to repeat but as with most trials we came out stronger on the other side. Our faith was renewed and we certainly felt the love and support of our friends, family and most importantly our Heavenly Father.

I saved the text group message that I had sent out during that week to keep our family aware of the happenings of that week.


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